Disinfection of Burkholderia cepacia complex from non-touch taps in a neonatal nursery
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Despina Kotsanas
Abstract
Burkholderia cepacia complex (Bcc) comprises nine closely related species or genomovars. It is an important causative agent of opportunistic infections and waterborne nosocomial infections. B. cepacia (formerly genomovar I) was identified from the blood culture of a baby in our neonatal unit (NU) in March 2005. B. cepacia was isolated four times from clinical specimens since the introduction of non-touch taps in the NU from 2000 to 2005 and only once from 1994 to 2000. Environmental samples were collected from the NU, including tap water from non-touch taps. Clinical and environmental isolates of Bcc were characterized using molecular identification and strain typing. A literature review was undertaken to delineate a method for eradication of Bcc. Several variations for hot water eradication of the organism from the taps were attempted. Genotyping and molecular analysis revealed that tap water isolates were B. cenocepacia which was a different species from the B. cepacia isolated from blood cultures of the neonate. However, B. cenocepacia has been known to cause nosocomial outbreaks and it was eventually eradicated from the NU by using repeated thermal shock (hot water at 65°C for 10 min), changing taps and decolonizing sinks with hypochlorite. Molecular typing is useful in assisting the investigation of Bcc nosocomial infections.
©2008 by Walter de Gruyter Berlin New York
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Articles in the same Issue
- Recommendations and guidelines for perinatal practice
- Guideline for the use of antenatal corticosteroids for fetal maturation
- Original articles – Obstetrics
- The quality of intrapartum uterine activity monitoring
- Negative fetal fibronectin: Who is still treating for threatened preterm labor and does it help?
- Seroprevalence and risk factors associated with herpes simplex virus infection among pregnant women
- P-selectin in placenta and gestational myometrium: its measurements and hypothetical role in hemostasis of placental bed after labor
- Exodus-1 (CCL20): evidence for the participation of this chemokine in spontaneous labor at term, preterm labor, and intrauterine infection
- Original article – Fetus
- Increasing rates of sex-discordant twins no longer correspond to decreasing perinatal mortality rates
- Original articles – Newborn
- Disinfection of Burkholderia cepacia complex from non-touch taps in a neonatal nursery
- The combined detection of umbilical cord nucleated red blood cells and lactate: early prediction of neonatal hypoxic ischemic encephalopathy
- Hematological profile of Korean very low birth weight infants
- Integrated backscatter of the brain of preterm infants
- Opinion paper
- Pregnancy among young adolescents: trends, risk factors and maternal-perinatal outcome
- Short communication
- Omniview-SisPorto® 3.5 – a central fetal monitoring station with online alerts based on computerized cardiotocogram+ST event analysis
- Letters to the editor
- Prenatal supply of docosahexaenoic acid (DHA): should we be worried?
- Prenatal docosahexaenoic acid (DHA) and arachidonic acid (AA) supplementation better for neurodevelopment than supplementation with DHA only?
- Three episodes of acquired pure red cell aplasia restricted to pregnancy
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