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Control of an outbreak of multi-drug-resistant Acinetobacter baumannii in an intensive care unit and a surgical ward
journal contribution
posted on 2005-03-01, 00:00 authored by J D Pimentel, J Low, K Styles, O C Harris, Andrew HughesAndrew Hughes, Eugene AthanEugene AthanWe describe an outbreak of multi-drug-resistant Acinetobacter baumannii (MRAB) that occurred in an intensive care unit (ICU) and a surgical ward from December 2003 to March 2004. Mapping patient movements on a timeline indicated that the outbreak was confined to these two areas. Investigation by the hospital's infection prevention service found that a possible source of spread was improper cleaning methods used on respiratory equipment. Pulsed-field gel electrophoresis analysis of available isolates indicated the presence of two distinct strains. One strain was seen in patients from the ICU and the other strain was seen in the surgical ward patients. Cleaning and environmental decontamination as well as staff education were implemented to halt further immediate spread. The deficiencies identified during the investigation were also resolved. The final outcome was the successful termination of this outbreak.
History
Journal
Journal of hospital infectionVolume
59Issue
3Pagination
249 - 253Publisher
ElsevierLocation
Amsterdam, The NetherlandsPublisher DOI
ISSN
0195-6701Language
engPublication classification
C1.1 Refereed article in a scholarly journalCopyright notice
2004, Hospital Infection SocietyUsage metrics
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No categories selectedKeywords
Acinetobacter InfectionsAcinetobacter baumanniiAgedAged, 80 and overAnti-Bacterial AgentsCross InfectionDisease OutbreaksDrug Resistance, MultipleFemaleHumansInfection ControlIntensive Care UnitsMaleMedical RecordsMicrobial Sensitivity TestsMiddle AgedRetrospective StudiesVictoriaScience & TechnologyLife Sciences & BiomedicinePublic, Environmental & Occupational HealthInfectious Diseasesoutbreakrespiratory equipmentinfection prevention
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