Acinetobacter baumannii is a nosocomial infection, a hospital acquired infection. While many Acinetobacters are found in the soil and water baumannii is very rare outside the health care setting. Look for this to change though as it is rapidly contaminating health care facilities and more people will be carrying it out with them.
Acinetobacter baumannii strains have been in some of our hospitals here in the US for many years though the extreme drug resistance is more recent.
Acinetobacter baumannii strains from the Military Evacuation System from Iraq match those found in Europe. It was noted by the staff at the field hospital dogwood that dirty medical equipment had arrived from Germany. My husband was sent to the field hospital Dogwood and later tested positive for Acinetobacter baumannii .
Understaffing and overcrowding make the prime environment for a nosocomial pathogen. The military evacuation system was not prepared to handle the onslaught of casualties and little was done to improve the catastrophe. It was supposed to be a temporary situation.
Add this to the lavish use of broad spectrum antiobiotics which were used to stave off possible infections but actually contributed to the drug resistance of pathogens like Acinetobacter baumannii, MRSA, Klebsiella pnuemonia, C diff, and others which were already resistant to the antibiotics being used.
Landstuhl, Walter Reed Army Medical Center, Bethesda Naval, Brooke Army Medical Center, Balboa in California, Tripler in Hawaii all became heavily contaminated with Acinetobacter baumannii. Many lives and limbs have been lost to this bug that would otherwise have been saved.
Wounded soldiers are often sent to civilian facilities closer to their homes to recover. Wounded civilian contractors are repatriated from Landstuhl to civilian facilities near their homes.
The entire military health system, to include the VA health system, has been contaminated with Acinetobacter baumannii.
VA Medical Centers are always connected to a civilian learning hospital. Doctors and other staff often work at VAMC's and civilian hospitals too. There is alot of traffic between these facilities. Acinetobacter baumannii is easily transmittable via a necktie, labcoat, cellphone, hospital curtains.
I track Acinetobacter baumanniis infections. It has rapidly spread throughout our health care systems. Some of the strains are domestic and were already here. Some of the strains, particularly the extremely drug resistant strains are from the military health system.
Whichever the origin of the Acinetobacter baumannii strains one thing rings true for them all, they are spread through negligence. Our hospitals do not have to report these infections and there is little incentive for them to clean up their acts. Try callling your local hospital or health department and ask about any of these nosocomial infections and see how little you will be told.
I am happy to answer any further questions anyone may have.
junglem@yahoo.com