Outbreak of Burkholderia cepacia complex among ventilated pediatric patients linked to hospital sinks

Lucero, Cynthia; Cohen, Adam L.; Trevino, Ingrid; Rupp, Angela; Harris, M. Jackuelyn; Forkan-Kelly, Sinead; Noble-Wang, Judith; Jensen, Bette; Shams, Alicia M.; Arduino, Matthew J.; LiPuma, John J.; Gerber, Susan I.; Srinivasan, Arjun

doi:10.1016/j.ajic.2010.12.005

Cited by 46 publications

(35 citation statements)

References 9 publications

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“…In a study presented at the 15th International Congress on Infectious Diseases, an outbreak of hospital-acquired B. cepacia bloodstream infections was traced to the use of intravenous solution as multiple-dose for catheter flushing in Cambodia [17]. Burkholderia cepacia, as a cause of nosocomial outbreaks has also been isolated from unused antiemetic for IV use [18], moisturizing body milk used in ICUs [19], mannitol solution used for irrigation in urologic surgery [20], sink drains [21], water for injection [22] and ultrasound gel [23].…”

Section: Discussionmentioning

confidence: 98%

An Outbreak of Burkholderia cepacia Bacteremia in a Neonatal Intensive Care Unit

et al. 2015

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Section: Discussionmentioning

confidence: 98%

An Outbreak of Burkholderia cepacia Bacteremia in a Neonatal Intensive Care Unit

et al. 2015

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“…Such outbreaks have been traced to contaminated respiratory therapy devices, medications and mouthwash 9–12. Lucero et al reported identification of tap water from hospital sinks as the likely mode of transmission in ventilated paediatric patients 15. It is well known that B. cepacia can exist in water.…”

Section: Discussionmentioning

confidence: 99%

Postoperative endophthalmitis due toBurkholderia cepaciacomplex from contaminated anaesthetic eye drops

et al. 2014

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“…An outbreak of Burkholderia cepacia on a pediatric unit was traced to sinks and was thought to be associated with the presence of aerator filters fitted to the taps (109). Faucet aerators have also been implicated in an outbreak of S. maltophilia in a surgical ICU, with pulsedfield gel electrophoresis (PFGE) illustrating indistinguishable strains from patients and aerators (106).…”

Section: Pseudomonas and Stenotrophomonas Sppmentioning

confidence: 99%

Controlling Hospital-Acquired Infection: Focus on the Role of the Environment and New Technologies for Decontamination

2014

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SUMMARY There is increasing interest in the role of cleaning for managing hospital-acquired infections (HAI). Pathogens such as vancomycin-resistant enterococci (VRE), methicillin-resistant Staphylococcus aureus (MRSA), multiresistant Gram-negative bacilli, norovirus, and Clostridium difficile persist in the health care environment for days. Both detergent- and disinfectant-based cleaning can help control these pathogens, although difficulties with measuring cleanliness have compromised the quality of published evidence. Traditional cleaning methods are notoriously inefficient for decontamination, and new approaches have been proposed, including disinfectants, steam, automated dispersal systems, and antimicrobial surfaces. These methods are difficult to evaluate for cost-effectiveness because environmental data are not usually modeled against patient outcome. Recent studies have reported the value of physically removing soil using detergent, compared with more expensive (and toxic) disinfectants. Simple cleaning methods should be evaluated against nonmanual disinfection using standardized sampling and surveillance. Given worldwide concern over escalating antimicrobial resistance, it is clear that more studies on health care decontamination are required. Cleaning schedules should be adapted to reflect clinical risk, location, type of site, and hand touch frequency and should be evaluated for cost versus benefit for both routine and outbreak situations. Forthcoming evidence on the role of antimicrobial surfaces could supplement infection prevention strategies for health care environments, including those targeting multidrug-resistant pathogens.

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Outbreak of Burkholderia cepacia complex among ventilated pediatric patients linked to hospital sinks

Cited by 46 publications

References 9 publications

An Outbreak of Burkholderia cepacia Bacteremia in a Neonatal Intensive Care Unit

An Outbreak of Burkholderia cepacia Bacteremia in a Neonatal Intensive Care Unit

Postoperative endophthalmitis due toBurkholderia cepaciacomplex from contaminated anaesthetic eye drops

Controlling Hospital-Acquired Infection: Focus on the Role of the Environment and New Technologies for Decontamination

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