Abstract
Introduction: Pantoea agglomerans is an opportunistic pathogen which causes blood stream infection (BSI) due to contaminated intravenous fluids. Objective: To investigate an outbreak of BSI in a neonatal intensive care unit (NICU) at Teaching Hospital Kandy (THK). Method: Blood culture samples were collected from the neonates on admission to the NICU and 2 to 3 days later on clinical suspicion of BSI. The blood culture samples were processed according to standard methods and antibiotic susceptibility tests were carried out as per Clinical Laboratory Standards Institute guidelines. The environmental screening samples were cultured and identified using standard microbiological methods. Results: Of the 55 blood cultures, 14 were positive for P. agglomerans . Nine of the 14 neonates responded to treatment with susceptible antibiotics. None of the environmental samples were positive for P. agglomerans species. Conclusion: P. agglomerans was responsible for the outbreak of BSI in the NICU at THK.
Highlights
P. agglomerans was responsible for the outbreak of blood streamDOI: http://dx.doi.org/10.4038/sljch.v45i1.8082 infection (BSI) in the neonatal intensive care unit (NICU) at Teaching Hospital Kandy (THK)
None of the environmental samples were positive for have been involved in epidemics of septicaemia
Fourteen of the 55 blood culture samples that were collected 2 to 3 days after admission to the NICU became positive for P. agglomerans
Summary
Method: Blood culture samples were collected from agglomerans) is a Gram negative aerobic bacillus in the neonates on admission to the NICU and 2 to 3 the family Enterobacteriaceae. All species of the days later on clinical suspicion of BSI. The blood genus Pantoea can be isolated from faeculent culture samples were processed according to standard material, plants and soil[1], where they can be either methods and antibiotic susceptibility tests were pathogens or commensals[2]. Pantoea species are carried out as per Clinical Laboratory Standards clearly opportunistic pathogens and rarely cause. Infections samples were cultured and identified using standard with Pantoea species are usually associated with an microbiological methods. Pantoea agglomerans (P. agglomerans) is the most
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