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Abstract

In November 2021, a clonal outbreak of of novel sequence type ST3875 was detected in three patients who died of bloodstream infections in one hospital. By 25 April 2022, the outbreak included 339 cases from 38 hospitals across Norway. Initial hospital reports indicate infection as the main contributing cause in seven deaths. In March 2022, the outbreak strain was identified in non-sterile pre-moistened disposable washcloths, used to clean patients, from three lots from the same international manufacturer.

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/content/10.2807/1560-7917.ES.2022.27.18.2200312
2022-05-05
2024-12-22
/content/10.2807/1560-7917.ES.2022.27.18.2200312
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References

  1. Iversen BG, Jacobsen T, Eriksen HM, Bukholm G, Melby KK, Nygård K, et al. An outbreak of Pseudomonas aeruginosa infection caused by contaminated mouth swabs. Clin Infect Dis. 2007;44(6):794-801.  https://doi.org/10.1086/511644  PMID: 17304450 
  2. Chittick P, Russo V, Sims M, Robinson-Dunn B, Oleszkowicz S, Sawarynski K, et al. An outbreak of Pseudomonas aeruginosa respiratory tract infections associated with intrinsically contaminated ultrasound transmission gel. Infect Control Hosp Epidemiol. 2013;34(8):850-3.  https://doi.org/10.1086/671268  PMID: 23838230 
  3. Becks VE, Lorenzoni NM. Pseudomonas aeruginosa outbreak in a neonatal intensive care unit: a possible link to contaminated hand lotion. Am J Infect Control. 1995;23(6):396-8.  https://doi.org/10.1016/0196-6553(95)90272-4  PMID: 8821117 
  4. Stephenson JR, Heard SR, Richards MA, Tabaqchali S. Gastrointestinal colonization and septicaemia with Pseudomonas aeruginosa due to contaminated thymol mouthwash in immunocompromised patients. J Hosp Infect. 1985;6(4):369-78.  https://doi.org/10.1016/0195-6701(85)90053-2  PMID: 2868034 
  5. Iversen BG, Eriksen HM, Bø G, Hagestad K, Jacobsen T, Engeset E, et al. Pseudomonas aeruginosa contamination of mouth swabs during production causing a major outbreak. Ann Clin Microbiol Antimicrob. 2007;6(1):3.  https://doi.org/10.1186/1476-0711-6-3  PMID: 17355630 
  6. Kerr KG, Snelling AM. Pseudomonas aeruginosa: a formidable and ever-present adversary. J Hosp Infect. 2009;73(4):338-44.  https://doi.org/10.1016/j.jhin.2009.04.020  PMID: 19699552 
  7. International Organization for Standardization (ISO). Cosmetics – microbiology – identification of Pseudomonas aeruginosa (ISO 2217:2015). Geneva: ISO; 2021. Available from: https://www.iso.org/standard/68312.html
  8. The Norwegian Institute of Public Health (NIPH). Utbruddsbakterien funnet i engangs vaskeklut brukt i helsetjenesten. [Outbreak bacterium detected in disposable washcloth used in healthcare]. Oslo: NIPH; 2022. Norwegian. Available from: https://www.fhi.no/nyheter/2022/utbruddsbakterien-funnet-i-engangs-vaskeklut-brukt-i-helsetjenesten
  9. Norwegian Food Safety Authority (NFSA). Trekker flere engangsvaskekluter etter funn av ulovlige bakterier. [Withdrawal of several disposable washcloths after detection of illegal bacteria]. Brumunddal: NFSA; 2022. Norwegian. Available from: https://www.mattilsynet.no/kosmetikk/stoffer_i_kosmetikk/trekker_flere_engangsvaskekluter_etter_funn_av_ulovlige_bakterier.46361
  10. European Commission. Regulation (EC) No 1223/2009 of the European Parliament and of the Council of 30 November 2009 on cosmetic products. Official Journal of the European Union. 2009; L 342/59. Available from: http://data.europa.eu/eli/reg/2009/1223/oj
  11. Berdal JE, Smith-Erichsen N, Bjørnholt JV, Blomfeldt A, Bukholm G. Does Pseudomonas aeruginosa colonization influence morbidity and mortality in the intensive care unit patient? Experience from an outbreak caused by contaminated oral swabs. Acta Anaesthesiol Scand. 2006;50(9):1095-102.  https://doi.org/10.1111/j.1399-6576.2006.01044.x  PMID: 16987339 
  12. Jünemann S, Sedlazeck FJ, Prior K, Albersmeier A, John U, Kalinowski J, et al. Updating benchtop sequencing performance comparison. Nat Biotechnol. 2013;31(4):294-6.  https://doi.org/10.1038/nbt.2522  PMID: 23563421 
  13. Kahlmeter G, Turnidge J. How to: ECOFFs-the why, the how, and the don’ts of EUCAST epidemiological cutoff values. Clin Microbiol Infect. 2022;S1198-743X(22)00101-X.  https://doi.org/10.1016/j.cmi.2022.02.024  PMID: 35218980 
  14. European Commission. Commission Implementing Decision of 25 November 2013 on Guidelines on Annex I to Regulation (EC) No 1223/2009 of the European Parliament and of the Council on cosmetic products. Official Journal of the European Union. 2013.L 315/82. Available from: https://eur-lex.europa.eu/eli/dec_impl/2013/674/oj
  15. Scientific Committee on Consumer Safety . The SCCS notes of guidance for the testing of cosmetic ingredients and their safety evaluation. 11th revision. SCCS/1628/21. Brussels: European Commission; 2021. Available from: https://ec.europa.eu/health/system/files/2021-04/sccs_o_250_0.pdf
Pseudomonas aeruginosa countrywide outbreak in hospitals linked to pre-moistened non-sterile washcloths, Norway, October 2021 to April 2022
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Kirsten+Gravningen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Gravningen Kirsten</a>, <a href="/search?value1=Oliver+Kacelnik&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Kacelnik Oliver</a>, <a href="/search?value1=Egil+Lingaas&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Lingaas Egil</a>, <a href="/search?value1=Torunn+Pedersen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pedersen Torunn</a>, <a href="/search?value1=Bj%C3%B8rn+G+Iversen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Iversen Bjørn G</a>, <a href="/search?value1=the+Pseudomonas+outbreak+group&option1=author&noRedirect=true" class="nonDisambigAuthorLink">the Pseudomonas outbreak group</a></span>. Pseudomonas aeruginosa countrywide outbreak in hospitals linked to pre-moistened non-sterile washcloths, Norway, October 2021 to April 2022. <a href="/content/ecdc">Euro Surveill.</a> 2022;27(18):pii=2200312. <a href="https://doi.org/10.2807/1560-7917.ES.2022.27.18.2200312" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2022.27.18.2200312</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 08 Apr 2022;&nbsp;&nbsp; <span class="generated">Accepted</span>: 04 May 2022 </span> </p>
/content/10.2807/1560-7917.ES.2022.27.18.2200312
/content/10.2807/1560-7917.ES.2022.27.18.2200312
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