Médecine et maladies infectieuses
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Multicenter Study
[Prevalence of Acinetobacter baumannii carriage in patients of 53 French intensive care units on a given day].
This study was made to evaluate multiresistant Acinetobacter baumannii colonization in French intensive care units. ⋯ Overall, A. baumannii colonization is limited except during epidemic situations. Our study reflects the carriage of A. baumannii in ICUs on a given day. This study showed that there was no multiresistant A. baumannii epidemic clone, potentially responsible for outbreaks, present in the tested French ICUs.
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Post-surgical meningitis and/or ventriculitis caused by Gram-negative bacteria may be difficult to treat due to the emergence of multiresistant strains. Two patients with multiresistant Acinetobacter baumannii central nervous system infection, successfully treated with either intravenous and/or intraventricular colistin are presented. Unresolved issues such as dose and duration of intraventricular colistin are discussed.