Prevalence of Acanthamoeba spp. in Tasmanian intensive care clinical specimens.
J Hosp Infect
; 86(3): 178-81, 2014 Mar.
Article
en En
| MEDLINE
| ID: mdl-24530084
BACKGROUND: Acanthamoebae are ubiquitous free-living environmental amoebae that may occasionally cause keratitis, granulomatous encephalitis, cutaneous lesions and systemic disease in humans. Acanthamoeba spp. have been implicated as a vehicle by which a number of common bacterial causes of healthcare-associated pneumonia may enter the lungs. Limited evidence has been found implicating Acanthamoeba spp. as a primary cause of pneumonia and urinary catheter colonization in intensive care patients. AIM: To explore the possibility of colonization of the respiratory and urinary tracts of intensive care patients with free-living amoebae. METHODS: Thirty-nine catheter urines, 50 endotracheal trap sputa and one general ward sputum sample from 45 patients and nine intensive care unit (ICU) environmental water samples were collected during a four-and-half-month period in the Royal Hobart Hospital from August 2011. FINDINGS: Acanthamoebae were isolated by culture and detected by polymerase chain reaction in two sputum samples from a single patient, taken one week apart. A single Acanthamoeba species isolate was detected by culture only from the ICU environment. CONCLUSION: Colonization of ICU patients' respiratory tracts with Acanthamoeba spp. does occur. This may have significance for the role of acanthamoebae as a source of bacterial pathogens in intensive therapy patients' respiratory tracts.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Infecciones del Sistema Respiratorio
/
Infecciones Urinarias
/
Acanthamoeba
/
Infección Hospitalaria
/
Amebiasis
/
Unidades de Cuidados Intensivos
Tipo de estudio:
Prevalence_studies
/
Risk_factors_studies
Límite:
Humans
País/Región como asunto:
Oceania
Idioma:
En
Revista:
J Hosp Infect
Año:
2014
Tipo del documento:
Article
Pais de publicación:
Reino Unido