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  • Polyclonal Burkholderia cep...
    Wong, Sally C Y; Wong, Shuk-Ching; Chen, Jonathan H K; Poon, Rosana W S; Hung, Derek L L; Chiu, Kelvin H Y; So, Simon Y C; Leung, Wing Shan; Chan, Tak Mao; Yap, Desmond Y H; Chuang, Vivien W M; Yuen, Kwok-Yung; Cheng, Vincent C C

    Emerging infectious diseases, 09/2020, Letnik: 26, Številka: 9
    Journal Article

    Whether Burkholderia cepacia complex should be an objectionable organism in antiseptic solutions with acceptable total bacterial counts is controversial. By using next-generation sequencing, we documented a polyclonal B. cepacia complex outbreak affecting peritoneal dialysis patients in Hong Kong that was caused by contaminated chlorhexidine solutions. Epidemiologic investigations at a manufacturing site identified a semiautomated packaging machine as the probable source of contamination in some of the brands. Use of whole-genome sequencing differentiated the isolates into 3 brand-specific clonal types. Changes in exit site care recommendations, rapid recall of affected products, and tightening of regulatory control for chlorhexidine-containing skin antiseptics could prevent future similar outbreaks. Environmental opportunistic pathogens, including B. cepacia complex, might be included in regular surveillance as indicator organisms for monitoring environmental contamination.