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Wiwanitkit: Multidrug-resistant Acinetobacter baumannii infection in the intensive care unit
We read the report entitled "Multidrug-resistant Acinetobacter baumannii infection in intensive care unit patients in a hospital with building construction: is there an association?" [1] with great interest. In this report, Kamalbeik et al. [1] concluded that "further research is necessary to establish a relationship between A. baumannii and soil, (especially in regards to its bioremediation)." In fact, there have been many reports of A. baumannii within hospitals in many settings worldwide [1,2,3]. Outbreaks in intensive care units are important considerations and should be a focus of postoperative infection control [1,4]. The source of an infectious outbreak in the intensive care unit is usually unexpected and may include uncommon sources such as contaminated medical apparatus [4]. The role of the anesthesiologist is to promote good clinical practice according to infection control principles. Routine surveillance for possible contamination of medical apparatuses is also suggested.


1. Kamalbeik S, Talaie H, Mahdavinejad A, Karimi A, Salimi A. Multidrug-resistant Acinetobacter baumannii infection in intensive care unit patients in a hospital with building construction: is there an association? Korean J Anesthesiol 2014; 66: 295-299. PMID: 24851165.
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2. Çıçek AÇ, Düzgün AÖ, Saral A, Kayman T, Çızmecı Z, Balcı PÖ, et al. Detection of class 1 integron in Acinetobacter baumannii isolates collected from nine hospitals in Turkey. Asian Pac J Trop Biomed 2013; 3: 743-747. PMID: 23998017.
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3. Huang LY, Chen TL, Lu PL, Tsai CA, Cho WL, Chang FY, et al. Dissemination of multidrug-resistant, class 1 integron-carrying Acinetobacter baumannii isolates in Taiwan. Clin Microbiol Infect 2008; 14: 1010-1019. PMID: 19040472.
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4. Alfandari S, Gois J, Delannoy PY, Georges H, Boussekey N, Chiche A, et al. Management and control of a carbapenem-resistant Acinetobacter baumannii outbreak in an intensive care unit. Med Mal Infect 2014; 44: 229-231. PMID: 24840286.
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