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The Burkholderia cepacia complex (BCC) is a group of bacteria comprising at least nine recognized species (or genomovars) (Mahenthiralingam et al., 2005) and associated with various opportunistic human infections. BCC bacteria have been identified in infections of cystic fibrosis (CF) patients and assorted nosocomial infections. Epidemic spread of BCC strains amongst CF patients has been widely documented (Mahenthiralingam et al., 2005). In addition, there have been several reports of outbreaks amongst non-CF patients (Agodi et al., 2002; Souza et al., 2004; Woods et al., 2004; Magalhães et al., 2003; Shehabi et al., 2004). Relatively few studies have identified the BCC species types implicated in an outbreak, and these have generally used PCR-based diagnostic tests targeting the recA gene (Mahenthiralingam et al., 2000). Agodi et al. (2002) identified episodes of cross-transmission involving Burkholderia cenocepacia and Burkholderia stabilis in non-CF patients. B. cenocepacia has also been implicated in interpatient spread in studies of patients with bacteraemia (Woods et al., 2004), or bacteraemia and respiratory tract colonization (Shehabi et al., 2004). In a previous study of bacteraemia in haemodialysis patients in Recife, Brazil, B. cenocepacia and Burkholderia vietnamiensis were identified in a polyclonal outbreak (Magalhães et al., 2003). A further study characterized strains as B. cepacia complex or unclassifiable using recA PCR-RFLP analysis (Souza et al., 2004), and water was defined as the source of the outbreak.

Identical Burkholderia cepacia complex strain types isolated from multiple patients attending a hospital in Brazil