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Burkholderia cepacia Sepsis Among Neonates

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Abstract

Burkholderia cepacia is a rare cause of sepsis in newborns and its transmission involves human contact with heavily contaminated medical devices and disinfectants. The authors aimed to determine epidemiology, clinical features, antibiotic sensitivity pattern, complications and outcome of blood culture proven B. cepacia infections in 12 neonates. All neonates were outborn, 5 preterm and 7 term. B. cepacia was isolated from blood in all and concurrently from CSF in three neonates. Lethargy and respiratory distress (41.7 %) were major presenting features. Five newborns (41.7 %) required mechanical ventilation for 3–7 d. Highest bacterial susceptibility was observed for meropenem (100 %), followed by cefoperazone-sulbactam, piperacillin-tazobactam, sulfamethoxazole-trimethoprim (all 83 %), ceftazidime (75 %) and ciprofloxacin (42 %). Piperacillin-tazobactam, ciprofloxacin and cotrimoxazole either singly or in combination led to complete recovery of 11 (91.7 %) newborns; one developed hydrocephalus. Eight of nine infants who completed 6 mo follow up were normal. Prompt recognition and appropriate antibiotic therapy for B. cepacia infection results in complete recovery in majority.

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Contributions

SP: Involved in data collection and preparation of the manuscript; RBY and LEL: Involved in patient treatment, supervision of data collection and critical approval of the manuscript; JP and VVS: Involved in helping manuscript preparation; VKE: Provided expert microbiological inputs; SM: Involved in data collection. LEL will act as guarantor for this paper.

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Authors and Affiliations

  1. Department of Pediatrics, Kasturba Medical College, Manipal University, Manipal, 576104, Udupi District, Karnataka, India

    Saikat Patra, Ramesh Bhat Y, Leslie Edward Lewis, Jayashree Purakayastha & V. Vamsi Sivaramaraju

  2. Department of Microbiology, Kasturba Medical College, Manipal University, Manipal, Udupi District, Karnataka, India

    Vandana Kalwaje E

  3. Kasturba Medical College, Manipal University, Manipal, Udupi District, Karnataka, India

    Swathi Mishra

Authors
  1. Saikat Patra
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  2. Ramesh Bhat Y
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  3. Leslie Edward Lewis
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  4. Jayashree Purakayastha
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  5. V. Vamsi Sivaramaraju
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  6. Vandana Kalwaje E
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  7. Swathi Mishra
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Correspondence to Saikat Patra.

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Patra, S., Bhat Y, R., Lewis, L.E. et al. Burkholderia cepacia Sepsis Among Neonates. Indian J Pediatr 81, 1233–1236 (2014). https://doi.org/10.1007/s12098-014-1473-9

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  • DOI: https://doi.org/10.1007/s12098-014-1473-9

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