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Published on: October 29, 2014

Kingella kingae infections in children--United States, June 2001-November 2002

    MMWR. Morbidity and Mortality Weekly Report
    |March 26, 2004
    PubMed

    Insights

    Aerobic blood culture bottles (ABCBs) improve detection of Kingella kingae skeletal infections in children. Increased ABCB use by clinicians and labs could enhance diagnosis of this emerging pediatric pathogen.

    Area of Science:

    • Pediatric Infectious Diseases
    • Clinical Microbiology
    • Bacterial Pathogenesis

    Background:

    • Kingella kingae is an increasingly recognized cause of pediatric skeletal infections.
    • The fastidious nature of K. kingae can make its detection challenging using traditional methods.
    • Recent evidence suggests improved recovery with direct inoculation into aerobic blood culture bottles (ABCBs).

    Purpose of the Study:

    • To assess the diagnostic practices of pediatric infectious disease consultants (PIDCs) regarding K. kingae skeletal infections.
    • To evaluate the current utilization of ABCBs for diagnosing pediatric skeletal infections.
    • To identify barriers and opportunities for improving K. kingae detection.

    Main Methods:

    • A survey was distributed to PIDCs via the Infectious Diseases Society of America Emerging Infections Network (IDSA-EIN).
    • The survey collected data on diagnostic methods used for pediatric skeletal infections, including K. kingae.
    • Data analysis focused on K. kingae case identification and the use of ABCBs.

    Main Results:

    • The survey identified 23 pediatric cases of K. kingae skeletal infections.
    • A significant proportion (35%) of responding PIDCs reported not using ABCBs for diagnosing skeletal infections.
    • This indicates a gap in the adoption of potentially superior diagnostic techniques.

    Conclusions:

    • Current diagnostic practices for K. kingae pediatric skeletal infections may be suboptimal.
    • Increased and consistent use of ABCBs by clinicians and laboratorians is recommended.
    • Wider adoption of ABCBs could lead to improved detection and diagnosis of K. kingae infections in children.

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