Emergence of colistin and carbapenem-resistant Acinetobacter calcoaceticus-Acinetobacter baumannii (CCR-Acb) complex in a neurological intensive care unit followed by successful control of the outbreak

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dc.authoridBolek, Ertugrul Cagri/0000-0003-3886-2813
dc.authoridOTLU, BARIS/0000-0002-6220-0521
dc.authoridUNAL, SERHAT/0000-0003-1184-4711
dc.authoridZarakolu, Pınar/0000-0003-4918-4085
dc.authoridBolek, Ertugrul Cagri/0000-0003-3886-2813
dc.authoridMetan, Gokhan/0000-0002-2676-4557
dc.authorwosidBolek, Ertugrul Cagri/N-3041-2015
dc.authorwosidOTLU, BARIS/ABI-5532-2020
dc.authorwosidUNAL, SERHAT/I-9034-2013
dc.authorwosidZarakolu, Pınar/KEH-6744-2024
dc.authorwosidBolek, Ertugrul Cagri/JUU-8738-2023
dc.contributor.authorMetan, Gokhan
dc.contributor.authorZarakolu, Pinar
dc.contributor.authorOtlu, Baris
dc.contributor.authorTekin, Ilknur
dc.contributor.authorAytac, Hanife
dc.contributor.authorBolek, Ertugrul C.
dc.contributor.authorMetin, Baki C.
dc.date.accessioned2024-08-04T20:46:53Z
dc.date.available2024-08-04T20:46:53Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Colistin and carbapenem-resistantAcinetobacter calcoaceticus-Acinetobacter baumannii complex (CCR-Acb complex) was isolated from two consecutive patients in the neurological intensive care unit (NICU). An urgent reaction to this desperate situation was required. Patients and methods: Screening cultures were taken from the other patients sharing the NICU with index patients and repeated periodically. NICU was closed for new admissions. Infection control precautions (ICP) such as hand hygiene, cohorting patients colonized with CCR-Acb complex, cohorting the staff caring for these patients, daily bathing with chlorhexidine gluconate impregnated clothes, using gowns when contacting with patients and patient care area, and sodium hypochlorite tablets for environmental cleaning were enforced. Results: Screening cultures revealed carbapenem-resistant Acb complex in 12 out of 32 patients and 8 of them were colonized with CCR-Acb complex. NICU was opened for new admissions one month later. No further new cases with CCR-Acb complex were detected by screening cultures after 6 weeks with enforcement of ICP. Moreover, the rate of nosocomial infections caused by other multi-drug resistant Gram-negative bacilli (MDR-GNB) decreased significantly when rates before and after closing the NICU were compared. Conclusion: ICP were effective not only to limit the spread of CCR-Acb complex but also decreased the incidence of other MDR-GNB infections when applied adequately. (C) 2019 The Author(s). Published by Elsevier Ltd on behalf of King Saud Bin Abdulaziz University for Health Sciences.en_US
dc.identifier.doi10.1016/j.jiph.2019.09.013
dc.identifier.endpage570en_US
dc.identifier.issn1876-0341
dc.identifier.issn1876-035X
dc.identifier.issue4en_US
dc.identifier.pmid31672426en_US
dc.identifier.scopus2-s2.0-85074511634en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage564en_US
dc.identifier.urihttps://doi.org/10.1016/j.jiph.2019.09.013
dc.identifier.urihttps://hdl.handle.net/11616/99012
dc.identifier.volume13en_US
dc.identifier.wosWOS:000524979400017en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Londonen_US
dc.relation.ispartofJournal of Infection and Public Healthen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcinetobacter baumanniien_US
dc.subjectCarbapenem resistanceen_US
dc.subjectColistin resistanceen_US
dc.subjectIntensive care uniten_US
dc.titleEmergence of colistin and carbapenem-resistant Acinetobacter calcoaceticus-Acinetobacter baumannii (CCR-Acb) complex in a neurological intensive care unit followed by successful control of the outbreaken_US
dc.typeArticleen_US

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