Prevalence of methicillin-resistant Staphylococcus aureus and Acinetobacter baumannii in a long-term acute care facility

Jon P Furuno; Joan N Hebden; Harold C Standiford; Eli N Perencevich; Ram R Miller; Anita C Moore; Sandra M Strauss; Anthony D Harris

doi:10.1016/j.ajic.2008.01.003

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Prevalence of methicillin-resistant Staphylococcus aureus and Acinetobacter baumannii in a long-term acute care facility

Journal article

Open access

Peer reviewed

Prevalence of methicillin-resistant Staphylococcus aureus and Acinetobacter baumannii in a long-term acute care facility

Jon P Furuno, Joan N Hebden, Harold C Standiford, Eli N Perencevich, Ram R Miller, Anita C Moore, Sandra M Strauss and Anthony D Harris

American journal of infection control, Vol.36(7), pp.468-471

09/2008

DOI: 10.1016/j.ajic.2008.01.003

PMCID: PMC2853910

PMID: 18786448

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https://www.ncbi.nlm.nih.gov/pmc/articles/2853910View

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Abstract

Patients in long-term acute care (LTAC) facilities often have many known risk factors for acquisition of antibiotic-resistant bacteria. However, the prevalence of resistance in these facilities has not been well described. We performed a single-day, point-prevalence study of a 180-bed, university-affiliated LTAC facility in Baltimore to assess the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) and Acinetobacter baumannii in the anterior nares, perirectal area, sputum, and wounds. Among the 147 patients evaluated, we found a high prevalence of colonization by both MRSA (28%) and A baumannii (30%). Of the A baumannii isolates, 90% were susceptible to imipenem and 92% were susceptible to ampicillin-sulbactam. No isolates were resistant to both imipenem and ampicillin-sulbactam. The high prevalence of resistance found in this study supports the need for increased surveillance of patients in the LTAC environment. The fact that these patients are often frequently transferred to tertiary care facilities also supports the need for coordination and collaboration among facilities within the same health care system and the broader geographic area.

Wounds and Injuries - microbiology

Prevalence

Anal Canal - microbiology

Humans

Middle Aged

Male

Long-Term Care

Baltimore - epidemiology

Microbial Sensitivity Tests

Acinetobacter baumannii - isolation & purification

Adult

Female

Staphylococcal Infections - microbiology

Methicillin Resistance

Acinetobacter Infections - microbiology

Cross Infection - epidemiology

Intensive Care Units

Staphylococcus aureus - isolation & purification

Academic Medical Centers

Staphylococcal Infections - epidemiology

Acinetobacter Infections - epidemiology

Aged

Anti-Bacterial Agents - pharmacology

Nose - microbiology

Staphylococcus aureus - drug effects

LTAC

MRSA

Details

Title: Subtitle: Prevalence of methicillin-resistant Staphylococcus aureus and Acinetobacter baumannii in a long-term acute care facility
Creators: Jon P Furuno - Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA. jfuruno@epi.umaryland.edu
Joan N Hebden
Harold C Standiford
Eli N Perencevich
Ram R Miller
Anita C Moore
Sandra M Strauss
Anthony D Harris
Resource Type: Journal article
Publication Details: American journal of infection control, Vol.36(7), pp.468-471
DOI: 10.1016/j.ajic.2008.01.003
PMID: 18786448
PMCID: PMC2853910
NLM abbreviation: Am J Infect Control
ISSN: 0196-6553
eISSN: 1527-3296
Publisher: United States
Grant note: K23 AI001752 / NIAID NIH HHS R01 AI060859-01A1 / NIAID NIH HHS K12 RR023250 / NCRR NIH HHS K23 AI001752-01A1 / NIAID NIH HHS 1K12RR02350-01 / NCRR NIH HHS P60 AG012583 / NIA NIH HHS R01 AI060859 / NIAID NIH HHS K24 AI079040 / NIAID NIH HHS R01 AI60859-01A1 / NIAID NIH HHS P60 AG12583 / NIA NIH HHS K12 RR023250-01 / NCRR NIH HHS K23 AI01752-01A1 / NIAID NIH HHS
Language: English
Date published: 09/2008
Academic Unit: Epidemiology; Internal Medicine
Record Identifier: 9983779497802771

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