Abstract
During Jan. and Feb. 1975, 9 patients on a single ward of a rural Tennessee [USA] hospital unexpectedly developed sepsis. The aseptic technique employed in the management of i.v. infusions was implicated. Pseudomonas cepacia was recovered from the bloodstream, in-use i.v. infusions and the antiseptic, aqueous benzalkonium chloride. This outbreak again calls attention to the infection risk associated with the use of this product. Selection of less hazardous antiseptics and disinfectants is strongly recommended.

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