Stenotrophomonas maltophilia outbreak with a commercial blood gas injector as the culprit and interventions for source and prevention: A possible passage between patient and ECMO water heater device

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dc.authoridOTLU, BARIS/0000-0002-6220-0521
dc.authoridTanriverdi, Elif Seren/0000-0002-0449-0356
dc.authoridKırali, Mehmet Kaan/0000-0003-0044-4691
dc.authoridÇağlayan, Elif/0000-0002-4249-0824
dc.authorwosidOTLU, BARIS/ABI-5532-2020
dc.authorwosidTanriverdi, Elif Seren/ABE-4472-2021
dc.authorwosidKırali, Mehmet Kaan/ABH-2067-2020
dc.authorwosidÇağlayan, Elif/AAP-6206-2021
dc.contributor.authorMenekse, Sirin
dc.contributor.authorTanriverdi, Elif Seren
dc.contributor.authorOgus, Halide
dc.contributor.authorAltinay, Ece
dc.contributor.authorKaya, Cigdem
dc.contributor.authorCaglayan, Elif
dc.contributor.authorAydogan, Arzu Atesoglu
dc.date.accessioned2024-08-04T20:52:14Z
dc.date.available2024-08-04T20:52:14Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Despite low virulence of Stenotrophomonas maltophilia, it represents one of the leading drug -resistant bacteria. We report a large outbreak of S. maltophilia infection associated with an unexpected source, which turned out to be a commercial needleless blood gas injector. Methods: Over a period from January 1 to December10, 2021, 113 patients were identified to have S. malto-philia infection as documented by positive cultures from the clinical samples, extracorporeal membrane oxy-genation (ECMO) water heater devices and commercial needleless blood gas injectors. Results: Sixty-seven isolates (59 clinical, 4 ECMO, 4 blood gas injectors) were sent for molecular analysis. Both arbitrarily primed polymerase chain reaction and pulsed -field gel electrophoresis analyses showed 12 distinct genotypes. Of 67 isolates, 58 were clonally related (86.6%), with 52 indistinguishable strains from 4 blood gas needleless injectors, 46 patients' samples (78%), and 2 ECMO samples (50%). Two ECMO samples and 1 clinical sample were clonally identical. Conclusions: In the event that eradication of infections would not be possible despite taking all environmen-tal disinfection measures including the ECMO devices, unexpected sources, such as a commercial needleless blood gas injector, should not be omitted from the list for surveillance. In addition, obtaining surveillance cul-tures of ECMO water reservoirs should be placed in the routine clinical practice. & COPY; 2022 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.ajic.2022.07.012
dc.identifier.endpage538en_US
dc.identifier.issn0196-6553
dc.identifier.issn1527-3296
dc.identifier.issue5en_US
dc.identifier.pmid35868456en_US
dc.identifier.scopus2-s2.0-85135820420en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage533en_US
dc.identifier.urihttps://doi.org/10.1016/j.ajic.2022.07.012
dc.identifier.urihttps://hdl.handle.net/11616/100837
dc.identifier.volume51en_US
dc.identifier.wosWOS:001029192800001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMosby-Elsevieren_US
dc.relation.ispartofAmerican Journal of Infection Controlen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHospital outbreaken_US
dc.subjectECMO water heateren_US
dc.subjectInjectorsen_US
dc.titleStenotrophomonas maltophilia outbreak with a commercial blood gas injector as the culprit and interventions for source and prevention: A possible passage between patient and ECMO water heater deviceen_US
dc.typeArticleen_US

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