Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-17T15:18:36.793Z Has data issue: false hasContentIssue false

Acinetobacter baumannii: Association between Environmental Contamination of Patient Rooms and Occupant Status

Published online by Cambridge University Press:  02 January 2015

L. Silvia Munoz-Price*
Affiliation:
Department of Medicine, Miller School of Medicine, University of Miami, Miami, Florida Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Florida Jackson Memorial Hospital, Miami, Florida
Nicholas Namias
Affiliation:
Department of Surgery, Miller School of Medicine, University of Miami, Miami, Florida
Timothy Cleary
Affiliation:
Department of Pathology, Miller School of Medicine, University of Miami, Miami, Florida
Yovanit Fajardo-Aquino
Affiliation:
Jackson Memorial Hospital, Miami, Florida
Dennise DePascale
Affiliation:
Jackson Memorial Hospital, Miami, Florida
Kristopher L. Arheart
Affiliation:
Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, Florida Division of Biostatistics, Miller School of Medicine, University of Miami, Miami, Florida
Jesabel I. Rivera
Affiliation:
Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
Yohei Doi
Affiliation:
Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
*
LSMP Park Plaza West L-302, 1611 Northwest 12th Avenue, Miami, FL 33136 ([email protected])

Abstract

We aimed to determine the association between the presence of Acinetobacter baumannii in patient rooms and the carrier status of the occupants. Fifty-six (39%) of 143 rooms with A. baumannii– positive patients had results positive for A. baumannii. Only 49 (10%) of 485 rooms with A. baumannii-negative patients were positive (odds ratio, 5.72 [95% confidence interval, 3.66–8.96]; P < .0001). Clinical and environmental isolates shared pulsed-field gel electrophoresis patterns.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Levin, AS, Gobara, S, Mendes, CM, Cursino, MR, Sinto, S. Environmental contamination by multidrug-resistant Acinetobacter baumannii in an intensive care unit. Infect Control Hosp Epidemiol 2001;22:717720.CrossRefGoogle Scholar
2.Thom, KA, Johnson, JK, Lee, MS, Harris, AD. Environmental contamination because of multidrug-resistant Acinetobacter baumannii surrounding colonized or infected patients. Am J Infect Control 2011;39:711715.Google Scholar
3.Morgan, DJ, Rogawski, E, Thom, KA, et al.Transfer of multidrug-resistant bacteria to healthcare workers' gloves and gowns after patient contact increases with environmental contamination. Crit Care Med 2012;40:10451051.Google Scholar
4.Hota, B. Contamination, disinfection, and cross-colonization: are hospital surfaces reservoirs for nosocomial infection? Clin Infect Dis 2004;39:11821189.Google ScholarPubMed
5.Weinstein, RA. Intensive care unit environments and the fecal patina: a simple problem? Crit Care Med 2012;40:13331334.Google Scholar
6.Wendt, C, Dietze, B, Dietz, E, Rüden, H. Survival of Acinetobacter baumannii on dry surfaces. J Clin Microbiol 1997;35:13941397.Google Scholar
7.Munoz-Price, LS, Zembower, T, Penugonda, S, et al.Clinical outcomes of carbapenem-resistant Acinetobacter baumannii bloodstream infections: study of a 2-state monoclonal outbreak. Infect Control Hosp Epidemiol 2010;31:10571062.Google Scholar
8.Maragakis, LL, Perl, TM. Acinetobacter baumannii: epidemiology, antimicrobial resistance, and treatment options. Clin Infect Dis 2008;46:12541263.CrossRefGoogle ScholarPubMed
9.Fishbain, J, Peleg, AY. Treatment of Acinetobacter infections. Clin Infect Dis 2010;51:7984.Google Scholar
10.Seifert, H, Dolzani, L, Bressan, R, et al.Standardization and interlaboratory reproducibility assessment of pulsed-field gel electrophoresis-generated fingerprints of Acinetobacter baumannii. J Clin Microbiol 2005;43:43284335.Google Scholar
11.Huslage, K, Rutala, WA, Sickbert-Bennett, E, Weber, DJ. A quantitative approach to defining “high-touch” surfaces in hospitals. Infect Control Hosp Epidemiol 2010;31:850853.Google Scholar