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Source Investigation and Control of Ralstonia mannitolilytica Bacteremia in a Neonatal Intensive Care Unit: A Case Report

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초록

A case of persistent Ralstonia mannitolilytica bacteremia in the neonatal intensive care unit prompted source investigation due to its rarity. After an extensive investigation, a contaminated ultrasonic nebulizer was identified as the source, and the infection was controlled by removing the source. This study emphasizes the importance of further investigations, even in single cases of rare pathogens.

Abstract

A case of persistent Ralstonia mannitolilytica bacteremia in the neonatal intensive care unit prompted source investigation due to its rarity. After an extensive investigation, a contaminated ultrasonic nebulizer was identified as the source, and the infection was controlled by removing the source. This study emphasizes the importance of further investigations, even in single cases of rare pathogens.

참고문헌 (8)

  1. Souza DC, "Ralstonia mannitolilytica bacteremia in a neonatal intensive care unit", Rev Soc Bras Med Trop, 51, pp.709~711 (2018)
  2. Jhung MA, "A national outbreak of Ralstonia mannitolilytica associated with use of a contaminated oxygen-delivery device among pediatric patients", Pediatrics, 119, pp.1061~1068 (2007)
  3. Ryan MP, "Ralstonia spp. : emerging global opportunistic pathogens", Eur J Clin Microbiol Infect Dis, 33, pp.291~304 (2014)
  4. Gröbner S, "Monoclonal outbreak of catheter-related bacteraemia by Ralstonia mannitolilytica on two haemato-oncology wards", J Infect, 55, pp.539~544 (2007)
  5. Basso M, "A case of persistent bacteraemia by Ralstonia mannitolilytica and Ralstonia pickettii in an intensive care unit", Infect Drug Resist, 12, pp.2391~2395 (2019)
  6. Liu CX, "Ralstonia mannitolilytica-induced septicemia and homology analysis in infected patients : 3 case reports", Jundishapur J Microbiol, 9, pp.e34373~ (2016)
  7. Gregg M, "Field epidemiology" (2008), Oxford University Press
  8. Centers for Disease Control, "Ralstonia associated with Vapotherm oxygen delivery device--United States, 2005", MMWR Morb Mortal Wkly Rep, 54, pp.1052~1053 (2005)

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