Genetically Confirmed Edwardsiella tarda Peritonitis was Associated with Improper Caregiver’s Hand Hygiene during Peritoneal Dialysis Bag Exchange

Edwardsiella tarda is a Gram-negative bacillus and is responsible for waterborne disease. This is the first case report of peritoneal dialysis (PD)-associated peritonitis caused by genetically confirmed E. tarda, which was transmitted from the caregiver’s hand during PD bag exchange. Aside from that...

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Main Authors: Rutchanee Chieochanthanakij, Wasin Manuprasert, Nibondh Udomsantisuk, Lachlan J. Pearson, Talerngsak Kanjanabuch
Format: Article
Language:English
Published: Karger Publishers 2022-03-01
Series:Case Reports in Nephrology and Dialysis
Subjects:
Online Access:https://www.karger.com/Article/FullText/521351
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author Rutchanee Chieochanthanakij
Wasin Manuprasert
Nibondh Udomsantisuk
Lachlan J. Pearson
Talerngsak Kanjanabuch
author_facet Rutchanee Chieochanthanakij
Wasin Manuprasert
Nibondh Udomsantisuk
Lachlan J. Pearson
Talerngsak Kanjanabuch
author_sort Rutchanee Chieochanthanakij
collection DOAJ
description Edwardsiella tarda is a Gram-negative bacillus and is responsible for waterborne disease. This is the first case report of peritoneal dialysis (PD)-associated peritonitis caused by genetically confirmed E. tarda, which was transmitted from the caregiver’s hand during PD bag exchange. Aside from that, the caregiver was a fishmonger and a gastrointestinal carrier of the pathogen. Prior to the onset of peritonitis, the caregiver reported that she did not wash her hands every time when performing the PD bag exchange. Although extraintestinal edwardsiellosis usually poses a poor outcome, PD-associated peritonitis with this species is paradoxical if diagnosed early, and treatment is promptly provided, as presented here. This case emphasizes the importance of hand hygiene in preventing environment-bound infection in patients on PD and demonstrates the unusual route of infection, contamination during PD bag exchange.
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spelling doaj.art-2feadc6f688a4c789437fc68e1186e742022-12-22T00:55:23ZengKarger PublishersCase Reports in Nephrology and Dialysis2296-97052022-03-01121111510.1159/000521351521351Genetically Confirmed Edwardsiella tarda Peritonitis was Associated with Improper Caregiver’s Hand Hygiene during Peritoneal Dialysis Bag ExchangeRutchanee Chieochanthanakij0Wasin Manuprasert1Nibondh Udomsantisuk2Lachlan J. Pearson3Talerngsak Kanjanabuch4Dialysis Unit, Sawanpracharak Hospital, Nakhon Sawan, ThailandCenter of Excellence in Kidney Metabolic Disorders, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandDepartment of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandDivision of Nephrology, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandCenter of Excellence in Kidney Metabolic Disorders, Faculty of Medicine, Chulalongkorn University, Bangkok, ThailandEdwardsiella tarda is a Gram-negative bacillus and is responsible for waterborne disease. This is the first case report of peritoneal dialysis (PD)-associated peritonitis caused by genetically confirmed E. tarda, which was transmitted from the caregiver’s hand during PD bag exchange. Aside from that, the caregiver was a fishmonger and a gastrointestinal carrier of the pathogen. Prior to the onset of peritonitis, the caregiver reported that she did not wash her hands every time when performing the PD bag exchange. Although extraintestinal edwardsiellosis usually poses a poor outcome, PD-associated peritonitis with this species is paradoxical if diagnosed early, and treatment is promptly provided, as presented here. This case emphasizes the importance of hand hygiene in preventing environment-bound infection in patients on PD and demonstrates the unusual route of infection, contamination during PD bag exchange.https://www.karger.com/Article/FullText/521351edwardsiella tardaperitonitistouch contaminationhand hygiene
spellingShingle Rutchanee Chieochanthanakij
Wasin Manuprasert
Nibondh Udomsantisuk
Lachlan J. Pearson
Talerngsak Kanjanabuch
Genetically Confirmed Edwardsiella tarda Peritonitis was Associated with Improper Caregiver’s Hand Hygiene during Peritoneal Dialysis Bag Exchange
Case Reports in Nephrology and Dialysis
edwardsiella tarda
peritonitis
touch contamination
hand hygiene
title Genetically Confirmed Edwardsiella tarda Peritonitis was Associated with Improper Caregiver’s Hand Hygiene during Peritoneal Dialysis Bag Exchange
title_full Genetically Confirmed Edwardsiella tarda Peritonitis was Associated with Improper Caregiver’s Hand Hygiene during Peritoneal Dialysis Bag Exchange
title_fullStr Genetically Confirmed Edwardsiella tarda Peritonitis was Associated with Improper Caregiver’s Hand Hygiene during Peritoneal Dialysis Bag Exchange
title_full_unstemmed Genetically Confirmed Edwardsiella tarda Peritonitis was Associated with Improper Caregiver’s Hand Hygiene during Peritoneal Dialysis Bag Exchange
title_short Genetically Confirmed Edwardsiella tarda Peritonitis was Associated with Improper Caregiver’s Hand Hygiene during Peritoneal Dialysis Bag Exchange
title_sort genetically confirmed edwardsiella tarda peritonitis was associated with improper caregiver s hand hygiene during peritoneal dialysis bag exchange
topic edwardsiella tarda
peritonitis
touch contamination
hand hygiene
url https://www.karger.com/Article/FullText/521351
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