title: [Management of a 4MRGN Acinetobacter baumanii outbreak in a burn unit].
abstract: Patients with 4MRGN Acinetobacter baumanii infections in a burn unit represent great challenge. The structured management with 7 involved patients in such a situation is presented. After discovering the infectious trigger a management team is established. An immediate stop for further admissions was announced and all infected room areas and medical equipment were analysed for infection foci. The infected patients were transferred to regional hospitals or a rehabiltation hospital after finishing all surgical procedures. In one case, for whom further operations were needed, a transfer to a separated area of the intermediate care unit (IMC) within the hospital was arranged. The performed analysis of infection foci indicated a bronchoscopy tower to be the infection source. The outbreak was terminated after transferring all patients, final disinfection and subsequent nebulisation with 5-6% hydrogen peroxide within 18 days.
authors.affiliation: Plastische- und Handchirurgie/Brandverletztenzentrum, Berufsgenossenschaftliche Kliniken Bergmannstrost, Halle (Saale).
authors.forename: F
authors.initials: F
authors.lastname: Siemers
authors.affiliation: Stabsstelle Krankenhaushygiene, BG Kliniken Bergmannstrost Halle/Saale, Halle/Saale.
authors.forename: S
authors.initials: S
authors.lastname: Fanghänel
authors.affiliation: Plastische- und Handchirurgie/Brandverletztenzentrum, Berufsgenossenschaftliche Kliniken Bergmannstrost, Halle (Saale).
authors.forename: P A
authors.initials: PA
authors.lastname: Bergmann
authors.affiliation: Plastische- und Handchirurgie/Brandverletztenzentrum, Berufsgenossenschaftliche Kliniken Bergmannstrost, Halle (Saale).
authors.forename: G
authors.initials: G
authors.lastname: Tamouridis
authors.affiliation: Klinik für Anästhesiologie, Intensiv- und Notfallmedizin, BG Kliniken Bergmannstrost Halle/Saale, Halle/Saale.
authors.forename: R
authors.initials: R
authors.lastname: Stuttmann
authors.affiliation: Plastische- und Handchirurgie/Brandverletztenzentrum, Berufsgenossenschaftliche Kliniken Bergmannstrost, Halle (Saale).
authors.forename: B
authors.initials: B
authors.lastname: Stolze
authors.affiliation: Klinik für Unfall- und Wiederherstellungschrurgie, BG Kliniken Bergmannstrost Halle/Saale, Halle/Saale.
authors.forename: G O
authors.initials: GO
authors.lastname: Hofmann
mesh_terms: D000151:Acinetobacter Infections / Q000188:drug therapy* / Q000401:mortality / Q000517:prevention & control*; D040981:Acinetobacter baumannii / Q000187:drug effects*; D002053:Burn Units; D002056:Burns / Q000150:complications / Q000401:mortality / Q000601:surgery; D002423:Cause of Death; D003428:Cross Infection / Q000188:drug therapy* / Q000401:mortality / Q000517:prevention & control*; D004203:Disinfection / Q000379:methods; D024901:Drug Resistance, Multiple, Bacterial; D005260:Female; D005858:Germany; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D009894:Opportunistic Infections / Q000188:drug therapy / Q000401:mortality / Q000517:prevention & control; D010360:Patient Transfer; D011183:Postoperative Complications / Q000188:drug therapy / Q000401:mortality / Q000517:prevention & control; D012047:Rehabilitation Centers