Clonal spread of carbapenem-resistant Acinetobacter baumannii in a neonatal intensive care unit

被引：19
|
作者：
Maciel, W. G. [1 ]
da Silva, K. E. [1 ]
Croda, J. [1 ,2 ,3 ]
Cayo, R. [4 ]
Ramos, A. C. [4 ]
de Sales, R. O. [1 ]
de Almeida de Souza, G. H. [1 ]
Bampi, J. V. B. [1 ]
Limiere, L. C. [3 ]
Casagrande, J. C. [3 ]
Gales, A. C. [4 ]
Simionatto, S. [1 ]
机构：
[1] Fundacao Univ Fed Grande Dourados, Lab Pesquisa Ciencias Saude, Rodovia Dourados Itahum,Km 12,Cidade Univ, BR-79804970 Dourados, MS, Brazil
[2] Fundac Osvaldo Cruz, Campo Grande, MS, Brazil
[3] Fundacao Univ Fed Grande Dourados, Hosp Univ Dourados, Dourados, MS, Brazil
[4] Univ Fed Sao Paulo, Dept Med, Lab ALERTA, Disciplina Infectol, Sao Paulo, SP, Brazil
来源：
JOURNAL OF HOSPITAL INFECTION | 2018年 / 98卷 / 03期
关键词：
Colonization; Multi-drug-resistant; Carbapenem; NICU; RISK-FACTORS;
D O I：
10.1016/j.jhin.2017.10.015
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Acinetobacter baumannii has often been associated with colonization and/or infection in neonatal intensive care units (NICU). This study describes a clonal spread of carbapenem-resistant A. baumannii (CRAB) isolates in an NICU. In total, 21 CRAB isolates were collected from premature newborns. Only polymyxin B was active against such isolates. Nineteen CRAB isolates were clonally related (Cluster C, which belonged to worldwide-disseminated ST1). All newborns had peripheral access and had received beta-lactam therapy previously. The implementation of strict infection control measures was of fundamental importance to eradicate the clonal type in the study hospital. (C) 2017 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码：300 / 304
页数：5
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