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

N Rastogi1, P Mathur1, A Bindra2

  • 1Department of Laboratory Medicine & Hospital Infection Control, JPNA Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.

Insights

Elizabethkingia meningoseptica infections are rare but serious hospital-acquired infections. Multidrug resistance and high mortality rates highlight the need for early detection and clinical suspicion.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Hospital Epidemiology

Background:

  • Elizabethkingia meningoseptica is an uncommon pathogen causing hospital-acquired infections.
  • Data on clinical and microbiological profiles of E. meningoseptica infections are limited.

Purpose of the Study:

  • To describe the clinical and microbiological characteristics of E. meningoseptica infections.
  • To determine the outcomes of E. meningoseptica infections at a Level-I trauma center.

Main Methods:

  • Retrospective review of medical records.
  • Analysis of clinical samples positive for E. meningoseptica on multiple occasions.
  • Seven-year study period at a Level-I trauma center.

Main Results:

  • Twenty-one cases of E. meningoseptica infection were identified.
  • Multidrug resistance was observed in 76.2% of cases.
  • The in-hospital mortality rate was 47.6%.

Conclusions:

  • E. meningoseptica infections are associated with significant morbidity and mortality.
  • Effective detection and high clinical suspicion are crucial for improving patient outcomes.
  • Multidrug resistance is a significant challenge in managing these infections.

Related Concept Videos

Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
566
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
634
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic01:26

Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic

Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
6.6K
Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
1.2K
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
751
Viral Meningitis01:18

Viral Meningitis

Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
44