{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T06:00:47Z","timestamp":1788242447045,"version":"build-2803163510"},"reference-count":17,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,10,20]]},"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:p>\n                    This report describes a 79-year-old Caucasian man with a history of syringomyelia, paraplegia and a long-term urethral catheter, presenting with recurrent catheter-related or catheter-associated urinary tract infections (CAUTIs) and persistent delirium. On one occasion, urine cultured bacteria from the\n                    <jats:italic>Burkholderia cepacia<\/jats:italic>\n                    complex (BCC). This organism is recognised as being a coloniser of fluid or aquatic settings. However, in certain circumstances (eg, immunosuppression, immunocompromise, multimorbidity), BCC has been recognised to cause infection, that is, rather than merely contamination or colonisation. In this unwell older patient, treatment of the BCC CAUTI was guided by antibiotic sensitivities and microbiology advice. The report incorporates a brief discussion of some relevant microbiological terminology, and refers to associations and commoner sites of BCC-related infection. The report concludes by exploring how three philosophical concepts (Occam\u2019s razor, Hickam\u2019s dictum and Crabtree\u2019s bludgeon) proved relevant in supporting clinical decision-making in this case.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2019-230342","type":"journal-article","created":{"date-parts":[[2019,11,15]],"date-time":"2019-11-15T07:24:13Z","timestamp":1573802653000},"page":"e230342","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["<i>Burkholderia cepacia<\/i>\n                    complex infection complicating long-term urethral catheterisation"],"prefix":"10.1136","volume":"12","author":[{"given":"Olayinka Ayodele","family":"Ogundipe","sequence":"first","affiliation":[{"name":"Department of Medicine of the Elderly, Royal Infirmary of Edinburgh, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca Claire","family":"Pearson","sequence":"additional","affiliation":[{"name":"Department of Medicine of the Elderly, Royal Infirmary of Edinburgh, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Medicine of the Elderly, Borders General Hospital, Melrose, Scotland, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,11,14]]},"reference":[{"key":"2025082701532658000_12.11.e230342.1","doi-asserted-by":"crossref","DOI":"10.1099\/jmmcr.0.005081","article-title":"Community-acquired urinary tract infections caused by Burkholderiacepacia complex in patients with no underlying risk factor","volume":"4","author":"Nimri","year":"2017","journal-title":"JMM Case Rep"},{"key":"2025082701532658000_12.11.e230342.2","unstructured":"Scottish Intercollegiate Guidelines Network (SIGN) . 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