Abstract

Acinetobacter spp. is mainly addressed in the entity of healthcare associated infections. The organism has developed substantial antimicrobial resistance, making treatment of infections attributed to A. baumannii more difficult to manage. Prosthetic joint infection caused by Acinetobacter spp. is uncommon and only few case reports were found in the literature. This case alerts clinicians regarding the unusual aetiology of a prosthetic joint infection caused by multidrug resistant Acinetobacter spp . In such situations early institution of appropriate antibiotics is of utmost importance to combat the infection.

Highlights

  • Acinetobacter, an aerobic, catalase-positive, oxidase-negative, non-motile Gram negative coccobacillus, was first described in 1911

  • Multidrug resistant (MDR) A. baumannii has been described as a cause of osteomyelitis in soldiers of the Iraq war.[2]

  • We describe the successful treatment of multidrug resistant (MDR) A. baumannii total knee joint arthroplasty infection in a female patient using a debridement and retention approach combined with intravenous colistin plus ampicillin-sulbactam dual therapy

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Summary

Introduction

Acinetobacter, an aerobic, catalase-positive, oxidase-negative, non-motile Gram negative coccobacillus, was first described in 1911. In the late 1980s, A. baumannii emerged as an important pathogen exhibiting increased antimicrobial resistance.[1] Transmission of Acinetobacter within the healthcare setting occurs due to lapses in proper hand hygiene and failure to disinfect medical equipment and surfaces within patient care areas. We describe the successful treatment of MDR A. baumannii total knee joint arthroplasty infection in a female patient using a debridement and retention approach combined with intravenous colistin plus ampicillin-sulbactam dual therapy. Received 5 February 2016 and revised version accepted 1 March.2016 add some contribution to fill the scarcity of data in clinical experience in managing prosthetic joint infection due to multidrug resistant Acinetobacter spp. with retention of prosthesis

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