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Enterobacter Cloacae Bacteremia in Children: A Review of 30 Cases in 12 Years

Assistant Professor of Pediatrics, 1240 Pioneer Trail, Waukesha, WI 53186

David Margolis, MD

The Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, Wisconsin

Mauricio Tovar, MD

The Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, Wisconsin

A review was performed of the 30 cases of pediatric Enterobacter cloacae (EBC) bacteremia which occurred at our institution during a 12-year period. These 30 cases represented 88% of all cases in which EBC was isolated by blood culture (four other instances were considered contaminants); the rate of isolation of this organism relative to all positive blood cultures was 0.6%. There were 14 patients <12 months of age, with 10 <2 months of age. Infection was nosocomially-acquired in 17 cases. At the time the positive blood culture was obtained, 5 patients were afebrile, and 8 patients (five immunocompromised) had been receiving parenteral antibiotic therapy to which the organism exhibited in-vitro sensitivity for at least 24 hours. EBC was a constituent of polymicrobial bacteremia in 6 cases; in 5 instances the associated organisms were also gram-negative bacteria. There were a total of 33 underlying medical conditions or foci of infection associated with EBC bacteremia identified in 27 patients, the most common of which were immune-deficiency state (17) and gastrointestinal tract lesions (6). There were 3 patients who died.

EBC bacteremia is a relatively rare pediatric infection. It is commonly nosocomially-acquired, and afflicts children who are younger-aged or compromised by underlying medical problems.

Clinical Pediatrics, Vol. 30, No. 5, 310-313 (1991)
DOI: 10.1177/000992289103000509


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