1. Investigation and management of an A. Baumannii outbreak in ICU.
- Author
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Adams D, Yee L, Rimmer JA, Williams R, Martin H, and Ovington C
- Subjects
- Acinetobacter Infections diagnosis, Acinetobacter Infections epidemiology, Acinetobacter Infections etiology, Adult, Clinical Audit, Cross Infection diagnosis, Cross Infection epidemiology, Cross Infection etiology, DNA, Bacterial genetics, Disease Outbreaks statistics & numerical data, Drug Resistance, Multiple, Bacterial, Environmental Monitoring, Epidemiologic Studies, Epidemiological Monitoring, Humans, Infection Control organization & administration, Male, Middle Aged, Patient Care Team, Risk Factors, Seasons, United Kingdom epidemiology, Acinetobacter Infections prevention & control, Acinetobacter baumannii genetics, Cross Infection prevention & control, Disease Outbreaks prevention & control, Intensive Care Units organization & administration
- Abstract
Acinetobacter baumannii infection is responsible for a wide range of infections, including pneumonia, bacteraemia, meningitis, wound infections, and urinary tract infections. During June 2010, two patients on an intensive care unit in an acute hospital in the UK had multi-resistant A. baumannii identified in samples obtained from a variety of specimens. A further case was identified 31 days following confirmation of the first outbreak. The investigation and management of this outbreak included the introduction of enhanced infection prevention and control precautions; the establishment of an Outbreak Control Team; epidemiological investigations; and the decontamination of equipment and the environment. Isolate typing by the Health Protection Agency Centre for Infections laboratory confirmed the three cases had identical A. baumannii strains: European clone II lineage encoded with an OXA-51-type carbapenemase. This suggests that there was a patient-to-patient spread of multi-resistant A. baumannii.
- Published
- 2011
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