Outbreak of Multiresistant OXA-24- and OXA-51-Producing Acinetobacter baumannii in an Internal Medicine Ward
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- Tena Daniel
- Sección de Microbiología, Hospital Universitario de Guadalajara
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- Martínez Nora Mariela
- Sección de Microbiología, Hospital Universitario de Guadalajara
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- Oteo Jesús
- Laboratorio de Antibióticos, Servicio de Bacteriología, CNM
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- Sáez David
- Laboratorio de Antibióticos, Servicio de Bacteriología, CNM
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- Vindel Ana
- Laboratorio de Infecciones Intrahospitalarias, Servicio de Bacteriología, CNM
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- Azañedo María Luisa
- Laboratorio de Infecciones Intrahospitalarias, Servicio de Bacteriología, CNM
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- Sánchez Lorenzo
- Servicio de Medicina Interna, Hospital Universitario de Guadalajara
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- Espinosa Alfredo
- Servicio de Medicina Interna, Hospital Universitario de Guadalajara
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- Cobos Juan
- Servicio de Medicina Preventiva, Hospital Universitario de Guadalajara
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- Sánchez Rosario
- Servicio de Medicina Preventiva, Hospital Universitario de Guadalajara
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- Otero Ignacio
- Servicio de Urología, Hospital Universitario de Guadalajara
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- Bisquert Julia
- Sección de Microbiología, Hospital Universitario de Guadalajara
書誌事項
- タイトル別名
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- Outbreak of Multiresistant OXA-24- and OXA-51-Producing <i>Acinetobacter baumannii</i> in an Internal Medicine Ward
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Here we describe the clinical, microbiological, epidemiological, and molecular characterization of an outbreak of multidrug-resistant Acinetobacter baumannii (MRAB) involving 5 patients admitted to the internal medicine ward of our hospital. Over a 6-week period, 5 MRAB isolates were recovered from 5 patients, including 1 with fatal meningitis, 3 with skin and soft tissue infections, and 1 with respiratory colonization. One sample obtained during environmental monitoring in the ward was A. baumannii-positive. According to the pulsed-field gel electrophoresis typing results, the strains isolated from all patients and the environmental sample belonged to a single clone, identified as ST79 by multilocus sequence typing. The blaOXA-24 and blaOXA-51 carbapenemases were detected in all isolates. Four patients died, but only the death of the meningitis patient was probably related to the A. baumannii infection. The infection source was probably the hands of the healthcare workers because the outbreak strain was isolated from the surface of a serum container. The results of the present study revealed the importance of strict adherence to control measures by all healthcare workers because the consequences of noncompliance can be very serious.
収録刊行物
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- Japanese Journal of Infectious Diseases
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Japanese Journal of Infectious Diseases 66 (4), 323-326, 2013
国立感染症研究所 Japanese Journal of Infectious Diseases 編集委員会
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詳細情報 詳細情報について
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- CRID
- 1390001206241139200
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- NII論文ID
- 130003381697
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- NII書誌ID
- AA1132885X
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- ISSN
- 18842836
- 13446304
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- NDL書誌ID
- 024716510
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- PubMed
- 23883845
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可