Community-acquired in name only: A cluster of carbapenem-resistant Acinetobacter baumannii in a burn intensive care unit and beyond.
Erica S ShenoyVirginia M PierceMohamad R A SaterFebriana K PangestuIan C HerriottMelis N AnahtarJuliet T BramanteDouglas S KwonFred R HawkinsDolores SuslakLauren R WestMiriam H HuntleyDavid C HooperPublished in: Infection control and hospital epidemiology (2020)
We report a cluster of highly resistant Acinetobacter baumannii that occurred in a burn ICU over 5 months and then spread to a separate ICU. Two case patients developed infections classified as community acquired under standard epidemiological definitions, but WGS revealed clonality, highlighting the risk of burn patients for early-onset nosocomial infections. An extensive investigation identified the role of environmental reservoirs.