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Volume 26, Number 9—September 2020
Synopsis

Polyclonal Burkholderia cepacia Complex Outbreak in Peritoneal Dialysis Patients Caused by Contaminated Aqueous Chlorhexidine

Sally C.Y. Wong1, Shuk-Ching Wong, Jonathan H.K. Chen, Rosana W.S. Poon, Derek L.L. Hung, Kelvin H.Y. Chiu, Simon Y.C. So, Wing Shan Leung, Tak Mao Chan, Desmond Y.H. Yap, Vivien W.M. Chuang, Kwok-Yung Yuen2, and Vincent C.C. Cheng2Comments to Author 
Author affiliations: Queen Mary Hospital, Hong Kong, China (S.C.Y. Wong, S.-C. Wong, J.H.K. Chen, R.W.S. Poon, D.L.L. Hung, K.H.Y. Chiu, S.Y.C. So, W.S. Leung, Vincent C.C. Cheng); The University of Hong Kong, Hong Kong (T.M. Chan, D.Y.H. Yap, K.Y. Yuen); Hospital Authority, Hong Kong (V.W.M. Chuang)

Main Article

Table 1

Specimen types and demographic characteristics for 53 renal dialysis patients from whom Burkholderia cepacia complex was isolated, Hong Kong, China, March 13, 2018–September 6, 2019*

Characteristic 2018, 25 patients 2019, 28 patients Total, 53 patients
Specimen type
 23 PD catheter ES; 1 HD catheter ES; 1 ES swab specimen not otherwise specified
 23 PD catheter ES; 2 HD catheter ES; 2 peritoneal fluid; 1 blood culture from HD catheter
 46 PD catheter ES; 3 HD catheter ES; 2 peritoneal fluid; 1 blood culture from HD catheter; 1 ES swab specimen not otherwise specified
Age, y, mean (median, range) 60.1 (65, 24–81) 65.8 (66, 46–90) 63.1 (66, 24–90)
Sex ratio, F:M 16:9 13:15 29:24
Days from PD/HD catheter insertion until first isolation of B. cepacia complex, mean (median, range) 1,192 (648, 58–2,349) 1,140 (769.5, 70–6,098) 1,163, (713, 58–6,198)
B. cepacia complex peritonitis
 1
 4
 5
Removal of PD catheter
 1
 3 (2 caused by renal transplant)
 4
Previous infections
ESI caused by other organisms 8 7 15
Peritonitis caused by other organisms
 4
 6
 10
Antimicrobial drug use <1 y before isolation of B. cepacian complex 19 26 45
No. deaths† 2 2 4

*ES, exit site; ESI, exit site infection; HD, hemodialysis; PD, peritoneal dialysis.
†None of the 4 deaths were attributable to infection by B. cepacia complex.

Main Article

1Current affiliation: Queen Elizabeth Hospital, Hong Kong, China.

2These senior authors contributed equally to this article.

Page created: May 12, 2020
Page updated: August 18, 2020
Page reviewed: August 18, 2020
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