Nosocomial Bacteremia in Spain

The role of Acinetobacter as a cause of nosocomial bacteremia.

Nosocomial outbreak of Microbacterium species bacteremia among cancer patients.

To date, only 6 sporadic Microbacterium species (formerly coryneform Centers for Disease Control and Prevention [CDC] groups A-4 and A-5) infections have been reported. The source, mode of transmission, morbidity, mortality, and potential for nosocomial transmission of Microbacterium species remain unknown. From 26 July through 14 August 1997, 8 episodes of coryneform CDC group A-5 symptomatic ...

Nosocomial transmission of multidrug-resistant Mycobacterium tuberculosis in Spain.

Before 1990, outbreaks of multidrug-resistant tuberculosis (MDRTB) were uncommon (1); since then, more than 10 outbreaks have been reported, all in hospitals and prisons in the eastern United States (2-7). Persons traditionally considered at risk for MDRTB (foreign-born TB patients and those inadequately treated for TB) have not been associated with these outbreaks. Instead, the presence of pat...

Defining the population-based burden of nosocomial pneumococcal bacteremia.

BACKGROUND The characteristics, risk factors, and outcome of patients with nosocomial pneumococcal bacteremia (NPB) have not been described in large, population-based studies. METHODS All episodes of invasive pneumococcal infections reported by Finnish clinical microbiology laboratories (positive blood or cerebrospinal fluid culture) from January 1, 1995, through December 31, 2002, were linke...

Globally expanding carbapenemase finally appears in Spain: nosocomial outbreak of acinetobacter baumannii producing plasmid-encoded OXA-23 in Barcelona, Spain.

Resistance of Acinetobacter baumannii clinical isolates to carbapenems is on the rise worldwide mainly in association with the production of OXA-23. Until recently, however, OXA-23 was absent in Spain. In this work, we report the molecular characterization of a hospital outbreak of OXA-23-producing A. baumannii in Barcelona caused by a multidrug-resistant (MDR) clone belonging to international ...