Research Article

The First Outbreak Caused by Acinetobacter baumannii ST208 and ST195 in China

Table 1

Characteristics of the five patients infected with multidrug resistant (MDR) Acinetobacter baumannii strains.

Patient Isolate numberAge (years)/sexType of specimenDate of isolationUnderlying disease/predisposingLength of hospitalization in unit (days)Laboratory findingsRadiologic findingType of infectionAntimicrobial used as treatment for infectionoutcome

1A1 40/FRespiratory tract secretions2013/04/22AAT, CP, EI, T, and PN57Elevation of PCT, CRP, and leukocytosis; positive culture (tracheal aspirate)Diffuse bilateral exudation with patchy and massPneumoniaSCF/MEMImproved
A2Respiratory tract secretions2013/05/05AAT, CP, EI, T, and PN Elevation of PCT, CRP, and leukocytosis; positive culture (tracheal aspirate)Diffuse bilateral exudation with patchy and massPneumoniaMEM

2A349/FRespiratory tract secretions2013/04/22AAT, CP, EI, T, PN, and AAB 118Elevation of PCT, CRP, and leukocytosis; positive culture (tracheal aspirate)Diffuse bilateral exudation with patchy and mass; pneumomediastinumPneumoniaSCF/TGC/AKDeceased

3A442/FRespiratory tract secretions2013/04/22AAT, CP, EI, T, PN, CRP, and AAB52Elevation of PCT, CRP, and leukocytosis; positive culture (tracheal aspirate)Diffuse bilateral exudation with patchy and massPneumoniaSCF/TGC/AKDeceased

4A5 41/FRespiratory tract secretions2013/04/22AAT, CP, EI, T, and PN59Elevation of PCT, CRP, and leukocytosis; positive culture (tracheal aspirate)Diffuse bilateral exudation with patchy and massPneumoniaSCF/AKDischarged
A6Respiratory tract secretions2013/05/05AAT, CP, EI, T, PN, and CVCElevation of PCT, CRP, and leukocytosis; positive culture (tracheal aspirate)Diffuse bilateral exudation with patchy and massPneumoniaTGC

5A742/FRespiratory tract secretions2013/04/22AAT, CP, EI, T, and PN104Elevation of PCT, CRP, and leukocytosis; positive culture (tracheal aspirate)Diffuse bilateral exudation with patchy and massPneumoniaSCF/TGC/TZPDischarged

F, female; AAT, acute ammonia intoxication; CP, chemical pneumonitis; EI, endotracheal intubation; T, tracheotomy; PN, parenteral nutrition; AAB, anhydrous ammonia burns; CPR, after cardiopulmonary resuscitation; CVC, central venous catheters; PCT, procalcitonin; CRP, C-reactive protein; TGC, tigecycline; SCF, cefoperazone sulbactam; AK, amikacin; MEM, meropenem; TZP, piperacillin-tazobactam.