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Volume 15, Number 1—January 2009

CME ACTIVITY - Research

Sphingomonas paucimobilis Bloodstream Infections Associated with Contaminated Intravenous Fentanyl1

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Article Title: Sphingomonas paucimobilis Bloodstream Infections Associated with Contaminated Intravenous Fentanyl

CME Questions

1. Which of the following organisms is most likely to have been reported as a contaminant associated with betamethasone injection?

A. Sphingomonas paucimobilis

B. Serratia marcescens

C. Pseudomonas putida

D. Exophiala spp.

2. Which of the following is least likely to be an accurate description of S. paucimobilis?

A. Gram-positive

B. Glucose-nonfermenting

C. Yellow-pigmented

D. Found in soil and water

3. In this case series, which of the following was investigated as a source of exposure to fentanyl that resulted in S. paucimobilis bacteremia infection in patients?

A. Intravenous infusions

B. Contrast agents

C. Medications

D. All of the above

4. Which of the following strategies was recommended by the study authors to reduce the incidence of bacterial contamination by compounding pharmacies?

A. Inspect source of drugs before preparation

B. End-product sterility testing

C. Elimination of compounding pharmacies

D. None of the above

Activity Evaluation

1. The activity supported the learning objectives.

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2. The material was organized clearly for learning to occur.

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3. The content learned from this activity will impact my practice.

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4. The activity was presented objectively and free of commercial bias.

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