Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-20T05:15:49.578Z Has data issue: false hasContentIssue false
  • English
  • Français

Environmental Exposure to Carbapenem-Resistant Acinetobacter baumannii as a Risk Factor for Patient Acquisition of A. baumannii

Published online by Cambridge University Press:  10 May 2016

Rossana Rosa ,
Kristopher L. Arheart ,
Dennise Depascale ,
Timothy Cleary ,
Daniel H. Kett ,
Nicholas Namias ,
Louis Pizano ,
Yovanit Fajardo-Aquino  and
L. Silvia Munoz-Price
Rossana Rosa
Affiliation:
Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida
Kristopher L. Arheart
Affiliation:
Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida Division of Biostatistics, University of Miami Miller School of Medicine, Miami, Florida
Dennise Depascale
Affiliation:
Jackson Memorial Hospital, Miami, Florida
Timothy Cleary
Affiliation:
Department of Pathology, University of Miami Miller School of Medicine, Miami, Florida
Daniel H. Kett
Affiliation:
Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida
Nicholas Namias
Affiliation:
Jackson Memorial Hospital, Miami, Florida Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida
Louis Pizano
Affiliation:
Jackson Memorial Hospital, Miami, Florida Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida
Yovanit Fajardo-Aquino
Affiliation:
Jackson Memorial Hospital, Miami, Florida
L. Silvia Munoz-Price*
Affiliation:
Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida
*
PPW L-302, 1611 NW 12th Avenue, Miami, FL 33134 ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

We aimed to determine the association between environmental exposure to carbapenem-resistant Acinetobacter baumannii and the subsequent risk of acquiring this organism. Patients exposed to a contaminated hospital environment had 2.77 times the risk of acquiring carbapenem-resistant A. baumannii than did unexposed patients (relative risk, 2.77 [95% confidence interval, 1.50–5.13]; P = .002).

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 35 , Issue 4: Special Topic Issue: Carbapenem-Resistant Enterobacteriaceae and Multidrug-Resistant Organisms , April 2014 , pp. 430 - 433
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2014

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. Maragakis, LL, Perl, TM. Acinetobacter baumannii: epidemiology, antimicrobial resistance, and treatment options. Clin Infect Dis 2008;46:1254–1263.CrossRefGoogle ScholarPubMed
2. Munoz-Price, LS, Weinstein, RA. Acinetobacter infection. N Engl J Med 2008;358:1271–1281.Google Scholar
3. Thom, KA, Maragakis, LL, Richards, K, et al. Assessing the burden of Acinetobacter baumannii in Maryland: a statewide cross-sectional period prevalence survey. Infect Control Hosp Epidemiol 2012;33:883–888.Google Scholar
4. Kallen, AJ, Hidron, AI, Patel, J, Srinivasan, A. Multidrug resistance among gram-negative pathogens that caused healthcare-associated infections reported to the National Healthcare Safety Network, 2006–2008. Infect Control Hosp Epidemiol 2010;31:528–531.Google Scholar
5. Weinstein, RA. Intensive care unit environments and the fecal patina: a simple problem? Crit Care Med 2012;40:1333–1334.Google Scholar
6. Morgan, DJ, Liang, SY, Smith, CL, et al. Frequent multidrug-resistant Acinetobacter baumannii contamination of gloves, gowns, and hands of healthcare workers. Infect Control Hosp Epidemiol 2010;31:716–721.Google Scholar
7. Hess, AS, Shardell, M, Johnson, JK, et al. A randomized controlled trial of enhanced cleaning to reduce contamination of healthcare worker gowns and gloves with multidrug-resistant bacteria. Infect Control Hosp Epidemiol 2013;34:487–493.CrossRefGoogle ScholarPubMed
8. Munoz-Price, LS, Arheart, K, Nordmann, P, et al. Eighteen years of experience with Acinetobacter baumannii in a tertiary care hospital. Crit Care Med 2013;41:2733–2742.Google Scholar
9. Munoz-Price, LS, Namias, N, Cleary, T, et al. Acinetobacter baumannii: association between environmental contamination of patient rooms and occupant status. Infect Control Hosp Epidemiol 2013;34:517–520.Google Scholar
10. Bonten, MJ, Slaughter, S, Ambergen, AW, et al. The role of “colonization pressure” in the spread of vancomycin-resistant enterococci: an important infection control variable. Arch Intern Med 1998;158:1127–1132.Google Scholar
11. Swaminathan, M, Sharma, S, Poliansky, BS, et al. Prevalence and risk factors for acquisition of carbapenem-resistant Enterobacteriaceae in the setting of endemicity. Infect Control Hosp Epidemiol 2013;34:809–817.Google Scholar