Abstract
An outbreak of amikacin- and ciprofloxacin-resistant Acinetobacter baumannii ST219 in Tokai University hospital's emergency intensive care unit was caused by its colonization in water systems and subsequent spread through oral care using tap water. The outbreak was successfully controlled after replacement of the water system and implementation as of daily cleaning of water taps and oral care with a dry method. It is important to strictly manage the water system in critical care areas.
Keywords:
Drug-resistant Acinetobacter baumannii ST219; Hand hygiene sink; Intensive care unit; Oral care; Outbreak; Tap water.
Copyright © 2015 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Acinetobacter Infections / epidemiology*
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Acinetobacter Infections / microbiology
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Acinetobacter Infections / transmission
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Acinetobacter baumannii / classification*
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Acinetobacter baumannii / drug effects
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Acinetobacter baumannii / genetics
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Acinetobacter baumannii / isolation & purification
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Amikacin / pharmacology
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Anti-Bacterial Agents / pharmacology
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Ciprofloxacin / pharmacology
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Cross Infection / epidemiology*
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Cross Infection / microbiology
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Cross Infection / transmission
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Disease Outbreaks*
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Disease Transmission, Infectious
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Drug Resistance, Bacterial
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Emergency Service, Hospital
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Genotype*
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Hand Hygiene / methods*
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Hospitals, University
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Humans
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Infection Control / methods
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Intensive Care Units
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Japan / epidemiology
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Water Microbiology*
Substances
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Anti-Bacterial Agents
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Ciprofloxacin
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Amikacin