MULTIDRUG-RESISTANT ACINETOBACTER BAUMANNII FROM NOSOCOMIAL URINARY TRACT INFECTION: A CASE REPORT
The worldwide emergence of multidrug-resistant (MDR) Acinetobacter baumannii and high morbidity and mortality associated with this infection,
present a challenge to clinicians. Emergence of resistance to multiple classes of antibiotics has limited the therapeutic options. In this case report, we
describe the clinical presentation, risk factors, laboratory evaluation and therapeutic outcome of a 70-year-old patient who developed nosocomial
urinary tract infection caused by MDR A. baumannii due to prolonged stay in intensive care unit, exposure to broad spectrum antibiotics and indwelling
Keywords: Acinetobacter baumannii, Urinary tract infection, Nosocomial infection, Antimicrobial resistance.
Rosenbaum P, Aureden K, Cloughessy M, Goss L, Kassai M, Streed SA. Guide to the elimination of multidrug-resistant Acinetobacter baumannii transmission in healthcare settings. Washington, DC: APIC; 2010. Available from: https://www.docs.google.com/viewer?url=http://www.apic.org/resource_/eliminationguideform/b8b0b11f-1808-4615-890b-f652d116ba56/file/apic-ab-guide.pdf?time=0.
Pour NK, Dusane DH, Dhakephalkar PK, Zamin FR, Zinjarde SS, Chopade BA. Biofilm formation by Acinetobacter baumannii strains isolated from urinary tract infection and urinary catheters. FEMS Immunol Med Microbiol 2011;62(3):328-38.
Coyne S, Courvalin P, PÃ©richon B. Efflux-mediated antibiotic resistance in Acinetobacter spp. Antimicrob Agents Chemother 2011;55(3):947-53.
Collee J, Fraser A, Marmion B, Simmons A. Mackie and McCartney Practical Medical Microbiology. 14th ed. London: Churchhill Livingstone; 1996.
Tabassum S. Multidrug-resistant (MDR) Acinetobacter: A major nosocomial pathogen challenging physicians. Bangladesh J Med Microbiol 2007;1(2):65-8.
Taneja N, Singh G, Singh M, Sharma M. Emergence of tigecycline & colistin resistant Acinetobacter baumanii in patients with complicated urinary tract infections in north India. Indian J Med Res 2011;133:681-4.
Sharma J, Gulati N, Chander J. Drug resistant urinary isolates of Pseudomonas aeruginosa and Acinetobacter species. J Glob Infect Dis 2010;2(3):315-7.
Volkow-FernÃ¡ndez P, RodrÃguez CF, Cornejo-JuÃ¡rez P. Intravesical colistin irrigation to treat multidrug-resistant Acinetobacter baumannii urinary tract infection: a case report. J Med Case Rep 2012;6:426.
Giua R, Pedone C, Cortese L, Antonelli Incalzi R. Colistin bladder instillation, an alternative way of treating multi-resistant Acinetobacter urinary tract infection: a case series and review of literature. Infection 2014;42(1):199-202.
How to Cite
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.