Community Acquired Multi Drug Resistant Pneumonia Due To Acinetobacter Baumannii Infection – A Case Report.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 6
Abstract
Acinetobacter baumannii has been attracting increasing attention in India and worldwide, due to their increasing prevalence of multi drug resistance. Initially though restricted to intensive care units with the increasing prevalence has spread to other areas in hospital with reports from community settings also. The available literature about Acinetobacter suggests that the pathogen has the potential to cause community-acquired infections ranging from pneumonia, meningitis, soft tissue infections and also ocular infections. Herein we describe the present a case who was admitted with community acquired pneumonia (CAP) secondary to multidrug resistance (MDR) Acinetobacter with sepsis. She improved on last-line antibiotics, and was discharged home. Introduction A.baumannii is a gram-negative short bacilli and is a normal commensal bacteria on human skin. Acinetobacter’s are considered to be ubiquitous microorganisms, since they are found frequently in soil, water, and dry environments and have also been isolated from the hospital environment, foods, and animals. Acinetobacter species are probably the group of gram-negative bacteria that are natural residents of human skin. The recent studies report a colonization rate of 42.5% in healthy individuals and 75% in patients which is higher than the previously described colonization rate of 25% in healthy individuals (1,2). Acinetobacter infections are most commonly reported from ICU’s and the most common clinical forms are as ventilator associated pneumonia and blood stream infections. Community acquired infections are reported in literature in the form of case series and reports. The most commonly reported infections were pneumonia’s and bacteremia’s, followed by meningitis, skin and soft tissue infections, ocular and native valve endocarditis (3). There have been very few reports of MDR community acquired pneumonias.
Authors and Affiliations
Dr Chenna Keshava BG
Keywords
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