Nosocomial outbreak of Ralstonia mannitolilytica associated with prefilled saline flush syringes distributed in Europe, Germany, March to September 2026.

Authors

Sofia Burdi, Lukas Herrmann, Sophia N Koerdt, Silver A Wolf, Sandra Appelt, Mirco Sandfort, Barbara Maier, Sandra Reuter, Martin J Hug, Nicholas Jakob Böhm, Gizem Karadag, Georg Berndt, Achim Dörre, Vera Schwierzeck, Linda Behrends, Pascal Kreuzer, Julia Kuhn, Lukas Murajda, Saskia Roßbach, Susanne Kolbe-Busch, Cornelia Seidel, Patrick Jung, Grettel Chanto Chacón, Irina Zuschneid, Somayyeh Sedaghatjoo, Maximilian Driller Povill, Holger C Scholz, Alexander Mellmann, Tim Eckmanns, Josef Zündorf, Michael Hogardt, Sebastian Haller

Published in

Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin. Volume 31. Issue 40.

Abstract

A nosocomial outbreak of Ralstonia mannitolilytica bloodstream infections in Germany from March to September 2026 included 16 cases (≤ 6 allelic differences using core genome multilocus sequence typing) across seven hospitals. Epidemiological investigations supported by a large language model, identified prefilled saline flush syringes of one manufacturer as common exposure across all cases. The manufacturer initiated a temporary quarantine and suspension of use of this product. Because it was distributed to other countries, cases may have occurred elsewhere, prompting this report.

PMID:
42852523
Bibliographic data and abstract were imported from PubMed on 09 Oct 2026.

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