Acinetobacter (ACBA) in sternal surgical site infections (SSI) after cardiac surgery: Case control study to determine significance and outcome

Jones, Makoto; Donegan, Nancy; Sajines, S.; Pic-Aluas, L.

doi:10.1016/j.ajic.2005.04.218

Cited by 3 publications

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“…A.baumannii caused about 12.5% of the SSIs in the hospital in this period. Other studies by Jones et al 19 have shown similar results (11.7%). In our study, A.baumannii showed relatively low prevalence in causing CA-UTI (2.9%).…”

Section: Resultssupporting

confidence: 74%

“…The culture samples from the entire hospital processed during the 14 months study period from Dec 2008 to Jan 2010 were 10079. Of the total cultures processed, the number of pathogenic bacterial isolates was1961 (19 Of the 155 isolates of A.baumannii from the entire hospital, 119 belonged to the ICU (76.7%). The ICU also had a higher relative proportion of A.baumannii isolates among gram negative isolates as 22.6% (119 out of 525) as compared to overall 9.4% of A.baumannii in the hospital among gram negative isolates (155 out of 1632).…”

Section: Resultsmentioning

confidence: 99%

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Acinetobacter baumannii isolates in a tertiary care hospital: Antimicrobial resistance and clinical significance

Jaggi¹

2012

JMID

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Objectives: To carry out a retrospective study on Acinetobacter baumannii isolates from various clinical samples in a tertiary care hospital in India and analyze its epidemiology, antibiotic susceptibility patterns, pathogenic potential and nosocomial status. Materials and methods: The clinical specimens over a period of 14 months from December 2008 to January 2010 were analyzed and the A.baumannii isolates obtained by an automated identification system (Vitek 2 Compact) were segregated for further study. Their antibiograms were studied and a clinical correlation was made to assess their pathogenic status and mode of acquisition. Further, the nosocomial infections acquired during this period were studied and the contribution made by A.baumannii was calculated to assess its nosocomial status. Results: A.baumannii was isolated in 155 samples out of 1632 gram negative isolates (9.4% prevalence) from the entire hospital. Maximum isolates were from respiratory secretions (57.4%) followed by blood (23.8%). Prevalence of A.baumannii rose to 22.7% (119 out of 525) in intensive care unit (ICU) and 65 isolates (54.6%) proved to be pathogenic. A.baumannii contributed to 30.4% ventilator associated pneumonia, 35.2% Catheter Associated Blood Stream Infections, 12.5% Surgical Site Infections and 2.94% Catheter Associated Urinary Tract Infections. Overall resistance of A.baumannii towards carbapenems was 90% from all hospital isolates. ICU isolates showed higher resistance (93.2%) as compared to Inpatient Department (82.7%) and Outpatient Department (57.1%). Conclusion: In this study, A.baumannii isolates showed a pathogenic potential of around 54.6% and a majority were found to be carbapenem resistant. We must be cognizant of the fact that all A.baumannii isolations doesn't necessarily mean infection and antibiotics should only be given in clinically proven infections.

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Section: Resultssupporting

confidence: 74%

Section: Resultsmentioning

confidence: 99%

Acinetobacter baumannii isolates in a tertiary care hospital: Antimicrobial resistance and clinical significance

Jaggi¹

2012

JMID

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“…In the period our study the prevalence of A. baumannii in the causation of surgical site infection was caused about 14.5%, moreover, during the study period this was increased from 11.4% to 31.8% (p=0.049). Other studies, similar to this, were carried by Jaggi et al [15] reported about 12.5% and Jones et al [20] have shown similar results (11.7%). The risk of urinary tract infections in ICU is connected with the duration of catheterization and increases by 5% each day.…”

Section: Discussionsupporting

confidence: 81%

Epidemiology of Acinetobacter baumannii Isolates in an Intensive Care Unit in Kazakhstan

Bissenova¹,

Yergaliyeva²

2018

Journal of Microbiology and Infectious Diseases

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Objective: Objectives: Acinetobacter baumannii is an important pathogen of infections in many hospitals, especially in intensive care unit patients, conditioned difficulty to control spread and treatment. The objective of the present study is to report the prevalence and antibiotic resistance rates of A. baumannii strains in ICU patients during a fiveyear period in a tertiary care hospital in Kazakhstan. Methods: Consecutive, nonduplicate isolates of A. baumannii were collected and processed during the course of routine diagnostic work up from adult patients hospitalized in ICU. Identification of isolates and antibiotic susceptibility testing were performed by Vitek 2 automated system. Results: In total 325 A. baumannii strains were evaluated. The most frequent of strains were from tracheostomy tubes (67 isolates, 22.1%), followed by tracheal aspirates (58 isolates, 19.1%) and urinary tract (47, 15.5%). The prevalence of A. baumannii strains in ICU was significantly increased from 6.9% in 2011 to 34.1% to 2015 (p=0.002). Most of testing isolates were 96.7% and higher resistant to cephalosporins, carbapenems, quinolones. Lower resistance 50% and highest was obtained to aminoglycosides. Conclusion: we report for the first time in Central Kazakhstan the prevalence and resistance rates of A. baumannii in ICU in a single tertiary hospital. The present report is alarming because the increasing resistance can lead to no alternative situation on the choice of drugs for the casual treatment of infections caused by extremely resistant A. baumannii strains.

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Prevalence and Antimicrobial Drug Resistance of Acinetobacter baumannii Infection in a Tertiary Care Teaching Hospital of Rural Gujarat, India

Kalpesh¹,

Mudita²,

Suman³

et al. 2017

Int.J.Curr.Microbiol.App.Sci

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Acinetobacter (ACBA) in sternal surgical site infections (SSI) after cardiac surgery: Case control study to determine significance and outcome

Cited by 3 publications

References 0 publications

Acinetobacter baumannii isolates in a tertiary care hospital: Antimicrobial resistance and clinical significance

Acinetobacter baumannii isolates in a tertiary care hospital: Antimicrobial resistance and clinical significance

Epidemiology of Acinetobacter baumannii Isolates in an Intensive Care Unit in Kazakhstan

Prevalence and Antimicrobial Drug Resistance of Acinetobacter baumannii Infection in a Tertiary Care Teaching Hospital of Rural Gujarat, India

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