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Cronobacter

Genus of bacteria

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  • 3 chapters

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Clinical significance

All Cronobacter species, except C. condimenti, have been linked retrospectively to clinical cases of infection. While cases of infection do occur in adults, these are generally non-life-threatening, and often secondary colonization to underlying health problems. Infection in infants is associated with neonatal bacteraemia, meningitis and necrotising enterocolitis with a high case fatality rate and ongoing disablement of survivors.

Increased awareness that Cronobacter are ubiquitous environmental organisms, initiatives by the WHO and FAO, and advice on infant feeding (including safe temperatures for reconstitution of powdered infant formula, and appropriate hold times, post-reconstitution) has drastically reduced the occurrence of infection outbreaks. Additionally, the introduction of an ISO standard method for detection of these organisms has aided the infant formula industry to control their presence in manufacturing sites and products, further reducing the risk to infants. However, isolated cases can still occur, in part due to Cronobacter being ubiquitous in home environments as well.

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