PMID- 12073770 OWN - NLM STAT- MEDLINE DCOM- 20030103 LR - 20041117 IS - 0258-851X (Print) IS - 0258-851X (Linking) VI - 16 IP - 2 DP - 2002 Mar-Apr TI - A multi-resistant Acinetobacter baumannii outbreak in a general intensive care unit. PG - 117-22 AB - In an Intensive Care Unit, three patients were found infected and two colonized with multiresistant Acinetobacter baumannii within a period of one week. To identify the outbreak source, two surveillance studies were performed concerning patients and the environment. Genotyping of isolates was performed by random amplification of polymorphic DNA analysis (RAPD). Environmental sampling failed to yield A. baumannii, with the exception of a single sample from a trunking. RAPD-fingerprinting yielded identical patterns for all patient isolates including the trunking isolate, thus confirming the suspected cluster. Since the strain from the trunking had a susceptibility pattern and a RAPD pattern identical to that of the strains isolated from the patients, we believe that this was the likely source of the outbreak. In conclusion, A. baumannii outbreaks may be quickly controlled by appropriate action of the hospital infection staff. RAPD-fingerprinting may provide a useful and rapid identification technique for the epidemiological investigation of a hospital outbreak. FAU - Levidiotou, Stamatina AU - Levidiotou S AD - Microbiology Department, Medical School, University of Ioannina, POB 1186, 45, 110, Ioannina, Greece. sleveidi@cc.uoi.gr FAU - Galanakis, Emmanouil AU - Galanakis E FAU - Vrioni, Georgia AU - Vrioni G FAU - Papamichael, Dimitrios AU - Papamichael D FAU - Nakos, Georgios AU - Nakos G FAU - Stefanou, Dimitrios AU - Stefanou D LA - eng PT - Journal Article PL - Greece TA - In Vivo JT - In vivo (Athens, Greece) JID - 8806809 SB - IM MH - Acinetobacter Infections/blood/drug therapy/*epidemiology MH - *Acinetobacter baumannii/isolation & purification MH - Aged MH - Cause of Death MH - Disease Outbreaks MH - Drug Resistance, Bacterial MH - *Drug Resistance, Multiple MH - Female MH - Greece MH - Hospitals, General MH - Humans MH - *Intensive Care Units MH - Male MH - Middle Aged EDAT- 2002/06/21 10:00 MHDA- 2003/01/04 04:00 CRDT- 2002/06/21 10:00 PHST- 2002/06/21 10:00 [pubmed] PHST- 2003/01/04 04:00 [medline] PHST- 2002/06/21 10:00 [entrez] PST - ppublish SO - In Vivo. 2002 Mar-Apr;16(2):117-22.