Int. Rev. Allergol. Clin. Immunol. Family Med., 2015, XXI/3: 127-133

SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN POLISH.

Clinical forms of hospital-acquired infections caused by Acinetobacter baumannii and the reasons for failures in antibiotic therapy

Grochowalska A1, Kozioł-Montewka M2, Czerwińska E3.

1Mazowian Specialistic Hospital in Radom, Laboratory of Microbiology; 2State High School in Biała Podlaska; 3Mazowian Specialistic Hospital in Radom, Department of Otolaryngology

Int. Rev. Allergol. Clin. Immunol. Family Med., 2015; Vol. 21, No. 3, 129

With advances in medicine associated with the use of new invasive medical procedures, there has been a significant increase in nosocomial infections. These complications affect most of hospitalized patients in the intensive care units, hematology and surgical wards. These microorganisms cause epidemic outbreaks of often long or recurrent character. According to data from the literature an increase in the number of infections caused by Acinetobacter baumannii has been observed. Most of the literature has focused on the evaluation of increasing resistance of the microorganism to antibiotics. In order to choose the corrected effective targeted antibiotic and empirical therapy according to the local epidemiological data, the microbiological diagnostics is performed. However, the elimination of infection caused by Acinetobacter should not be limited only to antibiotic therapy, especially in patients with additional diseases. The optimal strategy of conduct should be seeking other possibilities of effective treatment and evaluation of the risk factors of infection and failure of antibiotic therapy. In the case of modifiable causes of action should be to reduce them. The paper presents a new look at modifiable and non-modifiable risk factors for infections, including opportunistic pathogen, that often determine the success of treatment.

Key words: nosocomial infections, Acinetobacter baumannii, risk factors