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Completely ResistantAcinetobacter baumannii Strains

Published online by Cambridge University Press: 02 January 2015

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 YorkDepartment of Infection Control, St. Vincent Catholic Medical Centers of New York, Brooklyn/Queens Region, Jamaica, New YorkNew 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

Abstract

Nosocomially acquired completely resistantAcinetobacter baumannii strains are a major clinical concern. We identified completely resistantA. baumannii in 6 (4.9%) of 122A. 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
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-resistantAcinetobacter baumannii on a surgical ward: epidemiology and risk factors for acquisition.J Hosp Infect1997;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-sensitiveAcinetobacter baumannii.J Infect Dis1996;174:1279–1287.CrossRefGoogle ScholarPubMed
3.Lortholary,O,Fagon,JY,Hoi,AB,et al.Nosocomial acquisition of multiresistantAcinetobacter baumannii: risk factors and prognosis.Clin Infect Dis1995;20:790–796.CrossRefGoogle ScholarPubMed
4.Husni,RN,Goldstein,LS,Arroliga,AC,et al.Risk factors for an outbreak of multi-drugresistant Acinetobacter nosocomial pneumonia among intubated patients.Chest1999;115:1378–1382.Google Scholar
5.Villers,D,Espaze,E,Coste-Burel,M,et al.NosocomialAcinetobacter baumannii infections: microbiological and clinical epidemiology.Ann Intern Med1998;129:182–189.Google Scholar
6.Manikal,VM,Landman,D,Saurina,G,Oydna,E,Lai,H,Quale,J.Endemic carbapenem-resistantAcinetobacter species in Brooklyn, New York: city-wide prevalence, interinstitutional spread, and relation to antibiotic usage.Clin Infect Dis2000;31:101–106.Google Scholar
7.Baraibar,J,Correa,H,Mariscal,D,Gallego,M,Valles,J,Rello,J.Risk factors for infection byAcinetobacter baumannii in intubated patients with nosocomial pneumonia.Chest1997;112:1050–1054.CrossRefGoogle ScholarPubMed
8.Mulin,B,Talon,D,Viel,JF,et al.Risk factors for nosocomial colonization with multiresistantAcinetobacter baumannii.Eur J Clin Microbiol Infect Dis1995;14:569–576.Google Scholar
9.Okpara,AU,Maswoswe,JJ.Emergence of multidrug-resistant isolates ofAcinetobacter baumannii.American Journal of Hospital Pharmacy1994;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 ofAcinetobacter in critically ill patients.Crit Care Med1999;27:1794–1798.Google Scholar