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Outbreak of Acinetobacter multidrug-resistant infection in a veterinary teaching hospital
S. Kuzi, S. E. Blum, N. Kahane, A. Adler, O. Hussein, G. Segev, I. Aroch
HEALTH care-associated infections (HCAIs) in people are major challenges to health care providers, increasing cost, morbidity and mortality. Members of the Acinetobacter calcoaceticus-Acinetobacter baumannii complex (ACBc) have emerged as opportunistic, HCAI pathogens and have been associated with disease among animals in veterinary care facilities. This report describes a HCAI outbreak with a virulent, multidrug-resistant (MDR) ACBc in a veterinary teaching hospital.
A retrospective database search was conducted for dogs and cats presented to the Hebrew university veterinary teaching hospital, in which bacterial culturing yielded ACBc cultures, between January 2010 (up to seven months before the detection of the first infection) and December 2012. Animals were diagnosed with HCAI only if ACBc was cultured from samples obtained 48 hours or more after hospitalisation.
The first MDR ACBc was isolated in July 2010, followed by five additional cases isolated during that year. An ACBc outbreak was recognised in May 2011, with 15 of 23 animals presenting between January and July 2011. Two infections were isolated later (October 2011 and November 2012). …