scholarly journals Importation ofAcinetobacter baumanniiInto a Burn Unit: A Recurrent Outbreak of Infection Associated With Widespread Environmental Contamination

2007 ◽  
Vol 28 (6) ◽  
pp. 723-725 ◽  
Author(s):  
Giorgio Zanetti ◽  
Dominique S. Blanc ◽  
Isabelle Federli ◽  
Wassim Raffoul ◽  
Christiane Petignat ◽  
...  
Keyword(s):  
Acinetobacter Baumannii ◽  
Environmental Contamination ◽  
Terrorist Attack ◽  
Cross Infection ◽  
Burn Unit ◽  
Burn Patient

A burn patient was infected withAcinetobacter baumanniion transfer to the hospital after a terrorist attack. Two patients experienced cross-infection. Environmental swab samples were negative forA. baumannii. Six months later, the bacteria reemerged in 6 Patients. Environmental swab samples obtained at this time were inoculated into a minimal mineral broth, and culture results showed widespread contamination. No case of infection occurred after closure of the unit for disinfection.

Effective Disinfection of a Burn Unit after Two Cases of Sepsis Caused by Multi-Drug–Resistant Acinetobacter baumannii

2018 ◽  
Vol 19 (5) ◽  
pp. 541-543 ◽  
Author(s):  
Luís Cobrado ◽  
Ana Pinto Silva ◽  
Cidália Pina-Vaz ◽  
Acácio Rodrigues
Keyword(s):  
Acinetobacter Baumannii ◽  
Drug Resistant ◽  
Burn Unit

scholarly journals Outbreak of Acinetobacter baumannii associated with extrinsic contamination of ultrasound gel in a tertiary centre burn unit

2019 ◽  
Vol 1 (2) ◽  
pp. 100009 ◽  
Author(s):  
Kruti J. Yagnik ◽  
Gautam Kalyatanda ◽  
Anthony P. Cannella ◽  
Lennox K. Archibald
Keyword(s):  
Acinetobacter Baumannii ◽  
Tertiary Centre ◽  
Burn Unit

602 Managing Hypothermia in the Surgical Burn Patient

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S144-S144
Author(s):  
Patricia Regojo ◽  
Molly Mohan
Keyword(s):  
Quality Assurance ◽  
Operating Room ◽  
Core Body Temperature ◽  
Temperature Management ◽  
Evidence Based ◽  
Burn Patients ◽  
Estimated Blood Loss ◽  
Increased Risk ◽  
Burn Unit ◽  
Burn Patient

Abstract Introduction It is known, hypothermia, core body temperature at or below 36oC/96.8oF, can lead to dangerous complications for burn patients. Due to loss of their protective thermoregulation, burn patients are at an increased risk of hypothermia during surgery. Findings from a Quality Assurance audit revealed burn patients were returning from surgery hypothermic and hemodynamically unstable. There was little evidence of intra-operative temperature management in the electronic medical record (EMR) or reported to the nurse upon the patients’ return from the operating room (OR). Only 73% of patients had temperatures recorded during their surgery and of those, 40% had a drop of temperature >2 degrees from their baseline. The purpose of this collaborative evidence-based quality assurance project was to improve temperature management in the operating room and prevent hypothermia in the intra and post operative periods. Our aim was to develop warming methods pre-operatively that would establish a goal for keeping the patients’s temperature within 2 degrees of their baseline preoperative temperature during surgery. Methods A literature search obtained from CINAHL, Cochrane, EMBASE, and MEDLINE from 2010–2018, provided current surgical guidelines and evidence-based practices for managing surgical hypothermia in burn patients (levels of evidence I, III, V, & VI). Recommendations from the burn unit staff for preoperative warming initiatives were listed and shared with the OR staff. Hemodynamic documentation, including core temperature, estimated blood loss, and intra-operative warming methods were monitored for twelve months after the Burn Unit Warming Protocol was implemented. Progress was reported quarterly in our Burn and Trauma Quality Committees. Results After implementing the Burn Unit Warming Protocol, temperature management of the burn patient improved. Intra-operative warming methods were initiated. Patients began returning from surgery warmer with improved hemodynamics. 96% of the patients had their temperatures recorded and managed intra-operatively. Of those patients, only 2.6% had a drop in temperature > 2 degrees from their pre-operative baseline. Conclusions Implementing a nurse-driven warming protocol from the pre-operative stage through surgery can aid in reducing post-operative hypothermia in burn patients. Applicability of Research to Practice Managing hypothermia will help reduce complications that can lead to increase morbidity and mortality in burn patients.

Direct costs of multidrug-resistant Acinetobacter baumannii in the burn unit of a public teaching hospital

2004 ◽  
Vol 32 (6) ◽  
pp. 342-344 ◽  
Author(s):  
Stephen J. Wilson ◽  
Cynthia J. Knipe ◽  
Madeline J. Zieger ◽  
Kari M. Gabehart ◽  
Joyce E. Goodman ◽  
...  
Keyword(s):  
Acinetobacter Baumannii ◽  
Teaching Hospital ◽  
Multidrug Resistant ◽  
Direct Costs ◽  
Burn Unit

scholarly journals Guidance on Frequency and Location of Environmental Sampling for Acinetobacter baumannii

2018 ◽  
Vol 39 (3) ◽  
pp. 339-342 ◽  
Author(s):  
Alyssa N. Sbarra ◽  
Anthony D. Harris ◽  
J. Kristie Johnson ◽  
Laurence S. Madger ◽  
Lyndsay M. O’Hara ◽  
...  
Keyword(s):  
Acinetobacter Baumannii ◽  
Environmental Contamination ◽  
Infect Control Hosp ◽  
Environmental Sampling

We assessed various locations and frequency of environmental sampling to maximize information and maintain efficiency when sampling for Acinetobacter baumannii. Although sampling sites in closer proximity to the patient were more likely positive, to fully capture environmental contamination, we found value in sampling all sites and across multiple days.Infect Control Hosp Epidemiol 2018;39:339–342

scholarly journals Impact of ICU Layout on the Degree of Air and Environmental Contamination by Carbapenem-Resistant Acinetobacter baumannii

2015 ◽  
Vol 2 (suppl_1) ◽  
Author(s):  
Luis Shimose ◽  
Eriko Masuda ◽  
Ana Berbel Caban ◽  
Maroun Sfeir ◽  
Maria X. Bueno ◽  
...  
Keyword(s):  
Acinetobacter Baumannii ◽  
Environmental Contamination ◽  
Carbapenem Resistant

scholarly journals 1246. Acinetobacter baumannii in the Post-Acute Care Setting: Prevalence and Resistance Rates in Patients, Health Care Personnel and the Environment

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S379-S379
Author(s):  
Marco Cassone ◽  
Ziwei Zhu ◽  
Kristen Gibson ◽  
Bonnie Lansing ◽  
Jie Cao ◽  
...  
Keyword(s):  
Acinetobacter Baumannii ◽  
Acute Care ◽  
Environmental Contamination ◽  
Opportunistic Pathogen ◽  
Healthcare Personnel ◽  
Nursing Facilities ◽  
Intensity Of Care ◽  
Healthcare Acquired Infections ◽  
Resistance Rates ◽  
Post Acute Care

Abstract Background Acinetobacter baumannii is an important agent of healthcare-acquired infections, sporting high resistance to major antibiotics in acute care. Since A. baumannii is an opportunistic pathogen commonly found in the environment, we aimed to investigate: (1) its prevalence as colonizer on patients, environment, and healthcare personnel (HCP) in Nursing Facilities (NFs) with intermediate intensity of care but high antibiotic pressure and (2) whether resistance rates in colonizing strains vary between patient, environmental, and HCP isolates. Methods We analyzed A. baumannii patient and HCP colonization and environmental contamination in six NFs in Michigan. Samples were collected from HCPs hands, and from multiple patient body sites and high-touch surfaces at admission, 14 days, and monthly up to 6 months. Ciprofloxacin, imipenem, and ceftazidime resistance was tested according to CLSI guidelines. Results 651 patients were screened (average follow-up time was 29 days). Patient colonization with A. baumannii was found in 59/1,620 (3.64%) of visits, and environmental contamination in 267/1,620 visits (16.48%) (P < 0.001). Interestingly, HCP showed at least as high or possibly higher colonization rates than patients (32/574) (5.25%) (P = 0.06). Resistance rates differed significantly between HCP, environmental, and patient isolates, ranging from 35 to 38% for patient isolates, 26 to 30% for environmental isolates, and only 8 to 17% for HCP isolates (table). Conclusion In our NFs, A. baumannii is more likely to be found on HCPs than on patients. However, HCP isolates have much lower resistance rates. Environmental contamination is alarmingly common, with worrisome resistance rates even in post-acute care settings. Disclosures All authors: No reported disclosures.

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