Burkholderia cepacia complex bacteremia outbreaks among non-cystic fibrosis patients in the pediatric unit of a university hospital

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dc.authorscopusid39763256900
dc.authorscopusid16550520100
dc.authorscopusid36165893600
dc.authorscopusid6603596874
dc.authorscopusid6603895764
dc.authorwosidŞafak, Birol/A-3698-2017
dc.contributor.authorTüfekci, Sinan
dc.contributor.authorŞafak, Birol
dc.contributor.authorNalbantoğlu, Burçin
dc.contributor.authorSamancı, Nedim
dc.contributor.authorKiraz, Nuri
dc.date.accessioned2022-05-11T14:14:07Z
dc.date.available2022-05-11T14:14:07Z
dc.date.issued2021
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Tıbbi Mikrobiyoloji Ana Bilim Dalı
dc.description.abstractBackground. Burkholderia cepacia complex (Bcc) comprises multi-drug resistant, Gram-negative, motile, and aerobic bacteria. Bcc causes severe nosocomial infections particularly in patients with intravascular catheters and in those with cystic fibrosis. We studied a Bcc outbreak in non-cystic fibrosis patients. Methods. We analyzed data from six patients hospitalized at our center. Blood cultures identified as infectious were incubated onto 5% blood sheep agar, chocolate agar, and eosin methylene blue (EMB) agar. We examined possible sites that could be sources of infection at the clinic. We confirmed isolations with pulsed-field gel electrophoresis (PFGE) tests. Results. The first patient was hospitalized due to left renal agenesis, urinary tract infection, and renal failure. Bcc was isolated in blood cultures obtained due to high fever on the third day of hospitalization. We stopped new patient hospitalizations after detecting Bcc in blood cultures of other five patients. We did not detect further positive specimens obtained from other clinic and the patient rooms. PFGE patterns were similar in all clinical isolates of Bcc indicating that the outbreak had originated from the source. Conclusions. Bcc infection should be considered in cases of nosocomial outbreaks of multi-drug resistant organisms that require hospitalization at intensive care units. Control measures should be taken for prevention of nosocomial infections and required investigations should be done to detect the source of infection.
dc.identifier.doi10.24953/turkjped.2021.02.005
dc.identifier.endpage222
dc.identifier.issn0041-4301
dc.identifier.issue2en_US
dc.identifier.pmid33929111
dc.identifier.scopus2-s2.0-85105075779
dc.identifier.scopusqualityQ3
dc.identifier.startpage218
dc.identifier.trdizinid508393
dc.identifier.urihttps://doi.org/10.24953/turkjped.2021.02.005
dc.identifier.urihttps://hdl.handle.net/20.500.11776/5789
dc.identifier.volume63
dc.identifier.wosWOS:000646179400005
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.institutionauthorTüfekci, Sinan
dc.institutionauthorŞafak, Birol
dc.institutionauthorNalbantoğlu, Burçin
dc.institutionauthorSamancı, Nedim
dc.institutionauthorKiraz, Nuri
dc.language.isoen
dc.publisherTurkish J Pediatrics
dc.relation.ispartofTurkish Journal of Pediatrics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBurkholderia cepacia complex
dc.subjectchild
dc.subjectoutbreak
dc.subjectinfection control
dc.subjectnon-cystic fibrosis
dc.subjectIntensive-Care-Unit
dc.subjectChlorhexidine
dc.titleBurkholderia cepacia complex bacteremia outbreaks among non-cystic fibrosis patients in the pediatric unit of a university hospital
dc.typeArticle

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