Hospital outbreak of Burkholderia stabilis bacteraemia related to contaminated chlorhexidine in haematological malignancy patients with indwelling catheters - 08/08/11

Summary |
Burkholderia cepacia complex (BCC) is an opportunistic pathogen that occasionally causes hospital outbreaks. This paper describes an outbreak of BCC bacteraemia in haematological malignancy patients related to a contaminated chlorhexidine gluconate solution. Eight BCC isolates were obtained from patients hospitalised in the same ward of a cancer centre in a Korean hospital. A further three BCC isolates were obtained from 0.5% chlorhexidine gluconate used in the same ward. The isolates were identified as B. stabilis and exhibited identical pulsed-field gel electrophoresis profiles. All patients with B. stabilis bacteraemia had indwelling intravenous catheters, which were treated with chlorhexidine to disinfect the catheters. Following identification of the source of contamination, strict controls regarding surveillance cultures for disinfectants have been enforced. No further B. stabilis infections have been found in the hospital.
Le texte complet de cet article est disponible en PDF.Keywords : Burkholderia stabilis, Chlorhexidine, Hospital outbreak, Catheter-associated infection
Plan
| Part of this work was presented at the 18th Society for Healthcare Epidemiology of America (SHEA), 5–8 April 2008. |
Vol 70 - N° 3
P. 241-245 - novembre 2008 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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