Comparative Analysis of Carbapenem-Resistant Acinetobacter baumannii Sequence Types in Southern Brazil: From the First Outbreak (2007–2008) to the Endemic Period (2013–2014)

2019 ◽  
Vol 25 (4) ◽  
pp. 538-542 ◽  
Author(s):  
Mariana Pagano ◽  
Luciana S. Nunes ◽  
Marina Niada ◽  
Afonso Luís Barth ◽  
Andreza F. Martins
Keyword(s):  
Comparative Analysis ◽  
Acinetobacter Baumannii ◽  
Southern Brazil ◽  
Carbapenem Resistant ◽  
Sequence Types

scholarly journals Sequence types of Portuguese carbapenem-resistant Acinetobacter baumannii isolates collected over 10 years

2010 ◽  
Vol 65 (10) ◽  
pp. 2254-2256 ◽  
Author(s):  
G. J. Da Silva ◽  
N. Mendonca ◽  
G. Batista ◽  
A. Duarte
Keyword(s):  
Acinetobacter Baumannii ◽  
Carbapenem Resistant ◽  
Sequence Types

Temporal evolution of carbapenem-resistant Acinetobacter baumannii in Curitiba, southern Brazil

2010 ◽  
Vol 38 (4) ◽  
pp. 308-314 ◽  
Author(s):  
Karina Eugênia Schimith Bier ◽  
Simone Oliveira Luiz ◽  
Mara Cristina Scheffer ◽  
Ana Cristina Gales ◽  
Maria Cristina Paganini ◽  
...  
Keyword(s):  
Acinetobacter Baumannii ◽  
Temporal Evolution ◽  
Southern Brazil ◽  
Carbapenem Resistant

Carbapenem-susceptible Acinetobacter baumannii carrying the ISAba1 upstream blaOXA-51-like gene in Porto Alegre, southern Brazil

2012 ◽  
Vol 141 (2) ◽  
pp. 330-333 ◽  
Author(s):  
M. PAGANO ◽  
A. F. MARTINS ◽  
A. B. M. P. MACHADO ◽  
J. BARIN ◽  
A. L. BARTH
Keyword(s):  
Antimicrobial Resistance ◽  
Acinetobacter Baumannii ◽  
Clinical Isolates ◽  
High Morbidity ◽  
Southern Brazil ◽  
Porto Alegre ◽  
Integrase Gene ◽  
Carbapenem Resistant ◽  
High Prevalence ◽  
Class 1

SUMMARYOver the last decade, Acinetobacter baumannii resistant to carbapenems has emerged in many medical centres and is commonly associated with high morbidity and mortality. We investigated potential mechanisms contributing to antimicrobial resistance of 58 clinical isolates of A. baumannii collected during a prolonged city-wide outbreak in five different hospitals in southern Brazil. The integrase gene was detected in 51 (87·9%) isolates of which 36 harboured class 2 integrons alone and 14 had both class 1 and 2 integrons; all carbapenem-resistant isolates displayed class 2 integrons. ISAba1 was found upstream of blaOXA-23-like only in isolates resistant to carbapenems; however, ISAba1 upstream of blaOXA-51-like was present in both susceptible and resistant isolates. This is the first report of a high prevalence of class 2 integrons in A. baumannii in southern Brazil. Moreover, our study suggests that ISAba1/blaOXA-51-like alone is insufficient to confer resistance to carbapenems.

scholarly journals Diversity of sequence types and impact of fitness cost among carbapenem-resistant Acinetobacter baumannii isolates from Tripoli, Libya

2021 ◽  
Author(s):  
Antoine G. Abou Fayad ◽  
Louis-Patrick Haraoui ◽  
Ahmad Sleiman ◽  
Mohamad Jaafar ◽  
Abdulaziz Zorgani ◽  
...  
Keyword(s):  
Molecular Epidemiology ◽  
Acinetobacter Baumannii ◽  
Doubling Time ◽  
Core Genome ◽  
Carbapenem Resistance ◽  
Relative Fitness ◽  
Fitness Advantage ◽  
Carbapenem Resistant ◽  
Sequence Types ◽  
Hospital Transmission

We investigated the molecular epidemiology of 21 carbapenem-resistant A. baumannii from Libya, and assessed their relative fitness. Core-genome MLST revealed five inter-hospital transmission clusters. Three clusters were associated with the international clones (IC) IC1, IC2, and IC7. Carbapenem-resistance was associated with bla OXA-23, bla GES-11 , or bla NDM-1 . Compared to A. baumannii DSM 30008, the doubling time was similar over 10 hours, but after 16 hours, half the isolates grew to higher densities, suggesting a fitness advantage.

scholarly journals Characterization of pABVA01, a Plasmid Encoding the OXA-24 Carbapenemase from Italian Isolates of Acinetobacter baumannii

2009 ◽  
Vol 53 (8) ◽  
pp. 3528-3533 ◽  
Author(s):  
Marco Maria D'Andrea ◽  
Tommaso Giani ◽  
Silvia D'Arezzo ◽  
Alessandro Capone ◽  
Nicola Petrosillo ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Acinetobacter Baumannii ◽  
Binding Sites ◽  
Inverted Repeats ◽  
Clonal Lineage ◽  
Recombination Mechanism ◽  
Site Specific ◽  
Site Specific Recombination ◽  
Carbapenem Resistant

ABSTRACT Two epidemiologically unrelated carbapenem-resistant Acinetobacter baumannii isolates were investigated as representatives of the first Italian isolates producing the OXA-24 carbapenemase. Both isolates were of European clonal lineage II and carried an identical OXA-24-encoding plasmid, named pABVA01. Comparative analysis revealed that in pABVA01, bla OXA-24 was part of a DNA module flanked by conserved inverted repeats homologous to XerC/XerD binding sites, which in other Acinetobacter plasmids flank different DNA modules, suggesting mobilization by a novel site-specific recombination mechanism.

scholarly journals Diversity of Oxacillinases and Sequence Types in Carbapenem-Resistant Acinetobacter baumannii from Austria

2021 ◽  
Vol 18 (4) ◽  
pp. 2171 ◽  
Author(s):  
Andrea Grisold ◽  
Josefa Luxner ◽  
Branka Bedenić ◽  
Magda Diab-Elschahawi ◽  
Michael Berktold ◽  
...  
Keyword(s):  
Acinetobacter Baumannii ◽  
Genetic Background ◽  
Regional Differences ◽  
Carbapenem Resistance ◽  
Carbapenem Resistant ◽  
Class D ◽  
Acinetobacter Spp ◽  
First Time ◽  
Sequence Types ◽  
Significant Health

Carbapenem-resistant Acinetobacter baumannii is a significant health problem worldwide. A multicenter study on A. baumannii was performed to investigate the molecular epidemiology and genetic background of carbapenem resistance of A. baumannii isolates collected from 2014–2017 in Austria. In total, 117 non-repetitive Acinetobacter spp. assigned to A. baumannii (n = 114) and A. pittii (n = 3) were collected from four centers in Austria. The isolates were uniformly resistant to piperacillin/tazobactam, ceftazidime, and carbapenems, and resistance to imipenem and meropenem was 97.4% and 98.2%, respectively. The most prominent OXA-types were OXA-58-like (46.5%) and OXA-23-like (41.2%), followed by OXA-24-like (10.5%), with notable regional differences. Carbapenem-hydrolyzing class D carbapenemases (CHDLs) were the only carbapenemases found in A.baumannii isolates in Austria since no metallo-β-lactamases (MBLs) nor KPC or GES carbapenemases were detected in any of the isolates. One-third of the isolates harbored multiple CHDLs. The population structure of A. baumannii isolates from Austria was found to be very diverse, while a total of twenty-three different sequence types (STs) were identified. The most frequent was ST195 found in 15.8%, followed by ST218 and ST231 equally found in 11.4% of isolates. Two new ST types, ST2025 and ST2026, were detected. In one A. pittii isolate, blaOXA-143-like was detected for the first time in Austria.

scholarly journals Subtypes, resistance and virulence platforms in extended-drug resistant Acinetobacter baumannii Romanian isolates

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Irina Gheorghe ◽  
Ilda Czobor Barbu ◽  
Marius Surleac ◽  
Ionela Sârbu ◽  
Laura Ioana Popa ◽  
...  
Keyword(s):  
Acinetobacter Baumannii ◽  
Carbapenem Resistance ◽  
Control Measures ◽  
Drug Resistant ◽  
Infection Control Measures ◽  
Carbapenem Resistant ◽  
Ambulatory Patients ◽  
Severe Infections ◽  
Healthcare Associated ◽  
Sequence Types

AbstractAcinetobacter baumannii has emerged worldwide as a dominant pathogen in a broad range of severe infections, raising an acute need for efficient antibacterials. This is the first report on the resistome and virulome of 33 extended drug-resistant and carbapenem-resistant A. baumannii (XDR CRAB) strains isolated from hospitalized and ambulatory patients in Bucharest, Romania. A total of 33 isolates were collected and analyzed using phenotypic antibiotic susceptibility and conjugation assays, PCR, whole-genome sequencing (WGS), pulsed-field gel electrophoresis (PFGE) and MultiLocus Sequence Typing (MLST). All isolates were extensively drug-resistant (XDR), being susceptible only to colistin. The carbapenem resistance was attributed by PCR mainly to blaOXA-24 and blaOXA-23 genes. PFGE followed by MLST analysis demonstrated the presence of nine pulsotypes and six sequence types. WGS of seven XDR CRAB isolates from healthcare-associated infections demonstrated the high diversity of resistance genes repertoire, as well as of mobile genetic elements, carrying ARGs for aminoglycosides, sulphonamides and macrolides. Our data will facilitate the understanding of resistance, virulence and transmission features of XDR AB isolates from Romanian patients and might be able to contribute to the implementation of appropriate infection control measures and to develop new molecules with innovative mechanisms of action, able to fight effectively against these bugs, for limiting the spread and decreasing the infection rate and mortality.

Investigation of carbapenem resistant Acinetobacter baumannii ST2 in Iran

2020 ◽  
Author(s):  
Aliakbar Rezaei ◽  
Hossein Fazeli ◽  
Jamshid Faghri
Keyword(s):  
Acinetobacter Baumannii ◽  
Clonal Complex ◽  
Carbapenem Resistance ◽  
Diffusion Method ◽  
Disc Diffusion Method ◽  
Carbapenem Resistant ◽  
Rapd Pcr ◽  
Relationship Of ◽  
Sequence Types ◽  
Respiratory Specimens

AbstractThis study investigated carbapenem resistance among Acinetobacter baumannii isolated from respiratory specimens. Epidemiological relationship of the isolates was also evaluated. In this study, 81 respiratory specimens of A. baumannii from AL Zahra Hospital were confirmed by phenotypic and genotypic methods. Antimicrobial susceptibility was performed by disc diffusion method. Carbapenem resistance genes were identified by PCR. The isolates were typed by RAPD-PCR and multilocus sequence typing (MLST) methods. All isolates were resistant to imipenem and 80 isolates to meropenem. Frequency of oxacillinase genes was as follows: blaOXA-23 gene was positive in 74 (91.3%), blaOXA-24 gene in 50 (61.7%) and blaOXA-58 was not found in any isolates. On the other hand 22 (27.2%) isolates contained blaIMP-1, 3 (3.7%) isolates contained blaIMP-2 gene, 5 (6.2%) isolates contained blaVIM-1, 4 (5%) isolates had blaVIM-2 and none of the isolates had blaSIM-1 gene. RAPD-PCR typing identified 16 different patterns, with one pattern being the most frequent one in 26 isolates. In MLST 6 different sequence types were identified, the most predominant being ST2 belonging to clonal complex 2. The results of this study showed high resistance to carbapenems as well as high abundance of oxacillinase genes.

scholarly journals Molecular Epidemiology of Carbapenem-Resistant Acinetobacter baumannii Isolated from War-Injured Patients from the Eastern Ukraine

Antibiotics ◽  
2020 ◽  
Vol 9 (9) ◽  
pp. 579
Author(s):  
Paul G. Higgins ◽  
Ralf Matthias Hagen ◽  
Andreas Podbielski ◽  
Hagen Frickmann ◽  
Philipp Warnke
Keyword(s):  
Acinetobacter Baumannii ◽  
Core Genome ◽  
Acquired Resistance ◽  
Sequence Type ◽  
Carbapenem Resistant ◽  
Next Generation Sequencing Ngs ◽  
Injured Patients ◽  
Sequence Types ◽  
Generation Sequencing ◽  
Epidemiological Information

Recently, a total of 32 carbapenem- and fluoroquinolone-resistant Acinetobacter baumannii (Ab) isolates was isolated from war-injured patients who were treated at German Bundeswehr Hospitals, and preliminarily typed by “DiversiLab” repetitive elements sequence-based (rep-) PCR. Core genome-based sequence typing was also used to provide more detailed epidemiological information. From the clusters observed by rep-PCR, selected Ab strains were subjected to Next Generation Sequencing (NGS) in order to compare them with international outbreak-associated Ab strains and to identify MLST (multi-locus sequence type) lineages, as well as to identify known resistance genes. Accordingly, NGS indicated higher diversity than rep-PCR, but also confirmed likely transmission events. The identified acquired carbapenem-resistant genes comprised blaOXA-23, blaOXA-72 and blaGES-12, as well as various other intrinsic and acquired resistance-associated genetic elements. All isolates clustered with the previously identified international clonal lineages IC1, IC2, IC6 and IC7, with corresponding Pasteur sequence types ST1, ST2, ST78 and ST25, respectively. In conclusion, the assessment confirmed a broad spectrum of resistance-associated genes in Ab isolated from war-injured patients from the Eastern Ukraine, and provided the first insights into locally abundant clonal lineages.

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