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

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.