Prevalence of Acinetobacter baumannii carriage in patients of 53 French intensive care units on a given day

• Published in: Médecine et maladies infectieuses Vol. 37; no. 2; pp. 112 - 117
• Main Authors: Chatellier, D, Burucoa, C, Pinsard, M, Frat, J-P, Robert, R
• Format: Journal Article
• Language: French
• Published: France 01.02.2007
• Subjects: Acinetobacter baumannii - classification; Acinetobacter baumannii - drug effects; Acinetobacter baumannii - isolation & purification; Acinetobacter Infections - epidemiology; Acinetobacter Infections - microbiology; Adult; Aged; Bacterial Typing Techniques; Carrier State - epidemiology; Carrier State - microbiology; Cohort Studies; Cross Infection - epidemiology; Cross Infection - microbiology; Disease Outbreaks; Drug Resistance, Multiple, Bacterial; Female; France - epidemiology; Genotype; Health Surveys; Humans; Intensive Care Units - statistics & numerical data; Male; Middle Aged; Nasal Cavity - microbiology; Prevalence; Rectum - microbiology; Risk Factors; France
• ISSN: 0399-077X
• DOI: 10.1016/j.medmal.2006.12.002

This study was made to evaluate multiresistant Acinetobacter baumannii colonization in French intensive care units. We conducted a prevalence study on the carriage of A. baumannii for a one-day period in various French ICUs. On December 10, 2003, one nasal and/or rectal swab sampling was performed in 506 patients of 53 ICUs. Sixteen patients (3.16%) from 7 centers (13%) were colonized by A. baumannii. None of the known risk factors for colonization by multiresistant A. baumannii were identified in these patients. Overall, A. baumannii colonization is limited except during epidemic situations. Our study reflects the carriage of A. baumannii in ICUs on a given day. This study showed that there was no multiresistant A. baumannii epidemic clone, potentially responsible for outbreaks, present in the tested French ICUs.