%0 Journal Article
%T Outbreak of Ralstonia pickettii associated with contamination of saline products distributed internationally, the United Kingdom, 2024.
%A Saunders M
%A Weaver A
%A Stretch R
%A Jeyaratnam D
%A Mirfenderesky M
%A Elliott D
%A Patterson C
%A Williams D
%A Kenna DT
%A Turton J
%A Osman KL
%A Turton JF
%A Brown CS
%A Elston J
%J Euro Surveill
%V 29
%N 27
%D 2024 Jul
%M 38967014
%F 21.286
%R 10.2807/1560-7917.ES.2024.29.27.2400384
%X We describe an outbreak of Ralstonia pickettii in the United Kingdom, with isolates genetically indistinguishable from a 2023 Australian outbreak linked to internationally distributed saline solutions. Confirmed cases (n = 3) had bacteraemia, clinically relevant infection, indwelling venous lines and frequent healthcare contact. Multi-stakeholder intervention was required including product recall and risk communications. We recommend a low threshold for investigating clusters of Ralstonia species and similar opportunistic pathogens, considering contaminated product sources. Effective mitigation requires multi-agency partnership and international collaboration.