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A urokinase-associated outbreak of Ralstonia mannitolilytica bloodstream infections in haemodialysis patients in north-eastern Italy, January to April 2023
An outbreak of Ralstonia mannitolilytica bloodstream infections occurred in four hospitals in north-eastern Italy, involving 20 haemodialysis patients with tunnelled central vascular catheter access. We identified as the outbreak source a batch of urokinase vials imported from India contaminated wit...
| Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Formato: | Online Artículo Texto |
| Lenguaje: | English |
| Publicado: |
European Centre for Disease Prevention and Control (ECDC)
2023
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| Materias: | |
| Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10347894/ https://www.ncbi.nlm.nih.gov/pubmed/37440346 http://dx.doi.org/10.2807/1560-7917.ES.2023.28.28.2300328 |
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| author | Fabricci, Massimiliano Trinca, Anaïs Talotti, Luca Busetti, Marina Fotakis, Emmanouil Alexandros Merakou, Christina Koncan, Raffaella Ghiotti, Annachiara Negri, Camilla Di Maso, Vittorio Bosco, Manuela Antonelli, Alberto Coppi, Marco Rossolini, Gian Maria Giuliani, Claudia Scarpis, Enrico Gregoretti, Barbara Licastro, Danilo Luzzati, Roberto Costantino, Venera Barbone, Fabio Bedina, Elisa Bottacin, Tania Cara, Alice Cipriani, Leda Cocconi, Roberto Cordova Luna, Maryluz D’Agaro, Pierlanfranco Di Bella, Stefano Di Santolo, Manuela Dolce, Stefano Fais, Roberta Fontana, Francesco Guerra, Antonietta Lucarelli, Claudia Maraglino,, Francesco Martone, Massimiliano Maurel, Cristina Mian, Lucia Monticelli, Jacopo Pagotto, Alberto Parenzan, Ketty Pezzotti, Patrizio Pipoli, Alessandro Roni, Chiara Sabbatucci,, Michela Sartor, Assunta Schincariol, Paolo Tascini, Carlo Tosto, Massimiliano Turello, Gabriele |
| author_facet | Fabricci, Massimiliano Trinca, Anaïs Talotti, Luca Busetti, Marina Fotakis, Emmanouil Alexandros Merakou, Christina Koncan, Raffaella Ghiotti, Annachiara Negri, Camilla Di Maso, Vittorio Bosco, Manuela Antonelli, Alberto Coppi, Marco Rossolini, Gian Maria Giuliani, Claudia Scarpis, Enrico Gregoretti, Barbara Licastro, Danilo Luzzati, Roberto Costantino, Venera Barbone, Fabio Bedina, Elisa Bottacin, Tania Cara, Alice Cipriani, Leda Cocconi, Roberto Cordova Luna, Maryluz D’Agaro, Pierlanfranco Di Bella, Stefano Di Santolo, Manuela Dolce, Stefano Fais, Roberta Fontana, Francesco Guerra, Antonietta Lucarelli, Claudia Maraglino,, Francesco Martone, Massimiliano Maurel, Cristina Mian, Lucia Monticelli, Jacopo Pagotto, Alberto Parenzan, Ketty Pezzotti, Patrizio Pipoli, Alessandro Roni, Chiara Sabbatucci,, Michela Sartor, Assunta Schincariol, Paolo Tascini, Carlo Tosto, Massimiliano Turello, Gabriele |
| author_sort | Fabricci, Massimiliano |
| collection | PubMed |
| description | An outbreak of Ralstonia mannitolilytica bloodstream infections occurred in four hospitals in north-eastern Italy, involving 20 haemodialysis patients with tunnelled central vascular catheter access. We identified as the outbreak source a batch of urokinase vials imported from India contaminated with R. mannitolilytica. Whole genome sequences of the clinical and urokinase strains were highly related, and only urokinase-treated patients were reported with R. mannitolilytica infections (attack rate = 34%; 95% confidence interval: 22.1–47.4). Discontinuation of the contaminated urokinase terminated the outbreak. |
| format | Online Article Text |
| id | pubmed-10347894 |
| institution | National Center for Biotechnology Information |
| language | English |
| publishDate | 2023 |
| publisher | European Centre for Disease Prevention and Control (ECDC) |
| record_format | MEDLINE/PubMed |
| spelling | pubmed-103478942023-07-15 A urokinase-associated outbreak of Ralstonia mannitolilytica bloodstream infections in haemodialysis patients in north-eastern Italy, January to April 2023 Fabricci, Massimiliano Trinca, Anaïs Talotti, Luca Busetti, Marina Fotakis, Emmanouil Alexandros Merakou, Christina Koncan, Raffaella Ghiotti, Annachiara Negri, Camilla Di Maso, Vittorio Bosco, Manuela Antonelli, Alberto Coppi, Marco Rossolini, Gian Maria Giuliani, Claudia Scarpis, Enrico Gregoretti, Barbara Licastro, Danilo Luzzati, Roberto Costantino, Venera Barbone, Fabio Bedina, Elisa Bottacin, Tania Cara, Alice Cipriani, Leda Cocconi, Roberto Cordova Luna, Maryluz D’Agaro, Pierlanfranco Di Bella, Stefano Di Santolo, Manuela Dolce, Stefano Fais, Roberta Fontana, Francesco Guerra, Antonietta Lucarelli, Claudia Maraglino,, Francesco Martone, Massimiliano Maurel, Cristina Mian, Lucia Monticelli, Jacopo Pagotto, Alberto Parenzan, Ketty Pezzotti, Patrizio Pipoli, Alessandro Roni, Chiara Sabbatucci,, Michela Sartor, Assunta Schincariol, Paolo Tascini, Carlo Tosto, Massimiliano Turello, Gabriele Euro Surveill Rapid Communication An outbreak of Ralstonia mannitolilytica bloodstream infections occurred in four hospitals in north-eastern Italy, involving 20 haemodialysis patients with tunnelled central vascular catheter access. We identified as the outbreak source a batch of urokinase vials imported from India contaminated with R. mannitolilytica. Whole genome sequences of the clinical and urokinase strains were highly related, and only urokinase-treated patients were reported with R. mannitolilytica infections (attack rate = 34%; 95% confidence interval: 22.1–47.4). Discontinuation of the contaminated urokinase terminated the outbreak. European Centre for Disease Prevention and Control (ECDC) 2023-07-13 /pmc/articles/PMC10347894/ /pubmed/37440346 http://dx.doi.org/10.2807/1560-7917.ES.2023.28.28.2300328 Text en This article is copyright of the authors or their affiliated institutions, 2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made. |
| spellingShingle | Rapid Communication Fabricci, Massimiliano Trinca, Anaïs Talotti, Luca Busetti, Marina Fotakis, Emmanouil Alexandros Merakou, Christina Koncan, Raffaella Ghiotti, Annachiara Negri, Camilla Di Maso, Vittorio Bosco, Manuela Antonelli, Alberto Coppi, Marco Rossolini, Gian Maria Giuliani, Claudia Scarpis, Enrico Gregoretti, Barbara Licastro, Danilo Luzzati, Roberto Costantino, Venera Barbone, Fabio Bedina, Elisa Bottacin, Tania Cara, Alice Cipriani, Leda Cocconi, Roberto Cordova Luna, Maryluz D’Agaro, Pierlanfranco Di Bella, Stefano Di Santolo, Manuela Dolce, Stefano Fais, Roberta Fontana, Francesco Guerra, Antonietta Lucarelli, Claudia Maraglino,, Francesco Martone, Massimiliano Maurel, Cristina Mian, Lucia Monticelli, Jacopo Pagotto, Alberto Parenzan, Ketty Pezzotti, Patrizio Pipoli, Alessandro Roni, Chiara Sabbatucci,, Michela Sartor, Assunta Schincariol, Paolo Tascini, Carlo Tosto, Massimiliano Turello, Gabriele A urokinase-associated outbreak of Ralstonia mannitolilytica bloodstream infections in haemodialysis patients in north-eastern Italy, January to April 2023 |
| title | A urokinase-associated outbreak of Ralstonia mannitolilytica bloodstream infections in haemodialysis patients in north-eastern Italy, January to April 2023 |
| title_full | A urokinase-associated outbreak of Ralstonia mannitolilytica bloodstream infections in haemodialysis patients in north-eastern Italy, January to April 2023 |
| title_fullStr | A urokinase-associated outbreak of Ralstonia mannitolilytica bloodstream infections in haemodialysis patients in north-eastern Italy, January to April 2023 |
| title_full_unstemmed | A urokinase-associated outbreak of Ralstonia mannitolilytica bloodstream infections in haemodialysis patients in north-eastern Italy, January to April 2023 |
| title_short | A urokinase-associated outbreak of Ralstonia mannitolilytica bloodstream infections in haemodialysis patients in north-eastern Italy, January to April 2023 |
| title_sort | urokinase-associated outbreak of ralstonia mannitolilytica bloodstream infections in haemodialysis patients in north-eastern italy, january to april 2023 |
| topic | Rapid Communication |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10347894/ https://www.ncbi.nlm.nih.gov/pubmed/37440346 http://dx.doi.org/10.2807/1560-7917.ES.2023.28.28.2300328 |
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