AI Article Synopsis
- The study focuses on the rise of Carbapenem-resistant Acinetobacter baumannii (CRAB) as a major threat in healthcare-associated infections in Taiwan from 2003 to 2008.
- There was a noticeable increase in CRAB-related infections, especially in central Taiwan, where the proportion rose significantly from 4% to 62%.
- A strong correlation was found between the usage of anti-pseudomonal carbapenems and the rise of CRAB infections, suggesting that careful management of these antibiotics could help control the issue.
Article Abstract
Objective: Carbapenem-resistant Acinetobacter baumannii (CRAB) has emerged as an important pathogen causing healthcare-associated infections (HAIs) in Taiwan. The present study is aimed to investigate the epidemiology of HAIs caused by CRAB and the association of CRAB infection and hospital usage of different antimicrobials.
Methods: Two nationwide databases in the period 2003 to 2008, the Taiwan Nosocomial Infection Surveillance System and National Health Insurance claim data, were used for analysis. A total of 13,811 healthcare-associated A. baumannii infections and antimicrobial usage data from 121 hospitals were analyzed.
Results: There was a significant increase in the proportion of number of HAIs caused by CRAB over that by all A. baumannii (CRABpAB), from 14% in 2003 to 46% in 2008 (P<0.0001). The greatest increase was in central Taiwan, from 4% in 2003 to 62% in 2008 (P<0.0001). Use of anti-pseudomonal carbapenems, but not other classes of antibiotics, was significantly correlated with the increase of CRABpAB (r = 0.86, P<0.0001).
Conclusions: We suggested that dedicated use of anti-pseudomonal carbapenems would be an important intervention to control the increase of CRABpAB.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3357347 | PMC |
| http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0037788 | PLOS |
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