title: Polyclonal outbreak of Burkholderia cepacia complex bacteraemia in haemodialysis patients.
abstract: We report a polyclonal outbreak of bacteraemia involving 24 patients at a haemodialysis facility in Recife (Brazil). During the outbreak period (4 June to 11 July, 2001), three Burkholderia cepacia complex strains were isolated from human blood and from various water samples collected at different sites in the haemodialysis unit and from dialysate fluids. Out of 14 patients with positive blood cultures, six were infected by Burkholderia cepacia complex bacteria: three with Burkholderia cepacia genomovar III, two with a first strain of Burkholderia vietnamiensis, and one with the Burkholderia cepacia genomovar III strain and a second B. vietnamiensis strain.
authors.affiliation: Federal University of Pernambuco, Brazil.
authors.forename: M
authors.initials: M
authors.lastname: Magalhães
authors.forename: C
authors.initials: C
authors.lastname: Doherty
authors.forename: J R W
authors.initials: JR
authors.lastname: Govan
authors.forename: P
authors.initials: P
authors.lastname: Vandamme
mesh_terms: D016470:Bacteremia / Q000453:epidemiology / Q000382:microbiology* / Q000517:prevention & control; D015373:Bacterial Typing Techniques; D001938:Brazil / Q000453:epidemiology; D019121:Burkholderia Infections / Q000453:epidemiology / Q000382:microbiology* / Q000517:prevention & control; D016956:Burkholderia cepacia / Q000145:classification / Q000235:genetics; D015169:Colony Count, Microbial; D003428:Cross Infection / Q000453:epidemiology / Q000382:microbiology* / Q000517:prevention & control; D004269:DNA, Bacterial / Q000032:analysis / Q000235:genetics; D004196:Disease Outbreaks / Q000517:prevention & control / Q000706:statistics & numerical data*; D016521:Electrophoresis, Gel, Pulsed-Field; D015312:Hemodialysis Solutions; D006801:Humans; D017053:Infection Control; D012150:Polymorphism, Restriction Fragment Length; D006435:Renal Dialysis / Q000009:adverse effects; D012703:Serotyping; D014871:Water Microbiology; D014881:Water Supply
chemical_list: D004269:DNA, Bacterial; D015312:Hemodialysis Solutions