Transmission of Enterobacter aerogenes septicemia in healthcare workers

Abstract

Enterobacter aerogenes is recognized as an important bacterial pathogen in hospital-acquired infections. This report describes two unusual cases of septicemia caused by E. aerogenes in immunocompetent healthcare workers. E. aerogenes was isolated from blood cultures of the two patients experiencing septicemia. The clinical isolates were initially identified as E. aerogenes using a VITEK II automated system and 16S rRNA sequence analysis, and; both isolates involved in the outbreak shared a common pulse-field gel electrophoresis pattern. The similarities between the two cases included the simultaneous development of gastroenteritis symptoms, severe sepsis and thrombocytopenia after taking intravenous injections of ketorolac tromethamine. A common source of normal saline, a 100 mL bottle, was used for diluting the analgesic in both cases. In addition to the general population, healthcare workers, especially those who are also intravenous drug abusers, should be considered subjects that could cause a transmission of Enterobacter infection.

In vitro bacteriostatic activity of Origanum vulgare, Cymbopogon citratus, and Lippia alba essential oils in cat food bacterial isolates

“…In addition, it has been isolated from patients with urinary tract infection (MENEZES et al, 2004) and from the water from bathroom taps of a higher education institution (OLIVEIRA FILHA et al, 2018), depicting its detrimental effect on public health. Jha et al (2016) reported that K. aerogenes was an important pathogen in acquired hospital infections. In a study assessing the urine of dogs and cats with clinical suspicion of urinary infection, Carvalho et al (2014) isolated K. aerogenes, showing its importance, as the animal can be infected by consuming food sold in bulk.…”

Detection of Enterobacteriaceae, antimicrobial susceptibility, and virulence genes of Escherichia coli in canaries (Serinus canaria) in northeastern Brazil

“…Gharieb et al (2013) investigated bacteria in wild birds from various locations in Egypt and isolated E. aerogenes and E. cloacae. In humans, E. aerogenes and E. cloacae have been reported in hospitals as important opportunistic pathogens, causing sepsis in neonates (Akindolire et al 2016, Köse et al 2016, Boulos et al 2017, nosocomial infection (Oliva-Menacho et al 2016), and septicemia in health professionals (Jha et al 2016).…”

Overview of Major Bacterial Contaminants of Drinking Water in Nigeria: A Review

“…Otorkpa; IJPR, 2(3): [1][2][3][4][5][6][7][8][9]2019; Article no.IJPR. 48518 2 a good number of the drinking water presented as safe for consumption across Nigeria are actually not fit for human consumption.…”

“…Enterobacter aerogenes is a Gram-negative, rodshaped bacterium usually found in the human gastrointestinal tract and does not generally cause disease in healthy individuals but recognized as an important bacterial pathogen in hospital-acquired infections and opportunistic infections [9]. This organism was isolated in 40% of the studies that analysed drinking water samples.…”