Acute emergence of Elizabethkingia meningoseptica infection among mechanically ventilated patients in a long-term acute care facility

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Kingsley N WeaverSusan I Gerber

Abstract

To describe an outbreak of infection associated with an infrequently implicated pathogen, Elizabethkingia meningoseptica, in an increasingly prominent setting for health care of severely ill patients, the long-term acute care hospital. Outbreak investigation. Long-term acute care hospital with 55 patients, most of whom were mechanically ventilated. We defined a case as E. meningoseptica isolated from any patient specimen source from December 2007 through April 2008, conducted an investigation of case patients, obtained environmental specimens, and performed microbiologic testing. Nineteen patients had E. meningoseptica infection, and 8 died. All case patients had been admitted with respiratory failure that required mechanical ventilation. Among the 8 individuals who died, the time from collection of the first specimen positive for E. meningoseptica to death ranged from 6 to 43 days (median, 16 days). Environmental sampling was performed on 106 surfaces; E. meningoseptica was isolated from only one swab. Three related pulsed-field gel electrophoresis patterns were identified in patient isolates; the environmental isolate yielded a fourth, unrelated pattern. Long-term acute care hospitals with mechanically ventilated patients cou...Continue Reading

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Citations

Jun 28, 2011·Journal of Laboratory Physicians·Smita SarmaSunil Sharma
Feb 12, 2015·Antimicrobial Resistance and Infection Control·Stephanie Ming YoungPaul Anantharajah Tambyah
Dec 23, 2015·Emerging Infectious Diseases·Luke S P MooreAlison H Holmes
Oct 15, 2013·Transplant Infectious Disease : an Official Journal of the Transplantation Society·P Ramanan, R R Razonable
Sep 24, 2013·The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases·Graziella H PereiraPaulo Sérgio Lucas da Silva
Feb 28, 2015·Journal of Global Infectious Diseases·Kiran ChawlaChiranjay Mukhopadhyay
Dec 30, 2014·Genome Announcements·Bulagonda Eswarappa PradeepValakunja Nagaraja
Oct 12, 2017·BMJ Case Reports·Sairam RaghavanB A Shastry
Mar 14, 2018·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Valliappan MuthuInderpaul Singh Sehgal
Dec 19, 2018·Emerging Infectious Diseases·Min Hyuk ChoiKyungwon Lee

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