MFF0072: Terrorist CRABs

It’s Monday 26 June 2017.

Show notes are available here

  • Going back to the alphabet
  • Acinetobacter species
  • Strictly aerobic mostly nonmotile, nonfermentative, Gram-negative coccobacilli although Acinetobacter are longer rods when found in broth
  • Some Greek and French background to the naming but it means nonmotile bacteria
  • The genus has about 40 species
  • Found in soil and water
  • Survives in moist and dry conditions and can also survive some common disinfectants and the genus has a broad temperature range in which it can grow
  • Survive on skin or surfaces for weeks
  • A hospital environment is not hostile
  • Acinetobacter is a common cause of healthcare-associated infection
  • Especially in critical care areas like intensive care units
  • Clinically, patients often develop pneumonia, bacteræmia, urinary tract infection as well as surgical wound infections
  • This pneumonia can be ventilator-associated pneumonia related to the presence of an endotracheal tube or aspiration
  • Urinary tract infection is found when an indwelling catheter is used
  • In hospitals colonised by Acinetobacter, surgical and other wounds can become infected
  • Acinetobacter easily develop resistance, including to carbapenems, which are some of the most powerful β-lactam agents, hence CRABs or Carbapenem-Resistant Acinetobacter baumannii (the most commonly isolated species)
  • What’s the terrorist connection?
  • 12 October 2002
  • 202 humans died plus 2 suicide bombers with 209 injured
  • Because of the burns, victims were dousing themselves in any water they could find, much of it was contaminated with CRABs
  • I’d like you to actually watch the video because there are some things in it I feel comfortable writing as a 3D caption rather than saying or writing here, especially my attitude to terrorists.

If you disagree with anything in these podcasts or if you would like to voice a different view, please feel free to write a comment. If I have said something incorrect I welcome correction. Please also feel free to share your comments on social media.

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Terrorist CRABs Gary Lum

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