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Emergence of Cronobacter sakazakii in Cases of Neonatal Sepsis in Upper Egypt: First Report in North Africa
Amal A. Elkhawaga1, Helal F. Hetta1,2*, Naglaa S. Osman3, Amal Hosni4 and Mohamed A. El-Mokhtar1*
1Department of Medical Microbiology and Immunol

Research Abstract
Background and Aim: Cronobacter sakazakii (C. sakazakii) has attracted considerable attention as an emerging neonatal pathogen and has been associated with outbreaks of life-threatening septicemia, necrotizing enterocolitis, and meningitis in neonates and infants globally. No data about the role of C. sakazakii as a cause of neonatal sepsis in North Africa is availale. Herein, we aimed to study the incidence of C. sakazakii in cases of neonatal sepsis, its distribution in different food samples in Egypt, antimicrobial profile, and the ability of the strains to form biofilms. Methods: A total of 100 positive blood cultures from cases of neonatal sepsis admitted to the neonatal ICU at Assiut University Children’s Hospital, Egypt, were analyzed. In addition, 1,100 food samples, including 400 powdered infant formula (PIF), 500 herbs, and 200 water samples were screened for the presence of C. sakazakii. We evaluated the antimicrobial profile and the ability of the strains to form biofilms. Results:Cronobactersakazakii wasdetectedin12outof100casesofneonatalsepsis. The organism was also isolated from PIF, herbs, and water in percentages of 17.5, 9.2, and 7.5%, respectively. Regarding the antimicrobial sensitivity, all strains were resistanttoampicillin,amoxicillin,ampicillin/sulbactam,clindamycin,cephalothin,andcephalexin. In addition, C. sakazakii strains showed the ability to form biofilms, but with variable degrees of cell density. Conclusion: We reported, for the first time, cases of neonatal sepsis caused by the emerging life-threatening pathogen C. sakazakii in Egypt. The organism was also detected in contaminated PIF, herbs, and water, which may be sources of infection for neonates, especially in countries where natural herbs are widely used as an alternative medicine. Finally, collective efforts by the parents, manufacturers of PIF, and healthcare personnel are essential to prevent serious infections caused by C. sakazakii, particularly in infants.
Research Authors
Amal A. Elkhawaga
Helal F. Hetta
Naglaa S. Osman
Amal Hosni
Mohamed A. El-Mokhtar
Research Journal
frontiers in Microbiology
Research Member
Research Pages
9
Research Publisher
Frontiers Media S.A.
Research Rank
1
Research Vol
March 2020 | Volume 11 | Article 215
Research Website
https://doi.org/10.3389/FMICB.2020.00215
Research Year
2020

Emergence of Cronobacter sakazakii in Cases of Neonatal Sepsis in Upper Egypt: First Report in North Africa
Amal A. Elkhawaga1, Helal F. Hetta1,2*, Naglaa S. Osman3, Amal Hosni4 and Mohamed A. El-Mokhtar1*
1Department of Medical Microbiology and Immunol

Research Abstract
Background and Aim: Cronobacter sakazakii (C. sakazakii) has attracted considerable attention as an emerging neonatal pathogen and has been associated with outbreaks of life-threatening septicemia, necrotizing enterocolitis, and meningitis in neonates and infants globally. No data about the role of C. sakazakii as a cause of neonatal sepsis in North Africa is availale. Herein, we aimed to study the incidence of C. sakazakii in cases of neonatal sepsis, its distribution in different food samples in Egypt, antimicrobial profile, and the ability of the strains to form biofilms. Methods: A total of 100 positive blood cultures from cases of neonatal sepsis admitted to the neonatal ICU at Assiut University Children’s Hospital, Egypt, were analyzed. In addition, 1,100 food samples, including 400 powdered infant formula (PIF), 500 herbs, and 200 water samples were screened for the presence of C. sakazakii. We evaluated the antimicrobial profile and the ability of the strains to form biofilms. Results:Cronobactersakazakii wasdetectedin12outof100casesofneonatalsepsis. The organism was also isolated from PIF, herbs, and water in percentages of 17.5, 9.2, and 7.5%, respectively. Regarding the antimicrobial sensitivity, all strains were resistanttoampicillin,amoxicillin,ampicillin/sulbactam,clindamycin,cephalothin,andcephalexin. In addition, C. sakazakii strains showed the ability to form biofilms, but with variable degrees of cell density. Conclusion: We reported, for the first time, cases of neonatal sepsis caused by the emerging life-threatening pathogen C. sakazakii in Egypt. The organism was also detected in contaminated PIF, herbs, and water, which may be sources of infection for neonates, especially in countries where natural herbs are widely used as an alternative medicine. Finally, collective efforts by the parents, manufacturers of PIF, and healthcare personnel are essential to prevent serious infections caused by C. sakazakii, particularly in infants.
Research Authors
Amal A. Elkhawaga
Helal F. Hetta
Naglaa S. Osman
Amal Hosni
Mohamed A. El-Mokhtar
Research Journal
frontiers in Microbiology
Research Member
Research Pages
9
Research Publisher
Frontiers Media S.A.
Research Rank
1
Research Vol
March 2020 | Volume 11 | Article 215
Research Website
https://doi.org/10.3389/FMICB.2020.00215
Research Year
2020

Emergence of Cronobacter sakazakii in Cases of Neonatal Sepsis in Upper Egypt: First Report in North Africa
Amal A. Elkhawaga1, Helal F. Hetta1,2*, Naglaa S. Osman3, Amal Hosni4 and Mohamed A. El-Mokhtar1*
1Department of Medical Microbiology and Immunol

Research Abstract
Background and Aim: Cronobacter sakazakii (C. sakazakii) has attracted considerable attention as an emerging neonatal pathogen and has been associated with outbreaks of life-threatening septicemia, necrotizing enterocolitis, and meningitis in neonates and infants globally. No data about the role of C. sakazakii as a cause of neonatal sepsis in North Africa is availale. Herein, we aimed to study the incidence of C. sakazakii in cases of neonatal sepsis, its distribution in different food samples in Egypt, antimicrobial profile, and the ability of the strains to form biofilms. Methods: A total of 100 positive blood cultures from cases of neonatal sepsis admitted to the neonatal ICU at Assiut University Children’s Hospital, Egypt, were analyzed. In addition, 1,100 food samples, including 400 powdered infant formula (PIF), 500 herbs, and 200 water samples were screened for the presence of C. sakazakii. We evaluated the antimicrobial profile and the ability of the strains to form biofilms. Results:Cronobactersakazakii wasdetectedin12outof100casesofneonatalsepsis. The organism was also isolated from PIF, herbs, and water in percentages of 17.5, 9.2, and 7.5%, respectively. Regarding the antimicrobial sensitivity, all strains were resistanttoampicillin,amoxicillin,ampicillin/sulbactam,clindamycin,cephalothin,andcephalexin. In addition, C. sakazakii strains showed the ability to form biofilms, but with variable degrees of cell density. Conclusion: We reported, for the first time, cases of neonatal sepsis caused by the emerging life-threatening pathogen C. sakazakii in Egypt. The organism was also detected in contaminated PIF, herbs, and water, which may be sources of infection for neonates, especially in countries where natural herbs are widely used as an alternative medicine. Finally, collective efforts by the parents, manufacturers of PIF, and healthcare personnel are essential to prevent serious infections caused by C. sakazakii, particularly in infants.
Research Authors
Amal A. Elkhawaga
Helal F. Hetta
Naglaa S. Osman
Amal Hosni
Mohamed A. El-Mokhtar
Research Department
Research Journal
frontiers in Microbiology
Research Member
Research Pages
9
Research Publisher
Frontiers Media S.A.
Research Rank
1
Research Vol
March 2020 | Volume 11 | Article 215
Research Website
https://doi.org/10.3389/FMICB.2020.00215
Research Year
2020

Prognostic Value ofAmbulatory Blood Pressure Monitoring Pattern in Post-partum Preeclamptic Patients

Research Abstract
NULL
Research Authors
Prof.Dr. Amr Ahmed Ali Youssef
Prof.DR. Mohammed abd Elghany Koraiem Mahmoud
Prof.Dr. Ahmed Abbas
Dr.Marwa Mohammed Yehia AbdElmohsen Sayed
Dr.Mariam Rashed Fahmy Yassa
Research Department
Research Journal
Texas Heart Institute Journal
Research Member
Research Pages
NULL
Research Publisher
NULL
Research Rank
1
Research Vol
NULL
Research Website
NULL
Research Year
2020

Prognostic Value ofAmbulatory Blood Pressure Monitoring Pattern in Post-partum Preeclamptic Patients

Research Abstract
NULL
Research Authors
Prof.Dr. Amr Ahmed Ali Youssef
Prof.DR. Mohammed abd Elghany Koraiem Mahmoud
Prof.Dr. Ahmed Abbas
Dr.Marwa Mohammed Yehia AbdElmohsen Sayed
Dr.Mariam Rashed Fahmy Yassa
Research Department
Research Journal
Texas Heart Institute Journal
Research Pages
NULL
Research Publisher
NULL
Research Rank
1
Research Vol
NULL
Research Website
NULL
Research Year
2020

Prognostic Value ofAmbulatory Blood Pressure Monitoring Pattern in Post-partum Preeclamptic Patients

Research Abstract
NULL
Research Authors
Prof.Dr. Amr Ahmed Ali Youssef
Prof.DR. Mohammed abd Elghany Koraiem Mahmoud
Prof.Dr. Ahmed Abbas
Dr.Marwa Mohammed Yehia AbdElmohsen Sayed
Dr.Mariam Rashed Fahmy Yassa
Research Department
Research Journal
Texas Heart Institute Journal
Research Pages
NULL
Research Publisher
NULL
Research Rank
1
Research Vol
NULL
Research Website
NULL
Research Year
2020

Prognostic Value ofAmbulatory Blood Pressure Monitoring Pattern in Post-partum Preeclamptic Patients

Research Abstract
NULL
Research Authors
Prof.Dr. Amr Ahmed Ali Youssef
Prof.DR. Mohammed abd Elghany Koraiem Mahmoud
Prof.Dr. Ahmed Abbas
Dr.Marwa Mohammed Yehia AbdElmohsen Sayed
Dr.Mariam Rashed Fahmy Yassa
Research Department
Research Journal
Texas Heart Institute Journal
Research Member
Research Pages
NULL
Research Publisher
NULL
Research Rank
1
Research Vol
NULL
Research Website
NULL
Research Year
2020

Role of cardiac magnetic resonance in predicting response to cardiac resynchronization therapy

Research Abstract
Cardiac Magnetic resonance has a significant role in predicting response for CRT
Research Authors
Prof Doaa Ahmed Fouad
Prof Mohamed Aboel Kassem farghal
Dr Nady Ahmed Abdel Razik
Research Department
Research Journal
Journal of cardiovascular imaging
Research Pages
NULL
Research Publisher
NULL
Research Rank
1
Research Vol
NULL
Research Website
NULL
Research Year
2020

Role of cardiac magnetic resonance in predicting response to cardiac resynchronization therapy

Research Abstract
Cardiac Magnetic resonance has a significant role in predicting response for CRT
Research Authors
Prof Doaa Ahmed Fouad
Prof Mohamed Aboel Kassem farghal
Dr Nady Ahmed Abdel Razik
Research Department
Research Journal
Journal of cardiovascular imaging
Research Member
Research Pages
NULL
Research Publisher
NULL
Research Rank
1
Research Vol
NULL
Research Website
NULL
Research Year
2020

Role of cardiac magnetic resonance in predicting response to cardiac resynchronization therapy

Research Abstract
Cardiac Magnetic resonance has a significant role in predicting response for CRT
Research Authors
Prof Doaa Ahmed Fouad
Prof Mohamed Aboel Kassem farghal
Dr Nady Ahmed Abdel Razik
Research Department
Research Journal
Journal of cardiovascular imaging
Research Pages
NULL
Research Publisher
NULL
Research Rank
1
Research Vol
NULL
Research Website
NULL
Research Year
2020
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