Acinetobacter Baumanii Bacteremia in Children

Epidemiology of and Risk Factors for Acinetobacter Species Bloodstream Infection in Children

“…BSI. 2,33 However, those studies of endemic Acinetobacter spp. infection found higher rates of nonsusceptibility to ciprofloxacin (26 -33%).…”

“…29 -32 These studies have reported high levels of Acinetobacter spp. nonsusceptibility to third-generation cephalosporins, 2,11,21,25,26 fluoroquinolones, 11,25,33 and antipseudomonal penicillins. 11 The objectives of this study were to describe the epidemiology and susceptibility patterns of Acinetobacter spp.…”

Meropenem use and colonization by antibiotic-resistant Gram-negative bacilli in a pediatric intensive care unit*

“…Balanced against the negative consequences of initiating ineffective empirical antibiotics in critical ill patients (4 -6), a risk inherent in the use of less broad-spectrum agents, the preferential use of carbapenems in most PICUs is justifiable. It should be noted, however, that both Pseudomonas and Acinetobacter have assumed prominence in critically ill children in other centers (29,30), and in such units the risks of promoting infections by a meropenem-resistant pathogen may outweigh the advantages conferred by the drug's very broad activity.…”