ArticleBMC infectious diseases2015
A gloves-associated outbreak of imipenem-resistant Acinetobacter baumannii in an intensive care unit in Guangdong, China.
Article in BMC infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Molecular Epidemiology and Genetic Characterization of Carbapenem-ResistantInfection and drug resistance · 2024Article
- Nursing strategies for the mechanically ventilated patient.Frontiers in veterinary science · 2023Review
- Nosocomial outbreak of monoclonal VIM carbapenemase-producing Enterobacter cloacae complex in an intensive care unit during the COVID-19 pandemic: an integrated approach.The Journal of hospital infection · 2022Article
- Whole-Genome Sequencing Elucidates the Epidemiology of Multidrug-ResistantFrontiers in microbiology · 2021Article
- Carbapenemase-producing Enterobacterales outbreak: Another dark side of COVID-19.American journal of infection control · 2020Article
- Faucet aerators as a reservoir for Carbapenem-resistantAntimicrobial resistance and infection control · 2019Article
- Article
- Effect of poly-hexamethylene biguanide hydrochloride (PHMB) treated non-sterile medical gloves upon the transmission of Streptococcus pyogenes, carbapenem-resistant E. coli, MRSA and Klebsiella pneumoniae from contact surfaces.BMC infectious diseases · 2017Article
- Comparison of 16S ribosomal RNA gene sequence analysis and conventional culture in the environmental survey of a hospital.Journal of pharmaceutical health care and sciences · 2017Article
- Methodology Series Module 2: Case-control Studies.Indian journal of dermatologyArticle
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9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundImipenem-resistant Acinetobacter baumannii (IRAB) is an important cause of hospital-acquired infection. We aimed to describe an outbreak of IRAB infection and to investigate its possible source in an intensive care unit.
methodsAn environmental investigation was undertaken. Antimicrobial susceptibility testing was performed by microdilution. These isolates were genotyped by use of repetitive extragenic palindromic polymerase chain reaction (rep-PCR; DiversiLab). The study included 11 patients infected with IRAB and 14 control patients free of IRAB. Case and control patients were compared for possible predisposing factors. A multifaceted intervention was implemented to control the outbreak.
resultsThirty-nine IRABs were isolated from patients and the environmental surveillance culture in August, November, and December 2011. All isolates were resistant to imipenem. The IRAB strains belonged to seven clones (A-G) by the use of rep-PCR. There were four epidemic clones (D-G) in the outbreak, and Clone D was predominant. For the case-control study, patients with chronic obstructive pulmonary disease were susceptible to infection with IRAB. The hospital mortality of the case group was significantly higher than that of the control group.
conclusionsThe outbreak strains were transmitted among infected patients and equipment by inappropriate use of gloves. A combination of aggressive infection control measures is essential for preventing recurrent nosocomial outbreaks of IRAB.
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