[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.
Specjalistyczny Zespół Chorób Pluc i Gruźlicy w Bystrej gdubiel@o2.pl
Grzegorz
G
Dubiel
Wanda
W
Kamińska
Bernadeta
B
Dziublewska
Elzbieta
E
Zaloudik
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