Investigation of an outbreak of infection with Acinetobacter calcoaceticus in a special care baby unit

During a period of 6 months, an ‘epidemic strain’ of Acinetobacter calcoaceticus was isolated from 10 pre-term neonates in a special care baby unit (scbu). Of these, nine had pulmonary infections. The tenth was found to have conjunctival colonization only. The ‘epidemic strain’ was characterized by serotyping, biotyping, bacteriocin typing and antibiograms. An identical strain was isolated from an ‘Ambu’ resuscitation device but not from other environmental samples or from staff on the unit. The outbreak ceased after the colonized resuscitator was removed and an appropriate disinfection policy implemented for the replacement resuscitators.