Hostname: page-component-8448b6f56d-gtxcr Total loading time: 0 Render date: 2024-04-20T01:49:23.376Z Has data issue: false hasContentIssue false
  • English
  • Français

Aggressive Control Measures for Resistant Acinetobacter baumannii and the Impact on Acquisition of Methicillin-Resistant Staphylococcus aureus and Vancomycin-Resistant Enterococcus in a Medical Intensive Care Unit

Published online by Cambridge University Press:  02 January 2015

Marc-Oliver Wright ,
Joan N. Hebden ,
Anthony D. Harris ,
Cari B. Shanholtz ,
Harold C. Standiford ,
Jon P. Furuno  and
Eli N. Perencevich
Marc-Oliver Wright
Affiliation:
Infection Control/Hospital Epidemiology, University of Maryland Medical Center, Baltimore, Maryland
Joan N. Hebden
Affiliation:
Infection Control/Hospital Epidemiology, University of Maryland Medical Center, Baltimore, Maryland
Anthony D. Harris
Affiliation:
Veterans Affairs Maryland Health Care System, Baltimore, Maryland
Cari B. Shanholtz
Affiliation:
Department of Epidemiology and Preventive Medicine, University of Maryland, Baltimore, Maryland
Harold C. Standiford
Affiliation:
Infection Control/Hospital Epidemiology, University of Maryland Medical Center, Baltimore, Maryland
Jon P. Furuno
Affiliation:
Veterans Affairs Maryland Health Care System, Baltimore, Maryland
Eli N. Perencevich
Affiliation:
Veterans Affairs Maryland Health Care System, Baltimore, Maryland
Get access Rights & Permissions [Opens in a new window]

Abstract

The medical ICU implemented aggressive control measures following an outbreak of multidrug-resistant, clonal Acinetobacter baumannii. Multivariable regression analyses comparing acquisition (6 months preceding to 6 months during or following the outbreak) revealed decreased VRE and MRSA acquisition. Aggressive control measures can reduce VRE, and perhaps MRSA, transmission.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 25 , Issue 2 , February 2004 , pp. 167 - 168
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2004

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

1.Villegas, MV, Hartstein, AI. Acinetobacter outbreaks, 1977-2000. Infect Control Hosp Epidemiol 2003;24:284–295.CrossRefGoogle ScholarPubMed
2.Mahgoub, S, Ahmed, J, Glatt, AE. Completely resistant Acinetobacter baumannii strains. Infect Control Hosp Epidemiol 2002;23:477–479.CrossRefGoogle ScholarPubMed
3.Manikal, V, Landamn, D, Saurina, G, Oydna, E, Lai, H, Quale, J. Endemie carbapenem-resistant Acinetobacter species in Brooklyn, New York: city-wide prevalence, institutional spread and relation to antibiotic usage. Clin Infect Dis 2000;31:101–106.CrossRefGoogle Scholar
4.Podnos, YD, Cinat, ME, Wilson, SE, Cooke, J, Gornick, W, Thrupp, LD. Eradication of multidrug resistant Acinetobacter from an intensive care unit. Surgical Infections 2001;2:297–301.CrossRefGoogle ScholarPubMed
5.Mahgoub, S, Ahmed, J, Glatt, AE. Underlying characteristics of patients harboring highly resistant Acinetobacter baumannii. Am J Infect Control 2002;30:386–390.CrossRefGoogle ScholarPubMed
6.Muto, CA, Jernigan, JA, Ostrowsky, BE, et al.SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and Enterococcus. Infect Control Hosp Epidemiol 2003;24:362–386.CrossRefGoogle ScholarPubMed
7.Boyce, JM, Pittet, D. Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. Infect Control Hosp Epidemiol 2002;23:S3-S40.Google Scholar
8.Siddiqui, AH, Harris, AD, Hebden, J, Wilson, PD, Morris, JG Jr, Roghmann, MC. The effect of active surveillance for vancomycin-resistant enterococci in high-risk units on vancomycin-resistant enterococci incidence hospital-wide. Am J Infect Control 2002;30:40–43.CrossRefGoogle ScholarPubMed
9.Coopersmith, CM, Rebmann, TL, Zack, JE, et al.Effect of an education program on decreasing catheter-related bloodstream infections in the surgical intensive care unit. Crit Care Med 2002;30:59–64.CrossRefGoogle ScholarPubMed
10.Calil, R, Marba, ST, von Nowakonski, A, Tresoldi, AT. Reduction in colonization and nosocomial infection by multiresistant bacteria in a neonatal unit after institution of educational measures and restriction in the use of cephalosporins. Am J Infect Control 2001;29:133–138.CrossRefGoogle Scholar