PMID: 9552188Apr 29, 1998Paper

Colonization by Acinetobacter baumanii in intensive-care-unit patients

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
O LortholaryL Gutmann

Abstract

We prospectively studied the value of systematic rectal swabs performed for the detection of colonization and the prediction of infections by Acinetobacter baumanii in 751 consecutive patients admitted to five intensive-care units (ICUs) over an 8-month period. Gastrointestinal tract colonization was found in 8.7% of ICU admissions. The positive and negative predictive values of rectal swabs for the detection of subsequent infection were 17% and 99%, respectively. Sensitivity and specificity were 55% and 93%, respectively. We also determined the comparative values of rectal or nasal swabs and skin cultures for the detection of A baumanii colonization in 25 patients already colonized or infected with A baumanii. The combination of rectal and nasal swabs was positive in 20 (80%) of 25. The results of the present study suggest that detection of gastrointestinal tract A baumanii colonization is not an accurate predictor of subsequent A baumanii infection and that combined rectal and nasal swabs might be used for the detection of A baumanii colonization in ICU patients.

Citations

Jun 8, 2002·Burns : Journal of the International Society for Burn Injuries·Ting Hway WongColin Song
Jul 21, 2004·Journal of Spinal Disorders & Techniques·Dorian Joseph deFreitas, John P McCabe
Sep 26, 2003·Current Opinion in Critical Care·Nina M ClarkJoseph P Lynch
Jun 29, 2010·Current Opinion in Infectious Diseases·José Garnacho-Montero, Rosario Amaya-Villar
Mar 2, 2010·American Journal of Infection Control·Kerri A ThomJon P Furuno
Mar 19, 2008·Clinical Orthopaedics and Related Research·Jason H CalhounM M Manring

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