Carbapenem-Resistant Acinetobacter baumannii: Concomitant Contamination of Air and Environmental Surfaces
OBJECTIVE To concomitantly determine the differential degrees of air and environmental contamination by Acinetobacter baumannii based on anatomic source of colonization and type of ICU layout (single-occupancy vs open layout). DESIGN Longitudinal prospective surveillance study of air and environment...
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| Veröffentlicht in: | Infection control and hospital epidemiology 2016-07, Vol.37 (7), p.777-781 |
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| creator | Shimose, Luis A. Masuda, Eriko Sfeir, Maroun Berbel Caban, Ana Bueno, Maria X. dePascale, Dennise Spychala, Caressa N. Cleary, Timothy Namias, Nicholas Kett, Daniel H. Doi, Yohei Munoz-Price, L. Silvia |
| description | OBJECTIVE To concomitantly determine the differential degrees of air and environmental contamination by Acinetobacter baumannii based on anatomic source of colonization and type of ICU layout (single-occupancy vs open layout). DESIGN Longitudinal prospective surveillance study of air and environmental surfaces in patient rooms. SETTING A 1,500-bed public teaching hospital in Miami, Florida. PATIENTS Consecutive A. baumannii-colonized patients admitted to our ICUs between October 2013 and February 2014. METHODS Air and environmental surfaces of the rooms of A. baumannii-colonized patients were sampled daily for up to 10 days. Pulsed-field gel electrophoresis (PFGE) was used to type and match the matching air, environmental, and clinical A. baumannii isolates. RESULTS A total of 25 A. baumannii-colonized patients were identified during the study period; 17 were colonized in the respiratory tract and 8 were colonized in the rectum. In rooms with rectally colonized patients, 38.3% of air samples were positive for A. baumannii; in rooms of patients with respiratory colonization, 13.1% of air samples were positive (P=.0001). In rooms with rectally colonized patients, 15.5% of environmental samples were positive for A. baumannii; in rooms of patients with respiratory colonization, 9.5% of environmental samples were positive (P=.02). The rates of air contamination in the open-layout and single-occupancy ICUs were 17.9% and 21.8%, respectively (P=.5). Environmental surfaces were positive in 9.5% of instances in open-layout ICUs versus 13.4% in single-occupancy ICUs (P=.09). CONCLUSIONS Air and environmental surface contaminations were significantly greater among rectally colonized patients; however, ICU layout did not influence the rate of contamination. Infect Control Hosp Epidemiol 2016;37:777-781. |
| doi_str_mv | 10.1017/ice.2016.69 |
| format | Article |
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Silvia</creator><creatorcontrib>Shimose, Luis A. ; Masuda, Eriko ; Sfeir, Maroun ; Berbel Caban, Ana ; Bueno, Maria X. ; dePascale, Dennise ; Spychala, Caressa N. ; Cleary, Timothy ; Namias, Nicholas ; Kett, Daniel H. ; Doi, Yohei ; Munoz-Price, L. Silvia</creatorcontrib><description>OBJECTIVE To concomitantly determine the differential degrees of air and environmental contamination by Acinetobacter baumannii based on anatomic source of colonization and type of ICU layout (single-occupancy vs open layout). DESIGN Longitudinal prospective surveillance study of air and environmental surfaces in patient rooms. SETTING A 1,500-bed public teaching hospital in Miami, Florida. PATIENTS Consecutive A. baumannii-colonized patients admitted to our ICUs between October 2013 and February 2014. METHODS Air and environmental surfaces of the rooms of A. baumannii-colonized patients were sampled daily for up to 10 days. Pulsed-field gel electrophoresis (PFGE) was used to type and match the matching air, environmental, and clinical A. baumannii isolates. RESULTS A total of 25 A. baumannii-colonized patients were identified during the study period; 17 were colonized in the respiratory tract and 8 were colonized in the rectum. In rooms with rectally colonized patients, 38.3% of air samples were positive for A. baumannii; in rooms of patients with respiratory colonization, 13.1% of air samples were positive (P=.0001). In rooms with rectally colonized patients, 15.5% of environmental samples were positive for A. baumannii; in rooms of patients with respiratory colonization, 9.5% of environmental samples were positive (P=.02). The rates of air contamination in the open-layout and single-occupancy ICUs were 17.9% and 21.8%, respectively (P=.5). Environmental surfaces were positive in 9.5% of instances in open-layout ICUs versus 13.4% in single-occupancy ICUs (P=.09). CONCLUSIONS Air and environmental surface contaminations were significantly greater among rectally colonized patients; however, ICU layout did not influence the rate of contamination. Infect Control Hosp Epidemiol 2016;37:777-781.</description><identifier>ISSN: 0899-823X</identifier><identifier>EISSN: 1559-6834</identifier><identifier>DOI: 10.1017/ice.2016.69</identifier><identifier>PMID: 27045768</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject>Acinetobacter baumannii - drug effects ; Acinetobacter Infections - drug therapy ; Acinetobacter Infections - epidemiology ; Acinetobacter Infections - microbiology ; Air Microbiology ; Air pollution ; Air sampling ; Anti-Bacterial Agents - therapeutic use ; Antibiotics ; beta-Lactam Resistance ; Carbapenems - therapeutic use ; Colonization ; Contamination ; Cross Infection - drug therapy ; Cross Infection - epidemiology ; Cross Infection - microbiology ; Disease control ; Electrophoresis, Gel, Pulsed-Field ; Environmental Exposure - statistics & numerical data ; Humans ; Infections ; Intensive care ; Intensive Care Units - statistics & numerical data ; Nursing ; Original Articles ; Pathogens ; Patients ; Patients' Rooms - statistics & numerical data ; Pollution control ; Rectum - microbiology ; Respiratory System - microbiology ; Respiratory tract ; Surveillance ; Ventilators</subject><ispartof>Infection control and hospital epidemiology, 2016-07, Vol.37 (7), p.777-781</ispartof><rights>2016 by The Society for Healthcare Epidemiology of America. All rights reserved</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c421t-73c089da5cb76ad71ae4e80ac9c82f90aeea7711d43fd7b60424f4022d562ef43</citedby><cites>FETCH-LOGICAL-c421t-73c089da5cb76ad71ae4e80ac9c82f90aeea7711d43fd7b60424f4022d562ef43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2799897377/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2799897377?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>164,314,776,780,21367,27901,27902,33721,33722,43781,55603,74045</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27045768$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shimose, Luis A.</creatorcontrib><creatorcontrib>Masuda, Eriko</creatorcontrib><creatorcontrib>Sfeir, Maroun</creatorcontrib><creatorcontrib>Berbel Caban, Ana</creatorcontrib><creatorcontrib>Bueno, Maria X.</creatorcontrib><creatorcontrib>dePascale, Dennise</creatorcontrib><creatorcontrib>Spychala, Caressa N.</creatorcontrib><creatorcontrib>Cleary, Timothy</creatorcontrib><creatorcontrib>Namias, Nicholas</creatorcontrib><creatorcontrib>Kett, Daniel H.</creatorcontrib><creatorcontrib>Doi, Yohei</creatorcontrib><creatorcontrib>Munoz-Price, L. Silvia</creatorcontrib><title>Carbapenem-Resistant Acinetobacter baumannii: Concomitant Contamination of Air and Environmental Surfaces</title><title>Infection control and hospital epidemiology</title><addtitle>Infect. Control Hosp. Epidemiol</addtitle><description>OBJECTIVE To concomitantly determine the differential degrees of air and environmental contamination by Acinetobacter baumannii based on anatomic source of colonization and type of ICU layout (single-occupancy vs open layout). DESIGN Longitudinal prospective surveillance study of air and environmental surfaces in patient rooms. SETTING A 1,500-bed public teaching hospital in Miami, Florida. PATIENTS Consecutive A. baumannii-colonized patients admitted to our ICUs between October 2013 and February 2014. METHODS Air and environmental surfaces of the rooms of A. baumannii-colonized patients were sampled daily for up to 10 days. Pulsed-field gel electrophoresis (PFGE) was used to type and match the matching air, environmental, and clinical A. baumannii isolates. RESULTS A total of 25 A. baumannii-colonized patients were identified during the study period; 17 were colonized in the respiratory tract and 8 were colonized in the rectum. In rooms with rectally colonized patients, 38.3% of air samples were positive for A. baumannii; in rooms of patients with respiratory colonization, 13.1% of air samples were positive (P=.0001). In rooms with rectally colonized patients, 15.5% of environmental samples were positive for A. baumannii; in rooms of patients with respiratory colonization, 9.5% of environmental samples were positive (P=.02). The rates of air contamination in the open-layout and single-occupancy ICUs were 17.9% and 21.8%, respectively (P=.5). Environmental surfaces were positive in 9.5% of instances in open-layout ICUs versus 13.4% in single-occupancy ICUs (P=.09). CONCLUSIONS Air and environmental surface contaminations were significantly greater among rectally colonized patients; however, ICU layout did not influence the rate of contamination. Infect Control Hosp Epidemiol 2016;37:777-781.</description><subject>Acinetobacter baumannii - drug effects</subject><subject>Acinetobacter Infections - drug therapy</subject><subject>Acinetobacter Infections - epidemiology</subject><subject>Acinetobacter Infections - microbiology</subject><subject>Air Microbiology</subject><subject>Air pollution</subject><subject>Air sampling</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibiotics</subject><subject>beta-Lactam Resistance</subject><subject>Carbapenems - therapeutic use</subject><subject>Colonization</subject><subject>Contamination</subject><subject>Cross Infection - drug therapy</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - microbiology</subject><subject>Disease control</subject><subject>Electrophoresis, Gel, Pulsed-Field</subject><subject>Environmental Exposure - statistics & numerical data</subject><subject>Humans</subject><subject>Infections</subject><subject>Intensive care</subject><subject>Intensive Care Units - statistics & numerical data</subject><subject>Nursing</subject><subject>Original Articles</subject><subject>Pathogens</subject><subject>Patients</subject><subject>Patients' Rooms - statistics & numerical data</subject><subject>Pollution control</subject><subject>Rectum - microbiology</subject><subject>Respiratory System - microbiology</subject><subject>Respiratory tract</subject><subject>Surveillance</subject><subject>Ventilators</subject><issn>0899-823X</issn><issn>1559-6834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNptkdFLHDEQxoNU9LQ-9b0s9KVQ9kyy2c3Gt2O5WuFAUAt9C7PZ2RK5JGeyK_jfN9azBfFpBuY333zMR8gnRpeMMnluDS45Zc2yUQdkwepalU1biQ9kQVulypZXv47JSUr3lFKpFDsix1xSUcumXRDbQexhhx5deYPJpgn8VKyM9TiFHsyEsehhduC9tRdFF7wJzv6Fcj-Bsx4mG3wRxmJlYwF-KNb-0cbgHeb5trid4wgG00dyOMI24dm-npKf39d33Y9yc3151a02pRGcTaWsTLY9QG162cAgGaDAloJRpuWjooAIUjI2iGocZN9QwcUoKOdD3XAcRXVKvr7o7mJ4mDFN2tlkcLsFj2FOmrWU5R1eVxn98ga9D3P02Z3m-VOtkpWUmfr2QpkYUoo46l20DuKTZlQ_J6BzAvo5Ad2oTH_ea869w-Ef-_ryDJR7OXB9tMNv_H_1PcE_BrWRWQ</recordid><startdate>20160701</startdate><enddate>20160701</enddate><creator>Shimose, Luis A.</creator><creator>Masuda, Eriko</creator><creator>Sfeir, Maroun</creator><creator>Berbel Caban, Ana</creator><creator>Bueno, Maria X.</creator><creator>dePascale, Dennise</creator><creator>Spychala, Caressa N.</creator><creator>Cleary, Timothy</creator><creator>Namias, Nicholas</creator><creator>Kett, Daniel H.</creator><creator>Doi, Yohei</creator><creator>Munoz-Price, L. Silvia</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20160701</creationdate><title>Carbapenem-Resistant Acinetobacter baumannii: Concomitant Contamination of Air and Environmental Surfaces</title><author>Shimose, Luis A. ; Masuda, Eriko ; Sfeir, Maroun ; Berbel Caban, Ana ; Bueno, Maria X. ; dePascale, Dennise ; Spychala, Caressa N. ; Cleary, Timothy ; Namias, Nicholas ; Kett, Daniel H. ; Doi, Yohei ; Munoz-Price, L. Silvia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c421t-73c089da5cb76ad71ae4e80ac9c82f90aeea7711d43fd7b60424f4022d562ef43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Acinetobacter baumannii - drug effects</topic><topic>Acinetobacter Infections - drug therapy</topic><topic>Acinetobacter Infections - epidemiology</topic><topic>Acinetobacter Infections - microbiology</topic><topic>Air Microbiology</topic><topic>Air pollution</topic><topic>Air sampling</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antibiotics</topic><topic>beta-Lactam Resistance</topic><topic>Carbapenems - therapeutic use</topic><topic>Colonization</topic><topic>Contamination</topic><topic>Cross Infection - drug therapy</topic><topic>Cross Infection - epidemiology</topic><topic>Cross Infection - microbiology</topic><topic>Disease control</topic><topic>Electrophoresis, Gel, Pulsed-Field</topic><topic>Environmental Exposure - statistics & numerical data</topic><topic>Humans</topic><topic>Infections</topic><topic>Intensive care</topic><topic>Intensive Care Units - statistics & numerical data</topic><topic>Nursing</topic><topic>Original Articles</topic><topic>Pathogens</topic><topic>Patients</topic><topic>Patients' Rooms - statistics & numerical data</topic><topic>Pollution control</topic><topic>Rectum - microbiology</topic><topic>Respiratory System - microbiology</topic><topic>Respiratory tract</topic><topic>Surveillance</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shimose, Luis A.</creatorcontrib><creatorcontrib>Masuda, Eriko</creatorcontrib><creatorcontrib>Sfeir, Maroun</creatorcontrib><creatorcontrib>Berbel Caban, Ana</creatorcontrib><creatorcontrib>Bueno, Maria X.</creatorcontrib><creatorcontrib>dePascale, Dennise</creatorcontrib><creatorcontrib>Spychala, Caressa N.</creatorcontrib><creatorcontrib>Cleary, Timothy</creatorcontrib><creatorcontrib>Namias, Nicholas</creatorcontrib><creatorcontrib>Kett, Daniel H.</creatorcontrib><creatorcontrib>Doi, Yohei</creatorcontrib><creatorcontrib>Munoz-Price, L. 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Silvia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Carbapenem-Resistant Acinetobacter baumannii: Concomitant Contamination of Air and Environmental Surfaces</atitle><jtitle>Infection control and hospital epidemiology</jtitle><addtitle>Infect. Control Hosp. Epidemiol</addtitle><date>2016-07-01</date><risdate>2016</risdate><volume>37</volume><issue>7</issue><spage>777</spage><epage>781</epage><pages>777-781</pages><issn>0899-823X</issn><eissn>1559-6834</eissn><abstract>OBJECTIVE To concomitantly determine the differential degrees of air and environmental contamination by Acinetobacter baumannii based on anatomic source of colonization and type of ICU layout (single-occupancy vs open layout). DESIGN Longitudinal prospective surveillance study of air and environmental surfaces in patient rooms. SETTING A 1,500-bed public teaching hospital in Miami, Florida. PATIENTS Consecutive A. baumannii-colonized patients admitted to our ICUs between October 2013 and February 2014. METHODS Air and environmental surfaces of the rooms of A. baumannii-colonized patients were sampled daily for up to 10 days. Pulsed-field gel electrophoresis (PFGE) was used to type and match the matching air, environmental, and clinical A. baumannii isolates. RESULTS A total of 25 A. baumannii-colonized patients were identified during the study period; 17 were colonized in the respiratory tract and 8 were colonized in the rectum. In rooms with rectally colonized patients, 38.3% of air samples were positive for A. baumannii; in rooms of patients with respiratory colonization, 13.1% of air samples were positive (P=.0001). In rooms with rectally colonized patients, 15.5% of environmental samples were positive for A. baumannii; in rooms of patients with respiratory colonization, 9.5% of environmental samples were positive (P=.02). The rates of air contamination in the open-layout and single-occupancy ICUs were 17.9% and 21.8%, respectively (P=.5). Environmental surfaces were positive in 9.5% of instances in open-layout ICUs versus 13.4% in single-occupancy ICUs (P=.09). CONCLUSIONS Air and environmental surface contaminations were significantly greater among rectally colonized patients; however, ICU layout did not influence the rate of contamination. Infect Control Hosp Epidemiol 2016;37:777-781.</abstract><cop>New York, USA</cop><pub>Cambridge University Press</pub><pmid>27045768</pmid><doi>10.1017/ice.2016.69</doi><tpages>5</tpages></addata></record> |
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| subjects | Acinetobacter baumannii - drug effects Acinetobacter Infections - drug therapy Acinetobacter Infections - epidemiology Acinetobacter Infections - microbiology Air Microbiology Air pollution Air sampling Anti-Bacterial Agents - therapeutic use Antibiotics beta-Lactam Resistance Carbapenems - therapeutic use Colonization Contamination Cross Infection - drug therapy Cross Infection - epidemiology Cross Infection - microbiology Disease control Electrophoresis, Gel, Pulsed-Field Environmental Exposure - statistics & numerical data Humans Infections Intensive care Intensive Care Units - statistics & numerical data Nursing Original Articles Pathogens Patients Patients' Rooms - statistics & numerical data Pollution control Rectum - microbiology Respiratory System - microbiology Respiratory tract Surveillance Ventilators |
| title | Carbapenem-Resistant Acinetobacter baumannii: Concomitant Contamination of Air and Environmental Surfaces |
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