title: Report on the newly emerging nosocomialBurkholderia cepaciain a tertiary hospital.
abstract: BACKGROUND
  Burkholderia cepaciais an aerobic, motile, opportunistic Gram negative bacillus that can survive in certain disinfectants. This is a report of the emerging infection with the bacteriaB. cepaciain our hospital. The awareness of this emerging bacterium is important, as it is known to cause nosocomial infection in hospitals, especially in the Intensive Care Unit (ICU) setting. setting.B. cepacia, although known to be multidrug resistant, shows sensitivity to some antibiotics that can be used to treat infection caused by it.
  
  
  METHODS
  The cases of infection and antimicrobial susceptibility of nosocomialB. cepaciapattern have been analyzed.
  
  
  RESULTS
  A total of 38 cases withB. cepaciainfection were isolated. Two of these cases showed the organism in two samples, totalling the sample collection to 40. The most frequent isolation ofB. cepaciawas from blood 21/40 (52.5%) and pus 9/40 (22.5%).B. cepaciainfections were most commonly observed in the Intensive Care Unit (52.6%). Infections were more common in men than women with a mortality rate of 42%. The most sensitive antimicrobial agents were found to be Colistin (93%) and Cotrimoxazole (71%).
  
  
  CONCLUSIONS
  There have been 38 cases of the emerging nosocomialB. cepaciainfection in our hospital in the period from September 2012 to February 2014. There was no case reported in the records before September 2012. Infections caused byB. cepaciashould be made aware of and taken seriously because of its high transmissibility, intrinsic resistance to antibiotics, high mortality and most importantly its sensitivity to simple antibiotics such as Cotrimoxazole.
authors.affiliation: Classified Specialist (Pathology & Microbiology), Base Hospital, Delhi Cantt 110010, India.
authors.forename: Shoba
authors.initials: S
authors.lastname: Srinivasan
authors.affiliation: Commandant, Base Hospital, Delhi Cantt 110010, India.
authors.forename: N C
authors.initials: NC
authors.lastname: Arora
authors.affiliation: Senior Adviser (Pathology), Base Hospital, Delhi Cantt 110010, India.
authors.forename: Kavita
authors.initials: K
authors.lastname: Sahai
keywords: Antibiotic susceptibility; Burkholderia cepacia; Nosocomial infection