Investigation of an outbreak of osteoarticular infections caused by Kingella kingae in a childcare center using molecular techniques

Pediatr Infect Dis J. 2013 May;32(5):558-60. doi: 10.1097/INF.0b013e3182867f5e.

Abstract

We describe an outbreak of 5 osteoarticular infections among 24 daycare center attendees. Polymerase chain reaction revealed Kingella kingae in the joint fluid of 1 child and in 85% of throat samples from healthy contacts. Multilocus sequence typing performed on the joint fluid and carriage isolates identified an unique sequence type. Rifampin failed to eradicate K. kingae carriage.

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Antibiotic Prophylaxis
  • Arthritis, Infectious / drug therapy
  • Arthritis, Infectious / epidemiology
  • Arthritis, Infectious / microbiology
  • Carrier State / microbiology
  • Child Day Care Centers / statistics & numerical data
  • Disease Outbreaks*
  • Humans
  • Infant
  • Kingella kingae / genetics
  • Kingella kingae / isolation & purification*
  • Multilocus Sequence Typing
  • Neisseriaceae Infections / drug therapy
  • Neisseriaceae Infections / epidemiology*
  • Neisseriaceae Infections / microbiology*
  • Osteomyelitis / drug therapy
  • Osteomyelitis / epidemiology
  • Osteomyelitis / microbiology
  • Pharynx / microbiology
  • Polymerase Chain Reaction
  • Rifampin / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Rifampin