Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital

Dizbay, Murat; GUZEL TUNCCAN, OZLEM; Ozger, H.Selcuk; Bozdayi, Gulendam; Çağlar, Kayhan; YALINAY, Meltem; Baran Aksakal, Fatma Nur; ERGANİŞ, Sidre

doi:10.3906/sag-2010-121

Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital

Özlem GÜZEL TUNÇCAN, (Gazi Üniversitesi, Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Ankara, Türkiye)

Murat DİZBAY, (Gazi Üniversitesi, Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Ankara, Türkiye)

Hasan Selçuk ÖZGER, (Gazi Üniversitesi, Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Ankara, Türkiye)

Sidre ERGANİŞ, (Gazi Üniversitesi, Tıp Fakültesi, Tıbbi Mikrobiyoloji Anabilim Dalı, Ankara, Türkiye)

Fatma Nur BARAN AKSAKAL, (Gazi Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Ankara, Türkiye)

Meltem YALINAY, (Gazi Üniversitesi, Tıp Fakültesi, Tıbbi Mikrobiyoloji Anabilim Dalı, Ankara, Türkiye)

Gülendam BOZDAYI, (Gazi Üniversitesi, Tıp Fakültesi, Tıbbi Mikrobiyoloji Anabilim Dalı, Ankara, Türkiye)

Kayhan ÇAĞLAR (Gazi Üniversitesi, Tıp Fakültesi, Tıbbi Mikrobiyoloji Anabilim Dalı, Ankara, Türkiye)

Turkish Journal of Medical Sciences

1 0

Yıl: 2021 Cilt: 51 Sayı: 3 Sayfa Aralığı: 1027 - 1032 Metin Dili: İngilizce DOI: 10.3906/sag-2010-121 İndeks Tarihi: 17-01-2022

Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital

Öz:

Background/aim: Ralstonia solanacearum is a very rare cause of infection in humans. There is no described nosocomial outbreak due to R. solanacearum so far. We determined R. solanacearum as the source of catheter-related bloodstream infection (CRBSI) outbreak. Materials and methods: This outbreak analysis was carried out in a 1000-bed tertiary care university hospital in Turkey. The outbreak analysis included hematology, oncology, nephrology, gastroenterology wards, emergency department, and intensive care units. The first case with R. solanacearum CRBSI was detected on May 20, 2019 and R. solanacearum was isolated in catheter blood cultures in 34 patients until October 3, 2019 Results: Standard outbreak analysis procedures were applied. Culture samples were taken from the fluids administered via catheters. The cultures did not yield any bacteria. As a result of the investigation in storage area, it was found that there were leaks, air bubbles, and water drops inside the packaging of saline solutions. R. solanacearum was yielded in the cultures obtained from the surface of saline bags and the inner sides of plastic packings. To validate our hypothesis, a clonal analysis was performed using arbitrarily primed-PCR method and Sanger sequencing of the 16S rRNA gene for identification among isolates. All R. solanacearum isolates were monoclonal and identical. Conclusion: This is the first outbreak of R. solanacearum CRBSI described in a hospital setting. The source of the outbreak was a contamination in the surface of saline bags and the inner sides of plastic packings. Efficacy of an active surveillance system, accurate and rapid conduction of microbiological identification are essential for outbreak management.Key words: Ralstonia solanacearum, outbreak, nosocomial, bloodstream infection, contaminated saline

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Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	GUZEL TUNCCAN O, Dizbay M, Ozger H, ERGANİŞ S, Baran Aksakal F, YALINAY M, Bozdayi G, Çağlar K (2021). Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital. , 1027 - 1032. 10.3906/sag-2010-121
Chicago	GUZEL TUNCCAN OZLEM,Dizbay Murat,Ozger H.Selcuk,ERGANİŞ Sidre,Baran Aksakal Fatma Nur,YALINAY Meltem,Bozdayi Gulendam,Çağlar Kayhan Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital. (2021): 1027 - 1032. 10.3906/sag-2010-121
MLA	GUZEL TUNCCAN OZLEM,Dizbay Murat,Ozger H.Selcuk,ERGANİŞ Sidre,Baran Aksakal Fatma Nur,YALINAY Meltem,Bozdayi Gulendam,Çağlar Kayhan Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital. , 2021, ss.1027 - 1032. 10.3906/sag-2010-121
AMA	GUZEL TUNCCAN O,Dizbay M,Ozger H,ERGANİŞ S,Baran Aksakal F,YALINAY M,Bozdayi G,Çağlar K Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital. . 2021; 1027 - 1032. 10.3906/sag-2010-121
Vancouver	GUZEL TUNCCAN O,Dizbay M,Ozger H,ERGANİŞ S,Baran Aksakal F,YALINAY M,Bozdayi G,Çağlar K Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital. . 2021; 1027 - 1032. 10.3906/sag-2010-121
IEEE	GUZEL TUNCCAN O,Dizbay M,Ozger H,ERGANİŞ S,Baran Aksakal F,YALINAY M,Bozdayi G,Çağlar K "Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital." , ss.1027 - 1032, 2021. 10.3906/sag-2010-121
ISNAD	GUZEL TUNCCAN, OZLEM vd. "Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital". (2021), 1027-1032. https://doi.org/10.3906/sag-2010-121

APA	GUZEL TUNCCAN O, Dizbay M, Ozger H, ERGANİŞ S, Baran Aksakal F, YALINAY M, Bozdayi G, Çağlar K (2021). Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital. Turkish Journal of Medical Sciences, 51(3), 1027 - 1032. 10.3906/sag-2010-121
Chicago	GUZEL TUNCCAN OZLEM,Dizbay Murat,Ozger H.Selcuk,ERGANİŞ Sidre,Baran Aksakal Fatma Nur,YALINAY Meltem,Bozdayi Gulendam,Çağlar Kayhan Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital. Turkish Journal of Medical Sciences 51, no.3 (2021): 1027 - 1032. 10.3906/sag-2010-121
MLA	GUZEL TUNCCAN OZLEM,Dizbay Murat,Ozger H.Selcuk,ERGANİŞ Sidre,Baran Aksakal Fatma Nur,YALINAY Meltem,Bozdayi Gulendam,Çağlar Kayhan Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital. Turkish Journal of Medical Sciences, vol.51, no.3, 2021, ss.1027 - 1032. 10.3906/sag-2010-121
AMA	GUZEL TUNCCAN O,Dizbay M,Ozger H,ERGANİŞ S,Baran Aksakal F,YALINAY M,Bozdayi G,Çağlar K Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital. Turkish Journal of Medical Sciences. 2021; 51(3): 1027 - 1032. 10.3906/sag-2010-121
Vancouver	GUZEL TUNCCAN O,Dizbay M,Ozger H,ERGANİŞ S,Baran Aksakal F,YALINAY M,Bozdayi G,Çağlar K Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital. Turkish Journal of Medical Sciences. 2021; 51(3): 1027 - 1032. 10.3906/sag-2010-121
IEEE	GUZEL TUNCCAN O,Dizbay M,Ozger H,ERGANİŞ S,Baran Aksakal F,YALINAY M,Bozdayi G,Çağlar K "Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital." Turkish Journal of Medical Sciences, 51, ss.1027 - 1032, 2021. 10.3906/sag-2010-121
ISNAD	GUZEL TUNCCAN, OZLEM vd. "Monoclonal outbreak of Ralstonia solanacearum catheter-related bloodstream infection associated with contaminated package of normal saline solution in a tertiary care hospital". Turkish Journal of Medical Sciences 51/3 (2021), 1027-1032. https://doi.org/10.3906/sag-2010-121