Burkholderia cepacia, B. multivorans
Morphology |
Aerobic rod-shaped, free-living, motile Gram- negative bacteria.
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Disease |
Asymptomatic colonizer, cepacia syndrome (rapidly progressive necrotizing pneumonia). |
Zoonosis |
Unknown.
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Host Range |
Environmental soil and water. Humans.
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Modes of Transmission |
Person to person or contaminated surfaces to person. Outbreaks reported from contaminated
mouthwash, nasal spray, and sublingual probes.
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Signs and Symptoms |
Asymptomatic to serious fatal respiratory illness especially in cystic fibrosis patients.
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Infectious Dose | Unknown. |
Incubation Period |
As a colonizer, disease may not manifest until infection is caused during an opportunistic
setting.
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Prophylaxis | None available. |
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Vaccines | None available. |
Treatment |
TMP-SMX, Meropenem, Ciprofloxacin, Minocycline, Chloramphenicol
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Surveillance | Monitor for symptoms. |
MSU Requirements | Report any exposures |
Laboratory Acquired Infections (LAIs) | None have been reported.
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Sources |
Cultures, frozen stocks, other samples described in IBC protocol.
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BMBL:
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https://www.cdc.gov/labs/BMBL.html |
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CDC:
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NIH Guidelines:
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Risk Group 2
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Agents that are associated with human disease which is rarely serious and for which preventive or therapeutic interventions are often available. |
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BSL2
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For all procedures involving suspected or known infectious specimen or cultures.
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ABSL2
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For all procedures involving infected animals
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Small
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Notify others working in the lab. Remove PPE and don new PPE. Cover area of the spill
with absorbent material and add fresh 1:10 bleach:water. Allow 20 munutes (or as directed)
of contact time. After 20 minutes, cleanup and dispose of materials.
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Large
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Mucous membrane
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Flush eyes, mouth, or nose for 5 minutes at eyewash station.
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Other Exposures
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Wash area with soap and water for 5 minutes.
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Reporting |
Immediately report incident to supervisor, complete a First Report of Injury form, and submit to Safety and Risk Management.
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Medical Follow-up
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During business hours: Bridger Occupational Health 3406 Laramie Drive. Weekdays 8am -6pm. Weekends 9am-5pm
After business hours: Bozeman Deaconess Hospital Emergency Room 915 Highland Blvd Bozeman, MT |
Disinfection |
Susceptible to 1:10 bleach:water, 3% hydrogen peroxide
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Inactivation |
Inactivated by moist heat (60 minutes at 121oC) and dry heat (1 hour at 160-170oC).
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Survival Outside Host |
Does not appear to survive on dry surfaces for more than 1 week, but can survive for
many months in water.
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Minimum PPE Requirements
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Lab coat, disposable gloves, safety glasses, closed toed shoes, long pants
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Additional Precautions
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Additioanl PPE may be required depending on lab specific SOPs and IBC Protocol. |