 this study examines a cluster of hospital acquired burkholderia cepacia complex infections that were found to be attributed to contaminated extracorporeal membrane oxygenation ecmo water heaters these data indicated that water based ecmo heaters may be a potential reservoir of dangerous biofilms and infection in regard to the use of ecmo water heaters the researchers advised hospitals to review their adherence with manufacturers reprocessing requirements to consider performing routine surveillance cultures of device reservoirs or to consider waterless strategies to manage vulnerable patients 