Multidrug-resistant Acinetobacter baumannii isolates in pediatric patients of a university hospital in Taiwan.

Multidrug-resistant Acinetobacter baumannii isolates in pediatric patients of a university hospital in Taiwan. Research Abstract Details 

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Multidrug-resistant Acinetobacter baumannii isolates in pediatric patients of a university hospital in Taiwan. Abstract Text:

Po Yang Chang,Po Ren Hsueh,Ping Sheng Wu,Pei Chun Chan,Tsao Ton Yang,Chun Yi Lu,Luan Yin Chang,Jung Min Chen,Ping Ing Lee,Chin Yun Lee,Li Min Huang,Po Yang Chang,Po Ren Hsueh,Ping Sheng Wu,Pei Chun Chan,Tsao Ton Yang,Chun Yi Lu,Luan Yin Chang,Jung Min Chen,Ping Ing Lee,Chin Yun Lee,Li Min Huang,Po Yang Chang,Po Ren Hsueh,Ping Sheng Wu,Pei Chun Chan,Tsao Ton Yang,Chun Yi Lu,Luan Yin Chang,Jung Min Chen,Ping Ing Lee,Chin Yun Lee,Li Min Huang,

BACKGROUND AND PURPOSE: Acinetobacter baumannii is one of the common nosocomial pathogens, and the emergence of multidrug-resistant A. baumannii (MDRAB) is a therapeutic problem. We describe the clinical characteristics and outcomes of MDRAB colonization/infection in pediatric patients at the National Taiwan University Hospital. METHODS: Fifty two pediatric patients with 205 MDRAB isolates collected between April 2000 and December 2005 were included for investigation of their clinical characters, presentations, and outcome. RESULTS: Among these 205 isolates, 20 (9.8%) were from sterile body sites (11 from blood, 8 from catheter tips, and 1 from ascites), 154 (75.1%) from respiratory sites, 18 (8.8%) from skin or wound pus, 5 (2.4%) from urine, and 8 (3.9%) from other sites. The mean age was 6 years. The common underlying diseases were haematological or oncological diseases (n = 15, 28.8%), neonatal disorders (6, 11.5%), cyanotic congenital heart diseases (10, 19.2%), neurology disorders (12, 23.1%), and gastrointestinal tract disorders (3, 5.8%). Seventeen patients (32.7%) had received major surgery, and 48 (92.3%) had used ventilators. Fourteen patients (26.9%) had neutropenia and 46 (88.5%) had used broad-spectrum antibiotics. There were 31 patients (59.6%) with suspected or proven MDRAB infections, including sepsis (9 patients), pneumonia (19), wound infections (3), urinary tract infections (2), peritonitis (1), and perineal infection (1). Seven (77.8%) of the 9 sepsis patients died. The overall mortality rate was 42.3% (22 cases). CONCLUSIONS: The threat of MDRAB has been recognized in our hospital for several years. Host defense deficiencies, prolonged intensive care unit hospitalizations, and prior broad-spectrum antibiotic use play a major role in MDRAB infection and colonization.

Multidrug-resistant Acinetobacter baumannii isolates in pediatric patients of a university hospital in Taiwan. Publishing Authors By Initials

PY Chang,PR Hsueh,PS Wu,PC Chan,TT Yang,CY Lu,LY Chang,JM Chen,PI Lee,CY Lee,LM Huang,PY Chang,PR Hsueh,PS Wu,PC Chan,TT Yang,CY Lu,LY Chang,JM Chen,PI Lee,CY Lee,LM Huang,PY Chang,PR Hsueh,PS Wu,PC Chan,TT Yang,CY Lu,LY Chang,JM Chen,PI Lee,CY Lee,LM Huang,

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Multidrug-resistant Acinetobacter baumannii isolates in pediatric patients of a university hospital in Taiwan. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of microbiology, immunology, and infection

VOLUME: 40

Page Numbers: 406-10

Journal Abbreviation: J Microbiol Immunol Infect

ISSN: 1684-1182

DAY: 12

MONTH: Oct

YEAR: 2007

Multidrug-resistant Acinetobacter baumannii isolates in pediatric patients of a university hospital in Taiwan. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Multidrug-resistant Acinetobacter baumannii isolates in pediatric patients of a university hospital in Taiwan.

AFFILIATION: Department of Pediatrics, Chang Bing Show Chwan Memorial Hospital, Lu-Gang, Taiwan.

Country: China

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MEDLINETA: J Microbiol Immunol Infect

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