Outbreak of Ralstonia mannitolilytica bacteraemia in patients undergoing haemodialysis at a tertiary hospital in Pretoria, South Africa.
Mohamed SaidWesley van Hougenhouck-TullekenRashmika NaidooNontombi MbelleFarzana IsmailPublished in: Antimicrobial resistance and infection control (2020)
All patients were septic and received directed antibiotic therapy. There was 1 mortality. The source of the R. mannitolilytica infection in these patients was most likely the dialysis water as the identical organism was cultured from the dialysis water and the patients. The hospital management intervened and repaired the dialysis water system following which no further cases of R. mannitolilytca infections were detected. A multidisciplinary approach is required to control healthcare associated infections such as these. Routine maintenance of water systems in the hospital is essential to prevent clinical infections with R.mannitolilytica.
Keyphrases
- end stage renal disease
- chronic kidney disease
- peritoneal dialysis
- healthcare
- newly diagnosed
- ejection fraction
- patients undergoing
- south africa
- prognostic factors
- emergency department
- cardiovascular disease
- stem cells
- mesenchymal stem cells
- acute kidney injury
- cardiovascular events
- health information
- hiv infected
- hepatitis c virus
- quality improvement
- electronic health record