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Emergence of Carbapenem-Resistant Acinetobacter baumannii in Nursing Homes With High Background Rates of MRSA Colonization

Published online by Cambridge University Press:  25 April 2016

Vincent C. C. Cheng
Affiliation:
Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China Infection Control Team, Queen Mary Hospital, Hong Kong Special Administrative Region, China
Jonathan H. K. Chen
Affiliation:
Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China
W. C. Ng
Affiliation:
Community Geriatric Assessment Team, Fung Yiu King Hospital, Hong Kong Special Administrative Region, China
Janet Y. H. Wong
Affiliation:
School of Nursing, The University of Hong Kong, Hong Kong Special Administrative Region, China.
Denise M. K. Chow
Affiliation:
School of Nursing, The University of Hong Kong, Hong Kong Special Administrative Region, China.
T. C. Law
Affiliation:
Community Geriatric Assessment Team, Fung Yiu King Hospital, Hong Kong Special Administrative Region, China
Simon Y. C. So
Affiliation:
Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China
Sally C. Y. Wong
Affiliation:
Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China
T. C. Chan
Affiliation:
Community Geriatric Assessment Team, Fung Yiu King Hospital, Hong Kong Special Administrative Region, China
Felix H. W. Chan
Affiliation:
Community Geriatric Assessment Team, Fung Yiu King Hospital, Hong Kong Special Administrative Region, China
P. L. Ho
Affiliation:
Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China
K. Y. Yuen*
Affiliation:
Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China
*
Address correspondence to KY Yuen, Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China (kyyuen@hku.hk).

Abstract

Carbapenem-resistant Acinetobacter baumannii (CRAB) with diverse multilocus sequence typing emerged among our nursing home residents (6.5%) with a high background rate of MRSA (32.2%). Rectal swabs yielded a higher rate of CRAB detection than axillary or nasal swabs. Bed-bound status, use of adult diapers, and nasogastric tube were risk factors for CRAB colonization.

Infect Control Hosp Epidemiol 2016;37:983–986

Type
Concise Communications
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

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References

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