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.
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.
Infection Control/Hospital Epidemiology, University of Maryland Medical Center, Baltimore, USA.
Marc-Oliver
MO
Wright
Joan N
JN
Hebden
Anthony D
AD
Harris
Carl B
CB
Shanholtz
Harold C
HC
Standiford
Jon P
JP
Furuno
Eli N
EN
Perencevich
D000150:Acinetobacter / Q000187:drug effects / Q000302:isolation & purification*; D000151:Acinetobacter Infections / Q000150:complications / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control*; D015142:Baltimore / Q000453:epidemiology; D004196:Disease Outbreaks; D006801:Humans; D007362:Intensive Care Units; D016106:Methicillin Resistance; D013203:Staphylococcal Infections / Q000150:complications* / Q000382:microbiology; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification*; D020713:Vancomycin Resistance