Nosocomial outbreak of Microbacterium species bacteremia among cancer patients

J Alonso-Echanove1, S S Shah, A J Valenti

  • 1Epidemic Intelligence Service, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. jalonso-echanove@cdc.gov

Insights

Microbacterium species infections, previously rare, caused bacteremia in oncology patients, leading to one death. Central venous catheters were identified as a significant risk factor for these nosocomial infections.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Epidemiology

Background:

  • Limited data exists on Microbacterium species infections, including their transmission and impact.
  • Sporadic cases of Microbacterium species (formerly CDC groups A-4 and A-5) have been reported.

Observation:

  • An outbreak of 8 symptomatic bacteremia episodes caused by Microbacterium species occurred in 6 oncology patients.
  • The outbreak took place at Maine Medical Center between July 26 and August 14, 1997.
  • One patient succumbed to the infection, highlighting potential mortality.

Findings:

  • All isolates were identified as Microbacterium species with identical DNA profiles.
  • A retrospective cohort study identified central venous catheter use as the strongest risk factor (RR 3.2, P<.0001).

Implications:

  • This outbreak underscores the significant morbidity and mortality associated with Microbacterium species in immunocompromised patients.
  • The findings confirm the potential for epidemic nosocomial transmission of these bacteria.
  • Highlights the need for vigilance and infection control measures in healthcare settings, particularly for vulnerable populations.

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