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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

Overview of attention for article published in Journal of Medical Microbiology, July 2014
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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
Published in
Journal of Medical Microbiology, July 2014
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

X Demographics

The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 104 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 <1%
United States 1 <1%
Unknown 102 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 16 15%
Researcher 15 14%
Student > Postgraduate 9 9%
Student > Ph. D. Student 9 9%
Student > Bachelor 6 6%
Other 14 13%
Unknown 35 34%
Readers by discipline Count As %
Medicine and Dentistry 25 24%
Immunology and Microbiology 9 9%
Agricultural and Biological Sciences 9 9%
Biochemistry, Genetics and Molecular Biology 6 6%
Pharmacology, Toxicology and Pharmaceutical Science 3 3%
Other 12 12%
Unknown 40 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 November 2014.
All research outputs
#16,048,318
of 25,374,917 outputs
Outputs from Journal of Medical Microbiology
#2,046
of 2,960 outputs
Outputs of similar age
#128,429
of 239,788 outputs
Outputs of similar age from Journal of Medical Microbiology
#14
of 32 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. This one is in the 34th percentile – i.e., 34% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,960 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.4. This one is in the 29th percentile – i.e., 29% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 239,788 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 43rd percentile – i.e., 43% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 32 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 53% of its contemporaries.