Transmission of opportunistic pathogens in a veterinary teaching hospital
Transmission of opportunistic pathogens in a veterinary teaching hospital
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DOI：
10.1016/s0378-1135(01)00396-0
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发表时间：
2001-10-01
影响因子：
3.3
通讯作者：
Schawalder, P
中科院分区：
文献类型：
--
作者：
Boerlin, P;Eugster, S;Schawalder, P
采用脉冲场凝胶电泳法对某兽医教学医院手术感染创面及其他感染部位分离的鲍曼不动杆菌、粪肠球菌、屎肠球菌和中间葡萄球菌进行了分型。1998-1999年，在狗和猫身上观察到了第一批感染多重耐药鲍曼不动杆菌菌株的病例。在对同伴动物重症监护病房进行清洁和消毒后，这种菌株消失了。在它之后的2000年，又出现了第二种多重耐药菌株，它导致了另一组感染，并也传播给了附近马匹诊所的一名患者。在同一时期，还观察到一种多重耐药的粪肠球菌菌株在两只患有手术伤口感染的猫之间传播。在此期间没有观察到中间链球菌的多重耐药菌株，这种细菌似乎没有在患者之间发生传播。这项研究表明，兽医的医院耐药性问题可能与人类医学中遇到的问题类似。提示鲍曼不动杆菌和粪肠球菌医院感染的流行病学可能不同于中间链球菌感染，预防措施可能需要针对问题微生物采取相应的预防措施。(C)2001 Elsevier Science B.V.保留所有权利。
Acinetobacter baumannii, Enterococcus faecalis, enterococcus faecium, and Staphylococcus intermedius isolates from infected surgical wounds and other types of infections in a veterinary teaching hospital were typed by pulsed field gel electrophoresis. A first cluster of infections with a multiresistant A. baumannii strain was observed in dogs and cats in 1998-1999. This strain disappeared after cleaning and disinfection of the companion animals intensive care unit. It was followed in 2000 by a second multiresistant strain, which caused another cluster of infections and was also transmitted to a patient in the nearby horse clinic. Transmission of a multiresistant E. faecium strain between two cats with surgical wound infections was also observed during the same period. No multiresistant S. intermedius strain was observed during this time and transmission of this organism between patients did not seem to occur. The present study demonstrates the potential for hospital nosocomial resistance problems in veterinary medicine similar to those encountered in human medicine. The results suggest that the epidemiology of nosocomial infections with A. baumannii and E. faecium may differ from that of S. intermedius infections and that preventive measures may have to be adapted to the problem organism. (C) 2001 Elsevier Science B.V. All rights reserved.