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Published on: September 18, 2020
Contamination of peripheral hematopoeitic stem cell products with a Mycobacterium mucogenicum-related pathogen
Imad Kassis1, Ilana Oren, Sima Davidson
1Infectious Diseases Unit, Meyer Children's Hospital, Rambam Medical Center, and Bruce-Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. i_kassis@rambam.health.gov.il
Abstract:
A gram-positive rod with a restriction pattern closely related to the published nucleotide sequence of Mycobacterium mucogenicum was isolated from 6 of 45 units of peripheral blood stem cell products. The source of the contamination was traced to ice cubes used in processing the peripheral blood stem cell products. Substituting reusable ice trays for ice from an ice machine terminated the outbreak.
Insights
Contaminated ice cubes led to Mycobacterium mucogenicum infections in stem cell products. Switching to reusable ice trays stopped the outbreak, highlighting a critical contamination source in cell processing.
Area of Science:
- Microbiology
- Infectious Diseases
- Cell Therapy
Background:
- Contamination in cellular products poses a significant risk to patient safety.
- Mycobacterium species are known opportunistic pathogens that can cause severe infections.
Purpose of the Study:
- To identify the source of Mycobacterium mucogenicum contamination in peripheral blood stem cell products.
- To implement control measures to prevent further outbreaks.
Main Methods:
- Bacterial isolation and identification from stem cell products.
- Restriction fragment length polymorphism (RFLP) analysis to compare isolates with published sequences.
- Environmental investigation to trace the source of contamination.
Main Results:
- A gram-positive rod, closely related to Mycobacterium mucogenicum, was isolated from 6 of 45 peripheral blood stem cell units.
- The contamination was traced to ice cubes used during the processing of these products.
- Replacing ice machine-generated ice with reusable ice trays successfully terminated the outbreak.
Conclusions:
- Ice cubes used in cell processing can be a source of Mycobacterium mucogenicum contamination.
- Implementing strict environmental controls, such as using reusable ice trays, is crucial for preventing contamination in cellular products.
- Prompt identification and source tracing are vital for controlling outbreaks in healthcare settings.
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