Hostname: page-component-7479d7b7d-fwgfc Total loading time: 0 Render date: 2024-07-08T18:01:57.518Z Has data issue: false hasContentIssue false
  • English
  • Français

Ralstonia pickettii Bacteremia Associated With Pediatric Extracorporeal Membrane Oxygenation Therapy in a Canadian Hospital

Published online by Cambridge University Press:  02 January 2015

Sarah Forgie ,
Terri Kirkland ,
Robert Rennie ,
Linda Chui  and
Geoff Taylor
Sarah Forgie*
Affiliation:
Department of Pediatrics, University of Alberta Hospital, Edmonton, Canada Stollery Children's Hospital, University of Alberta Hospitals, Edmonton, Canada
Terri Kirkland
Affiliation:
Department of Pediatrics, University of Alberta Hospital, Edmonton, Canada Stollery Children's Hospital, University of Alberta Hospitals, Edmonton, Canada
Robert Rennie
Affiliation:
Division of Medical Microbiology, Department of Laboratory Medicine and Pathology, University of Alberta Hospitals, Edmonton, Canada
Linda Chui
Affiliation:
Department of Laboratory Medicine and Pathology, University of Alberta Hospitals, Edmonton, Canada Provincial Public Health Laboratory, Edmonton, Canada
Geoff Taylor
Affiliation:
Department of Internal Medicine, University of Alberta Hospital, Edmonton, Canada
*
Room 8213, Aberhart Centre One, 11402 University Avenue, Edmonton, Canada T6G 2J3 ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

We describe 2 pediatric patients with Ralstonia pickettii bacteremia associated with extracorporeal membrane oxygenation (ECMO) therapy. Investigation revealed a common environmental source—the ECMO temperature-control units. We created guidelines for disinfecting these units that do not void the manufacturer's warranty and have prevented additional cases of bacteremia due to this organism.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 28 , Issue 8 , August 2007 , pp. 1016 - 1018
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Ralston, E, Palleronni, NJ, Duoderoff, M. Int J Syst Bacteriol 1973;23:15–19.CrossRefGoogle Scholar
2. Yabuuchi, E, Kosako, Y, Yano, I, et al. Transfer of two Burkholderia and an Alcaligenes species to Ralstonia gen. Nov.: proposal of Ralstonia pickettii (Ralston, Palleroni and Doudoroff 1973) comb. Nov., Ralstonia so-lanacearum (Smith 1896) comb. Nov. and Ralstonia eutropha (Davis 1969) comb. Nov. Microbiol Immunol 1995;39:897–904.CrossRefGoogle Scholar
3. Centers for Disease Control and Prevention. Nosocomial Ralstonia pickettii colonization associated with intrinsically contaminated saline solution. JAMA 1998;279:1859.Google Scholar
4. Maroye, P, Doermann, HP, Rogues, AM, Gachie, JP, Megraud, F. Investigation of an outbreak of Ralstonia pickettii in a pediatric hospital by RAPD. J Hosp Infect 2000;44:267–272.CrossRefGoogle Scholar
5. National Committee for Clinical and Laboratory Standards (NCCLS). Performance Standards for Antimicrobial Susceptibility Testing. Villanova, PA: NCCLS; 2004:M100-S14.Google Scholar
6. Chang, N, Chui, L. A standardized protocol for the rapid preparation of bacterial DNA for PFGE. Diagn Microbiol Infect Dis 1998;31:275–279.CrossRefGoogle Scholar
7. Tenover, F, Goering, R, Murray, B, Persing, D, Swaminathan, B. Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. I Clin Microbiol 1995;33:2233–2239.CrossRefGoogle ScholarPubMed
8. Bistrussu, S, Beeton, A, Castaldo, G, et al. Are extracorporeal membrane oxygenation circuits that are primed with Plasmalyte and stored a likely source of infection? J Clin Microbiol 2004;42:3906.CrossRefGoogle ScholarPubMed
9. Medtronic Bio-cal 370/3701 Temperature Controller Unit Operator's Manual. Minneapolis: Medtronic; 1996.Google Scholar
10. Standards of infection control in reprocessing of flexible gastrointestinal endoscopes. Gastroenterol Nurs 2000;23:172–179.CrossRefGoogle Scholar
11. Odetola, F, Moler, F, Dechert, R, VanDerElzen, K, Chenowith, C. Nosocomial catheter related bloodstream infections in a pediatric intensive care unit: risks and rates associated with various intravascular technologies. Pediatr Crit Care Med 2003;4:432–436.CrossRefGoogle Scholar
12. Steiner, C, Stewart, D, Bond, S, Hornung, C, McKay, V. Predictors of acquiring a nosocomial bloodstream infection on extracorporeal membrane oxygenation. J Pediatr Surg 2001;36:487–492.CrossRefGoogle ScholarPubMed
13. Rodriguez, E, Walters, HL, Aggarwal, S. Extracorporeal membrane oxygenation. Available at: http://www.emedicine.com/ped/topic2895.htm. Accessed September 6, 2006.Google Scholar
14. O'Grady, N, Alexander, M, Patchen Dellinger, E, et al. Guidelines for the prevention of intravascular catheter-related infections. MMWR Recomm Rep 2002;51(RR-10):1–26.Google ScholarPubMed