Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-13T01:13:58.621Z Has data issue: false hasContentIssue false
  • English
  • Français

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 ,
Jonathan H. K. Chen ,
W. C. Ng ,
Janet Y. H. Wong ,
Denise M. K. Chow ,
T. C. Law ,
Simon Y. C. So ,
Sally C. Y. Wong ,
T. C. Chan  and
Felix H. W. Chan
...Show all authors
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).
Get access Rights & Permissions [Opens in a new window]

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
Information
Infection Control & Hospital Epidemiology , Volume 37 , Issue 8 , August 2016 , pp. 983 - 986
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. D’Agata, EM, Habtemariam, D, Mitchell, S. Multidrug-resistant Gram-negative bacteria: inter- and intradissemination among nursing homes of residents with advanced dementia. Infect Control Hosp Epidemiol 2015;36:930–935.Google Scholar
2. Mody, L, Gibson, KE, Horcher, A, et al. Prevalence of and risk factors for multidrug-resistant Acinetobacter baumannii colonization among high-risk nursing home residents. Infect Control Hosp Epidemiol 2015;36:1155–1162.CrossRefGoogle ScholarPubMed
3. Ho, PL, Wang, TK, Ching, P, et al. Epidemiology and genetic diversity of methicillin-resistant Staphylococcus aureus strains in residential care homes for elderly persons in Hong Kong. Infect Control Hosp Epidemiol 2007;28:671–678.Google Scholar
4. Cheng, VC, Tai, JW, Wong, ZS, et al. Transmission of methicillin-resistant Staphylococcus aureus in the long-term care facilities in Hong Kong. BMC Infect Dis 2013;13:205.Google Scholar
5. Ho, PL, Cheung, YY, Wang, Y, et al. Characterization of carbapenem-resistant Escherichia coli and Klebsiella pneumoniae from a healthcare region in Hong Kong. Eur J Clin Microbiol Infect Dis Jan 6 2016, [Epub ahead of print].Google ScholarPubMed
6. Cheng, VC, Chen, JH, Poon, RW, et al. Control of hospital endemicity of multiple-drug-resistant Acinetobacter baumannii ST457 with directly observed hand hygiene. Eur J Clin Microbiol Infect Dis 2015;34:713–718.CrossRefGoogle ScholarPubMed
7. Gruteke, P, Ho, PL, Haenen, A, Lo, WU, Lin, CH, de Neeling, AJ. MRSA spa t1081, a highly transmissible strain endemic to Hong Kong, China, in the Netherlands. Emerg Infect Dis 2015;21:1074–1076.Google Scholar
8. Cheng, VC, Chen, JH, So, SY, et al. Use of fluoroquinolones is the single most important risk factor for the high bacterial load in patients with nasal and gastrointestinal colonization by multidrug-resistant Acinetobacter baumannii . Eur J Clin Microbiol Infect Dis 2015;34:2359–2366.Google Scholar
9. Boyce, JM, Havill, NL, Otter, JA, Adams, NM. Widespread environmental contamination associated with patients with diarrhea and methicillin-resistant Staphylococcus aureus colonization of the gastrointestinal tract. Infect Control Hosp Epidemiol 2007;28:1142–1147.Google Scholar
10. Cheng, VC, Tai, JW, Wong, LM, et al. Effect of proactive infection control measures on benchmarked rate of hospital outbreaks: An analysis of public hospitals in Hong Kong over 5 years. Am J Infect Control Jun 6 2015, [Epub ahead of print].Google Scholar