Work

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

Year: 2022

Type: article

Abstract: 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.

Source: Case Reports in Nephrology and Dialysis

DOI: 10.1159/000521351

Authors: Rutchanee Chieochanthanakij, Wasin Manuprasert, Nibondh Udomsantisuk, Lachlan J. Pearson, Talerngsak Kanjanabuch

Institutions: Sawanpracharak Hospital, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Westmead Institute for Medical Research

Language: English

Topic: Infection Control in Healthcare

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,030