Abstract

failure (32.3%) and post surgery (30.2%). Fourteen patients (7%) were found to be AB colonized at ICU admission, whereas 9 (4.5%) became colonized during ICU stay within a median of 7 days (IQR 6-10). Significant differences between AB colonized and non-colonized patients at ICU admission were found for septic shock (21.4% vs. 4.3%) and prior antibiotic therapy (78.6% vs. 43.3%). Conclusion Our preliminary analysis showed that prior antibiotic therapy and septic shock were significantly associated with AB colonization at ICU admission.

Highlights

  • Active surveillance cultures (SCs) for Acinetobacter baumannii (AB) has been suggested as a strategy to control AB spread in Intensive Care Units (ICUs)

  • From May to Sept 2012, 847 patients were admitted to the 6 ICUs; 261 remained for ≥ 48 hours and 201 were screened

  • 359 rectal swab (RS), 270 tracheal aspirate (TA) and 264 pharyngeal swab (PS) were taken and AB was isolated in 5.6%, 8.1% and 1.1% of them, respectively, with a total of 53 AB

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Summary

Introduction

Active surveillance cultures (SCs) for Acinetobacter baumannii (AB) has been suggested as a strategy to control AB spread in Intensive Care Units (ICUs). Standardized screening shemes and understanding of which patients and body sites are most commonly colonized by AB are lacking

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