title: [Prompt control of an imported carbapenem-resistant Acinetobacter baumanii outbreak in a French intensive care unit].
abstract: OBJECTIVE
  to describe the management and control of a limited outbreak of carbapenem-resistant Acinetobacter baumanii (CRAB) outbreak in a French intensive care unit.
  
  
  METHODS
  Careful review of the contact's and carrier's files and outbreak management procedures.
  
  
  RESULTS
  An undiagnosed CRAB carrier was admitted to our intensive care unit after medical evacuation from Turkey. Despite preventive isolation and contact precautions, a secondary case was diagnosed 5 days after admission of the index case and resulted in the creation of a crisis unit. Prompt management included an epidemiologic investigation with contact screening and follow-up, environmental screening, and additional restrictive measures: isolation room, closure of adjacent rooms, patient cohorting with designated nurses, and reinforcement of contact precautions.
  
  
  CONCLUSIONS
  restrictive management of CRAB outbreaks may allow prompt outbreak control and avoid prolonged room closures.
authors.affiliation: Hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Guth
authors.affiliation: Hospices civils de Lyon, Lyon, France.
authors.forename: Z
authors.initials: Z
authors.lastname: Cavalli
authors.affiliation: Service réanimation, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Pernod
authors.affiliation: Cellule d'hygiène hospitalière et lutte contre les infections nosocomiales, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Lhopital
authors.affiliation: Service réanimation, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
authors.forename: Pf
authors.initials: P
authors.lastname: Wey
authors.affiliation: Cellule d'hygiène hospitalière et lutte contre les infections nosocomiales, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France, Fédération de biologie clinique, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
authors.forename: P
authors.initials: P
authors.lastname: Gerome
authors.affiliation: Service réanimation, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69003 Lyon, France.
authors.forename: J
authors.initials: J
authors.lastname: Turc
mesh_terms: D000151:Acinetobacter Infections / Q000188:drug therapy* / Q000453:epidemiology / Q000517:prevention & control*; D040981:Acinetobacter baumannii / Q000187:drug effects*; D015780:Carbapenems / Q000494:pharmacology*; D003428:Cross Infection / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control*; D004196:Disease Outbreaks; D024881:Drug Resistance, Bacterial; D005602:France / Q000453:epidemiology; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014421:Turkey
chemical_list: D015780:Carbapenems
keywords: Acinetobacter baumanii; antibiotic resistance; contact precautions; intensive care; outbreak