TABLE 6.

Infection control interventions associated with decreased transmission of B. cepacia complex among CF patients

Category of interventionSpecific intervention
Education (37, 69, 149, 191, 204)Emphasize hand hygiene for CF patients and HCWs
Educate patients, families, and HCWs about risk factors for transmission of B. cepacia complex
Intervention in health care setting (37, 69, 76, 149, 152, 153, 185, 191, 201)Use single-patient rooms with separate showers, for hospitalized patients with B. cepacia complex
Eliminate socializing between CF patients infected with B. cepacia complex and other CF patients while in hospital
Place hospitalized patients with B. cepacia complex on contact precautions
No CF patients should share rooms
Inpatients and outpatients should wear masks
Inpatients should wear gloves
Segregate outpatient clinics; i.e., B. cepacia complex patients attend a different clinic or on a different day
Ban patients with B. cepacia complex from attending CF conferences
Environmental decontamination (37, 69, 149, 191, 204)Decontaminate the environment, including respiratory equipment
Monitor environmental decontamination (e.g., drains, showers, exercise equipment, and physiotherapy equipment)
Laboratory practices (69, 191)Improve microbiological detection, including the use of selective media and prolonged incubation
Intervention in non-health-care setting (69, 76, 149, 191)Reduce social contact between patients infected with B. cepacia complex and other CF patients in non-health-care facilities
Provide separate summer camps for CF patients with B. cepacia complexb
  • a Thomassen et al. (191) admitted patients with B. cepacia complex to a different hospital ward.

  • b It is recommended that CF summer camps be discontinued.