Date Sent: 09/30/2016 03:29 PM EDT
Sender: Michigan Health Alert Network
Subject: LTC and HCP Notification of Recent Burkholderia Infections
CDC recently distributed the following notification. The Maryland Department of Health and Mental Hygiene has been notified of 7 laboratory-confirmed cases and 1 suspect case of Burkholderia cepacia bloodstream infections among patients residing at a skilled nursing facility/rehabilitation center. Earliest identification of B. cepaciafrom blood cultures occurred on September 10, 2016. All patients were receiving long-term intravenous antibiotic therapy through central venous catheters, the majority of which were PICC lines. Some of the antibiotics may have been reconstituted or compounded at a regional pharmacy that services long-term care facilities, including facilities in other states. No obvious infection control breaches were identified at the skilled nursing facility.
Additional cases have been identified in 2 other states. The majority of those cases are also in patients residing at long-term care or rehabilitation facilities and were receiving IV fluids and/or antibiotics through central venous catheters.
Please notify Noreen Mollon (firstname.lastname@example.org or 517-284-4946) of any clusters of B. cepacia blood stream infections among patients receiving intravenous antibiotics in similar settings with onset since August 1, 2016.