Long-term effectiveness of infection and antibiotic control programs on the transmission of carbapenem-resistant Acinetobacter calcoaceticus-Acinetobacter baumannii complex in central Taiwan

Chen, C.-H.; Lin, Li‐Chen; Chang, Yu-Jun; Liu, C.-E.; Soon, Maw–Soan

doi:10.1016/j.medmal.2015.04.005

Cited by 9 publications

(3 citation statements)

References 31 publications

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“…First, administrations of institutes sometimes lack the strong commitment required to support the principles and policies of infection control because it takes time to educate staff and to wait for positive changes to yield clinical benefits. Administrative commitment and measures for organizing an effective team and providing timely feedback of information regarding A. baumannii transmission are fundamental [ 61 , 62 ]. Education of hospital staff on a regular basis and frequent revision of the control measures used are also essential [ 44 , 47 , 62 , 63 , 64 , 65 ].…”

Section: Discussionmentioning

confidence: 99%

Infection Control Programs and Antibiotic Control Programs to Limit Transmission of Multi-Drug Resistant Acinetobacter baumannii Infections: Evolution of Old Problems and New Challenges for Institutes

Chen

Lin²,

Chang

et al. 2015

IJERPH

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Background: Acinetobacter baumannii complex (A. baumannii) has been isolated worldwide. The rapid spread of multidrug-resistant A. baumannii complex (MDRAB) in clinical settings has made choosing an appropriate antibiotic to treat these infections and executing contact precautions difficult for clinicians. Although controlling the transmission of MDRAB is a high priority for institutions, there is little information about MDRAB control. Therefore, this study evaluated infection control measures for A. baumannii infections, clusters and outbreaks in the literature. Methods: We performed a review of OVID Medline (from 1980 to 2015), and analyzed the literature. Results: We propose that both infection control programs and antibiotic control programs are essential for control of MDRAB. The first, effective control of MDRAB infections, requires compliance with a series of infection control methods including strict environmental cleaning, effective sterilization of reusable medical equipment, concentration on proper hand hygiene practices, and use of contact precautions, together with appropriate administrative guidance. The second strategy, effective antibiotic control programs to decrease A. baumannii, is also of paramount importance. Conclusion: We believe that both infection control programs and antibiotics stewardship programs are essential for control of MDRAB infections.

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Section: Discussionmentioning

confidence: 99%

Infection Control Programs and Antibiotic Control Programs to Limit Transmission of Multi-Drug Resistant Acinetobacter baumannii Infections: Evolution of Old Problems and New Challenges for Institutes

Chen

Lin²,

Chang

et al. 2015

IJERPH

View full text Add to dashboard Cite

show abstract

“…A baumannii has emerged as an important healthcare-associated pathogen because it can survive a wide range of environmental conditions and persist for. [ 24 , 25 ] And, the extensive use of medical equipment in modern institutes has contributed to the emergence of A baumannii as a predominant pathogen. [ 24 , 25 ] An increase of A baumannii colonization and infection results from skin or wound colonization, invasive procedures, entry through traumatic wounds, or a type of predominant cluster.…”

Section: Discussionmentioning

confidence: 99%

“…[ 24 , 25 ] And, the extensive use of medical equipment in modern institutes has contributed to the emergence of A baumannii as a predominant pathogen. [ 24 , 25 ] An increase of A baumannii colonization and infection results from skin or wound colonization, invasive procedures, entry through traumatic wounds, or a type of predominant cluster. In our results, S aureus was still the most common pathogen in patients with PCM, but we emphasize that physicians should also consider A baumannii when caring for PCM patients.…”

Section: Discussionmentioning

confidence: 99%