 burkholderia cepacia complex outbreak linked to a no rinse cleansing foam product united states 2017 2018 in march 2018 an investigation of an outbreak of burkholderia cepacia complex bcc infections was launched after sixty infections were identified in california new jersey pennsylvania maine nevada and ohio the infections were linked to a no rinse cleansing foam product nrcfp produced by manufacturer a used for skin care of patients in healthcare settings 