Outbreak of Burkholderia cepacia complex infections associated with contaminated octenidine mouthwash solution, Germany, August to September 2018

Author:

Becker Sören L.1ORCID,Berger Fabian K.1,Feldner Susanne K.2,Karliova Irem2,Haber Manfred3,Mellmann Alexander4,Schäfers Hans-Joachim2,Gärtner Barbara1

Affiliation:

1. Institute of Medical Microbiology and Hygiene, Saarland University, Homburg/Saar, Germany

2. Department of Thoracic and Cardiovascular Surgery, Saarland University, Homburg/Saar, Germany

3. Hospital Pharmacy, Saarland University, Homburg/Saar, Germany

4. Institute of Hygiene, University Hospital Münster, Münster, Germany

Abstract

Three German patients developed nosocomial pneumonia after cardiac surgery and had Burkholderia cepacia complex detected in respiratory specimens. Two patients died of septic multi-organ failure. Whole-genome sequencing detected genetically identical B. cepacia complex strains in patient samples, from a batch of octenidine mouthwash solution, which had been used for nursing care, as well as in samples obtained from the manufacturer during production. Contamination of medical products during manufacturing may lead to international outbreaks.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference17 articles.

1. Burkholderia cepacia complex infections: more complex than the bacterium name suggest.;Sfeir;J Infect,2018

2. Effects of extended storage of chlorhexidine gluconate and benzalkonium chloride solutions on the viability of Burkholderia cenocepacia. J Microbiol Biotechnol;Ahn,2017

3. Outbreak of Burkholderia cepacia pseudobacteraemia caused by intrinsically contaminated commercial 0.5% chlorhexidine solution in neonatal intensive care units.;Song;J Hosp Infect,2018

4. An outbreak of Burkholderia cepacia complex associated with intrinsically contaminated nasal spray.;Dolan;Infect Control Hosp Epidemiol,2011

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