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Journal of Clinical Microbiology, December 2000, p. 4577-4579, Vol. 38, No. 12
Department of Clinical Microbiology and
Infectious Diseases, Hospital General Universitario "Gregorio
Marañón," Madrid, Spain
Received 12 July 2000/Returned for modification 10 August
2000/Accepted 13 September 2000
Pseudomonas (formerly Flavimonas)
oryzihabitans is an uncommon pathogen that may cause
catheter-associated infections. Although it has occasionally been
isolated from the environment, the source of human infection has not
previously been documented. We describe an AIDS patient who developed
Pseudomonas oryzihabitans bacteremia due to colonization of
a Hickman catheter. The patient reported having strictly followed the
recommendations for catheter hygiene. The only flaw detected was the
use of a synthetic bath sponge in the shower. The sponge was cultured
and yielded P. oryzihabitans among other nonfermentative,
gram-negative bacilli. To determine the prevalence of P. oryzihabitans in sponges, we cultured 15 samples from unrelated
households. The microorganism was isolated from 3 of the 15 samples.
Molecular typing by arbitrarily primed PCR (AP-PCR) was performed with
the environmental and clinical isolates. Three different profiles were
obtained for the six isolates analyzed from the patient's sponge. The
strain from the AIDS patient was identical to one of those from his
sponge and was different from all the remaining strains. The AP-PCR
typing results were subsequently confirmed by pulsed-field gel
electrophoresis. It can be concluded that sponges are occasionally
colonized by P. oryzihabitans. For the first time a
probable source of an indwelling catheter contamination with this
bacterium has been found. Patients carrying these devices should avoid
using sponge-like materials, as these are suitable environments for
nonfermentative, gram-negative bacilli.
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Infection of Hickman Catheter by
Pseudomonas (formerly Flavimonas)
oryzihabitans Traced to a Synthetic Bath Sponge
*
Corresponding author. Mailing address: Servicio de
Microbiología Clínica-Enfermedades Infecciosas,
Hospital General Universitario "Gregorio Marañón," C/
Dr. Esquerdo 46, 28007 Madrid, Spain. Phone: 34-91-5868793. Fax:
34-91-5044906. E-mail: dgviedma{at}microb.net.
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