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Good morning
Currently at The Canberra Hospital we have identified a small cluster of Burkholderia cepacia in blood cultures and vas cath tips in renal dialysis patients. To date we have conducted environmental surveillance but not identified a cause.
Our question is: is anyone else seeing this at this time and if so have you identified a cause?Wendy Beckingham
CNC Infection Prevention and Control
ph. (02) 6244 3695 or mobile 0478408787 orpager 50390
e. wendy.beckingham@act.gov.au
Care Excellence Collaboration Integrity
GERMS CAN KILL…
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Dear Wendy,
A very remote possibility — although nevertheless possible — are contaminated antiseptics and disinfectants, particularly weak antiseptics such as chlorhexidine, povidone-iodine, triclosan and benzalkonium chloride. Burkholderia cepacia is a very hardy organism that can survive and even grow in some of these.
See:
Weber DJ, Rutala WA, Sickbert-Bennett EE.
Outbreaks associated with contaminated antiseptics and disinfectants.
Antimicrob Agents Chemother. 2007 Dec;51(12):4217-24.
http://www.ncbi.nlm.nih.gov/pubmed/17908945Chang CY, Furlong LA.
Microbial stowaways in topical antiseptic products.
N Engl J Med. 2012 Dec 6;367(23):2170-3. doi: 10.1056/NEJMp1212680
http://www.ncbi.nlm.nih.gov/pubmed/23215554(There is certainly more literature available concerning contaminated antiseptics and disinfectants).
Best regards, Matthias.
—
Matthias Maiwald, MD, FRCPA
Consultant in Microbiology
Adj. Assoc. Prof., Natl. Univ. Singapore
Department of Pathology and Laboratory Medicine
KK Women’s and Children’s Hospital
100 Bukit Timah Road
Singapore 229899
Tel. +65 6394 8725 (Office)
Tel. +65 6394 1389 (Laboratory)
Fax +65 6394 1387Good morning
Currently at The Canberra Hospital we have identified a small cluster of Burkholderia cepacia in blood cultures and vas cath tips in renal dialysis patients. To date we have conducted environmental surveillance but not identified a cause.
Our question is: is anyone else seeing this at this time and if so have you identified a cause?Wendy Beckingham
CNC Infection Prevention and Control
ph. (02) 6244 3695 or mobile 0478408787 orpager 50390
e. wendy.beckingham@act.gov.au
Care Excellence Collaboration Integrity
GERMS CAN KILL…
[CH_Logo_ACT_Health_Lockup_CMYK_HR]———————————————————————–
This email, and any attachments, may be confidential and also privileged. If you are not the intended recipient, please notify the sender and delete all copies of this transmission along with any attachments immediately. You should not copy or use it for any purpose, nor disclose its contents to any other person.
———————————————————————–
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Hi Wendy,
The abstract below from ID week (Oct 2013) may be of interest have you cultured any antiseptics or ointments being applied to the Vascath insertion sites?
848. An outbreak of Burckolderia cepacea bacteremia in a hemodialisis pediatric unit
https://idsa.confex.com/idsa/2013/webprogram/images/bullet_right_arrowlt.gifSession: Poster Abstract Session: Healthcare-associated Outbreaks and Pseudo Outbreaks
Friday, October 4, 2013
Posters
poster idweek.pdf (846.0 kB)
Maria Andrea Gatica, MD, Pediatric Infecious Diseases, HOSPITAL ROOSEVELT, Guatemala, Guatemala and Mario Melgar, MD, Infectious Diseases, HOSPITAL ROOSEVELT, Guatemala, Guatemala
https://idsa.confex.com/idsa/2013/webprogram/images/bullet_right_arrowlt.gifDisclosures:
M. A. Gatica, None
M. Melgar, None
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
PO Box 5202
Middle Park
Victoria, 3206
Australia
H: +61 3 96902216
M: +61 404 816 434
ABN 47533508426
Good morning
Currently at The Canberra Hospital we have identified a small cluster of Burkholderia cepacia in blood cultures and vas cath tips in renal dialysis patients. To date we have conducted environmental surveillance but not identified a cause.
Our question is: is anyone else seeing this at this time and if so have you identified a cause?
Wendy Beckingham
CNC Infection Prevention and Control
ph. (02) 6244 3695 or mobile 0478408787 orpager 50390
e. wendy.beckingham@act.gov.auCare Excellence Collaboration Integrity
GERMS CAN KILL…
CH_Logo_ACT_Health_Lockup_CMYK_HR
———————————————————————–
This email, and any attachments, may be confidential and also privileged. If you are not the intended recipient, please notify the sender and delete all copies of this transmission along with any attachments immediately. You should not copy or use it for any purpose, nor disclose its contents to any other person.
———————————————————————–MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
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