OBJECTIVE: To discuss the clinical distribution, enzyme production and drug resistance of Elizabethkingia meningospetica in our hospital, and to provide evidence for clinical treatment and infection prevention. METHODS: Clinical information of the patients with hospital infection caused by E. meningospetica were analyzed retrospectively during 2011-2015. Automatic bacterial identification apparatus and K-B assay were used for bacterial identification and drug sensitivity test. Phenotype of ESBLs, AmpC and MBL were determined by K-B assay, double-disc synergy method and modified three-dimensional test. RESULTS: 76 strains of E. meningospetica were isolated, mainly from sputum sample (75.0%); the patients mainly came from the intensive care unit (57.9%). 76 strains of E. meningospetica were completely resistant to 7 antibiotics as imipenem, meropenem PMB to bramycin, gentamicin, amikacin and cefepime; resistant rate to rifampin, SMZ and 3 kinds of enzyme inhibitors were all lower than 30%; resistant rate to vancomycin and minocycline were equal to 0.58 strain of ESBLs-producing bacterial (76.3%) and 47 strains of MBL-producing bacterial (61.8%) were detected, and no AmpC-producing bacterial was found. CONCLUSIONS: E. meningospetica will cause hospital infection in low immunity patients; the bacterial is highly resistant to antibiotics, which is correlated to high detection rate of ESBLs and MBL. Vancomycin and minocycline are first choice for E. meningospetica therapy.