Your browser doesn't support javascript.
loading
Bed rails and endotracheal tube connectors as possible sources for spreading Acinetobacter baumannii in ventilator-associated pneumonia patients.
Southeast Asian J Trop Med Public Health ; 2008 Jul; 39(4): 676-85
Artigo em Inglês | IMSEAR | ID: sea-33324
ABSTRACT
This study aimed to determine molecular patterns of Acinetobacter baumannii using a PCR-based technique with REP-1, REP-2 and M13 primers to distinguish the patients' strains and the environmental strains (condensate, endotracheal tube connector, bed rail and nurses hands). There were 67 cases of ventilator-associated pneumonia (VAP) among 600 patients using mechanical ventilators in 10 wards from March to July 2006. The incidence of VAP was 11.2% or 8.9/1,000 ventilator days with a 54.5% fatality rate. Among 19 of 22 A. baumannii VAP patients, 68.4% (13/19) had their environmental samples contaminated with A. baumannii and the most common contaminated sites were bed rails and endotracheal tube connectors (36.8% each). Multidrug resistant (MDR) A. baumannii were involved in 77.3% of A. baumannii VAP. Molecular typing of 96 A. baumannii isolates was able to differentiate A. baumannii isolates into 7 types. Type 2 was the most common and found in 77.3% (17/22) of A. baumannii VAP patients admitted in 6 of 7 wards. Identical fingerprints were found in clinical isolates and their bed rails, endotracheal tube connectors and condensates of 5 patients. The results demonstrate that multiple clones of MDR A. baumannii were widely spread in the hospital. Bed rails and contaminated endotracheal tube connectors could be potential sources of A. baumannii spread.
Assuntos
Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Leitos / Infecções por Acinetobacter / Feminino / Humanos / Masculino / Testes de Sensibilidade Microbiana / Criança / Reação em Cadeia da Polimerase / Infecção Hospitalar / Contaminação de Equipamentos Tipo de estudo: Estudo observacional Idioma: Inglês Revista: Southeast Asian J Trop Med Public Health Ano de publicação: 2008 Tipo de documento: Artigo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Leitos / Infecções por Acinetobacter / Feminino / Humanos / Masculino / Testes de Sensibilidade Microbiana / Criança / Reação em Cadeia da Polimerase / Infecção Hospitalar / Contaminação de Equipamentos Tipo de estudo: Estudo observacional Idioma: Inglês Revista: Southeast Asian J Trop Med Public Health Ano de publicação: 2008 Tipo de documento: Artigo