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Importation of Acinetobacter baumannii Into a Burn Unit: A Recurrent Outbreak of Infection Associated With Widespread Environmental Contamination

Published online by Cambridge University Press:  02 January 2015

Giorgio Zanetti*
Affiliation:
Service of Hospital Preventive Medicine, University Hospital, Lausanne, Switzerland Service of Infectious Diseases, Department of Medicine, University Hospital, Lausanne, Switzerland
Dominique S. Blanc
Affiliation:
Service of Hospital Preventive Medicine, University Hospital, Lausanne, Switzerland
Isabelle Federli
Affiliation:
Service of Hospital Preventive Medicine, University Hospital, Lausanne, Switzerland
Wassim Raffoul
Affiliation:
Service of Plastic and Reconstructive Surgery, Department of Surgery, University Hospital, Lausanne, Switzerland
Christiane Petignat
Affiliation:
Service of Hospital Preventive Medicine, University Hospital, Lausanne, Switzerland
Philippe Maravic
Affiliation:
Service of Surgical Intensive Care and Burn Center, Department of Surgery, University Hospital, Lausanne, Switzerland
Patrick Francioli
Affiliation:
Service of Hospital Preventive Medicine, University Hospital, Lausanne, Switzerland Service of Infectious Diseases, Department of Medicine, University Hospital, Lausanne, Switzerland
Mette M. Berger
Affiliation:
Service of Surgical Intensive Care and Burn Center, Department of Surgery, University Hospital, Lausanne, Switzerland
*
Service of Hospital Preventive Medicine, Centre Hospitalier Universitaire Vaudois, 1011 Lausanne, Switzerland (Giorgio.Zanetti@chuv.ch)

Abstract

A burn patient was infected with Acinetobacter baumannii on transfer to the hospital after a terrorist attack. Two patients experienced cross-infection. Environmental swab samples were negative for A. baumannii. Six months later, the bacteria reemerged in 6 Patients. Environmental swab samples obtained at this time were inoculated into a minimal mineral broth, and culture results showed widespread contamination. No case of infection occurred after closure of the unit for disinfection.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

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References

1.Christiansen, KJ, MacCullough, C, Coombs, G. Multiresistant organisms isolated from victims of the Bali terrorist bombing. In: Program and abstracts of the 43rd Interscience Conference on Antimicrobial Agents and Chemotherapy (Chicago). Washington, DC: American Society for Microbiology, 2003:359. Abstract K696.Google Scholar
2.Deye, GA, Riddell, SW, Bradley, W, Endy, TP. Microbiology of infected traumatic war wounds in operation Iraqi Freedom. In: Program and abstracts of the 42nd Annual Meeting of the Infectious Diseases Society of America (Boston). Alexandria, VA: Infectious Diseases Society of America, 2004:256. Abstract LB-9.Google Scholar
3.Herper, M. The Iraq infection. Promed; 3-8-2005. Available at: http://www.promedmail.org. Accessed June 20, 2006. Archive no. 20050803.2248.Google Scholar
4.Scott, PT, Petersen, K, Fishbain, J. Acinetobacter baumannii infections among patients at military medical facilities treating injured USA service members, 2002-2004. Promed; 19-11-2004. Available at: http://www.promedmail.org. Accessed June 20, 2006. Archive no. 20041119.3105.Google Scholar
5.Villegas, MV, Hartstein, AI. Acinetobacter outbreaks, 1977-2000. Infect Control Hosp Epidemiol 2003;24:284295.Google Scholar
6.Wisplinghoff, H, Edmond, MB, Pfaller, MA, Jones, RN, Wenzel, RP, Seifert, H. Nosocomial bloodstream infections caused by Acinetobacter species in United States hospitals: clinical features, molecular epidemiology, and antimicrobial susceptibility. Clin Infect Dis 2000;31:690697.Google Scholar
7.Urban, C, Segal-Maurer, S, Rahal, JJ. Considerations in control and treatment of nosocomial infections due to multidrug-resistant Acinetobacter baumannii. Clin Infect Dis 2003;36:12681274.Google Scholar
8.Van Looveren, M, Goossens, H. Antimicrobial resistance of Acinetobacter spp. in Europe. Clin Microbiol Infect 2004;10:684704.Google Scholar
9.Rodriguez-Bano, J, Cisneros, JM, Fernandez-Cuenca, F, et al.Clinical features and epidemiology of Acinetobacter baumannii colonization and infection in Spanish hospitals. Infect Control Hosp Epidemiol 2004;25:819824.Google Scholar
10.Dijkshoorn, L, Van Vianen, W, Degener, JE, Michel, MF. Typing of Acinetobacter calcoaceticus strains isolated from hospital patients by cell envelope protein profiles. Epidemiol Infect 1987;99:659667.Google Scholar
11.van Dessel, H, Dijkshoorn, L, van der Reijden, T, et al.Identification of a new geographically widespread multiresistant Acinetobacter baumannii clone from European hospitals. Res Microbiol 2004;155:105112.CrossRefGoogle ScholarPubMed
12.Kaiser, AM, Schultsz, C, Kruithof, GJ, bets-Ossenkopp, Y, Vandenbroucke-Grauls, C. Carriage of resistant microorganisms in repatriates from foreign hospitals to The Netherlands. Clin Microbiol Infect 2004;10:972979.Google Scholar
13.Ferreira, AC, Gobara, S, Costa, SE, et al.Emergence of resistance in Pseudomonas aeruginosa and Acinetobacter species after the use of antimicrobials for burned patients. Infect Control Hosp Epidemiol 2004;25:868872.CrossRefGoogle ScholarPubMed
14.Wong, TH, Tan, BH, Ling, ML, Song, C. Multi-resistant Acinetobacter baumannii on a burns unit: clinical risk factors and prognosis. Burns 2002;28:349357.Google Scholar
15.Wisplinghoff, H, Perbix, W, Seifert, H. Risk factors for nosocomial bloodstream infections due to Acinetobacter baumannii: a case-control study of adult burn patients. Clin Infect Dis 1999;28:5966.Google Scholar
16.Wendt, C, Dietze, B, Dietz, E, Ruden, H. Survival of Acinetobacter baumannii on dry surfaces. J Clin Microbiol 1997;35:13941397.Google Scholar
17.Bernards, AT, Harinck, HI, Dijkshoorn, L, van der Reijden, TJ, van den Broek, PJ. Persistent Acinetobacter baumannii? look inside your medical equipment. Infect Control Hosp Epidemiol 2004;25:10021004.CrossRefGoogle ScholarPubMed