“Infectious-disease experts say the most worrisome of the gram-negative bacteria may be acinetobacter, which is commonly found in soil and water, and may be carried by up to 40% of people on their skin.”
“Researchers found one dangerous germ, acinetobacter, is especially easy to spread — lurking on bed rails and IV pumps and other places that mean even workers not touching the patient could walk out contaminated.”
“The measures can be hard on patients and families, especially those placed in isolation, says Pat Rosenbaum, a nurse who is authoring new guidelines from the Association of Professionals in Infection Control and Epidemiology for the prevention of acinetobacter infections, to be released next year.”
“Most worrisome, says Centers for Disease Control and Prevention epidemiologist Arjun Srinivasan, is that bacteria like acinetobacter are becoming resistant to the class of drugs known as carbapenems, considered a last line of defense for gram-negative organisms.”
“The gram-negative bugs that pose the biggest threat include acinetobacter baumannii enterobacter aerogenes, and pseudomonas aeruginosa, which can attack through wounds, surgical incisions, central lines, respirators and catheters.”
“In October 2003, it found that a treatment known as pulsatile lavage -- which uses a spray-like device to irrigate and treat wounds -- was also dispersing acinetobacter from patients who carried the bug into the air via droplets.”
“Johns Hopkins learned the hard way how quickly acinetobacter can spread.”
“Trish Perl, a professor of medicine and hospital epidemiologist at Johns Hopkins, says the hospital has not had an outbreak of infection since changing its practices, but still sees patients colonized with acinetobacter coming into the hospital, especially from long-term care facilities; her group is paged every time a new case is identified to make sure that the appropriate precautions are in place.”
“I also haven't mentioned the case of my mother, who died at age 91 after the psychologist and geriatrician worked and worked on me to let her have antidepressants, and so I finally gave in, and to make a long story short she developed if not serotonin syndrome then something remarkably similar and had to go into the hospital, where she promptly picked up acinetobacter and died.”
“STARR: Infections in hospitals are nothing new, but one of the bacteria now showing up, acinetobacter, is resistant to almost all antibiotics.”
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