We describe 2 pediatric patients with Ralstonia pickettii bacteremia associated with extracorporeal membrane oxygenation (ECMO) therapy. Investigation revealed a common environmental source--the ECMO temperature-control units. We created guidelines for disinfecting these units that do not void the manufacturer's warranty and have prevented additional cases of bacteremia due to this organism.
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Forgie et al. (2007) studied this question.
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