Infections due to Elizabethkingia meningoseptica in critically injured trauma patients: a seven-year study

N Rastogi; P Mathur; A Bindra; K Goyal; N Sokhal; S Kumar; S Sagar; R Aggarwal; K D Soni; V Tandon

doi:10.1016/j.jhin.2015.07.008

Infections due to Elizabethkingia meningoseptica in critically injured trauma patients: a seven-year study

J Hosp Infect. 2016 Jan;92(1):30-2. doi: 10.1016/j.jhin.2015.07.008. Epub 2015 Aug 14.

Authors

N Rastogi¹, P Mathur², A Bindra³, K Goyal³, N Sokhal³, S Kumar⁴, S Sagar⁴, R Aggarwal³, K D Soni³, V Tandon⁵

Affiliations

¹ Department of Laboratory Medicine & Hospital Infection Control, JPNA Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
² Department of Laboratory Medicine & Hospital Infection Control, JPNA Trauma Centre, All India Institute of Medical Sciences, New Delhi, India. Electronic address: purvamathur@yahoo.co.in.
³ Departments of Anesthesia & Critical Care, JPNA Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
⁴ Department of General Surgery, JPNA Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
⁵ Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

PMID: 26763750
DOI: 10.1016/j.jhin.2015.07.008

Abstract

Elizabethkingia meningoseptica is an infrequent cause of hospital-acquired infections. The clinical and microbiological profiles of infections due to E. meningoseptica over a seven-year period at a Level-I trauma centre are reported in this study. Medical records of patients from whose clinical samples E. meningoseptica was isolated on more than one occasion were reviewed. A total of 21 cases were observed during the study, 16 (76.2%) of which exhibited multidrug resistance. The observed in-hospital mortality rate was 47.6%. A high index of clinical suspicion and effective detection of E. meningoseptica in clinical samples are requisite for improved clinical outcome.

Keywords: Bronchoalveolar lavage; Elizabethkingia meningoseptica; Immunocompetent; Intensive care unit; Multidrug resistant; Trauma.

MeSH terms

Adult
Anti-Bacterial Agents / pharmacology
Chryseobacterium / drug effects
Chryseobacterium / isolation & purification*
Critical Illness*
Cross Infection / epidemiology*
Cross Infection / microbiology
Cross Infection / mortality
Cross Infection / pathology
Drug Resistance, Multiple, Bacterial
Female
Flavobacteriaceae Infections / epidemiology*
Flavobacteriaceae Infections / microbiology
Flavobacteriaceae Infections / mortality
Flavobacteriaceae Infections / pathology
Humans
Male
Retrospective Studies
Survival Analysis
Wounds and Injuries / complications*

Substances

Anti-Bacterial Agents