Elizabethkingia meningoseptica infection in neonates: a threat and clinical challenge

Elizabethkingia meningoseptica is a multidrug resistant gram-negative bacillus that is commonly associated with nosocomial infection in neonates. Prematurity and compromised immune system are a known risk factor for E. meningoseptica infection. It has been isolated in the hospital environment, water...

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Main Authors: G. Govindaraju, B. Rajaiah, S. Ramakrishnan
Format: Article
Language:English
Published: Verduci Editore 2021-09-01
Series:Infectious Diseases and Tropical Medicine
Subjects:
Online Access:https://www.infectiousjournal.com/wp-content/uploads/sites/6/2022/10/e756.pdf
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author G. Govindaraju
B. Rajaiah
S. Ramakrishnan
author_facet G. Govindaraju
B. Rajaiah
S. Ramakrishnan
author_sort G. Govindaraju
collection DOAJ
description Elizabethkingia meningoseptica is a multidrug resistant gram-negative bacillus that is commonly associated with nosocomial infection in neonates. Prematurity and compromised immune system are a known risk factor for E. meningoseptica infection. It has been isolated in the hospital environment, water supplies, disinfectants and medical devices. We report 3 cases of neonatal infection by E. meningoseptica over a period of three years (2018-2020) in our Neonatal Intensive Care Unit (NICU). We encountered one case each of pneumonia, meningitis and septicemia. Infection associated with E. meningoseptica can be life-threatening if appropriate antibiotics are not prescribed. As this organism is multi drug-resistant, failure to identify this pathogen may lead to therapeutic failure. E. meningoseptica is intrinsically resistant to wide range of antibiotics used to treat other common pathogenic gram-negative bacteria; however, they are sensitive to fluoroquinolones and glycopeptides that are used for gram positives. In view of its multidrug resistant nature and ability to easily infect preterm and very low birth weight neonates, prompt diagnosis should be made and appropriate reinforcement of infection control measures should be considered to reduce morbidity and mortality.
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spelling doaj.art-73b57e99ff3d437c8359af0d1b6d1cc32023-01-10T10:49:57ZengVerduci EditoreInfectious Diseases and Tropical Medicine2379-40542021-09-01710.32113/idtm_20219_756756Elizabethkingia meningoseptica infection in neonates: a threat and clinical challengeG. Govindaraju0B. Rajaiah1S. Ramakrishnan2Neonatal Intensive Care Unit, Kovai Medical Center and Hospital, Coimbatore, IndiaNeonatal Intensive Care Unit, Kovai Medical Center and Hospital, Coimbatore, IndiaNeonatal Intensive Care Unit, Kovai Medical Center and Hospital, Coimbatore, IndiaElizabethkingia meningoseptica is a multidrug resistant gram-negative bacillus that is commonly associated with nosocomial infection in neonates. Prematurity and compromised immune system are a known risk factor for E. meningoseptica infection. It has been isolated in the hospital environment, water supplies, disinfectants and medical devices. We report 3 cases of neonatal infection by E. meningoseptica over a period of three years (2018-2020) in our Neonatal Intensive Care Unit (NICU). We encountered one case each of pneumonia, meningitis and septicemia. Infection associated with E. meningoseptica can be life-threatening if appropriate antibiotics are not prescribed. As this organism is multi drug-resistant, failure to identify this pathogen may lead to therapeutic failure. E. meningoseptica is intrinsically resistant to wide range of antibiotics used to treat other common pathogenic gram-negative bacteria; however, they are sensitive to fluoroquinolones and glycopeptides that are used for gram positives. In view of its multidrug resistant nature and ability to easily infect preterm and very low birth weight neonates, prompt diagnosis should be made and appropriate reinforcement of infection control measures should be considered to reduce morbidity and mortality.https://www.infectiousjournal.com/wp-content/uploads/sites/6/2022/10/e756.pdfelizabethkingia meningosepticaneonatal sepsisrifampicinchrysobacterium sps.
spellingShingle G. Govindaraju
B. Rajaiah
S. Ramakrishnan
Elizabethkingia meningoseptica infection in neonates: a threat and clinical challenge
Infectious Diseases and Tropical Medicine
elizabethkingia meningoseptica
neonatal sepsis
rifampicin
chrysobacterium sps.
title Elizabethkingia meningoseptica infection in neonates: a threat and clinical challenge
title_full Elizabethkingia meningoseptica infection in neonates: a threat and clinical challenge
title_fullStr Elizabethkingia meningoseptica infection in neonates: a threat and clinical challenge
title_full_unstemmed Elizabethkingia meningoseptica infection in neonates: a threat and clinical challenge
title_short Elizabethkingia meningoseptica infection in neonates: a threat and clinical challenge
title_sort elizabethkingia meningoseptica infection in neonates a threat and clinical challenge
topic elizabethkingia meningoseptica
neonatal sepsis
rifampicin
chrysobacterium sps.
url https://www.infectiousjournal.com/wp-content/uploads/sites/6/2022/10/e756.pdf
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AT sramakrishnan elizabethkingiameningosepticainfectioninneonatesathreatandclinicalchallenge