Association of Acinetobacter Baumannii with invasive procedures in hospitalized patients in Jakarta

Lucky H Moehario1, Tasia Esterita2, Valencia Shirleen3

  • 1Department of Microbiology, School of Medicine and Health Sciences of Atma Jaya Catholic University of Indonesia. luckyhmoehario@gmail.com.

Abstract

Insights

Acinetobacter baumannii infections in Jakarta hospitals are linked to ventilator use in the ICU and urinary catheters in wards. Most strains were multidrug-resistant, but all remained susceptible to colistin.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Hospital Epidemiology

Background:

  • Acinetobacter baumannii is a multidrug-resistant Gram-negative bacterium causing nosocomial infections.
  • Risk factors for Acinetobacter baumannii infections have been previously documented.
  • Understanding specific associations in different hospital settings is crucial for infection control.

Purpose of the Study:

  • To investigate the association between Acinetobacter baumannii positive cultures and invasive procedures in hospitalized patients.
  • To identify specific risk factors for Acinetobacter baumannii acquisition in Intensive Care Units (ICU) and Internal Medicine Wards (IMW).

Main Methods:

  • A retrospective, 1:1 matched case-control study was conducted.
  • Data from in-patients in an ICU and IMW in Jakarta from 2015-2018 were analyzed.
  • Acinetobacter baumannii positive cultures were compared with multi-sensitive bacteria controls.

Main Results:

  • A significant association was found between Acinetobacter baumannii positive culture and ventilator use in the ICU (p=0.039).
  • Urinary catheter use in the IMW showed a significant association with Acinetobacter baumannii positive culture (p=0.022).
  • Multivariate analysis indicated that length of stay in the ICU was also associated with Acinetobacter baumannii positive culture.

Conclusions:

  • Ventilator use in ICUs and urinary catheters in IMWs are significant risk factors for Acinetobacter baumannii positive cultures.
  • All identified Acinetobacter baumannii isolates demonstrated susceptibility to colistin.
  • These findings highlight the importance of targeted infection control measures based on invasive procedures.

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