https://scholars.lib.ntu.edu.tw/handle/123456789/536026
標題: | Healthcare-associated outbreak due to pan-drug resistant Acinetobacter baumannii in a surgical intensive care unit | 作者: | Wang S.H. WANG-HUEI SHENG Chang Y.Y. Wang L.H. Lin H.C. Chen M.L. Pan H.J. Ko W.J. SHAN-CHWEN CHANG Lin F.Y. |
公開日期: | 2003 | 卷: | 53 | 期: | 2 | 起(迄)頁: | 97-102 | 來源出版物: | Journal of Hospital Infection | 摘要: | Acinetobacter baumannii is ubiquitous and has recently become one of the most important healthcare-associated (HA) pathogens in hospitals. Infection caused by this organism often leads to significant morbidity and mortality. Outbreaks of pan-drug resistant Acinetobacter baumannii (PDRAB) have rarely been reported. During a two-month period, an outbreak of PDRAB colonization and infection affecting 7 patients occurred in our surgical intensive care unit (SICU). The colonized sites were respiratory tract (N =7) and central venous catheter (N =2). One of the patients had a surgical wound infection. Extensive environmental contamination was identified, including sites such as bed rails, bedside tables, surface of ventilators and infusion pump, water for nasogastric feeding and ventilator rinsing and sinks. All of the isolates were analysed by pulsed-field gel electrophoresis (PFGE) and showed an identical pattern. After use of strict cohort nursing, hand hygiene environmental cleaning, and replacement of a dysfunctional high-efficiency particulate air filter (HEPA), the outbreak was controlled. ? 2003 The Hospital Infection Society. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0037714070&doi=10.1053%2fjhin.2002.1348&partnerID=40&md5=9d5a88b0046ddf75b0f140a2e1b10b3f https://scholars.lib.ntu.edu.tw/handle/123456789/536026 |
ISSN: | 0195-6701 | DOI: | 10.1053/jhin.2002.1348 | SDG/關鍵字: | amikacin; aztreonam; cefpirome; ceftazidime; ciprofloxacin; flomoxef; gatifloxacin; gentamicin; imipenem; meropenem; minocycline; moxifloxacin; piperacillin; piperacillin plus tazobactam; sultamicillin; ticarcillin; timentin; Acinetobacter baumannii; adult; aged; antibiotic resistance; article; bacterial colonization; bacterium contamination; bacterium isolation; central venous catheter; cleaning; clinical article; controlled study; epidemic; female; hand washing; hospital hygiene; hospital infection; human; intensive care unit; male; morbidity; mortality; personal hygiene; pulsed field gel electrophoresis; respiratory system; risk factor; surgical infection; surgical ward; bacterial infection; central venous catheterization; drug effect; epidemic; equipment; isolation and purification; microbiological examination; middle aged; pathogenicity; Taiwan; Acinetobacter baumannii; Acinetobacter Infections; Adult; Aged; Aged, 80 and over; Catheterization, Central Venous; Disease Outbreaks; Drug Resistance, Bacterial; Electrophoresis, Gel, Pulsed-Field; Equipment Contamination; Female; Humans; Intensive Care Units; Male; Microbial Sensitivity Tests; Middle Aged; Taiwan |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。