Outbreak of Ralstonia mannitolilytica in hemodialysis unit: A case series
| Autor: | H. Sudarshan Ballal, M Shankar, Vishwanath Siddini, S. Rampure |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.drug_class medicine.medical_treatment Antibiotics Case Report lcsh:RC870-923 03 medical and health sciences 0302 clinical medicine Internal medicine Ralstonia mannitolilytica medicine Infection control 030212 general & internal medicine Hemodialysis unit 030203 arthritis & rheumatology biology business.industry Outbreak Maintenance hemodialysis lcsh:Diseases of the genitourinary system. Urology biology.organism_classification medicine.disease Nephrology Hemodialysis nosocomial infection Infective endocarditis business |
| Zdroj: | Indian Journal of Nephrology Indian Journal of Nephrology, Vol 28, Iss 4, Pp 323-326 (2018) |
| ISSN: | 0971-4065 |
| DOI: | 10.4103/ijn.ijn_77_17 |
| Popis: | Ralstonia mannitolilytica is a Gram-negative soil bacteria. It is an emerging opportunistic pathogen in hospital-acquired infections. Maintenance hemodialysis patients at Manipal Hospital Outpatient Haemodialysis unit, Bengaluru, witnessed an outbreak of R. mannitolilytica infection between October 2016 and November 2016. Five patients were infected and one of them presented with infective endocarditis. All patients were successfully treated with antibiotic according to culture and sensitivity pattern. Immediately following the outbreak, environmental sampling was done. The culture from sterile water was positive for R. mannitolilytica growth. The Department of Infection Control ordered for discarding the whole batch of sterile water followed by water treatment with shock chlorination and room disinfection. Following implementation of the same, the outbreak of R. mannitolilytica infection was controlled. R. mannitolilytica infections are hospital acquired, affecting mainly immunocompromised patients. The disease onset and progression is rapid. Early identification of the organism and treatment with appropriate antibiotics is important. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|