D
Patient 1
A CUSTOMER IN (B)(6) NOTIFIED BIOM?RIEUX OF DISCREPANT RESULTS ASSOCIATED WITH VITEK? 2 GN TEST KIT (REFERENCE 21341) RELATED TO MISIDENTIFICATION OF AN ORGANISM. THE CUSTOMER REPORTED RESULTS FROM A URINE ISOLATE. THE ORGANISM GREW FROM A PURE URINE CULTURE AT 35 DEGREES IN NON-CO2 INCUBATOR. IT WAS A NON-LACTOSE FERMENTING ORGANISM AND THE VITEK? ID CARD IDENTIFIED THE ORGANISM AS SALMONELLA BOTH TIMES. THE SEROLOGY FOR SALMONELLA WAS NEGATIVE AND THE CUSTOMER SENT THE ORGANISM TO THEIR REFERENCE LABORATORY WHICH IDENTIFIED THE ORGANISM AS E. COLI. THE "MALDIT" OF IDENTIFICATION WAS ALSO E. COLI AND SIMPLE TESTS SHOWED THE FOLLOWING REACTIONS: INDOLE +/-, LACTOSE NEGATIVE, TSI= A/A NO H2S. THERE IS NO INDICATION OR REPORT FROM THE LABORATORY OR PHYSICIAN THAT THE DISCREPANT RESULT LED TO ANY ADVERSE EVENT RELATED TO A PATIENT'S STATE OF HEALTH. THERE WAS A DELAY IN THE FINAL REPORT UNTIL CONFIRMATION IDENTIFICATION WAS RECEIVED FROM BCCDC. AN INTERNAL BIOM?RIEUX INVESTIGATION WILL BE INITIATED.