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Journal of Clinical Microbiology, July 1999, p. 2170-2175, Vol. 37, No. 7
Laboratoire de Bactériologie et
Hygiène,
Received 23 June 1998/Returned for modification 3 September
1998/Accepted 8 February 1999
From June to November 1994 (period 1) and from February to June
1995 (period 2), multiresistant Acinetobacter baumannii
strains were isolated in intensive care units and surgical wards of the Amiens Teaching Hospital Center (Amiens, France). Eighteen isolates were obtained from 17 (1%) of 1,706 patients admitted during both of
these periods, giving an incidence rate of nosocomial infection per
1,000 patient days of 0.6%. Of 17 infected patients, 9 had pneumonia,
3 had urinary tract infection, 2 had peritonitis, 1 had septicemia, 1 had a catheter infection, and 1 had pneumonia and urinary tract
infection. According to typing results, four antibiotic resistance
profiles were detected: a, b, c, and d; seven ribotypes were
distinguished by both restriction enzymes EcoRI and
SalI (A, B, C, D, E, F, and G). By combining antibiotyping and ribotyping, we obtained eight groups of strains (groups I to VIII).
Group I contained five strains (strains 4, 5, 7, 8, and 9) which had
antibiogram pattern a and ribopattern A and constituted the outbreak
strains. The strains of group II (strains 3, 10, 11, 13, and 14) were
closely related to outbreak strain A and appeared to be variants of
ribotype A (A2 [strain 3]; A4 [strain 10]; A5 [strains 11, 13, and
14]). Groups III, IV, V, VI, VII, and VIII included strains which were
epidemiologically unrelated to the strains of group I and were
considered nonoutbreak strains.
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Epidemiological Study of an Acinetobacter
baumannii Outbreak by Using a Combination of Antibiotyping
and Ribotyping
*
Corresponding author. Mailing address: Laboratoire de
Bactériologie et Hygiène, CHU Nord, Place V. Pauchet, 80054 Amiens Cedex 1, France. Phone: 33-03-22-66-84-30. Fax:
33-03-22-66-84-98. E-mail: Jean-Francois.Lefebvre{at}sa.u-picardie.fr.
Journal of Clinical Microbiology, July 1999, p. 2170-2175, Vol. 37, No. 7
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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