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Updated: Aug 25, 2026

Non-Invasive Model of Neuropathogenic Escherichia coli Infection in the Neonatal Rat
Published on: October 29, 2014
Outbreak of neonatal meningitis caused by Salmonella enterica serotype Worthington
Dnyaneshwari Ghadage1, Abhijit Bal
1Department of Microbiology, B.J. Medical College, Pune.
Abstract:
We report an outbreak of Salmonella meningitis in a nursery unit due to serotype Worthington. The organism was isolated from blood and CSF samples of five babies. The isolates were found to be resistant to commonly used antibiotics such as ampicillin, cefotaxime, cefiriaxone and amikacin but were sensitive to ciprofloxacin. Serotype Worthington appears to be an emerging pathogen in neonatal units.
Insights
An outbreak of Salmonella meningitis caused by serotype Worthington affected five infants in a nursery. The bacteria showed resistance to common antibiotics but remained sensitive to ciprofloxacin, highlighting an emerging threat in neonatal units.
Area of Science:
- Neonatal infectious diseases
- Bacteriology
- Clinical microbiology
Background:
- Salmonella meningitis is a severe infection in infants.
- Neonatal units are vulnerable to outbreaks of multidrug-resistant organisms.
- Salmonella serotype Worthington has been infrequently reported in neonatal settings.
Purpose of the Study:
- To report an outbreak of Salmonella meningitis in a nursery unit.
- To characterize the antibiotic resistance profile of the causative agent.
- To highlight the emerging threat of Salmonella serotype Worthington in neonates.
Main Methods:
- Clinical case reporting of five affected infants.
- Bacterial isolation and identification from blood and cerebrospinal fluid (CSF) samples.
- Antimicrobial susceptibility testing of Salmonella isolates.
Main Results:
- Salmonella serotype Worthington was identified as the causative agent in five neonates.
- Isolates exhibited resistance to ampicillin, cefotaxime, ceftriaxone, and amikacin.
- All isolates were sensitive to ciprofloxacin.
Conclusions:
- Salmonella serotype Worthington is an emerging pathogen in neonatal intensive care units.
- Antibiotic resistance necessitates careful selection of empirical therapy.
- Ciprofloxacin may be a viable treatment option for infections caused by this resistant strain.
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