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Table 1 Summary of outbreaks of Elizabethkingia meningoseptica

From: Elizabethkingia Meningoseptica Engodenous Endophthalmitis – a case report

Period of outbreak Type of unit Population involved Source of outbreak Control measures Outcome
April to October 2002 [6] Neonatal intensive care unit 4 neonates Not found Controlled by reinforcement of usual measures No additional colonization/infection confirmed for >1 year after last case
July 2006 and January 2007 [7] Neonatal intensive care unit and pediatric wards 8 newborns and 5 older children Hand cultures obtained from a senior resident; Environmental cultures obtained from powdered infant formula, an electrical button, a computer keyboard, phone, a doorknob, and an Ambu bag Staff exchange in wards restricted; All units thoroughly scrubbed using 2 disinfectants 3 times a day until outbreak controlled; Contact precautions. Nine patients improved on antimicrobial treatment, and 4 premature infants died after infection.
December 2007 through April 2008 [8] Long-term acute care hospital 19 patients with respiratory failure on mechanical ventilation Environmental sampling: one swab out of 106 surfaces; Patient sampling: E. meningoseptica isolated from blood, respiratory specimen, catheter tip Training on handwashing and disinfection practices, isolation policies, use of gowns and gloves, policies implemented regarding proper disposal of body fluids Eight out of 19 died
Fall, 2006 [9] Orthopaedic wards 2 patients who had allograft-associated surgical site infections E. meningoseptica was recovered from sink drains and traps in clean rooms where tissues were processed All clean-room sink drains and traps at processing facility replaced, check valves in drains installed, routine sanitization of drains started, Tissue-processing resumed following these changes; sterility failure rates returned to baseline levels with no identification of E. meningoseptica or other waterborne gram-negative bacteria
August and September 2012 [10] Intensive care units (ICUs). 5 patients E. meningoseptica was isolated from from aerators, hand hygiene sinks Urgent education programme instituted; Taps were cleaned systematically and aerators were changed. Temporary reduction in case numbers achieved.