Peritoneal dialysis-associated peritonitis presenting with Ralstonia pickettii infection: A novel series of three cases during the COVID-19 pandemic

Henry H. L. Wu, Joanne Collier, Laurie Crosby, David Holder, Elizabeth Trautt, David Lewis, Dimitrios Poulikakos, Rajkumar Chinnadurai

Research output: Contribution to journalArticlepeer-review

Abstract

Peritoneal dialysis (PD)-associated peritonitis secondary to Ralstonia infection is very rare. Ralstonia pickettii is an organism which can grow in contaminated saline, water, chlorhexidine and other medical products used in laboratories and the clinical setting. Infective endocarditis, prosthetic joint and severe chest infections are previously reported with Ralstonia pickettii infection. We report a novel series of three cases diagnosed with PD-associated peritonitis presenting with Ralstonia pickettii, where the cases appeared consecutively to our unit during a span of four weeks. During the COVID-19 pandemic, there were increased uses of non-sterile gloves by clinical staff as a form of personal protective equipment throughout patient interaction and PD exchange, as recommended by local hospital policy for all staff attending to patient care. A multidisciplinary team root cause analysis of our cases suggested non-sterile gloves being the likely source of environmental contamination, leading to PD-associated peritonitis presenting with Ralstonia pickettii in this scenario.
Original languageEnglish
JournalSeminars in Dialysis
Early online date8 Dec 2022
DOIs
Publication statusE-pub ahead of print - 8 Dec 2022

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