NAME: Enterobacter spp.
SYNONYM OR CROSS REFERENCE: E. aerogenes, , E. cloacae, E. gergoviae, ,E. amnigenus, E. asburiae, E. intermedius. E. hormaechei, E. cancerogenus, E. sakazkii, E. agglomeran (new genus Pantoea agglomerans)
CHARACTERISTICS: Gram negative rods, peritrichous flagella, some encapsulated, facultatively anaerobic; family Enterobacteriaceae - 14 species
PATHOGENICITY: Associated with a variety of infections including those of nosocomial origin; urinary, pulmonary, wound and bloodstream infections; often as a secondary or opportunistic infection
EPIDEMIOLOGY: Worldwide; often associated with hospitals; nationwide epidemic of septicemia caused by contaminated IV products in 1971; increasingly recognized opportunistic pathogen in a wide variety of settings
HOST RANGE: Humans
INFECTIOUS DOSE: Not known
MODE OF TRANSMISSION: Contact of mucous membranes with contaminated medical equipment and personnel; fecal-oral transmission
INCUBATION PERIOD: Not clearly defined
COMMUNICABILITY: As long as viable organisms are shed
RESERVOIR: Soil, water, sewage, intestinal tract of humans and animals, dairy products
ZOONOSIS: None
VECTORS: None
DRUG SUSCEPTIBILITY: Sensitive to aminoglycosides, chloramphenicol, tetracyclines, TMP-SMX, nalidixic acid, nitrofurantoin
DRUG RESISTANCE: Most strains of E. clocae and E. aerogenes are resistant to cephalothin; resistance to ampicillin
SUSCEPTIBILITY TO DISINFECTANTS: Susceptible to many disinfectants - 1% sodium hypochlorite, 70% ethanol, 2% glutaraldehyde, iodines, phenolics, formaldehyde
PHYSICAL INACTIVATION: Sensitive to moist heat (121° C for at least 15 min) and dry heat (160-170° C for at least 1 hour)
SURVIVAL OUTSIDE HOST: Buttermilk - 10 days; cheese - 7-21 days; survives well in water-reservoirs of medical equipment (oxygenators, nebulizers, incubators etc.)
SURVEILLANCE: Monitor for symptoms
FIRST AID/TREATMENT: Antibiotic therapy as indicated
IMMUNIZATION: None
PROPHYLAXIS: Not usually administered
LABORATORY-ACQUIRED INFECTIONS: None reported to date
SOURCES/SPECIMENS: Feces, urine, blood, wound exudates, sputum
PRIMARY HAZARDS: Inhalation of infectious aerosols, direct contact of mucous membranes, accidental parenteral inoculation, ingestion
SPECIAL HAZARDS: None
CONTAINMENT REQUIREMENTS: Biosafety level 2 practices, facilities and containment equipment are recommended for all activities involving known or potentially contaminated clinical specimens and cultures of E. aerogenes
PROTECTIVE CLOTHING: Laboratory coat; gloves when direct contact with infectious materials is unavoidable
OTHER PRECAUTIONS: Good personal hygiene
SPILLS: Allow aerosols to settle; wearing protective clothing, gently cover spill with paper towels and apply 1% sodium hypochlorite, starting at perimeter and working towards the centre; allow sufficient contact time (30 min) before clean up
DISPOSAL: Decontaminate before disposal; steam sterilization, chemical disinfection, incineration
STORAGE: In sealed containers that are appropriately labelled
Date prepared: March, 2001
Prepared by: Office of Laboratory Security, PHAC
Although the information, opinions and recommendations contained in this Material Safety Data Sheet are compiled from sources believed to be reliable, we accept no responsibility for the accuracy, sufficiency, or reliability or for any loss or injury resulting from the use of the information. Newly discovered hazards are frequent and this information may not be completely up to date.
Copyright ©
Health Canada, 2001
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