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Outbreak of Ralstonia pickettii associated with contamination of saline products distributed internationally, the United Kingdom, 2024
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View Affiliations Hide AffiliationsJames Elstonjames.elston ukhsa.gov.uk
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Citation style for this article: . Outbreak of Ralstonia pickettii associated with contamination of saline products distributed internationally, the United Kingdom, 2024. Euro Surveill. 2024;29(27):pii=2400384. https://doi.org/10.2807/1560-7917.ES.2024.29.27.2400384 Received: 18 Jun 2024; Accepted: 03 Jul 2024
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Abstract
We describe an outbreak of Ralstonia pickettii in the United Kingdom, with isolates genetically indistinguishable from a 2023 Australian outbreak linked to internationally distributed saline solutions. Confirmed cases (n = 3) had bacteraemia, clinically relevant infection, indwelling venous lines and frequent healthcare contact. Multi-stakeholder intervention was required including product recall and risk communications. We recommend a low threshold for investigating clusters of Ralstonia species and similar opportunistic pathogens, considering contaminated product sources. Effective mitigation requires multi-agency partnership and international collaboration.
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