Humidification Solution as a Source for Spreading Burkholderia cepaciain a Neonatal Intensive Care Unit


Baysal B.

JOURNAL OF PEDIATRIC INFECTIOUS DISEASES, cilt.15, sa.05, ss.262-264, 2020 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 15 Sayı: 05
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1055/s-0040-1708512
  • Dergi Adı: JOURNAL OF PEDIATRIC INFECTIOUS DISEASES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, EMBASE, Veterinary Science Database
  • Sayfa Sayıları: ss.262-264
  • Anahtar Kelimeler: Burkholderia cepacia, neonatology, prematurity, humidification solution, INFECTION, COMPLEX
  • Dokuz Eylül Üniversitesi Adresli: Hayır

Özet

Burkholderia cepaciais an important opportunistic organism in hospitalized and immunocompromised patients especially in newborns. The natural ecology of these bacteria associated with plants is also a cause of infectious potential. The disease-causing potential of bacteria as a nosocomial pathogen may be due to its ability to survive in antiseptic solutions, contamination equipment. The patient was hospitalized for prematurity and respiratory distress syndrome. He was treated with surfactant intratracheally for the respiratory distress syndrome. Umbilical catheter was inserted. Ampicillin and gentamicin treatments were initiated. The patient who received respiratory support for a long time was given a steroid protocol because of bronchopulmonary dysplasia. Burkholderia cepacia was detected in the blood and tracheal aspirate cultures of the patient, whose infection markers increased and a new area of infection was detected on the chest radiograph. Colistin and ciprofloxacin treatments were given according to the culture antibiogram. Screening tests revealed B. cepaciacolonization in incubator moistening solutions. All incubator humidification solutions in the hospital were changed. Burkholderia cepaciais a rare cause of nosocomial infection in intensive care units but resistant to many treatments. With its capability to colonize water and grow on microbicides, the presence of B. cepaciain a patient's blood warrants further investigation in institutions providing care.