Abstract

Objective To report an outbreak of Enterobacter cloacae ( E. cloacae) in a neonatal intensive care unit of a rural hospital in Karnataka and conduct a prospective study on neonatal septicaemia. Methods The diagnosis was based on culture, buffy coat smear examination and C-reactive protien test. Results E. cloacae was isolated from 18 neonates with septicaemic syndrome, of which 8 babies died. Source of infection was found to be the water used to bathe the babies. The strain was multidrug resistant, extended-spectrum beta-lactamase producer and was sensitive only to amikacin and flouroquinolones. Conclusions Clinical significance of E. cloacae as neonatal pathogen warrants attention of clinicians as well as microbiologists. Breaches in infection control measures should be avoided to prevent such outbreaks.

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