CHARACTERIZATION OF A HOSPITAL OUTBREAK OF IMIPENEM-RESISTANT ACINETOBACTER-BAUMANNII BY PHENOTYPIC AND GENOTYPIC TYPING METHODS

被引:137
作者
TANKOVIC, J [1 ]
LEGRAND, P [1 ]
DEGATINES, G [1 ]
CHEMINEAU, V [1 ]
BRUNBUISSON, C [1 ]
DUVAL, J [1 ]
机构
[1] UNIV PARIS 12,HOP HENRI MONDOR,SERV REANIMAT MED,F-94010 CRETEIL,FRANCE
关键词
D O I
10.1128/JCM.32.11.2677-2681.1994
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
During a 13-month period, 31 patients hospitalized primarily in two intensive care units (ICUs) were either colonized or infected by imipenem-resistant Acinetobacter baumannii. Typing of the isolates by three methods (antibiotyping, biotyping, and pulsed-field gel electrophoresis) revealed that two distinct strains were involved in the first 9 cases of the outbreak and that one of these strains, which had acquired a higher level of imipenem resistance as well as resistance to all aminoglycosides, accounted for 21 of 22 cases in the second part of the outbreak. ICU environmental contamination was recognized as an important reservoir of this epidemic strain. The outbreak ceased only after the ICUs were closed for complete cleaning and disinfection.
引用
收藏
页码:2677 / 2681
页数:5
相关论文
共 32 条
[1]  
ACAR J, 1993, PATHOL BIOL, V41, P741
[2]   FINGERPRINTING ACINETOBACTER STRAINS FROM CLINICAL SOURCES BY NUMERICAL-ANALYSIS OF ELECTROPHORETIC PROTEIN-PATTERNS [J].
ALEXANDER, M ;
ISMAIL, F ;
JACKMAN, PJH ;
NOBLE, WC .
JOURNAL OF MEDICAL MICROBIOLOGY, 1984, 18 (01) :55-64
[3]   USE OF LOW-FREQUENCY-CLEAVAGE RESTRICTION ENDONUCLEASES FOR DNA ANALYSIS IN EPIDEMIOLOGICAL INVESTIGATIONS OF NOSOCOMIAL BACTERIAL-INFECTIONS [J].
ALLARDETSERVENT, A ;
BOUZIGES, N ;
CARLESNURIT, MJ ;
BOURG, G ;
GOUBY, A ;
RAMUZ, M .
JOURNAL OF CLINICAL MICROBIOLOGY, 1989, 27 (09) :2057-2061
[4]   HOSPITAL OUTBREAK OF MULTIRESISTANT ACINETOBACTER-ANITRATUS - AN AIRBORNE MODE OF SPREAD [J].
ALLEN, KD ;
GREEN, HT .
JOURNAL OF HOSPITAL INFECTION, 1987, 9 (02) :110-119
[5]   COMPARISON OF 2 MOLECULAR METHODS FOR TRACING NOSOCOMIAL TRANSMISSION OF ESCHERICHIA-COLI K1 IN A NEONATAL UNIT [J].
ALOS, JI ;
LAMBERT, T ;
COURVALIN, P .
JOURNAL OF CLINICAL MICROBIOLOGY, 1993, 31 (07) :1704-1709
[6]   AN ATYPICAL STRAIN OF SPOROTHRIX FROM SOUTH AFRICA [J].
BRANDT, FA ;
VANNIEKE.V .
JOURNAL OF PATHOLOGY AND BACTERIOLOGY, 1968, 96 (01) :39-&
[7]   EPIDEMIC BACTEREMIA DUE TO ACINETOBACTER-BAUMANNII IN 5 INTENSIVE-CARE UNITS [J].
BECKSAGUE, CM ;
JARVIS, WR ;
BROOK, JH ;
CULVER, DH ;
POTTS, A ;
GAY, E ;
SHOTTS, BW ;
HILL, B ;
ANDERSON, RL ;
WEINSTEIN, MP .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1990, 132 (04) :723-733
[8]   DELINEATION OF NEW PROTEOLYTIC GENOMIC SPECIES IN THE GENUS ACINETOBACTER [J].
BOUVET, PJM ;
JEANJEAN, S .
RESEARCH IN MICROBIOLOGY, 1989, 140 (4-5) :291-299
[9]   TAXONOMY OF THE GENUS ACINETOBACTER WITH THE RECOGNITION OF ACINETOBACTER-BAUMANNII SP-NOV, ACINETOBACTER-HAEMOLYTICUS SP-NOV, ACINETOBACTER-JOHNSONII SP-NOV, AND ACINETOBACTER-JUNII SP-NOV AND EMENDED DESCRIPTIONS OF ACINETOBACTER-CALCOACETICUS AND ACINETOBACTER-LWOFFII [J].
BOUVET, PJM ;
GRIMONT, PAD .
INTERNATIONAL JOURNAL OF SYSTEMATIC BACTERIOLOGY, 1986, 36 (02) :228-240
[10]   SPECIES, BIOTYPE, AND BACTERIOPHAGE TYPE DETERMINATIONS COMPARED WITH CELL-ENVELOPE PROTEIN PROFILES FOR TYPING ACINETOBACTER STRAINS [J].
BOUVET, PJM ;
JEANJEAN, S ;
VIEU, JF ;
DIJKSHOORN, L .
JOURNAL OF CLINICAL MICROBIOLOGY, 1990, 28 (02) :170-176