title: Role of environmental cleaning in controlling an outbreak of Acinetobacter baumannii on a neurosurgical intensive care unit.
abstract: An outbreak of Acinetobacter baumannii colonization and infection occurred in 19 patients over a 14-month period during 1998-1999 on a neurosurgical intensive care unit. During efforts to control the outbreak a significant correlation was observed between the number of environmental isolates of A. baumannii obtained during each monthly screening and the number of patients with A. baumannii colonization/infection in the same calendar month (P=0.004). Use of 1000 ppm hypochlorite solution and the introduction of new cleaning protocols reduced the number of environmental isolates. Failure to maintain low levels of environmental contamination with A. baumannii resulted in increases in patient colonization. This study showed that high standards of cleaning play an integral role in controlling outbreaks of A. baumannii in the intensive care unit setting.
authors.affiliation: Department of Microbiology, Great George Street, Leeds LS1 3EX, UK. miles.denton@leedsth.nhs.uk
authors.forename: M
authors.initials: M
authors.lastname: Denton
authors.forename: M H
authors.initials: MH
authors.lastname: Wilcox
authors.forename: P
authors.initials: P
authors.lastname: Parnell
authors.forename: D
authors.initials: D
authors.lastname: Green
authors.forename: V
authors.initials: V
authors.lastname: Keer
authors.forename: P M
authors.initials: PM
authors.lastname: Hawkey
authors.forename: I
authors.initials: I
authors.lastname: Evans
authors.forename: P
authors.initials: P
authors.lastname: Murphy
mesh_terms: D000151:Acinetobacter Infections / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D040981:Acinetobacter baumannii; D000293:Adolescent; D000328:Adult; D000368:Aged; D002985:Clinical Protocols; D015169:Colony Count, Microbial; D003428:Cross Infection / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D004196:Disease Outbreaks / Q000517:prevention & control* / Q000706:statistics & numerical data; D004203:Disinfection / Q000379:methods* / Q000592:standards; D016521:Electrophoresis, Gel, Pulsed-Field; D004784:Environmental Monitoring; D062665:Epidemiological Monitoring; D005260:Female; D006797:Housekeeping, Hospital / Q000379:methods* / Q000592:standards; D006801:Humans; D006997:Hypochlorous Acid; D007362:Intensive Care Units; D008297:Male; D008403:Mass Screening; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000009:adverse effects; D016877:Oxidants; D017410:Practice Guidelines as Topic; D012307:Risk Factors
chemical_list: D016877:Oxidants; D006997:Hypochlorous Acid