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Related Experiment Video

Updated: Jan 20, 2026

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Flavobacteriaceae Bacteremia in Children: A Multicenter Study.

Shiri Cooper1,2, Itzhak Levy2,3, Haim Ben-Zvi4

  • 1From the Department of Pediatrics B, Schneider Children's Medical Center, Petach Tikva, Israel.

The Pediatric Infectious Disease Journal
|August 31, 2019
PubMed
Summary

Flavobacteriaceae bacteremia is rare in children but associated with high mortality. Chryseobacterium indologenes and Elizabethkingia meningosepticum infections often link to central lines and malignancy, with specific antibiotic susceptibilities guiding treatment.

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Area of Science:

  • Medical Microbiology
  • Pediatric Infectious Diseases
  • Antimicrobial Resistance

Background:

  • Flavobacteriaceae, including Chryseobacterium indologenes and Elizabethkingia meningosepticum, are rare pediatric pathogens.
  • These bacteria present diverse clinical symptoms and carry a high mortality rate.
  • Their intrinsic antibiotic resistance necessitates careful diagnosis and treatment, especially concerning empiric therapies for Gram-negative infections.

Purpose of the Study:

  • To describe the characteristics of Flavobacteriaceae bacteremia in a pediatric population.
  • To identify risk factors, clinical presentations, and outcomes.
  • To determine antimicrobial susceptibility patterns for effective treatment strategies.

Main Methods:

  • A multicenter retrospective study was conducted across 5 Israeli hospitals.
  • Data were collected for cases of Flavobacteriaceae bacteremia confirmed by positive blood cultures between 1998 and 2018.
  • Thirteen pediatric cases were identified and analyzed.

Main Results:

  • Nine of the 13 isolates were Chryseobacterium indologenes.
  • All cases were nosocomial or healthcare-associated, linked to central line-associated bloodstream infections (38%) and malignancy (54.8%).
  • The median age was 1 year, with a 30-day all-cause mortality rate of 23%. High susceptibility was observed for ciprofloxacin (92%), trimethoprim-sulfamethoxazole (91%), and piperacillin-tazobactam (82%).

Conclusions:

  • Chryseobacterium indologenes and Elizabethkingia meningosepticum are rare, healthcare-associated pediatric bacteremia pathogens.
  • Contrary to literature, most cases were older than neonates, associated with central lines and malignancy.
  • Ciprofloxacin, trimethoprim-sulfamethoxazole, and piperacillin-tazobactam are recommended based on observed resistance patterns.