Volume 24, Number 9—September 2018
Dispatch
Elizabethkingia anophelis and Association with Tap Water and Handwashing, Singapore
Chee-Fu Yung
, Matthias Maiwald, Liat H. Loo, Han Y. Soong, Chin B. Tan, Phaik K. Lim, Ling Li, Natalie WH Tan, Chia-Yin Chong, Nancy Tee, Koh C. Thoon, and Yoke H. Chan
, Matthias Maiwald, Liat H. Loo, Han Y. Soong, Chin B. Tan, Phaik K. Lim, Ling Li, Natalie WH Tan, Chia-Yin Chong, Nancy Tee, Koh C. Thoon, and Yoke H. Chan
Table 1
Characteristics of Elizabethkingia cases in children admitted to the Children’s Intensive Care Unit, KK Women’s and Children’s Hospital, Singapore, May 2017*
| Category | Patient 1 | Patient 2 | Patient 3 |
|---|---|---|---|
| Sample date | 2017 May 15 | 2017 May 22 | 2017 May 28 |
| Sample type | ETT, BBS | ETT, BBS | ETT, BBS |
| Bacterial identification | |||
| MALDI-TOF mass spectrometry | E. meningoseptica | E. meningoseptica | E. meningoseptica |
| 16S rDNA | Isolate not available | Isolate not available | E. anophelis |
| Sex | M | F | F |
| Age, mo | 4.9 | 2.8 | 57.9 |
| Preterm birth | No | No | No |
| Underlying clinical condition | Duodenal atresia; small atrial septal heart defect | Pulmonary atresia; Large ventral septal heart defect; large patent ductus arteriosus | Thoracic tumor |
| Outcome | Discharged | Discharged | Deceased |
| Days in hospital | 11 | 83 | 33 |
| CICU bed type | Single room | 4-bed cubicle | Single room |
| Other beds used | No | No | No |
| Antimicrobial drug treatment within 72 h before detection | Piperacillin/tazobactam, ceftriaxone | Clindamycin | Piperacillin/tazobactam |
| History of immunosuppressive medication | No | No | Yes (chemotherapy) |
| On ECMO at time of detection | Yes | No | Yes |
*ETT, endotracheal tube; CICU, Children’s Intensive Care Unit; ECMO, extracorporeal membrane oxygenation; ETT, endotracheal tube; MALDI-TOF, matrix-assisted laser desorption/ionization time-of-flight.
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