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Infrequent Isolation of Multiresistant Acinetobacter baumannii From the Staff Tending a Colonized Patient With Severe Burns

Published online by Cambridge University Press:  02 January 2015

Teemu Paavilainen ,
Markku Alanen ,
Mika Mäkelä ,
Marianne Routamaa ,
Helinä Järvinen ,
Pentti Huovinen  and
Pirkko Kotilainen
Teemu Paavilainen
Affiliation:
Antimicrobial Research Laboratory, National Public Health Institute, Turku University Central Hospital, Turku, Finland
Markku Alanen
Affiliation:
Department of Pediatric Surgery, Turku University Central Hospital, Turku, Finland
Mika Mäkelä
Affiliation:
Department of Pediatrics, Turku University Central Hospital, Turku, Finland
Marianne Routamaa
Affiliation:
Department of Surgery, Turku University Central Hospital, Turku, Finland
Helinä Järvinen
Affiliation:
Antimicrobial Research Laboratory, National Public Health Institute, Turku University Central Hospital, Turku, Finland
Pentti Huovinen
Affiliation:
Antimicrobial Research Laboratory, National Public Health Institute, Turku University Central Hospital, Turku, Finland
Pirkko Kotilainen*
Affiliation:
Antimicrobial Research Laboratory, National Public Health Institute, Turku University Central Hospital, Turku, Finland Department of Medicine, Turku University Central Hospital, Turku, Finland
*
Department of Medicine, Turku University Central Hospital, Kiinamyllynkatu 4-8, 20520 Turku, Finland
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Abstract

A patient with severe burns who was colonized by multiresistant Acinetobacter baumannii was cared for in contact isolation by staff intensively trained on hospital hygiene. Of the 1,907 post-exposure cultures from the staff and 425 environmental samples, only 0.7% and 4%, respectively, yielded this microorganism. These data show that strict hygienic measures may limit staff colonization and contamination of the environment by A baumannii.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 22 , Issue 6 , June 2001 , pp. 388 - 391
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2001

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References

1.Kaul, R, Burt, JA, Cork, L, Dedier, H, Garcia, M, Kennedy, C, et al. Investigation of a multiyear multiple clinical care unit outbreak due to relatively drug-sensitive Acinetobacter baumannii: risk factors and attributable mortality. J Infect Dis 1996;174:1279–1287.CrossRefGoogle Scholar
2.Green, AR, Milling, MAP. Infection with Acinetobacter in a burns unit. Burns 1983;9:292–294.Google Scholar
3.Go, ES, Urban, C, Burns, J, Kreiswirth, B, Eisner, W, Mariano, N, et al. Clinical and molecular epidemiology of Acinetobacter infections sensitive only to polymyxin B and sulbactam. Lancet 1994;344:1329–1332.Google Scholar
4.Dy, ME, Nord, JA, LaBombardi, VJ, Kislak, JW. The emergence of resistant strains of Acinetobacter baumannii: clinical and infection control implications. Infect Control Hosp Epidemiol 1999;20:565–567.CrossRefGoogle ScholarPubMed
5.Lyytikäinen, O, Köljalg, S, Härmä, M, Vuopio-Varkila, J. Outbreak caused by two multi-resistant Acinetobacter baumannii clones in a burns unit: emergence of resistance to imipenem. J Hosp Infect 1995;31:41–54.Google Scholar
6.Reagan, DR, Doebbeling, BN, Pfaller, MA, Sheetz, CT, Houston, AK, Hollis, RJ, et al. Elimination of coincident Staphylococcus aureus nasal and hand carriage with intranasal application of mupirocin calcium ointment. Ann Intern Med 1991;114:101–106.CrossRefGoogle ScholarPubMed
7.National Committee for Clinical Laboratory Standards. Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically. Document M7-A2, vol. 10, no. 8. Villanova, PA: National Committee for Clinical Laboratory Standards; 1990.Google Scholar
8.Gerner-Smidt, PEndemic occurrence of Acinetobacter calcoaceticus biovar anitratus in an intensive care unit. J Hosp Infect 1987;10:265–272.Google Scholar
9.Wise, KA. Tosolini, FA. Epidemiological surveillance of Acinetobacter species. J Hosp Infect 1990;16:319–329.Google Scholar
10.Sherertz, RJ, Sullivan, ML. An outbreak of infections with Acinetobacter calcoaceticus in burn patients: contamination of patients' mattresses. J Infect Dis 1985;151:252–258.Google Scholar
11.Weernink, A, Severin, WPJ, Tjernberg, I, Dijkshoorn, L. Pillows, an unexpected source of Acinetobacter. J Hosp Infect 1995;29:189–199.Google Scholar
12.Getchell-White, SI, Donowitz, LG, Groschel, DHM. The inanimate environment of an intensive care unit as a potential source of nosocomial bacteria: evidence for long survival of Acinetobacter calcoaceticus. Infect Control Hosp Epidemiol 1989;10:402–407.Google ScholarPubMed
13.Wendt, C, Dietze, B, Dietz, E, Ruden, H. Survival of Acinetobacter baumannii on dry surfaces. J Clin Microbiol 1997;35:1394–1397.CrossRefGoogle ScholarPubMed
14.Catalano, M, Quelle, LS, Jeric, PE, Di Martino, A, Maimone, SM. Survival of Acinetobacter baumannii on bed rails during an outbreak and during sporadic cases. J Hosp Infect 1999;42:27–35.CrossRefGoogle ScholarPubMed