| sphingomonas paucimobilis bloodstream infections associated with contaminated intravenous fentanyl. | nationally distributed medications from compounding pharmacies, which typically adhere to less stringent quality-control standards than pharmaceutical manufacturers, can lead to multistate outbreaks. we investigated a cluster of 6 patients in a maryland hospital who had sphingomonas paucimobilis bloodstream infections in november 2007. of the 6 case-patients, 5 (83%) had received intravenous fentanyl within 48 hours before bacteremia developed. cultures of unopened samples of fentanyl grew s. pa ... | 2009 | 19116043 |