Document Detail


Acinetobacter calcoaceticus biovar anitratus septicaemia in a neonatal intensive care unit: epidemiology and control.
MedLine Citation:
PMID:  2570098     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nineteen neonates with septicaemia caused by Acinetobacter calcoaceticus biovar anitratus were treated in a neonatal intensive care unit between October, 1983 and March, 1986. The ages of the patients at the onset of septicaemia ranged from 4 to 22 days (mean 9.7 days). Their birth weights ranged from 1000 g to 3350 g (mean 1790 g) and were less than 2000 g in 14 patients. Antibiotics had been administered to 17 of the 19 neonates before the onset of septicaemia, and all mature infants had received prior antibiotic therapy, intubation or had suffered from a convulsion. Acinetobacter anitratus strains were isolated from pharyngeal swabs and/or faeces from 35 (79.5%) out of 44 infants of less than 2000 g. These strains were also isolated from the hands of staff members, and from equipment such as sinks and baths in the unit. It was likely that nosocomial infection via the hands of the staff occurred. Encouraging frequent hand-washing, strict antibiotic use, and cohorting of colonized infants resulted in a reduction of colonization and no further cases of septicaemia were reported.
Authors:
H Sakata; K Fujita; S Maruyama; H Kakehashi; Y Mori; H Yoshioka
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hospital infection     Volume:  14     ISSN:  0195-6701     ISO Abbreviation:  J. Hosp. Infect.     Publication Date:  1989 Jul 
Date Detail:
Created Date:  1989-10-03     Completed Date:  1989-10-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8007166     Medline TA:  J Hosp Infect     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  15-22     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, Asahikawa Kosei Hospital, Japan.
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MeSH Terms
Descriptor/Qualifier:
Acinetobacter / classification,  drug effects,  isolation & purification
Acinetobacter Infections / epidemiology*,  microbiology,  prevention & control
Cross Infection / epidemiology*,  microbiology,  prevention & control
Feces / microbiology
Humans
Infant, Newborn
Intensive Care Units, Neonatal*
Japan
Microbial Sensitivity Tests
Pharynx / microbiology
Sepsis / epidemiology*,  microbiology,  prevention & control
Skin / microbiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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