title: Clonally related Burkholderia contaminans among ventilated patients without cystic fibrosis.
abstract: We investigated a cluster of 10 Burkholderia cepacia complex-positive cultures among ventilated patients and those with a tracheostomy in an acute care hospital. Isolates from 5 patients had outbreak-strain-related Burkholderia contaminans. Isolates of B. cepacia complex unrelated to the outbreak strain were cultured from a sink drain. The investigation identified practices that might have led to contamination of patient respiratory care supplies with tap water, which might have contributed to the cluster.
authors: Epidemic Intelligence Service, Scientific Education and Professional Development Program Office, Centers for Disease Control and Prevention, Atlanta, GA; Kansas Department of Health and Environment, Topeka, KS. Electronic address: apeterson@cdc.gov.
authors: Amy E
authors: AE
authors: Peterson
authors: Amit S
authors: AS
authors: Chitnis
authors: Nan
authors: N
authors: Xiang
authors: Joseph M
authors: JM
authors: Scaletta
authors: Robert
authors: R
authors: Geist
authors: Jennifer
authors: J
authors: Schwartz
authors: Jamie
authors: J
authors: Dement
authors: Elizabeth
authors: E
authors: Lawlor
authors: John J
authors: JJ
authors: Lipuma
authors: Heather
authors: H
authors: O'Connell
authors: Judith
authors: J
authors: Noble-Wang
authors: Alexander J
authors: AJ
authors: Kallen
authors: D Charles
authors: DC
authors: Hunt
mesh_terms: D019121:Burkholderia Infections / Q000453:epidemiology* / Q000382:microbiology; D042602:Burkholderia cepacia complex / Q000145:classification* / Q000302:isolation & purification*; D016000:Cluster Analysis; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology; D004196:Disease Outbreaks; D005838:Genotype; D006801:Humans; D058889:Molecular Typing; D012121:Respiration, Artificial / Q000009:adverse effects*
keywords: Burkholderia cepacia complex; Infection control; Mechanical; Ventilation
references: Chest. 2007 Dec;132(6):1825-31
references: 17925414
references: J Hosp Infect. 2011 Mar;77(3):267-70
references: 21216034
references: Infect Control Hosp Epidemiol. 2011 Aug;32(8):804-10
references: 21768765
references: Infect Control Hosp Epidemiol. 2004 Mar;25(3):231-9
references: 15061416
references: Paediatr Respir Rev. 2010 Dec;11(4):246-54
references: 21109184
references: J Clin Microbiol. 1995 Sep;33(9):2233-9
references: 7494007
references: Am J Infect Control. 2011 Nov;39(9):775-8
references: 21664002
references: J Clin Microbiol. 2002 Sep;40(9):3300-7
references: 12202570
references: J Appl Microbiol. 2008 Jun;104(6):1539-51
references: 18217926