A report of a further hospital outbreak caused by a multi-resistant Acinetobacter anitratus

摘要: Acinetobacter anitratus has been shown to be the cause of a number serious infections. There have reports it causing endocarditis (Pal, Sujatha and Kale, 1981), meningitis (Ghoneim Halaka, 1980), pneumonia (Rudin, Michael Huxley, 1979), abscesses (Robinson, Garrison Brown, 1964). It is widely spread in nature being isolated from water, soil sewage (Henriksen, 1973), also skin (Taplin, Rebel1 Zaiaz, 1963). particular risk debilitated patients recognized hospital-associated pathogen. The epidemiology hospital outbreaks not fully understood, although respirometers (Cunha et al., 1980) humidifiers implicated as reservoirs for organism. Cross-contamination via hands regarded possible route transmission (French 1980). organism usually shows resistance ampicillin, cephalothin chloramphenicol, but sensitive aminoglycosides, sulphonamides, tetracyclines, ureidopenicillins third generation cephalosporins (Retailliau 1979; Daschner Nopper, 1980; Appelbaum 1981). one report multi-resistant Acinetobutter spp. an outbreak urology ward was resistant 18 antibiotics, only nalidixic acid, colistin, tobramycin amikacin. A similar occurred surgical intensive care unit (Castle 1978). I here further outbreak.