Objective To investigate the clinical characteristics and antimicrobial resistance of
Acinetobacter baumannii(A.baumannii) in
neonatal intensive care units (NICUs).
Methods The clinical isolation and antimicrobial resistance of A.baumannii causing
healthcare-associated
infection(HAD in 4 NICUs of a
hospital from October 2012 to October 2014 were analyzed statistically.Results A total of 11 640
neonates were admitted in 4 NICUs,500(4.3 %) developed HAI,51 (10.2 %) developed 52 cases of A.baumannii
infection.Distribution of A.baumannii
infection was as followsNICU of
extremely premature infants,
premature infants,full-term
infants,and surgical NICU were 42,1,4,and 5 cases respectively.
Incidences of A.baumannii HAI in 4
seasons were compared,difference was statistically significant(x2 =16.05,P<0.05),
infection mainly occurred in the spring and summer.A.baumannii had high resistance rates to β-1actam
antibiotics (such as
piperacillin/
sulbactam,
cefepime,
imipenem)and
gentamycin(>90 %),resistance rate to
amikacin was the lowest (51.9 %).Among 52
strains of A.baumannii,46 were multidrug-resistant
strains,and 3 were extensively
drug-resistant
strains.Conclusion A.baumannii HAI is most serious in NICU of
extremely premature infants,resistance rates to commonly used
antimicrobial agents are high.