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.
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