Burkholderia cepacia sepsis among neonates

Saikat Patra, Ramesh Y. Bhat, Leslie Edward Lewis, Jayashree Purakayastha, V. Vamsi Sivaramaraju, Vandana Kalwaje E, Swathi Mishra

Research output: Contribution to journalArticle

4 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)1233-1236
Number of pages4
JournalIndian Journal of Pediatrics
Volume81
Issue number11
DOIs
Publication statusPublished - 01-01-2014

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

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    Patra, S., Bhat, R. Y., Lewis, L. E., Purakayastha, J., Vamsi Sivaramaraju, V., Kalwaje E, V., & Mishra, S. (2014). Burkholderia cepacia sepsis among neonates. Indian Journal of Pediatrics, 81(11), 1233-1236. https://doi.org/10.1007/s12098-014-1473-9