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Volume 17, Number 9—September 2011

Dispatch

Predominance of Cronobacter sakazakii Sequence Type 4 in Neonatal Infections

Susan Joseph and Stephen J. ForsytheComments to Author 
Author affiliations: Author affiliation: Nottingham Trent University, Nottingham, UK

Main Article

Table 1

Strains used in study of Cronobacter sakazakii genotypes and disease severity and clinical details derived from original case histories*

Strain Patient type/age (EGA)† Clinical signs/outcome Isolation site Year Country ST Reference
553 Neonate/1 d UNK UNK 1977 Netherlands 4 (15)
557 Neonate/5 d UNK UNK 1979 Netherlands 4 (15)
693 Neonate/13 d (41 wk) Asymptomatic Feces 1994 France 13 (3)
695 Neonate/15 d (32 wk) Fatal NEC II Trachea 1994 France 4 (3,6)
701 Neonate/28 d (28 wk) Fatal NEC III Peritoneal fluid 1994 France 4 (3,6)
709 Neonate/18 d (29 wk) Septicemia Trachea 1994 France 4 (3,6)
767 Neonate/19 d (31 wk) Fatal meningitis Trachea 1994 France 4 (3,6)
721 Neonate/2 wk Meningitis CSF 2003 USA 4
978 Neonate/<1 wk UNK Enteral feeding tube 2007 UK 3 (12)
696 Neonate/17 d (32 wk) NEC II Feces 1994 France 12 (3,6)
984 Neonate/3–4 wk UNK Enteral feeding tube 2007 UK 3 (12)
690 Neonate/27 d (31 wk) Asymptomatic Feces 1994 France 12 (3)
1218 Neonate/<1 mo (30 wk) Fatal meningitis CSF 2001 USA 1
1219 Neonate/<1 mo (36 wk) Fatal meningitis CSF 2002 USA 4
1221 Neonate/<1 mo Meningitis, adverse neurologic outcome CSF 2003 USA 4
1225 Neonate/<1 mo (35 wk) Fatal meningitis Blood 2007 USA 4
1231 Neonate (33 wk) Fatal neurologic damage Feces 2004 New Zealand 4 (2)
HPB 3290 Neonate (33 wk) Meningitis CSF 2001 USA 1 (1)
1249 Neonate Fatal infection UNK 2009 UK 31
1220 Infant/6 wk (37 wk) Brain abscess, nonfatal CSF 2003 USA 4
1223 Infant/6 wk (31 wk) UNK, in ICU Blood 2004 USA 4
1240 Infant/7 wk Fatal meningitis CSF 2008 USA 4 (11)
1242 Infant/7 wk Fatal meningitis Brain 2008 USA 4 (11)
1241 Infant/7 mo Sudden infant death syndrome Blood 2008 USA 1 (11)
1222 Infant/8 mo Fever, recovered Blood 2003 USA 4
1224 Infant/10 mo Fever, severe combined immunodeficiency Blood 2004 USA 4
HPB 2856 Child/6 y UNK UNK 2002 Canada 15 (10)
ATCC 29544 Child UNK Throat 1980 USA 8 (13)
20 Child/6 y UNK Feces 2004 Czech Rep 4
12 Adult/74 y UNK Feces 2004 Czech Rep 1
CDC 0743–75 UNK Foot wound Wound 1975 USA 41 (13)
CDC 407–77 UNK UNK Sputum 1977 USA 8 (13)
CDC 996–77 UNK UNK Spinal fluid 1977 USA 8 (13)
NCTC 9238 UNK UNK Abdomen pus 1953 UK 18 (15)
HPB 2852 UNK UNK UNK 1990 Canada 8 (10)
HPB 2853 UNK UNK UNK 1990 Canada 4 (10)
511 UNK UNK UNK 1983 Czech Rep 8 (14)
513 UNK UNK UNK 1983 Czech Rep 8 (14)
520 UNK UNK UNK 1983 Czech Rep 12 (14)
526 UNK UNK UNK 1983 Czech Rep 8 (14)
558 UNK UNK UNK 1983 Netherlands 4 (15)

*EGA, estimated gestational age; ST, sequence type; UNK, unknown; NEC, necrotizing enterocolitis; CSF, cerebrospinal fluid; ICU, intensive care unit; Czech Rep, Czech Republic; CDC, Centers for Disease Control and Prevention.
†Values <37 weeks are considered premature.

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