Carbapenem-resistant Acinetobacter and role of curtains in an outbreak in intensive care units.

摘要: Multiple-antibiotic-resistant Acinetobacter baumanii, including meropenem resistance, was first isolated from a patient in the general intensive care unit of tertiary-referral university teaching hospital Birmingham December 1998. Similar strains were subsequently 12 other patients, those on another within hospital. The outbreak followed an increase use both units. Environmental screening revealed presence multiple-resistant species fomite surfaces and bed linen. major source appeared to be curtains surrounding patients' beds. Typing by pulsed field gel electrophoresis demonstrated that isolates environment indistinguishable. Rigorous infection control measures increased frequency cleaning with hypochlorite (1000 ppm) twice-weekly changing implemented, along restriction Isolation spp. diminished it not detected over follow-up period 18 months. To our knowledge, this is reported carbapenem-resistant UK. This also highlights environmental sources, particularly dry fabrics such as curtains, important reservoir for dissemination acinetobacters.