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Acinetobacter Baumannii

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Acinetobacter Baumannii

What is Acinetobacter baumannii?

Acinetobacter baumannii is an intrinisically antibiotic resistant bacterium that can cause nosocomial infections. Nosocomial infections are hospital acquired infections.

Acinetobacter baumannii is very rarely ever found outside the hospital environment.

Multiple and extremely drug resistant Acinetobacter baumannii are very dangerous strains some of which have grown completely resistant to every antimicrobial available.

Acinetobacter baumannii Myths

Acinetobacter baumannii does not come from bombs put inside dead animals, or from animal feces in IED's.  It is not blown into wounds with the soil or sand in Iraq or Afghanistan.

Acinetobacter baumannii is spread through negligence.

What makes Acinetobacter baumanii so scary?

Acinetobacter baumannii is extremely hardy and known to survive on dry surfaces for up sixty days
.
Acinetobacter baumannii is very adept at picking up resistant genes from other bacteria
.
In the laboratory setting Acinetobacter baumannii has begun to grow resistant to drugs such as Colistin in as little as 12 hours.

Acinetobacter baumannii claimed mortality rates range from 25% to 75%.

Where does Acinetobacter baumannii come from?

Acinetobacter species in general are found in soil and water.

Acinetobacter baumannii species are rarely ever found outside of the hospital environment and thrive in wet or on dry surfaces.

How do you get Acinetobacter baumannii?

Aspiratives, someone coughs on you.  Also lavage equipment which uses a water spray to clean wounds.

It has also been cultured from contaminated surgical equipment, contaminated IV lines, ports, trachs, catheters, ventilating equipment Your doctors tie or lab coat, hospital bed curtains, linens, cell phones, computer keyboards.

Doctors or nurses going from patient to patient whether they wash their hands or not.

Poor infectious disease control practices are the number one cause of nosocomial infections.

Almost 40% of protective gowns and gloves worn by health care workers who were exposed to patients with multidrug resistant Acinetobacter baumannii became contaminated during contact, according to findings presented at the 2009 meeting of the Society of Healthcare Epidemiologists of America, held in San Diego.

Is Acinetobacter baumannii contagious?

Yes, and contrary to propaganda you do not have to be immunocomprised for Acinetobacter baumannii to cause an infection. Hospital workers are increasingly becoming infected.
A dog in Florida tested positive for Acinetobacter baumannii in it's blood recently.

Can you be a carrier of Acinetobacter baumannii without being sick?

The military found strains of Acinetober baumannii that were not the drug resistant strain on the skin of  soldiers who were not hospitalized or infected.

Acinetobacter baumannii is thought to be carried in healthy persons much like MRSA without causing infection.

Can Acinetobacter recur?

There is no way to know when and if Acinetobacter baumannii is cleared from the body.  If it is not cleared from the body it could recur at any time.

Acinetobacter baumannii colonization vs. infection?

Colonization is when the Acinetobacter baumannii is present and growing but not causing and infection. Infection is when the bacteria have begun to cause an infection in its host. Normal signs of infection do not always occur.

What types of infections does Acinetobacter baumannii cause?

Pnuemonia, bloodstream sepsis, endocarditis, gastrointestinal, surgical site infections, wound infections, meningitis, urinary tract infections, picc line infections, skin infections, dophthalmitis (an infection of the lining of the eye)

Can you die from Acinetobacter baumannii?

Yes, especially once the bacteria has spread into the bloodstream and caused sepsis.

How do you treat Acinetobacter baumannii?

When Acinetobacter baumannii is identified it should also be tested for which drugs it is sensitive too. Some strains of Acinetobacter baumannii are still sensitive to available antibiotics.

There are now strains of Acinetobacter baumannii which are resistant to every antibiotic available.

Some patients are simply sent to nursing homes and other long term care facilities to die, and possibly infect other patients.

How long does it take to recover from Acinetobacter baumannii infections?

Recovering from Acinetobacter baumannii infections and recovering from the drugs used to treat them will be two different things.   

Long after the infection is brought under control the ravages done to other organ systems such as the kidneys and the liver and immune system may never return to normal function.

 

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