Multidrug‐ResistantAcinetobacter baumannii:An Emerging Pathogen among Older Adults in Community Hospitals and Nursing Homes

Abstract

The prevalence and resistance of Acinetobacter species are increasing in the community. Patients with resistant isolates are selectively discharged to nursing homes and long-term acute-care facilities, introducing resistance to new facilities.

Nosocomial Bloodstream Infections in Brazilian Hospitals: Analysis of 2,563 Cases from a Prospective Nationwide Surveillance Study

“…However, it is important to mention that the U.S. SCOPE study occurred almost 10 years ago, and there have been increases in Acinetobacter infections in U.S. hospitals in recent years (11,26). One other possible explanation is that the higher baseline prevalence of Gramnegative bacteria is related to enhanced use of anti-Gramnegative antibiotics, selecting for bacteria prone to develop multidrug resistance, such as nonfermentative Gram-negative bacteria.…”

Outbreak of Multiresistant OXA-24- and OXA-51-Producing <i>Acinetobacter baumannii</i> in an Internal Medicine Ward

“…We could not establish an association between the outbreak and the nursing home. The epidemiology of Acinetobacter infection among nursing home residents is largely unknown (19). At present, there is no consensus regarding recommendations to control MRAB infection or colonization in nursing home residents admitted to a hospital.…”

Antibiotic Resistance in Nursing Homes

“…Sengstock and colleague in a six-year period reported in an increase of Multi-Drug-Resistant Acinetobacter baumannii, a link between increasing antibiotic-resistance, morbidity and mortality, and a transfer between hospital and nursing home and viceversa (Sengstock DM & Al, 2010). The article demonstrated that Acinetobacter baumannii is widespread including hospitals, long-term acute-care and nursing homes, and that the transfer of multidrugresistant strains among health care facilities is bidirectional.…”