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Article: Control of hospital endemicity of multiple-drug-resistant Acinetobacter baumannii ST457 with directly observed hand hygiene

TitleControl of hospital endemicity of multiple-drug-resistant Acinetobacter baumannii ST457 with directly observed hand hygiene
Authors
Issue Date2015
PublisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/10096/index.htm
Citation
European Journal of Clinical Microbiology & Infectious Diseases, 2015, v. 34 n. 4, p. 713-718 How to Cite?
AbstractAn increasing endemicity of multiple-drug-resistant Acinetobacter baumannii (MRAB) ST457 was noted in Hong Kong. The epidemiology, risk factors, and infection control measures to prevent nosocomial transmission of this epidemic clone were analyzed. A total of 5,058 patients cultured positive with A. baumannii between 1 January 2004 and 30 June 2014 were included, of which 297 (5.9 %) had bacteremia. The first case of MRAB bacteremia emerged in 2009, with an incidence that increased from 0.27 (one case) in 2009 to 1.86 (14 cases) per 100,000 patient-days in 2013 (p < 0.001). With the implementation of strict contact precautions and directly observed hand hygiene in conscious patients immediately before receiving meals and medications in July 2013, the incidence of MRAB bacteremia reduced from its peak to 0.77 (one case) per 100,000 patient-days in the first 6 months of 2014 (p < 0.001). Patients from long-term care facilities for the elderly [odds ratio (OR) 18.6, confidence interval (CI) 2.1–162.4, p = 0.008] and history of carbapenem (OR 7.0, CI 1.7–28.0, p = 0.006) and beta-lactam/beta-lactamase use (OR 5.6, CI 1.1–28.7, p = 0.038) 90 days prior to admission were independent risk factors for MRAB bacteremia by logistic regression when compared with carbapenem-susceptible A. baumannii bacteremia. © 2014, Springer-Verlag Berlin Heidelberg.
Persistent Identifierhttp://hdl.handle.net/10722/214310
ISSN
2015 Impact Factor: 2.857
2015 SCImago Journal Rankings: 1.173
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorCheng, VCC-
dc.contributor.authorChen, JHK-
dc.contributor.authorPoon, RWS-
dc.contributor.authorLee, WM-
dc.contributor.authorSo, SYC-
dc.contributor.authorWong, SCY-
dc.contributor.authorChau, PH-
dc.contributor.authorYip, CCY-
dc.contributor.authorWong, SSY-
dc.contributor.authorChan, JFW-
dc.contributor.authorHung, IFN-
dc.contributor.authorHo, PL-
dc.contributor.authorYuen, KY-
dc.date.accessioned2015-08-21T11:11:59Z-
dc.date.available2015-08-21T11:11:59Z-
dc.date.issued2015-
dc.identifier.citationEuropean Journal of Clinical Microbiology & Infectious Diseases, 2015, v. 34 n. 4, p. 713-718-
dc.identifier.issn0934-9723-
dc.identifier.urihttp://hdl.handle.net/10722/214310-
dc.description.abstractAn increasing endemicity of multiple-drug-resistant Acinetobacter baumannii (MRAB) ST457 was noted in Hong Kong. The epidemiology, risk factors, and infection control measures to prevent nosocomial transmission of this epidemic clone were analyzed. A total of 5,058 patients cultured positive with A. baumannii between 1 January 2004 and 30 June 2014 were included, of which 297 (5.9 %) had bacteremia. The first case of MRAB bacteremia emerged in 2009, with an incidence that increased from 0.27 (one case) in 2009 to 1.86 (14 cases) per 100,000 patient-days in 2013 (p < 0.001). With the implementation of strict contact precautions and directly observed hand hygiene in conscious patients immediately before receiving meals and medications in July 2013, the incidence of MRAB bacteremia reduced from its peak to 0.77 (one case) per 100,000 patient-days in the first 6 months of 2014 (p < 0.001). Patients from long-term care facilities for the elderly [odds ratio (OR) 18.6, confidence interval (CI) 2.1–162.4, p = 0.008] and history of carbapenem (OR 7.0, CI 1.7–28.0, p = 0.006) and beta-lactam/beta-lactamase use (OR 5.6, CI 1.1–28.7, p = 0.038) 90 days prior to admission were independent risk factors for MRAB bacteremia by logistic regression when compared with carbapenem-susceptible A. baumannii bacteremia. © 2014, Springer-Verlag Berlin Heidelberg.-
dc.languageeng-
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/10096/index.htm-
dc.relation.ispartofEuropean Journal of Clinical Microbiology & Infectious Diseases-
dc.rightsThe final publication is available at Springer via http://dx.doi.org/10.1007/s10096-014-2281-x-
dc.titleControl of hospital endemicity of multiple-drug-resistant Acinetobacter baumannii ST457 with directly observed hand hygiene-
dc.typeArticle-
dc.identifier.emailCheng, VCC: vcccheng@hkucc.hku.hk-
dc.identifier.emailChen, JHK: jonchk@hku.hk-
dc.identifier.emailPoon, RWS: rosana@hkucc.hku.hk-
dc.identifier.emailWong, SCY: wcy288@hku.hk-
dc.identifier.emailChau, PH: phpchau@hku.hk-
dc.identifier.emailYip, CCY: yipcyril@hku.hk-
dc.identifier.emailWong, SSY: samsonsy@hkucc.hku.hk-
dc.identifier.emailChan, JFW: jfwchan@hku.hk-
dc.identifier.emailHung, IFN: ivanhung@hkucc.hku.hk-
dc.identifier.emailHo, PL: plho@hkucc.hku.hk-
dc.identifier.emailYuen, KY: kyyuen@hkucc.hku.hk-
dc.identifier.authorityChau, PH=rp00574-
dc.identifier.authorityYip, CCY=rp01721-
dc.identifier.authorityWong, SSY=rp00395-
dc.identifier.authorityChan, JFW=rp01736-
dc.identifier.authorityHung, IFN=rp00508-
dc.identifier.authorityHo, PL=rp00406-
dc.identifier.authorityYuen, KY=rp00366-
dc.identifier.doi10.1007/s10096-014-2281-x-
dc.identifier.pmid25413926-
dc.identifier.scopuseid_2-s2.0-84925497660-
dc.identifier.hkuros246516-
dc.identifier.volume34-
dc.identifier.issue4-
dc.identifier.spage713-
dc.identifier.epage718-
dc.identifier.isiWOS:000351513900011-
dc.publisher.placeGermany-

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