caa a22 4500 388033460 CHVBK 20180307124958.0 cr unu---uuuuu 161130e199803 xx s 000 0 eng 10.1086/647793 doi S0195941700087154 pii (NATIONALLICENCE)cambridge-10.1086/647793 Colonization by Acinetobacter baumanii in Intensive-Care-Unit Patients [Elektronische Daten] We prospectively studied the value of systematic rectal swabs performed for the detection of colonization and the prediction of infections by Acinetobacter baumanii in 751 consecutive patients admitted to five intensive-care units (ICUs) over an 8-month period. Gastrointestinal tract colonization was found in 8.7% of ICU admissions. The positive and negative predictive values of rectal swabs for the detection of subsequent infection were 17% and 99%, respectively. Sensitivity and specificity were 55% and 93%, respectively. We also determined the comparative values of rectal or nasal swabs and skin cultures for the detection of A baumanii colonization in 25 patients already colonized or infected with A baumanii. The combination of rectal and nasal swabs was positive in 20 (80%) of 25. The results of the present study suggest that detection of gastrointestinal tract A baumanii colonization is not an accurate predictor of subsequent A baumanii infection and that combined rectal and nasal swabs might be used for the detection of A baumanii colonization in ICU patients. Copyright © The Society for Healthcare Epidemiology of America 1998 Lortholary Olivier Fagon Jean-Yves Hoi Annie Buu Mahieu Geneviève Gutmann Laurent Infection Control & Hospital Epidemiology Cambridge University Press 19/3(1998-03), 188-190 0899-823X 19:3<188 1998 19 ICE https://doi.org/10.1086/647793 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1086/647793 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lortholary Olivier NATIONALLICENCE 700 1- Fagon Jean-Yves NATIONALLICENCE 700 1- Hoi Annie Buu NATIONALLICENCE 700 1- Mahieu Geneviève NATIONALLICENCE 700 1- Gutmann Laurent NATIONALLICENCE 773 0- Infection Control & Hospital Epidemiology Cambridge University Press 19/3(1998-03), 188-190 0899-823X 19:3<188 1998 19 ICE CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge