Outbreak of neonatal meningitis caused by Salmonella enterica serotype Worthington

Dnyaneshwari Ghadage1, Abhijit Bal

  • 1Department of Microbiology, B.J. Medical College, Pune.

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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