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Aggressive Control Measures for Resistant Acinetobacter baumannii and the Impact on Acquisition of Methicillin-Resistant Staphylococcus aureus and Vancomycin-Resistant Enterococcus in a Medical Intensive Care Unit

Published online by Cambridge University Press:  02 January 2015

Marc-Oliver Wright
Affiliation:
Infection Control/Hospital Epidemiology, University of Maryland Medical Center, Baltimore, Maryland
Joan N. Hebden
Affiliation:
Infection Control/Hospital Epidemiology, University of Maryland Medical Center, Baltimore, Maryland
Anthony D. Harris
Affiliation:
Veterans Affairs Maryland Health Care System, Baltimore, Maryland
Cari B. Shanholtz
Affiliation:
Department of Epidemiology and Preventive Medicine, University of Maryland, Baltimore, Maryland
Harold C. Standiford
Affiliation:
Infection Control/Hospital Epidemiology, University of Maryland Medical Center, Baltimore, Maryland
Jon P. Furuno
Affiliation:
Veterans Affairs Maryland Health Care System, Baltimore, Maryland
Eli N. Perencevich
Affiliation:
Veterans Affairs Maryland Health Care System, Baltimore, Maryland

Abstract

The medical ICU implemented aggressive control measures following an outbreak of multidrug-resistant, clonal Acinetobacter baumannii. Multivariable regression analyses comparing acquisition (6 months preceding to 6 months during or following the outbreak) revealed decreased VRE and MRSA acquisition. Aggressive control measures can reduce VRE, and perhaps MRSA, transmission.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2004

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