Title |
Emergence of carbapenem-resistant Acinetobacter baumannii as the major cause of ventilator-associated pneumonia in intensive care unit patients at an infectious disease hospital in southern Vietnam
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Published in |
Journal of Medical Microbiology, July 2014
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DOI | 10.1099/jmm.0.076646-0 |
Pubmed ID | |
Authors |
Nguyen Thi Khanh Nhu, Nguyen Phu Huong Lan, James I Campbell, Christopher M Parry, Corinne Thompson, Ha Thanh Tuyen, Nguyen Van Minh Hoang, Pham Thi Thanh Tam, Vien Minh Le, Tran Vu Thieu Nga, Tran Do Hoang Nhu, Pham Van Minh, Nguyen Thi Thu Nga, Cao Thu Thuy, Le Thi Dung, Nguyen Thi Thu Yen, Nguyen Van Hao, Huynh Thi Loan, Lam Minh Yen, Ho Dang Trung Nghia, Tran Tinh Hien, Louise Thwaites, Guy Thwaites, Nguyen Van Vinh Chau, Stephen Baker |
Abstract |
Ventilator associated pneumonia (VAP) is a serious hospital acquired infection that affects up to 30% of intubated patients on intensive care units (ICUs) worldwide. The aetiology of VAP is highly variable and can differ between countries, national provinces, and even between different wards in same hospital. We aimed to understand and document changes in the causative agents of VAP and their corresponding antimicrobial susceptibility profiles retrospectively over an 11 year-period in a major infectious disease hospital in southern Vietnam. Our analysis outlines a significant shift from Pseudomonas aeruginosa to Acinetobacter baumannii as the most prevalent bacteria isolated from tracheal aspirates in patients with VAP in this setting. Antimicrobial resistance was extensive across all bacterial species and we found a dramatic proportional annual increase in carbapenem resistant Acinetobacter baumannii over a three-year period from 2008 (annual trend; OR 1.656, p=0.010). We further investigated the emergence of carbapenem resistant Acinetobacter baumannii, finding a blaNDM-1 positive isolate and a specific clone containing blaOXA23 and blaOXA51 that was positively associated with an upsurge in the isolation of this pathogen. Our work outlines the emergence of carbapenem resistant clone of Acinetobacter baumannii in Vietnam, and highlights a worrying trend in antimicrobial resistant Gram-negative bacteria circulating in this infectious disease hospital. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 2 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 1 | <1% |
United States | 1 | <1% |
Unknown | 103 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 15 | 14% |
Researcher | 15 | 14% |
Student > Postgraduate | 9 | 9% |
Student > Ph. D. Student | 9 | 9% |
Other | 6 | 6% |
Other | 18 | 17% |
Unknown | 33 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 24 | 23% |
Agricultural and Biological Sciences | 9 | 9% |
Immunology and Microbiology | 9 | 9% |
Biochemistry, Genetics and Molecular Biology | 6 | 6% |
Unspecified | 4 | 4% |
Other | 15 | 14% |
Unknown | 38 | 36% |