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Emergence of Carbapenem-Resistant Acinetobacter baumannii in Nursing Homes With High Background Rates of MRSA Colonization

  • Vincent C. C. Cheng (a1) (a2), Jonathan H. K. Chen (a1), W. C. Ng (a3), Janet Y. H. Wong (a4), Denise M. K. Chow (a4), T. C. Law (a3), Simon Y. C. So (a1), Sally C. Y. Wong (a1), T. C. Chan (a3), Felix H. W. Chan (a3), P. L. Ho (a1) and K. Y. Yuen (a1)...

Abstract

Carbapenem-resistant Acinetobacter baumannii (CRAB) with diverse multilocus sequence typing emerged among our nursing home residents (6.5%) with a high background rate of MRSA (32.2%). Rectal swabs yielded a higher rate of CRAB detection than axillary or nasal swabs. Bed-bound status, use of adult diapers, and nasogastric tube were risk factors for CRAB colonization.

Infect Control Hosp Epidemiol 2016;37:983–986

Copyright

Corresponding author

Address correspondence to KY Yuen, Department of Microbiology, Queen Mary Hospital, Hong Kong Special Administrative Region, China (kyyuen@hku.hk).

References

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1. D’Agata, EM, Habtemariam, D, Mitchell, S. Multidrug-resistant Gram-negative bacteria: inter- and intradissemination among nursing homes of residents with advanced dementia. Infect Control Hosp Epidemiol 2015;36:930935.
2. Mody, L, Gibson, KE, Horcher, A, et al. Prevalence of and risk factors for multidrug-resistant Acinetobacter baumannii colonization among high-risk nursing home residents. Infect Control Hosp Epidemiol 2015;36:11551162.
3. Ho, PL, Wang, TK, Ching, P, et al. Epidemiology and genetic diversity of methicillin-resistant Staphylococcus aureus strains in residential care homes for elderly persons in Hong Kong. Infect Control Hosp Epidemiol 2007;28:671678.
4. Cheng, VC, Tai, JW, Wong, ZS, et al. Transmission of methicillin-resistant Staphylococcus aureus in the long-term care facilities in Hong Kong. BMC Infect Dis 2013;13:205.
5. Ho, PL, Cheung, YY, Wang, Y, et al. Characterization of carbapenem-resistant Escherichia coli and Klebsiella pneumoniae from a healthcare region in Hong Kong. Eur J Clin Microbiol Infect Dis Jan 6 2016, [Epub ahead of print].
6. Cheng, VC, Chen, JH, Poon, RW, et al. Control of hospital endemicity of multiple-drug-resistant Acinetobacter baumannii ST457 with directly observed hand hygiene. Eur J Clin Microbiol Infect Dis 2015;34:713718.
7. Gruteke, P, Ho, PL, Haenen, A, Lo, WU, Lin, CH, de Neeling, AJ. MRSA spa t1081, a highly transmissible strain endemic to Hong Kong, China, in the Netherlands. Emerg Infect Dis 2015;21:10741076.
8. Cheng, VC, Chen, JH, So, SY, et al. Use of fluoroquinolones is the single most important risk factor for the high bacterial load in patients with nasal and gastrointestinal colonization by multidrug-resistant Acinetobacter baumannii . Eur J Clin Microbiol Infect Dis 2015;34:23592366.
9. Boyce, JM, Havill, NL, Otter, JA, Adams, NM. Widespread environmental contamination associated with patients with diarrhea and methicillin-resistant Staphylococcus aureus colonization of the gastrointestinal tract. Infect Control Hosp Epidemiol 2007;28:11421147.
10. Cheng, VC, Tai, JW, Wong, LM, et al. Effect of proactive infection control measures on benchmarked rate of hospital outbreaks: An analysis of public hospitals in Hong Kong over 5 years. Am J Infect Control Jun 6 2015, [Epub ahead of print].

Emergence of Carbapenem-Resistant Acinetobacter baumannii in Nursing Homes With High Background Rates of MRSA Colonization

  • Vincent C. C. Cheng (a1) (a2), Jonathan H. K. Chen (a1), W. C. Ng (a3), Janet Y. H. Wong (a4), Denise M. K. Chow (a4), T. C. Law (a3), Simon Y. C. So (a1), Sally C. Y. Wong (a1), T. C. Chan (a3), Felix H. W. Chan (a3), P. L. Ho (a1) and K. Y. Yuen (a1)...

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