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Completely Resistant Acinetobacter baumannii Strains

Published online by Cambridge University Press:  02 January 2015

Siham Mahgoub ,
Jimi Ahmed  and
Aaron E. Glatt
Siham Mahgoub
Affiliation:
Division of Infectious Diseases, St. Vincent Catholic Medical Centers of New York, Brooklyn/Queens Region, Jamaica, New York
Jimi Ahmed
Affiliation:
Department of Infection Control, St. Vincent Catholic Medical Centers of New York, Brooklyn/Queens Region, Jamaica, New York
Aaron E. Glatt*
Affiliation:
Division of Infectious Diseases, St. Vincent Catholic Medical Centers of New York, Brooklyn/Queens Region, Jamaica, New York Department of Infection Control, St. Vincent Catholic Medical Centers of New York, Brooklyn/Queens Region, Jamaica, New York New York Medical College, Valhalla, New York
*
St. Vincent Catholic Medical Centers, Brooklyn/Queens Service Division, 88-25 153 Street, Suite 3-R, Jamaica, NY 11432
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Abstract

Nosocomially acquired completely resistant Acinetobacter baumannii strains are a major clinical concern. We identified completely resistant A. baumannii in 6 (4.9%) of 122 A. baumannii isolates in a retrospective chart review at two teaching hospitals. All of these patients had received broad-spectrum antibiotics and had severe underlying comorbid illnesses, long hospitalizations, or recent surgical procedures; 3 had been in the intensive care unit. Five (83%) of the 6 patients were older than 70 years. Only one death occurred. Strict infection control measures may limit further spread.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 23 , Issue 8 , August 2002 , pp. 477 - 479
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2002

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References

1.Koeleman, JG, Parlevliet, GA, Dijkshoorn, L, et al. Nosocomial outbreak of multi-resistant Acinetobacter baumannii on a surgical ward: epidemiology and risk factors for acquisition. J Hosp Infect 1997;37:113–123.Google Scholar
2.Kaul, R, Burt, JA, Cork, L, et al. Investigation of a multiyear multiple critical care unit outbreak due to relatively drug-sensitive Acinetobacter baumannii. J Infect Dis 1996;174:1279–1287.CrossRefGoogle ScholarPubMed
3.Lortholary, O, Fagon, JY, Hoi, AB, et al. Nosocomial acquisition of multiresistant Acinetobacter baumannii: risk factors and prognosis. Clin Infect Dis 1995;20:790–796.CrossRefGoogle ScholarPubMed
4.Husni, RN, Goldstein, LS, Arroliga, AC, et al. Risk factors for an outbreak of multi-drug resistant Acinetobacter nosocomial pneumonia among intubated patients. Chest 1999;115:1378–1382.Google Scholar
5.Villers, D, Espaze, E, Coste-Burel, M, et al. Nosocomial Acinetobacter baumannii infections: microbiological and clinical epidemiology. Ann Intern Med 1998;129:182–189.Google Scholar
6.Manikal, VM, Landman, D, Saurina, G, Oydna, E, Lai, H, Quale, J. Endemic carbapenem-resistant Acinetobacter species in Brooklyn, New York: city-wide prevalence, interinstitutional spread, and relation to antibiotic usage. Clin Infect Dis 2000;31:101–106.Google Scholar
7.Baraibar, J, Correa, H, Mariscal, D, Gallego, M, Valles, J, Rello, J. Risk factors for infection by Acinetobacter baumannii in intubated patients with nosocomial pneumonia. Chest 1997;112:1050–1054.CrossRefGoogle ScholarPubMed
8.Mulin, B, Talon, D, Viel, JF, et al. Risk factors for nosocomial colonization with multiresistant Acinetobacter baumannii. Eur J Clin Microbiol Infect Dis 1995;14:569–576.Google Scholar
9.Okpara, AU, Maswoswe, JJ. Emergence of multidrug-resistant isolates of Acinetobacter baumannii. American Journal of Hospital Pharmacy 1994; 51:2671–2675.Google Scholar
10.Garcia-Garmendia, JL, Ortiz-Leyba, C, Garnacho-Montero, J, et al. Mortality and the increased length of stay attributable to the acquisition of Acinetobacter in critically ill patients. Crit Care Med 1999;27:1794–1798.Google Scholar