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Outbreak Investigation at a Dialysis Center Associated with a Multi-use Dialyzer with Removable Headers and O-rings, Los Angeles County

      Dialyzer reuse has become the standard practice in many dialysis centers. Dialyzer reprocessing is a complex, multi-step procedure frequently provided by unlicensed healthcare workers. In August 2011, Los Angeles County (LAC) Department of Public Health (DPH), received notification of five patients diagnosed with bacteremia among hemodialysis patients in Dialysis Center A (DCA), four of which were positive for Stenotrophomonas maltophilia (S. maltophilia); two of these four were also positive for Candida parapsilosis (C. parapsilosis).
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