Investigation and Control of an Outbreak of Imipenem-resistant Acinetobacter baumannii Infection in a Pediatric Intensive Care Unit

  title={Investigation and Control of an Outbreak of Imipenem-resistant Acinetobacter baumannii Infection in a Pediatric Intensive Care Unit},
  author={Ki Bae Hong and Hyang Soon Oh and Jeong Suk Song and Ji-hee Lim and Dong-ki Kang and Ihn Suk Son and June-Dong Park and Eui Chong Kim and Hoan Jong Lee and Eun Hwa Choi},
  journal={The Pediatric Infectious Disease Journal},
  • Ki Bae Hong, H. Oh, E. Choi
  • Published 1 July 2012
  • Medicine, Biology
  • The Pediatric Infectious Disease Journal
Background: This study investigated the clinical details and epidemiology of the imipenem-resistant Acinetobacter baumannii (IRAB) outbreak that occurred at a pediatric intensive care unit (PICU), and describes successful outcome of the implemented infection control measures. Methods: With the recognition of 3 clustered cases with IRAB bacteremia at the PICU of Seoul National University Children’s Hospital, Korea, from August to September 2010, the following outbreak control strategies were… 
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Management and control of a carbapenem-resistant Acinetobacter baumannii outbreak in an intensive care unit.
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The findings strongly suggest nosocomial cross-transmission between patients and an active surveillance strategy is warranted to avoid missing newly emerging pathogens.
Reply: Reducing risk of waterborne imipenem-resistant Acinetobacter baumannii.
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An Outbreak of Carbapenem-Resistant Acinetobacter baumannii Infection in a Neonatal Intensive Care Unit: Investigation and Control
Clinical staff recognition of the importance of multidrug-resistant A. baumannii recovery from neonatal intensive care unit patients, geographic cohorting of infected patients, enhanced infection control practices, and staff education resulted in control of the spread of the organism.
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Investigation of an outbreak of nosocomial infections due to multidrug-resistant Acinetobacter baumannii and the contribution of cross-transmission between patients contributed to the rise in rates of MDR A baumANNii infections.
Cross-Transmission of Multidrug-Resistant Acinetobacter baumannii Clonal Strains Causing Episodes of Sepsis in a Trauma Intensive Care Unit
The extensive dissemination of imipenem-resistant A. baumannii clonal strains causing episodes of bacteremia and/or sepsis resulted from modes of transmission via multiple contaminated surfaces and objects and transiently colonized HCWs' hands.
Environmental contamination during a carbapenem-resistant Acinetobacter baumannii outbreak in an intensive care unit.
During a three-month period in 1999, 25 strains of carbapenem resistant Acinetobacter baumannii were isolated from 12 of 170 hospitalized intensive care unit patients, but four of the strains were found to have the same sensitivity pattern as the strain causing the outbreak.
Control of an Outbreak of Multidrug-Resistant Acinetobacter baumannii-calcoaceticus Colonization and Infection in an Intensive Care Unit (ICU) Without Closing the ICU or Placing Patients in Isolation
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Nosocomial Outbreak of Infection With Pan–Drug-Resistant Acinetobacter baumannii in a Tertiary Care University Hospital
The first nosocomial outbreak of infection with pan–drug-resistant (including colistin-resistant) Acinetobacter baumannii is described, to determine the risk factors associated with these types of infections, and their clinical impact.
Emergence and Rapid Spread of Carbapenem Resistance during a Large and Sustained Hospital Outbreak of MultiresistantAcinetobacter baumannii
Molecular typing by repetitive extragenic palindromic sequence-based PCR and pulsed-field gel electrophoresis showed that the emergence of carbapenem resistance was not by the selection of resistant mutants but was by the introduction of two new epidemic clones that were different from those responsible for the endemic.
Outbreak of carbapenem-resistant Acinetobacter baumannii carrying the carbapenemase OXA-23 in a German university medical centre.
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