Clonal spread of carbapenem-resistant Acinetobacter baumannii in a neonatal intensive care unit. Issue 3 (March 2018)

• Record Type: Journal Article
• Authors: Maciel, W.G.; da Silva, K.E.; Croda, J.; Cayô, R.; Ramos, A.C.; de Sales, R.O.; de Almeida de Souza, G.H.; Bampi, J.V.B.; Limiere, L.C.; Casagrande, J.C.; Gales, A.C.; Simionatto, S.
• Is Part Of: Journal of hospital infection. Volume 98:Issue 3(2018)
• Page Start: 300
• Page End: 304
• Publication Date: 2018-03
• Subjects: Colonization -- Multi-drug-resistant -- Carbapenem -- NICU; Cross infection -- Periodicals; Cross infection -- Prevention -- Periodicals; Nosocomial infections -- Periodicals; Nosocomial infections -- Prevention -- Periodicals; Cross Infection -- Periodicals; Cross Infection -- prevention & control -- Periodicals; Infection Control -- Periodicals; Electronic journals; 614.44
• DOI: 10.1016/j.jhin.2017.10.015
• Languages: English
• ISSNs: 0195-6701

Abstract

Summary: Acinetobacter baumannii has often been associated with colonization and/or infection in neonatal intensive care units (NICU). This study describes a clonal spread of carbapenem-resistant A. baumannii (CRAB) isolates in an NICU. In total, 21 CRAB isolates were collected from premature newborns. Only polymyxin B was active against such isolates. Nineteen CRAB isolates were clonally related (Cluster C, which belonged to worldwide-disseminated ST1). All newborns had peripheral access and had received β-lactam therapy previously. The implementation of strict infection control measures was of fundamental importance to eradicate the clonal type in the study hospital.