(CNN) --Alabama health officials, the source of the bacteria find the suspected the deaths of nine hospital patients and the unbearable 10 others announced Thursday that they found the same bacteria in a pharmacy in Birmingham.
"With a view on the DNA fingerprints, this organism an exact match of organisms that had the patients so that we, being inserted do not know to the pharmacy leave", said Dr. Don Williamson CNN.
The pharmacy, IV meds, Birmingham, had prepared the intravenous nutrition solutions, given all the patients in six hospitals in the State. Bacteria in their blood bacteria in a bag of suspicious products found in the pharmacy voted, he said.
"Now it only a question which identifies the source it from the pharmacy except out of pocket", said Dr. Mary McIntyre, a medical officer with the Bureau of communicable disease within the Alabama Department of public health. "This is not yet complete."
She said the same bacteria-with Serratia Marcescens--were found on a cotton swab from a faucet in the pharmacy. McIntyre described as a small business that had a full time staff pharmacist IV meds. The company's Web site was taken down and calls to the business went unanswered.
The bacteria themselves are ubiquitous in the environment, but found rarely in the blood, she said. "It is all for us." "What you are looking for is what types of practices of sterile technique were followed and what kind of processes were."
The goal is a likely chain of events put together, that the solution always contaminated led and then to put site practices, to ensure that it not be repeated, said Williamson.
But he said it is unlikely that researchers are always certain of what happened. "I think the reality is the best, what, at the end will we with, is a very likely cause of infection," he said. "You will never be able to get the smoking gun."
The match between the bacteria in your Pocket IV found and those found in patients "is pretty close to a smoking gun", he said. But how it came into the Pocket where it in the environment was a "most likely, no certain way." is probably way
Investigators have uncovered now more details about the nature of the disease. All patients, which this month received the intravenous nutrition solution, also called total parenteral Ern?hrung-- or TPN--35% of them were sick, Williamson said.
None of the seven children received TPN infected with bacteria, a fact that has fascinated investigators. ", Which may be processed with some problems like things in the pharmacy were to do," Williamson said. Continuous cultures of samples in the pharmacy can help to clarify issues, he said.
At the age of the affected area from 38 to 94 years. He said 11 women and eight men.
But moving figures to a definitive cause will not be easy, he predicted. "It is relatively easy, I think, to quantify the numbers." Is much more difficult as you try it, by simply, 'The numbers are' move, "like that happen?" "
The outbreak led Mary Ellen Kise Thursday represent the submission in Autauga County Circuit Court of a civil lawsuit against IV meds for wrongful death related to one of the fatalities. A man who their telephone answered in accordance with a caller their attorney, Jere Beasley, CNN said, that he is been contacted by six families.
"With the ultimate responsibility of the company are, produced and marketed the product," he said. "As far as it was at this time where they put one a defective drug out, a danger to the created and is dangerous, we will find as we go."
He conceded that the Ministry of health has yet to determine the cause of the outbreak, but said he had no doubt. "You have 19 people we know were affected;" We know six died and we know that all of them were always this specific product. So, it's pretty easy to figure out that the product caused the infection. "CNN's Craig Bell contributed to this report."
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