In November‐December 1977 an epidemic of bacteræmia due to P. cepacia was observed in Odense, Denmark (nine patients), and in Nijmegen, Holland (seven patients). All patients recovered. The epidemic was traced to intrinsic contamination of two batches of the anæsthetic fentanyl. All isolates from the patients and from the two batches belonged to the same biotype, had identical sensitivity patterns, and identical antigens. The P. cepacia strain differed from stock strains in being able to grow in two passages in methyl‐p‐hydroxi‐benzoate, 0.5 mg/ml, which promoted the growth of the microorganism; inocula of 2–20 cfu were sufficient to initiate growth in the drug or preservative. These facts indicate the inadvisability of using p‐hydroxi‐benzoates as preservatives in vials. The strain was inhibited at temperatures above 38.5°C, corresponding to the recovery of the patients after a period with fever above 39°C. Fourteen out of 15 patients examined had agglutinin titres ≥ 320, while 36 blood donors had titres <40. Of 12 patients with postoperative fever in the same period whose blood cultures did not yield P. cepacia, three had titres >320.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.