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Invasive Enterobacter sakazakii Disease in Infants
Open accessAbstract
Enterobacter sakazakii kills 40%-80% of infected infants and has been associated with powdered formula. We analyzed 46 cases of invasive infant E. sakazakii infection to define risk factors and guide prevention and treatment. Twelve infants had bacteremia, 33 had meningitis, and 1 had a urinary tract infection. Compared with infants with isolated bacteremia, infants with meningitis had greater birthweight (2,454 g vs. 850 g, p = 0.002) and gestational age (37 weeks vs. 27.8 weeks, p = 0.02), and infection developed at a younger age (6 days vs. 35 days, p<0.001). Among meningitis patients, 11 (33%) had seizures, 7 (21%) had brain abscess, and 14 (42%) died. Twenty-four (92%) of 26 infants with feeding patterns specified were fed powdered formula. Formula samples associated with 15 (68%) of 22 cases yielded E. sakazakii; in 13 cases, clinical and formula strains were indistinguishable. Further clarification of clinical risk factors and improved powdered formula safety is needed.
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Cited by
Simonsen, K. A., Anderson-Berry, A. L., Delair, S. F., & Davies, H. D. (2014) · Clinical Microbiology Reviews · doi:10.1128/cmr.00031-13 · Cited by 984
Xie, G., Zhou, Q., Qiu, C.-Z., Dai, W.-K., Wang, H.-P., Li, Y.-H., Liao, J.-X., Lu, X.-G., Lin, S.-F., Ye, J.-H., et al. (2017) · World Journal of Gastroenterology · doi:10.3748/wjg.v23.i33.6164 · Cited by 291
Cronobacter ( Enterobacter sakazakii ): An Opportunistic Foodborne Pathogen
Healy, B., Cooney, S., O'Brien, S., Iversen, C., Whyte, P., Nally, J., Callanan, J. J., & Fanning, S. (2010) · Foodborne Pathogens and Disease · doi:10.1089/fpd.2009.0379 · Cited by 291
Metadata
- Authors
- Bowen, A. B., & Braden, C. R.
- Venue
- Emerging Infectious Diseases
- Published
- 2006-08
- Volume
- 12
- Issue
- 8
- Pages
- 1185-1189
- ISSN
- 1080-6040 (ISSN-L)
- 1080-6059
- OpenAlex
- W2105045320
- Cited by
- 319
- References
- 0
- FWCI
- 9.64
- Type
- journal article
- Language
- en
- Open access
- diamond
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
