Greetings to everyone.

In a Neonatal Unit of my country, Ecuador, in the city of Guayaquil, a septic outbreak has occurred caused by multidrug-resistant Serratia marcescens.

Any suggestions for handling and treatment?

Sincerely,

Dr. Fernando Agama C.

Unidad de Neonatología

Hospital "Dr. Enrique Garcés"

Quito-Ecuador

Maybe you will find the following articles helpful:

http://www.ncbi.nlm.nih.gov/pubmed/19933039

http://www.ncbi.nlm.nih.gov/pubmed/18419363

http://www.ncbi.nlm.nih.gov/pubmed/19783209

We had an outbreak of S.marcescens at our ward a couple of years ago. Containment was only possible by strict hygienic measures and isolation.

Hope this helps.

Thanks for the information. We hope it is useful to us.

Sincerely,

Dr. Fernando Agama C.

Unidad de Neonatología del Hospital "Dr. Enrique Garcés"

Quito-Ecuador

Dear all,

Do you know Serratia's cholecystitis? How do you treat it? In your opinion could gladballer become an infection's reservoir?

We treated Serratia's sepsis with amiKacina, meropenem and also cefepime but after a while this newborn had again a Serratia emoculture positive associated with colestasis and cholecystitis.

Thanks for your replay