Control of an Intermittent Outbreak Caused by an Emerging Pandrug-Resistant Acinetobacter baumannii Clone ST457 in a Tertiary Hospital

Abstract. Acinetobacter baumannii is a frequent cause of nosocomial infections. Here we report an intermittent outbreak caused by the emerging carbapenem-resistant A. baumannii (CRAB) clone ST457 and assess the effectiveness of patient screening for outbreak control. CRAB isolates were collected fro...

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Main Authors: Chuqiu Zhang, Tingting Xu, Yang Ji, Wenping Zheng, Jingsong Wu, Yuemei Lu, Huiping Li, Rongchang Chen, Chen Qiu, Kai Zhou, Yonghong Xiao
Format: Article
Language:English
Published: Wolters Kluwer Health 2021-12-01
Series:Infectious Microbes & Diseases
Online Access:http://journals.lww.com/10.1097/IM9.0000000000000066
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author Chuqiu Zhang
Tingting Xu
Yang Ji
Wenping Zheng
Jingsong Wu
Yuemei Lu
Huiping Li
Rongchang Chen
Chen Qiu
Kai Zhou
Yonghong Xiao
author_facet Chuqiu Zhang
Tingting Xu
Yang Ji
Wenping Zheng
Jingsong Wu
Yuemei Lu
Huiping Li
Rongchang Chen
Chen Qiu
Kai Zhou
Yonghong Xiao
author_sort Chuqiu Zhang
collection DOAJ
description Abstract. Acinetobacter baumannii is a frequent cause of nosocomial infections. Here we report an intermittent outbreak caused by the emerging carbapenem-resistant A. baumannii (CRAB) clone ST457 and assess the effectiveness of patient screening for outbreak control. CRAB isolates were collected from 74 patients admitted to the respiratory intensive care unit of a tertiary hospital between May 2018 and March 2019. Fourteen CRAB isolates were assigned to ST457, and 13 belonged to an outbreak clone, as determined by phylogenomic analysis. Strict patient screening was started at the respiratory intensive care unit on May 2019, through which a ST457-positive patient transferred from the intensive care unit was detected. No positive patients were detected within 3 months onwards. The results of this study highlight the importance of rigorous infection prevention and control measures, combined with patient screening, in controlling the CRAB outbreak.
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spelling doaj.art-4fe6409237144bcf9ad8ad12308568642022-12-21T19:24:04ZengWolters Kluwer HealthInfectious Microbes & Diseases2641-59172021-12-013421021310.1097/IM9.0000000000000066202112000-00007Control of an Intermittent Outbreak Caused by an Emerging Pandrug-Resistant Acinetobacter baumannii Clone ST457 in a Tertiary HospitalChuqiu ZhangTingting XuYang JiWenping ZhengJingsong WuYuemei LuHuiping LiRongchang ChenChen QiuKai ZhouYonghong XiaoAbstract. Acinetobacter baumannii is a frequent cause of nosocomial infections. Here we report an intermittent outbreak caused by the emerging carbapenem-resistant A. baumannii (CRAB) clone ST457 and assess the effectiveness of patient screening for outbreak control. CRAB isolates were collected from 74 patients admitted to the respiratory intensive care unit of a tertiary hospital between May 2018 and March 2019. Fourteen CRAB isolates were assigned to ST457, and 13 belonged to an outbreak clone, as determined by phylogenomic analysis. Strict patient screening was started at the respiratory intensive care unit on May 2019, through which a ST457-positive patient transferred from the intensive care unit was detected. No positive patients were detected within 3 months onwards. The results of this study highlight the importance of rigorous infection prevention and control measures, combined with patient screening, in controlling the CRAB outbreak.http://journals.lww.com/10.1097/IM9.0000000000000066
spellingShingle Chuqiu Zhang
Tingting Xu
Yang Ji
Wenping Zheng
Jingsong Wu
Yuemei Lu
Huiping Li
Rongchang Chen
Chen Qiu
Kai Zhou
Yonghong Xiao
Control of an Intermittent Outbreak Caused by an Emerging Pandrug-Resistant Acinetobacter baumannii Clone ST457 in a Tertiary Hospital
Infectious Microbes & Diseases
title Control of an Intermittent Outbreak Caused by an Emerging Pandrug-Resistant Acinetobacter baumannii Clone ST457 in a Tertiary Hospital
title_full Control of an Intermittent Outbreak Caused by an Emerging Pandrug-Resistant Acinetobacter baumannii Clone ST457 in a Tertiary Hospital
title_fullStr Control of an Intermittent Outbreak Caused by an Emerging Pandrug-Resistant Acinetobacter baumannii Clone ST457 in a Tertiary Hospital
title_full_unstemmed Control of an Intermittent Outbreak Caused by an Emerging Pandrug-Resistant Acinetobacter baumannii Clone ST457 in a Tertiary Hospital
title_short Control of an Intermittent Outbreak Caused by an Emerging Pandrug-Resistant Acinetobacter baumannii Clone ST457 in a Tertiary Hospital
title_sort control of an intermittent outbreak caused by an emerging pandrug resistant acinetobacter baumannii clone st457 in a tertiary hospital
url http://journals.lww.com/10.1097/IM9.0000000000000066
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