[Epidemiologic analysis of increased frequency of isolation of multidrug-resistant Acinetobacter sp. using PFGE technique].
From November 2007 to November 2008, 25 multidrug resistant Acinetobacter baumanii/haemolyticus strains were isolated from 21 patients treated in the Pulmonary Diseases and Tuberculosis Hospital in Bystra. Seven cases were regarded as nosocomial infections. Most of the patients were hospitalized several times and/or admitted from other hospitals. The aim of this study was to find the reason for increasing colonization and infections with this microorganism. PFGE analysis showed high, exceeding 90% relationship among tested strains suggesting their clonal spread among patients in several hospitals in our region. Despite excessive search, no environmental reservoir of Acinetobacter was found, so cross-contamination via staff's hands was suspected the most likely source of this spread. Therefore, hand hygiene and contact isolation seemed the most relevant infection control measures.
Dubiel
Grzegorz
G
Specjalistyczny Zespół Chorób Pluc i Gruźlicy w Bystrej gdubiel@o2.pl
Kamińska
Wanda
W
Dziublewska
Bernadeta
B
Zaloudik
Elzbieta
E
D000151:Acinetobacter Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology* / Q000635:transmission; D040981:Acinetobacter baumannii / Q000187:drug effects / Q000302:isolation & purification*; D003428:Cross Infection / Q000453:epidemiology / Q000382:microbiology* / Q000635:transmission; D018432:Drug Resistance, Multiple; D006801:Humans; D006920:Hygiene; D015994:Incidence; D017757:Infectious Disease Transmission, Professional-to-Patient / Q000517:prevention & control; D008171:Lung Diseases / Q000453:epidemiology / Q000382:microbiology; D011044:Poland / Q000453:epidemiology