Infection Control Programs and Antibiotic Control Programs to Limit Transmission of Multi-Drug Resistant Acinetobacter baumannii Infections: Evolution of Old Problems and New Challenges for Institutes

Chang-Hua Chen, Li-Chen Lin, Yu-Jun Chang, Yu-Min Chen, Chin-Yen Chang and Chieh-Chen Huang
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Chang-Hua Chen: The Infectious Disease Research Center, 135 Nan-Hsiao Street, Changhua 500, Taiwan
Li-Chen Lin: The Infectious Disease Research Center, 135 Nan-Hsiao Street, Changhua 500, Taiwan
Yu-Jun Chang: Epidemiology and Biostatics Center, Changhua Christian Hospital, 135 Nan-Hsiao Street, Changhua 500, Taiwan
Yu-Min Chen: Department of Pharmacy, Changhua Christian Hospital, 135 Nan-Hsiao Street, Changhua 500, Taiwan
Chin-Yen Chang: Division of Infectious Disease, Department of Internal Medicine, 135 Nan-Hsiao Street, Changhua 500, Taiwan
Chieh-Chen Huang: Department of Life Science, National Chung Hsing University, 250 Kuo-Kuang Road, Taichung 402, Taiwan

IJERPH, 2015, vol. 12, issue 8, 1-12

Abstract: Background: Acinetobacter baumannii complex ( A. baumannii ) has been isolated worldwide. The rapid spread of multidrug-resistant A. baumannii complex (MDRAB) in clinical settings has made choosing an appropriate antibiotic to treat these infections and executing contact precautions difficult for clinicians. Although controlling the transmission of MDRAB is a high priority for institutions, there is little information about MDRAB control. Therefore, this study evaluated infection control measures for A. baumannii infections, clusters and outbreaks in the literature. Methods: We performed a review of OVID Medline (from 1980 to 2015), and analyzed the literature. Results: We propose that both infection control programs and antibiotic control programs are essential for control of MDRAB. The first, effective control of MDRAB infections, requires compliance with a series of infection control methods including strict environmental cleaning, effective sterilization of reusable medical equipment, concentration on proper hand hygiene practices, and use of contact precautions, together with appropriate administrative guidance. The second strategy, effective antibiotic control programs to decrease A. baumannii , is also of paramount importance. Conclusion: We believe that both infection control programs and antibiotics stewardship programs are essential for control of MDRAB infections.

Keywords: infection control programs; antibiotic control programs; Acinetobacter baumannii complex; multidrug-resistant (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2015
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