Carbapenem-Resistant Acinetobacter baumannii: Concomitant Contamination of Air and Environmental Surfaces
| Autor: | L. Silvia Munoz-Price, Maroun M. Sfeir, Dennise Depascale, Luis Shimose, Yohei Doi, Eriko Masuda, Caressa N. Spychala, Nicholas Namias, Ana Berbel Caban, Maria X. Bueno, Daniel H. Kett, Timothy Cleary |
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| Rok vydání: | 2016 |
| Předmět: |
Acinetobacter baumannii
0301 basic medicine Microbiology (medical) medicine.medical_specialty Epidemiology Respiratory System 030106 microbiology Air Microbiology 030501 epidemiology beta-Lactam Resistance Teaching hospital Microbiology 03 medical and health sciences Internal medicine Patients' Rooms Pulsed-field gel electrophoresis Humans Medicine In patient Colonization Cross Infection biology business.industry Rectum Environmental Exposure Contamination biology.organism_classification Anti-Bacterial Agents Electrophoresis Gel Pulsed-Field Intensive Care Units Infectious Diseases Carbapenems Concomitant 0305 other medical science business Carbapenem resistant Acinetobacter baumannii Acinetobacter Infections |
| Zdroj: | Infection Control & Hospital Epidemiology. 37:777-781 |
| ISSN: | 1559-6834 0899-823X |
| DOI: | 10.1017/ice.2016.69 |
| Popis: | OBJECTIVETo concomitantly determine the differential degrees of air and environmental contamination by Acinetobacter baumannii based on anatomic source of colonization and type of ICU layout (single-occupancy vs open layout).DESIGNLongitudinal prospective surveillance study of air and environmental surfaces in patient rooms.SETTINGA 1,500-bed public teaching hospital in Miami, Florida.PATIENTSConsecutive A. baumannii–colonized patients admitted to our ICUs between October 2013 and February 2014.METHODSAir and environmental surfaces of the rooms of A. baumannii–colonized patients were sampled daily for up to 10 days. Pulsed-field gel electrophoresis (PFGE) was used to type and match the matching air, environmental, and clinical A. baumannii isolates.RESULTSA total of 25 A. baumannii–colonized patients were identified during the study period; 17 were colonized in the respiratory tract and 8 were colonized in the rectum. In rooms with rectally colonized patients, 38.3% of air samples were positive for A. baumannii; in rooms of patients with respiratory colonization, 13.1% of air samples were positive (P=.0001). In rooms with rectally colonized patients, 15.5% of environmental samples were positive for A. baumannii; in rooms of patients with respiratory colonization, 9.5% of environmental samples were positive (P=.02). The rates of air contamination in the open-layout and single-occupancy ICUs were 17.9% and 21.8%, respectively (P=.5). Environmental surfaces were positive in 9.5% of instances in open-layout ICUs versus 13.4% in single-occupancy ICUs (P=.09).CONCLUSIONSAir and environmental surface contaminations were significantly greater among rectally colonized patients; however, ICU layout did not influence the rate of contamination.Infect Control Hosp Epidemiol 2016;37:777–781 |
| Databáze: | OpenAIRE |
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