Burkholderia stabilis outbreak associated with contaminated commercially-available washing gloves, Switzerland, May 2015 to August 2016.

Details

Ressource 1Download: 29233255.pdf (364.19 [Ko])
State: Public
Version: Final published version
Serval ID
serval:BIB_4F2462A5BEEF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Burkholderia stabilis outbreak associated with contaminated commercially-available washing gloves, Switzerland, May 2015 to August 2016.
Journal
Euro surveillance
Author(s)
Sommerstein R., Führer U., Lo Priore E., Casanova C., Meinel D.M., Seth-Smith H.M., Kronenberg A., Koch D., Senn L., Widmer A.F., Egli A., Marschall J.
Working group(s)
On Behalf Of Anresis, On Behalf Of Swissnoso
ISSN
1560-7917 (Electronic)
ISSN-L
1025-496X
Publication state
Published
Issued date
12/2017
Peer-reviewed
Oui
Volume
22
Number
49
Pages
NA
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
We describe an outbreak of <i>Burkholderia stabilis</i> associated with contaminated washing gloves, a commercially available Class I medical device. Triggered by an increase in <i>Burkholderia cepacia</i> complex (BCC) bacteremias and the detection of BCC in unopened packages of washing gloves, an ad hoc national outbreak committee comprising representatives of a public health organisation, a regulatory agency, and an expert association convened and commissioned an outbreak investigation. The investigation included retrospective case finding across Switzerland and whole genome sequencing (WGS) of isolates from cases and gloves. The investigation revealed that BCC were detected in clinical samples of 46 cases aged 17 to 91 years (33% females) from nine institutions between May 2015 and August 2016. Twenty-two isolates from case patients and 16 from washing gloves underwent WGS. All available outbreak isolates clustered within a span of < 19 differing alleles, while 13 unrelated clinical isolates differed by > 1,500 alleles. This BCC outbreak was rapidly identified, communicated, investigated and halted by an ad hoc collaboration of multiple stakeholders. WGS served as useful tool for confirming the source of the outbreak. This outbreak also highlights current regulatory limitations regarding Class I medical devices and the usefulness of a nationally coordinated outbreak response.

Keywords
Adult, Aged, Bacteremia/diagnosis, Bacteremia/epidemiology, Bacteremia/microbiology, Burkholderia Infections/epidemiology, Burkholderia Infections/microbiology, Burkholderia cepacia complex/classification, Burkholderia cepacia complex/genetics, Burkholderia cepacia complex/isolation & purification, Cross Infection/diagnosis, Cross Infection/epidemiology, Cross Infection/microbiology, Disease Outbreaks, Female, Gloves, Surgical/microbiology, Humans, Multilocus Sequence Typing, Retrospective Studies, Switzerland/epidemiology, Whole Genome Sequencing, Burkholderia cepacia complex, Burkholderia stabilis, medical device, whole genome sequencing, nationwide, outbreak
Pubmed
Open Access
Yes
Create date
14/12/2017 18:18
Last modification date
20/08/2019 15:04
Usage data