The Acinetobacter Threat
de Medina T, Carmeli Y. The pivotal role of long-term
care facilities in the epidemiology of Acinetobacter
baumannii: another brick in the wall. Clinical Infectious
Diseases
, 2010 (June 15);50(12):1617-1618.

Sengstock DM, Thyagarajan R, Apalara J, et al.
Multidrug-resistant Acinetobacter baumannii: an
emerging pathogen among older adults in community
hospitals and nursing homes. Clinical Infectious
Diseases
, 2010 (June 15);50(12):1611-1616.
Medical News & Exposé
epi
Bryant Furlow, epiNewswire

June 11, 2010 — The cycling of elderly patients between nursing homes
and hospitals has created a difficult-to-control
Acinetobacter reservoir in
long-term care facilities, according to a newly-published, six year study of
multidrug-resistant hospital infections among elderly Michigan residents.

Acinetobacter infection rates among elderly patients climbed 25 percent
between 2003 and 2008, a team of Wayne State University researchers
reported in the June issue of the medical journal
Clinical Infectious
Diseases
.

Acinetobacter infection rates among elderly patients climbed 25 percent
between 2003 and 2008, the authors reported.

During that time, drug resistance of
Acinetobacter increased markedly,
from just under 2 percent to 33 percent of cases. "Pan-resistant"
infections, for which no effective antibiotic could be identified, jumped
from no cases in 2003 to 14 percent of cases in 2008.

Greater antibiotic resistance was associated with a 20 percent increased
risk of patient death.

"
Acinetobacter infection was associated with high rates of adverse
outcomes, including discharge to extended care facilities, hospice
referral and death," the authors reported. "Increasing degrees of
antibiotic resistance of
Acinetobacter strains were associated with
discharge to extended care facilities or death."

Infection rates and the degree of Acinetobacter drug resistance at
nursing homes increased as patients were discharged from hospitals,
"introducing resistance to new facilities," the authors reported.

The study identified a total of 840 patients with
Acinetobacter infections.

The
study was accompanied by an editorial commentary by Tali de
Medina and Yehuda Carmeli of the Tel Aviv Sourasky Medical Center in
Israel.

"(T)he import and export of
A. baumannii between hospitals and long-
term care facilities play an important role in the epidemiology of multidrug-
resistant
A. baumannii," de Medina and Carmeli wrote. "Long-term care
facilities may have a pivotal role in a global strategy for controlling the
spread of multidrug-resistant A. baumannii, as well as other resistant
organisms."

The meta-analysis was conducted by researchers at Wayne State University in
Dearborn, MI. The authors reported having no conflicts of interest.
Acinetobacter sweeping through long-term care
facilities, nursing homes
Return to epiNewswire front page