Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 26, Number 9—September 2020

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
Removal of PD catheter
3 (2 caused by renal transplant)
Previous infections
ESI caused by other organisms 8 7 15
Peritonitis caused by other organisms
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
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.