1. Multiple sequence types responsible for healthcare-associated Acinetobacter baumannii dissemination in a single centre in Egypt
- Author
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Leena Al-Hassan, Hadir A. El-Mahallawy, and Mai M. Zafer
- Subjects
0301 basic medicine ,Acinetobacter baumannii ,medicine.medical_specialty ,Genotype ,Epidemiology ,Carbapenem resistance ,Health Personnel ,030106 microbiology ,Population ,Microbial Sensitivity Tests ,Cancer Care Facilities ,beta-Lactamases ,Microbiology ,lcsh:Infectious and parasitic diseases ,03 medical and health sciences ,Medical microbiology ,Drug Resistance, Multiple, Bacterial ,polycyclic compounds ,Humans ,Medicine ,Infection control ,lcsh:RC109-216 ,Typing ,education ,QR0075 ,education.field_of_study ,biology ,business.industry ,biochemical phenomena, metabolism, and nutrition ,biology.organism_classification ,bacterial infections and mycoses ,Anti-Bacterial Agents ,Bacterial Typing Techniques ,Multiple drug resistance ,030104 developmental biology ,Infectious Diseases ,Carbapenems ,Parasitology ,Genes, Bacterial ,Multilocus sequence typing ,bacteria ,Egypt ,Female ,business ,Acinetobacter Infections ,Multilocus Sequence Typing ,Research Article ,MLST - Abstract
Background Acinetobacter baumannii is an increasingly worrying organism in the healthcare setting, due to its multidrug resistance and persistence. Prolonged hospitalisation, immunocompromised patients and excessive antibiotic exposure all contribute to increasing the risk of A. baumannii infections, which makes cancer patients a significant risk group. This study aims to investigate the dissemination of A. baumannii at the National Cancer Institute (NCI) in Cairo – Egypt. Methods All bacterial isolates were typed using Multi-locus Sequence Typing (MLST) to characterise the epidemiology of isolates. The intrinsic OXA-51-like, and the acquired carbapanemases OXA-23, − 24/40, − 58, NDM, IMP, and VIM were also amplified and sequenced to genetically identify mechanisms of carbapenem resistance. Results MLST results show a high degree of multi-clonal dissemination, with 18 different Sequence Types (STs) identified, including 5 novel. The majority of isolates belonged to International Clone (IC) 2, and carbapenem resistance was detected in 93% of isolates and mediated by blaOXA-23, blaOXA-58, blaNDM-1 and blaVIM-1. We also report the presence of a resistant ST732 (OXA-378) which has been previously identified in migratory birds. Conclusions Multiple highly resistant clones were identified in a Cancer hospital in Cairo. It is vital that clinicians and healthcare workers are aware of the population of A. baumannii present in order to have appropriate treatment and infection control practices. more...
- Published
- 2019
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