Multi-facility Containment of a Multidrug-resistant Acinetobacter Baumannii Outbreak – January 2018–july 2018

Chan, Allison; Tobey, Kelley; Smith, Nailah; Talley, Pamela; Halpin, Alison Laufer; McAllister, Gillian; Sula, Erisa; Shugart, Alicia; Kainer, Marion

doi:10.1016/j.ajic.2019.04.154

Cited by 2 publications

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“…In present study, susceptibility pattern of 60 isolates of A. baumannii was evaluated by disk diffusion method against 10 different antibiotics, which routinely are used for treatment of infections caused by this organism. Studies carried out in different regions of world reveled that there is an increasing rate of drug resistance among A. baumannii isolates [14][15][16]. In the current study, we have observed a high prevalence of drugresistant A. baumannii isolates in agreement with other studies [17,18], which were all resistant to amikacin, ceftazidime and ceftriaxone.…”

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confidence: 91%

Production of bla oxa-23 type genes carrying by Acinetobacter baumannii isolated from hospitalized patients in Tehran, Iran

Rezaei

Yousefi

Harzandi

et al. 2020

Reviews in Medical Microbiology

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Carbapenems are potent b-lactam antibiotics, including imipenem and meropenem that is used to treat serious infections caused by Acinetobacter baumannii. The aim of this study was to determine the resistance rate of A. baumannii to imipenem and meropenem by producing OXA-23 gene. Sixty A. baumannii isolates were collected from four hospitals. Susceptibility testing of all A. baumannii isolates was determined by disk diffusion method. After bacterial DNA extraction, PCR was used for detection of bla oxa-51 and bla oxa-23 beta-lactamase genes. According to the result, 98% of A. baumannii isolates were resistant to amikacin, ceftazidime and ceftriaxone. Resistance rates to imipenem and meropenem was 72%. All isolates were resistant to cefixime; however, were susceptible to colistin. PCR method determined the presence of resistance-encoding class D carbapenemase including bla oxa-51 like and bla oxa-23 like in 60 (100%) and 51 (85%) isolates, respectively, which was in agreement with disk diffusion method. Our study revealed a high rate of drug resistance among A. baumannii isolates with presence of bla oxa-51 and bla oxa-23 b-lactamase gens. However, colistin were the effective antimicrobial agents, in vitro. Therefore, the rate of carbapenemresistant A. baumannii susceptibility profiling highlights the need for a comprehensive Iranian national antimicrobial drug resistance survey to monitor A. baumannii isolates from all parts of the country.

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