Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-29T12:32:38.487Z Has data issue: false hasContentIssue false
  • English
  • Français

Three-Year Outbreak of Pseudobacteremia With Burkholderia cepacia Traced to a Contaminated Blood Gas Analyzer

Published online by Cambridge University Press:  02 January 2015

Denise Gravel-Tropper ,
Mary Lee Sample ,
Catherine Oxley ,
Baldwin Toye ,
Donald E. Woods  and
Gary E. Garber
Denise Gravel-Tropper
Affiliation:
Department of Occupational Health and Safety and the Department of Infection Control
Mary Lee Sample
Affiliation:
Department of Occupational Health and Safety and the Department of Infection Control
Catherine Oxley*
Affiliation:
Department of Occupational Health and Safety and the Department of Infection Control
Baldwin Toye
Affiliation:
Department of Medicine Department of Pathology and Laboratory Medicine, Ottawa General Hospital and the University of Ottawa, Ottawa, Ontario, Canada
Donald E. Woods
Affiliation:
Department of Microbiology and Infectious Diseases, University of Calgary, Calgary, Alberta, Canada
Gary E. Garber
Affiliation:
Department of Medicine
*
Occupational Health and Safety/Infection Control Department, Ottawa General Hospital, 501 Smyth Rd, Ottawa, Ontario KlH 8L6, Canada
Get access Rights & Permissions [Opens in a new window]

Abstract

Between November 1990 and June 1993, Burkholderia cepacia was isolated from the blood cultures of 13 neonates born at the Ottawa General Hospital. Eight of the 13 neonates appeared symptomatic, and only 4 were treated with appropriate antimicrobial therapy, but all improved clinically. In August 1993, the blood gas analyzer in the neonatal intensive-care unit was found to be contaminated heavily with B cepacia. Eight available patient isolates were identical to the isolates recovered from the blood gas analyzer by ribotyping analysis. Infection control measures were implemented to prevent future contamination of the analyzer, and no further cases have been identified.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 17 , Issue 11 , November 1996 , pp. 737 - 740
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Weems, JJ. Nosocomial outbreak of Pseudomonas cepacia associated with contamination of reusable electronic ventilator temperature probes. Infect Control Hosp Epidemiol 1993;14:583–586.Google Scholar
2. Conly, JM, Klass, L, Larson, L, Kennedy, J, Low, DE, Harding GKM. Pseudomonas cepacia colonization and infection in intensive care units. Can Med Assoc J 1986;134:363–366.Google ScholarPubMed
3. Panlilio, AL, Beck-Sague, CM, Siegel, JD, et al. Infections and pseudoinfections due to povidone-iodine solution contaminated with Pseudomonas cepacia . Clin Infect Dis 1992;14:1078–1083.CrossRefGoogle ScholarPubMed
4. Rapkin, RH. Pseudomonas cepacia in an intensive care nursery. Pediatrics 1976;57:239–243.CrossRefGoogle Scholar
5. Martone, WJ, Tablan, OC, Jarvis, WR. The epidemiology of nosocomial epidemic Pseudomonas cepacia infections. Eur J Epidemiol 1987;3:222–232.Google Scholar
6. Kaslow, RA, Mackel, DC, Mallison, GF. Nosocomial pseudobacteremia: positive blood cultures due to contaminated benza- lkonium antiseptic. JAMA 1976;236:2407–2409.Google Scholar
7. Bekleman, RL, Lewin, S, Allen, JR, et al. Pseudobacteremia attributed to contamination of povidone-iodine with Pseudomonas cepacia . Ann Intern Med 1981;95:32–36.Google Scholar
8. Stull, TL, Lipuma, J, Edlind, TD. A broad-spectrum probe for molecular epidemiology of bacteria: ribosomal RNA. J Infect Dis 1988;157:280–286.Google Scholar
9. Henderson, DK, Baptiste, R, Parrillo, J, Gill, VJ. Indolent epidemic of Pseudomonas cepacia bacteremia and pseudobacteremia in an intensive care unit traced to a contaminated blood gas analyzer. Am J Med 1988;84:75–81.CrossRefGoogle Scholar