Journal article
Assessing the Burden of Acinetobacter baumannii in Maryland: A Statewide Cross-Sectional Period Prevalence Survey
Infection control and hospital epidemiology, Vol.33(9), pp.883-888
09/2012
DOI: 10.1086/667376
PMCID: PMC3720130
PMID: 22869261
Abstract
Objective: To determine the prevalence of Acinetobacter baumannii, an important healthcare-associated pathogen, among mechanically ventilated patients in Maryland. Design: The Maryland MDRO Prevention Collaborative performed a statewide cross-sectional active surveillance survey of mechanically ventilated patients residing in acute care and long-term care (LTC) facilities. Surveillance cultures (sputum and perianal) were obtained from all mechanically ventilated inpatients at participating facilities during a 2-week period. Setting: All healthcare facilities in Maryland that provide care for mechanically ventilated patients were invited to participate. Patients: Mechanically ventilated patients, known to be at high risk for colonization and infection with A. baumannii, were included. Results: Seventy percent (40/57) of all eligible healthcare facilities participated in the survey, representing both acute care (n = 30) and LTC (n = 10) facilities in all geographic regions of Maryland. Surveillance cultures were obtained from 92% (358/390) of eligible Patients. A. baumannii was identified in 34% of all mechanically ventilated patients in Maryland; multidrug-resistant A. baumannii was found in 27% of all Patients. A. baumannii was detected in at least 1 patient in 49% of participating facilities; 100% of LTC facilities had at least 1 patient with A. baumannii, compared with 31% of acute care facilities. A. baumannii was identified from all facilities in which 10 or more patients were sampled. Conclusions: A. baumannii is common among mechanically ventilated patients in both acute care and LTC facilities throughout Maryland, with a high proportion of isolates demonstrating multidrug resistance.
Details
- Title: Subtitle
- Assessing the Burden of Acinetobacter baumannii in Maryland: A Statewide Cross-Sectional Period Prevalence Survey
- Creators
- Kerri A Thom - University of Iowa, Iowa City, IowaLisa L Maragakis - University of Iowa, Iowa City, IowaKatie Richards - University of Iowa, Iowa City, IowaJ. Kristie Johnson - University of Iowa, Iowa City, IowaBrenda Roup - University of Iowa, Iowa City, IowaPatricia Lawson - University of Iowa, Iowa City, IowaAnthony D Harris - University of Iowa, Iowa City, IowaElizabeth P Fuss - University of Iowa, Iowa City, IowaMargaret A Pass - University of Iowa, Iowa City, IowaDavid Blythe - University of Iowa, Iowa City, IowaEli N Perencevich - University of Iowa, Iowa City, IowaLucy Wilson - University of Iowa, Iowa City, IowaMaryland MDRO Prevention Collabora
- Resource Type
- Journal article
- Publication Details
- Infection control and hospital epidemiology, Vol.33(9), pp.883-888
- DOI
- 10.1086/667376
- PMID
- 22869261
- PMCID
- PMC3720130
- NLM abbreviation
- Infect Control Hosp Epidemiol
- ISSN
- 0899-823X
- eISSN
- 1559-6834
- Grant note
- R01 AI060859 || AI / National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID K24 AI079040 || AI / National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID K12 RR023250 || RR / National Center for Research Resources : NCRR K23 AI082450 || AI / National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID
- Language
- English
- Date published
- 09/2012
- Academic Unit
- Epidemiology; Internal Medicine
- Record Identifier
- 9984001236302771
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