42 results on '"baumannii"'
Search Results
2. Photocatalytic Bacterial Inactivation of Acinetobacter baumannli on Cu/TiO 2 /Diatomite.
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Xu, Xiaolin, Yang, Yacong, Miao, Yingchun, Liu, Kaiquan, Lv, Fujian, Zhou, Liping, Tang, Xuqi, Liu, Yanmi, and Guo, Xinchun
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BACTERIAL inactivation , *TITANIUM dioxide , *BAND gaps , *RUTILE , *ACINETOBACTER , *ACINETOBACTER baumannii - Abstract
Cu4Ti2O/TiO2/diatomite with double interface Cu4Ti2O/TiO2 and rutile/anatase heterojunction were fabricated, which demonstrated good antibacterial activity (100%) against Acinetobacter baumannii. Cu/TiO2/diatomite prepared under optimum preparation conditions (added diatomite, 0.005 g; Cu, 0.005 g; reaction temperature, 180 °C; reaction time, 8 h) exhibited high antibacterial activity (100%) against A. baumannii. For the Cu/TiO2/diatomite powders, their structural, compositional, optical and morphological traits were characterized by XRD, SEM, TEM, XPS, BET, FTIR, Mapping, and DRS. It was shown that Cu/TiO2/diatomite under optimum conditions consisted of the double interface Cu4Ti2O/TiO2 and rutile/anatase heterojunction with the narrowest band gap and largest BET surface area, pore size, and pore volume. Then, it could exhibit the best photocatalytic activity. [ABSTRACT FROM AUTHOR]
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- 2022
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3. The frequency of efflux pump genes expression in Acinetobacter baumannii isolates from pulmonary secretions.
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Rafiei, Ebrahim, Shahini Shams Abadi, Milad, Zamanzad, Behnam, and Gholipour, Abolfazl
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ACINETOBACTER baumannii , *GENE expression , *TIGECYCLINE , *DRUG resistance in bacteria , *NOSOCOMIAL infections , *MULTIDRUG resistance , *ACINETOBACTER infections , *FUNGICIDE resistance - Abstract
Acinetobacter baumannii is an important opportunistic pathogen, and the cause of nosocomial infections worldwide in recent decades. Efflux pumps are considered as the important causes of multidrug resistance of A. baumannii. The aim of this study was to determine the frequency of efflux pump genes, and evaluate the antibiotic effect of Tigecycline on the expression of adeB gene in isolates of multidrug-resistant. A. baumannii. 70 isolates of A. baumannii were collected and confirmed by biochemical and molecular tests. Antibiotic resistance (Ciprofloxacin, Trimethoprim-sulfamethoxazole, and Tigecycline) was performed based on the minimum inhibitory concentration (MIC) method. Then, the effect of Carbonyl cyanide m-chlorophenyl hydrazone inhibitor (CCCP) on isolates was investigated and the frequency of adeB, adeG, adeJ and abeM genes were examined by PCR for isolates with reduced in MIC titer. Also, the antibiotic effect of Tigecycline on adeB gene expression in A. baumannii isolates was analyzed by Real-Time PCR. The antibiotic resistance for Ciprofloxacin, Trimethoprim-sulfamethoxazole, and Tigecycline was 97.1%, 95.8% and 37.2%, respectively. Following CCCP inhibitor use, the MIC titer had a decrease in MIC titer containing CCCP inhibitor was 64.3% for Ciprofloxacin, 51.5% for Trimethoprim-sulfamethoxazole and 50% for Tigecycline. The frequencies of genes associated with adeB, adeG, adeJ and abeM efflux pump were 100%, 92.8%, 86% and 98.5%, respectively. Real-Time PCR results showed a correlation between the antibiotic effects of Tigecycline on adeB gene expression. The antibiotic resistance of the isolates was relatively high. The isolates were resistant to Ciprofloxacin and Trimethoprim-sulfamethoxazole antibiotics, while more sensitive to Tigecycline. Also, efflux pump genes, which are the antibiotic resistance factors of A. baumannii, are frequently high in the isolates but it seems that isolates use other effluxe pumps than RND family to exit tigecycline. Key points: The frequencies of genes associated with adeB, adeG, adeJ and abeM efflux pump were 100%, 92.8%, 86% and 98.5%, respectively. Real-Time PCR results showed a correlation between the antibiotic effects of Tigecycline on adeB gene expression. The antibiotic resistance of the isolates was relatively high. Also, efflux pump genes, which are the antibiotic resistance factors of A. baumannii, are frequently high in the isolates but it seems that isolates use other effluxe pumps than RND family to exit tigecycline. [ABSTRACT FROM AUTHOR]
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- 2022
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4. Genetic Dissection of Antibiotic Adjuvant Activity
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J. Bailey, L. Gallagher, W. T. Barker, V. B. Hubble, J. Gasper, C. Melander, and C. Manoil
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Acinetobacter ,Tn-seq ,aminoimidazole ,avibactam ,baumannii ,baylyi ,Microbiology ,QR1-502 - Abstract
ABSTRACT Small molecule adjuvants that enhance the activity of established antibiotics represent promising agents in the battle against antibiotic resistance. Adjuvants generally act by inhibiting antibiotic resistance processes, and specifying the process acted on is a critical step in defining an adjuvant’s mechanism of action. This step is typically carried out biochemically by identifying molecules that bind adjuvants and then inferring their roles in resistance. Here, we present a complementary genetic strategy based on identifying mutations that both sensitize cells to antibiotic and make them “adjuvant blind.” We tested the approach in Acinetobacter baumannii AB5075 using two adjuvants: a well-characterized β-lactamase inhibitor (avibactam) and a compound enhancing outer membrane permeability (aryl 2-aminoimidazole AI-1). The avibactam studies showed that the adjuvant potentiated one β-lactam (ceftazidime) through action on a single β-lactamase (GES-14) and a second (meropenem) by targeting two different enzymes (GES-14 and OXA-23). Mutations impairing disulfide bond formation (DsbAB) also reduced potentiation, possibly by impairing β-lactamase folding. Mutations reducing AI-1 potentiation of canonical Gram-positive antibiotics (vancomycin and clarithromycin) blocked lipooligosaccharide (LOS/LPS) synthesis or its acyl modification. The results indicate that LOS-mediated outer membrane impermeability is targeted by the adjuvant and show the importance of acylation in the resistance. As part of the study, we employed Acinetobacter baylyi as a model to verify the generality of the A. baumannii results and identified the principal resistance genes for ceftazidime, meropenem, vancomycin, and clarithromycin in A. baumannii AB5075. Overall, the work provides a foundation for analyzing adjuvant action using a comprehensive genetic approach. IMPORTANCE One strategy to confront the antibiotic resistance crisis is through the development of adjuvant compounds that increase the efficacy of established drugs. A key step in the development of a natural product adjuvant as a drug is identifying the resistance process it undermines to enhance antibiotic activity. Previous procedures designed to accomplish this have relied on biochemical identification of cell components that bind adjuvant. Here, we present a complementary strategy based on identifying mutations that eliminate adjuvant activity.
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- 2022
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5. Control of Acinetobacter baumannii outbreak in the neonatal intensive care unit in Latvia: whole-genome sequencing powered investigation and closure of the ward
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A. Gramatniece, I. Silamikelis, Ie. Zahare, V. Urtans, Ir. Zahare, E. Dimina, M. Saule, A. Balode, I. Radovica-Spalvina, J. Klovins, D. Fridmanis, and U. Dumpis
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Acinetobacter ,Baumannii ,Outbreak ,Neonatal intensive care ,Infectious and parasitic diseases ,RC109-216 - Abstract
Abstract Background Acinetobacter baumannii is an emerging pathogen capable of causing hospital-acquired infections (HAIs). It has the ability to survive on environmental surfaces for months, making transmission difficult to control. Our report describes the investigation and restriction of an outbreak of A.baumannii in the Neonatal Intensive Care Unit (NICU) using whole-genome sequencing (WGS) and multi-modal infection control measures. Methods A prospective surveillance of HAIs was initiated in the NICU at the Pauls Stradins Clinical University Hospital (PSCUH) in Latvia on 1/9/2012 and identified an outbreak of A.baumannii. Case definitions for A.baumannii bloodstream infection (BSI) and colonization were implemented; surveillance cultures were obtained from all admitted patients to monitor the rate of colonization; an infection prevention and control team was formed and infection control interventions implemented. Environmental sampling of the NICU and Labour ward was performed. We employed WGS to differentiate phenotypically identical multidrug-resistant A.baumannii (MDRAB) strains from simultaneous intrahospital outbreaks in the adult Intensive Care Unit and NICU. Results Between 1/9/2012 and 31/12/2017 the surveillance included 2157 neonates. A total of 17 neonates had A.baumannii BSI, with the highest rate of 30.0 cases per 1000 bed-days in November 2012. Rectal screening samples were positive for A.baumannii-complex in 182 neonates reaching 119.6 per 1000 bed-days in July 2015. All 298 environmental cultures were negative. Two phenotypically identical MDRAB isolates from the simultaneous intrahospital outbreaks were differentiated using WGS, ruling out an inter-ward transmission. Adherence to stringent infection control measures decreased BSI cases but colonization remained persistent. With several relapses, the outbreak was ongoing for four years. No new A.baumannii BSI cases were registered after total environmental decontamination in the NICU in July 2015. Colonization reappeared and persisted until in November 2016 when the ward was temporarily closed, relocated and renovated. No A.baumannii cases were registered after the renovation. Conclusion The HAI surveillance system successfully detected and facilitated the control of the A.baumannii outbreak. Whole-genome sequencing was found to be a useful method for differentiation of phenotypically identical A.baumannii strains from the intrahospital outbreak. Only multi-modal infection control program, including closure, temporary relocation, and renovation of the ward, restricted the outbreak.
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- 2019
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6. The Family Moraxellaceae
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Teixeira, Lúcia Martins, Merquior, Vânia Lúcia Carreira, Rosenberg, Eugene, editor, DeLong, Edward F., editor, Lory, Stephen, editor, Stackebrandt, Erko, editor, and Thompson, Fabiano, editor
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- 2014
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7. Photocatalytic Bacterial Inactivation of Acinetobacter baumannli on Cu/TiO2/Diatomite
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Xiaolin Xu, Yacong Yang, Yingchun Miao, Kaiquan Liu, Fujian Lv, Liping Zhou, Xuqi Tang, Yanmi Liu, and Xinchun Guo
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Physical and Theoretical Chemistry ,Catalysis ,photocatalytic ,Cu/TiO2/diatomite ,baumannii ,General Environmental Science - Abstract
Cu4Ti2O/TiO2/diatomite with double interface Cu4Ti2O/TiO2 and rutile/anatase heterojunction were fabricated, which demonstrated good antibacterial activity (100%) against Acinetobacter baumannii. Cu/TiO2/diatomite prepared under optimum preparation conditions (added diatomite, 0.005 g; Cu, 0.005 g; reaction temperature, 180 °C; reaction time, 8 h) exhibited high antibacterial activity (100%) against A. baumannii. For the Cu/TiO2/diatomite powders, their structural, compositional, optical and morphological traits were characterized by XRD, SEM, TEM, XPS, BET, FTIR, Mapping, and DRS. It was shown that Cu/TiO2/diatomite under optimum conditions consisted of the double interface Cu4Ti2O/TiO2 and rutile/anatase heterojunction with the narrowest band gap and largest BET surface area, pore size, and pore volume. Then, it could exhibit the best photocatalytic activity.
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- 2022
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8. In vivo fitness of carbapenem-resistant Acinetobacter baumannii strains in murine infection is associated with treatment failure in human infections
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Nutman, Amir, Temkin, Elizabeth, Lellouche, Jonathan, Rakovitsky, Nadya, Hameir, Amichay, Daikos, George, Durante-Mangoni, Emanuele, Pavleas, Ioannis, Dishon, Yael, Petersiel, Neta, Yahav, Dafna, Eliakim, Noa, Bernardo, Mariano, Iossa, Domenico, Friberg, Lena, Theuretzbacher, Ursula, Leibovici, Leonard, Paul, Mical, Carmeli, Yehuda, Nutman, Amir, Temkin, Elizabeth, Lellouche, Jonathan, Rakovitsky, Nadya, Hameir, Amichay, Daikos, George, Durante-Mangoni, Emanuele, Pavleas, Ioannis, Dishon, Yael, Petersiel, Neta, Yahav, Dafna, Eliakim, Noa, Bernardo, Mariano, Iossa, Domenico, Friberg, Lena, Theuretzbacher, Ursula, Leibovici, Leonard, Paul, Mical, and Carmeli, Yehuda
- Abstract
Objectives: Mortality among patients with carbapenem-resistant Acinetobacter baumannii (CRAB) infections varies between studies. We examined whether in vivo fitness of CRAB strains is associated with clinical outcomes in patients with CRAB infections. Methods: Isolates were collected from patients enrolled in the AIDA trial with hospital-acquired pneumonia, bloodstream infections and/or urinary tract infections caused by CRAB. The primary outcome was 14-day clinical failure, defined as failure to meet all criteria: alive; haemodynamically stable; improved or stable Sequential Organ Failure Assessment (SOFA) score; improved or stable oxygenation; and microbiological cure of bacteraemia. The secondary outcome was 14-day mortality. We tested in vivo growth using a neutropenic murine thigh infection model. Fitness was defined based on the CFU count 24 hours after injection of an inoculum of 105 CFU. We used mixed-effects logistic regression to test the association between fitness and the two outcomes. Results: The sample included 266 patients; 215 (80.8%) experienced clinical failure. CRAB fitness ranged from 5.23 to 10.08 log CFU/g. The odds of clinical failure increased by 62% for every 1-log CFU/g increase in fitness (OR 1.62, 95% CI 1.04-2.52). After adjusting for age, Charlson score, SOFA score and acquisition in the intensive care unit, fitness remained significant (adjusted OR 1.63, 95% CI 1.03-2.59). CRAB fitness had a similar effect on 14-day mortailty, although the association was not statistically significant (OR 1.56, 95% CI 0.95-2.57). It became significant after adjusting for age, Charlson score, SOFA score and recent surgery (adjusted OR 1.88, 95% CI 1.09-3.25). Conclusions: In vivo CRAB fitness was associated with clinical failure in patients with CRAB infection.
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- 2022
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9. Molecular and genetic characterization of emerging carbapenemase-producing Acinetobacter baumannii strains from patients and hospital environments in Bangladesh
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Farzana, Refath, Swedberg, Göte, Giske, Christian G., Hasan, Badrul, Farzana, Refath, Swedberg, Göte, Giske, Christian G., and Hasan, Badrul
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Background: Carbapenemase-producing multidrug-resistant (MDR) Acinetobacter bau-mannii is a global health care problem. MDR A. baumannii has emerged as an important nosocomial pathogen, costing many lives worldwide including Bangladesh.Aim: To investigate the detailed molecular epidemiology of carbapenem-resistant A. baumannii (CRAB) both from patients and the hospital environment, to shed light on genetic characteristics and transmission dynamics.Methods: A set of 49 clinical A. baumannii strains collected during early 2015 was received from the clinical microbiology laboratory of Dhaka Medical College Hospital (DMCH) in Bangladesh. Additionaly, 100 environmental samples were also collected from the hospital surfaces of Dhaka Medical College Hospital and analyzed for carbapenamase-producing A. baumannii. CRAB were identified by culture on selective plates, biochemical testing and MALDI-TOF. All isolates were characterized by susceptibility testing, realtime-PCRs, conventional PCR, MLST and sequencing.Findings: Clinical A. baumannii were resistant to ciprofloxacin (100%), imipenem (91.8%), meropenem (91.8%), gentamicin (91.8%), amikacin (87.7%), and trimethoprim-sulfamethoxazole (61.2%). The majority (59%) of the isolates were MDR. All environ-mental A. baumannii (n1/410) were resistant to imipenem, meropenem, gentamicin, ami-kacin, and ciprofloxacin. Strains carried the following antibiotic resistant genes; blaOXA-23, blaOXA-58, blaPER-7, qnrB1, qnrC1, aac(60)1b-cr and armA. A total of 36 different clones were identified by rep-PCR and common clonal clusters were found both in patients and hospital environments. MLST analysis revealed different sequence types (ST2, ST10, ST149, ST575, ST1063 and ST1065). In clinical and environmental settings. A. baumannii ST2 dominated in both clinical and environmental settings. Both clinical and environmental A. baumannii strains with known STs carried several biofilm-related genes; bap, csuE, and pgaB. Conclusion: Widespread di
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- 2022
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10. In vitro colistin susceptibility of pandrug-resistant Ac. baumannii is restored in the presence of selenium nanoparticles
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Ušjak, Dušan, Novović, Katarina, Filipić, Brankica, Kojić, Milan, Filipović, Nenad, Stevanović, Magdalena, Milenković, Marina T., Ušjak, Dušan, Novović, Katarina, Filipić, Brankica, Kojić, Milan, Filipović, Nenad, Stevanović, Magdalena, and Milenković, Marina T.
- Abstract
Aims To investigate the synergistic activity of colistin and selenium nanoparticles (SeNPs) against pandrug-resistant (PDR) Ac. baumannii. Methods and Results Chequerboard and time-kill assays were employed to explore the potential synergistic interactions between colistin and SeNPs against Ac. baumannii isolates (8), previously determined as colistin-resistant (MIC range 16-256 mu g ml(-1)). Also, whole-genome sequencing (WGS) and gene expression analyses were used to elucidate the mechanisms of colistin resistance. Exceptionally strong synergistic activity (FICI range 0.004-0.035) of colistin and SeNPs against colistin-resistant isolates was revealed. Colistin (0.5 or 1 mu g ml(-1)) used in combination with SeNPs (0.5 mu g ml(-1)) was able to reduce initial inoculum during the first 4 h of incubation, in contrast to colistin (0.5, 1 or 2 mu g ml(-1)) alone. Conclusions These findings propose colistin/SeNPs combination as a new option to fight PDR Ac. baumannii, the therapeutic possibilities of which should be proved in future in vivo studies. Significance and Impact of Study Here we present the first evidence of synergy between colistin and selenium compounds against bacteria in general. Also, WGS and gene expression analyses provide some new insights into Ac. baumannii colistin resistance mechanisms.
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- 2022
11. Development of an Anti-Acinetobacter baumannii Biofilm Phage Cocktail: Genomic Adaptation to the Host
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L. Blasco, I. Bleriot, M. González de Aledo, L. Fernández-García, O. Pacios, H. Oliveira, M. López, C. Ortiz-Cartagena, F. Fernández-Cuenca, Á. Pascual, L. Martínez-Martínez, J. Pachón, J. Azeredo, M. Tomás, Comisión Interministerial de Ciencia y Tecnología, CICYT (España), Instituto de Salud Carlos III, European Commission, Red Española de Investigación en Patología Infecciosa, Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica, Xunta de Galicia, and Universidade do Minho
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Pharmacology ,Acinetobacter baumannii ,Science & Technology ,bacteriophages ,Acinetobacter ,viruses ,phages ,adaptation ,Genome, Viral ,Genomics ,Baumannii ,cocktail ,Cocktail ,Infectious Diseases ,Biofilms ,Phages ,Humans ,Pharmacology (medical) ,Bacteriophages ,baumannii ,Adaptation ,Mechanisms of Action: Physiological Effects ,Anti-biofilm ,anti-biofilm ,Acinetobacter Infections - Abstract
The need for alternatives to antibiotic therapy due to the emergence of multidrug resistant bacteria (MDR), such as the nosocomial pathogen Acinetobacter baumannii, has led to the recovery of phage therapy. In addition, phages can be combined in cocktails to increase the host range. In this study, the evolutionary mechanism of adaptation was utilized in order to develop a phage adapted to A. baumannii, named phage Ab105-2phiCI404ad, from a mutant lytic phage, Ab105-2phiCI, previously developed by our group. The whole genome sequence of phage Ab105-2phiCI404ad was determined, showing that four genomic rearrangements events occurred in the tail morphogenesis module affecting the ORFs encoding the host receptor binding sites. As a consequence of the genomic rearrangements, 10 ORFs were lost and four new ORFs were obtained, all encoding tail proteins; two inverted regions were also derived from these events. The adaptation process increased the host range of the adapted phage by almost three folds. In addition, a depolymerase-expressing phenotype, indicated by formation of a halo, which was not observed in the ancestral phage, was obtained in 81\% of the infected strains. A phage cocktail was formed by combining this phage with the A. baumannii phage vB\_AbaP\_B3, known to express a depolymerase. Both the individual phages and the phage cocktail showed strong antimicrobial activity against 5 clinical strains and 1 reference strain of A. baumannii tested. However, in all cases resistance to the bacterial strains was also observed. The antibiofilm activity of the individual phages and the cocktail was assayed. The phage cocktail displayed strong antibiofilm activity., This study was funded by grants PI16/01163 and PI19/00878 awarded to M. Tomás within the State Plan for R+D+I 2013-2016 (National Plan for Scientific Research, Technological Development and Innovation 2008-2011) and co-financed by the ISCIII 471 Deputy General Directorate for Evaluation and Promotion of Research - European Regional Development Fund "A way of Making Europe" and Instituto de Salud Carlos III FEDER, Spanish Network for the Research in Infectious Diseases (REIPI, RD16/0016/0001, RD16/0016/0006 and RD16/CIII/0004/0002) and by the Study Group on Mechanisms of Action and Resistance to Antimicrobials, GEMARA (SEIMC, http://www.seimc.org/). M. Tomás was financially supported by the Miguel Servet Research Programme (SERGAS and ISCIII). I. Bleriot was financially supported by pFIS program (ISCIII, FI20/00302). O. Pacios and M. López were financially supported by 4grants IN606A-2020/035 and IN606B-2018/008, respectively (GAIN, Xunta de Galicia)., info:eu-repo/semantics/publishedVersion
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- 2022
12. An electrochemical assay for sensitive detection of Acinetobacter baumannii gene
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Ece Eksin
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Pencil graphite electrode ,Acinetobacter baumannii ,Single-Use Sensor ,Graphite-Electrodes ,Nucleic Acid Hybridization ,Electrochemical nucleic acid biosensor ,Dna ,Pneumonia ,Biosensing Techniques ,Electrochemical Techniques ,Electrochemical assay ,Analytical Chemistry ,Graphite ,baumannii ,Single-use genosensor ,Electrodes - Abstract
A new genosensor, which allows sensitive and selective detection of Acinetobacter baumannii gene sequence was developed herein. In this assay, capture probe of Acinetobacter baumannii was immobilized on the surface of chitosan modified single-use pencil graphite electrodes (c-PGEs) to obtain Acinetobacter baumannii genosensor. Then, Acinetobacter baumannii target DNA sequence was recognized after solid-state hybridization on c-PGE genosensor by measuring guanine signal via differential pulse voltammetry (DPV). In order to improve hybridization efficiency, experimental parameters affecting all assay steps are studied and the analytical performance of the genosensor was tested. The low limit of detection (LOD) for Acinetobacter baumannii target DNA sequence was obtained as 1.86 nM with developed genosensor. The selectivity of the proposed assay was then tested in the presence of 1-base mismatch, or two different type of non-complementary sequences and no interference effect was observed. The proposed electrochemical assay protocol is easy, convenient, and rapid which can be a decent alternative to existing methods.
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- 2022
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13. World Health Organization Report: Current Crisis of Antibiotic Resistance
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Amin Talebi Bezmin Abadi, Albert A. Rizvanov, Thomas Haertlé, Nataliya L. Blatt, Department of Bacteriology, Faculty of Medical Sciences, Tarbiat Modares University [Tehran]-Tarbiat Modares University [Tehran], Kazan Federal University (KFU), Unité de recherche sur les Biopolymères, Interactions Assemblages (BIA), Institut National de la Recherche Agronomique (INRA), Department of Animal Nutrition and Feed Management, University of Life Sciences in Poznan, Institute of Biochemistry and Biophysics, and University of Tehran
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0301 basic medicine ,medicine.medical_specialty ,Meat packing industry ,Antibiotic resistance ,medicine.drug_class ,[SDV]Life Sciences [q-bio] ,media_common.quotation_subject ,030106 microbiology ,Antibiotics ,Biomedical Engineering ,Developing country ,Bioengineering ,World health ,Crisis ,Carbapenemase ,03 medical and health sciences ,Hygiene ,medicine ,baumannii ,Medical prescription ,Intensive care medicine ,media_common ,2. Zero hunger ,business.industry ,Public health ,aeruginosa ,3. Good health ,coli ,030104 developmental biology ,Bacterial infection ,business - Abstract
Antibiotic resistance is the most challenging clinical and public health problem. Despite of living in the era of novel technologies in biomedical research, many of untreatable infectious diseases are ranked as the main causes of human death worldwide. Increased antibiotic use in human and use in animal production are the two major causes of emergence of resistant bacteria in hospitals, human communities, and also animal farms. Current body of evidences is indicating that major factors that led to existing crisis on antibiotics worldwide are poor educational programs on hygiene and health, inappropriate prescription in addition to the overprescription in clinical settings (mainly in developing countries with easier access to the antibiotics) and lack of accurate diagnostic tools in laboratories in order to control the emergence of antibiotics against widely used drugs in community. It sounds using the antibodies against problematic bacteria in farms has more benefits than treating them with susceptible antibiotics. As best strategy, we pointed that the crisis of antibiotic resistance may be solved when all contributors be acknowledged to their responsibilities and duties to minimize this global problem threatening the human health. China and the USA as the two main antibiotics user in industrial scale should have taken new policy in meat industry. Currently, antibiotic resistance presents a growing health threat worldwide being the cause of many nosocomial and often deadly infections.
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- 2019
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14. Prevalencia y factores de riesgo asociados a la adquisición de Acinetobacter baumannii Multidrogoresistente en el servicio de Microbiología del Hospital Escuela durante el periodo de Enero a Septiembre de 2012
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Blanca Hernández
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Acinetobacter ,baumannii ,Multidrogoresistente ,Medicine - Published
- 2014
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15. Mobile Genetic Elements Harboring Antibiotic Resistance Determinants in Acinetobacter Baumannii Isolates from Bolivia
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Inmunología, microbiología y parasitología, Immunologia, mikrobiologia eta parasitologia, Cerezales González, Mónica, Xanthopoulou, Kyriaki, Wille, Julia, Krut, Oleg, Seifert, Harald, Gallego Andrés, Lucía, Higgins, Paul G., Inmunología, microbiología y parasitología, Immunologia, mikrobiologia eta parasitologia, Cerezales González, Mónica, Xanthopoulou, Kyriaki, Wille, Julia, Krut, Oleg, Seifert, Harald, Gallego Andrés, Lucía, and Higgins, Paul G.
- Abstract
Using a combination of short- and long-read DNA sequencing, we have investigated the location of antibiotic resistance genes and characterized mobile genetic elements (MGEs) in three clinical multi-drug resistant Acinetobacter baumannii. The isolates, collected in Bolivia, clustered separately with three different international clonal lineages. We found a diverse array of transposons, plasmids and resistance islands related to different insertion sequence (IS) elements, which were located in both the chromosome and in plasmids, which conferred resistance to multiple antimicrobials, including carbapenems. Carbapenem resistance might be caused by a Tn2008 carrying the bla OXA-23 gene. Some plasmids were shared between the isolates. Larger plasmids were less conserved than smaller ones and they shared some homologous regions, while others were more diverse, suggesting that these big plasmids are more plastic than the smaller ones. The genetic basis of antimicrobial resistance in Bolivia has not been deeply studied until now, and the mobilome of these A. baumannii isolates, combined with their multi-drug resistant phenotype, mirror the transfer and prevalence of MGEs contributing to the spread of antibiotic resistance worldwide and require special attention. These findings could be useful to understand the antimicrobial resistance genetics of A. baumannii in Bolivia and the difficulty in tackling these infections.
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- 2020
16. Mobile Genetic Elements Harboring Antibiotic Resistance Determinants in Acinetobacter Baumannii Isolates from Bolivia
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Mónica Cerezales, Kyriaki Xanthopoulou, Julia Wille, Oleg Krut, Harald Seifert, Lucía Gallego, and Paul G. Higgins
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Microbiology (medical) ,plasmids ,lcsh:QR1-502 ,Biology ,Microbiology ,lcsh:Microbiology ,03 medical and health sciences ,carbapenemase ,Antibiotic resistance ,Plasmid ,baumannii ,antimicrobial resistance ,Insertion sequence ,Gene ,mobile genetic ,Original Research ,030304 developmental biology ,Genetics ,0303 health sciences ,030306 microbiology ,Chromosome ,mobile genetic elements ,biology.organism_classification ,Acinetobacter baumannii ,elements ,A. baumannii ,Antibiotikaresistenz ,Mobilome ,Mobile genetic elements - Abstract
Using a combination of short- and long-read DNA sequencing, we have investigated the location of antibiotic resistance genes and characterized mobile genetic elements (MGEs) in three clinical multi-drug resistant Acinetobacter baumannii. The isolates, collected in Bolivia, clustered separately with three different international clonal lineages. We found a diverse array of transposons, plasmids and resistance islands related to different insertion sequence (IS) elements, which were located in both the chromosome and in plasmids, which conferred resistance to multiple antimicrobials, including carbapenems. Carbapenem resistance might be caused by a Tn2008 carrying the bla OXA-23 gene. Some plasmids were shared between the isolates. Larger plasmids were less conserved than smaller ones and they shared some homologous regions, while others were more diverse, suggesting that these big plasmids are more plastic than the smaller ones. The genetic basis of antimicrobial resistance in Bolivia has not been deeply studied until now, and the mobilome of these A. baumannii isolates, combined with their multi-drug resistant phenotype, mirror the transfer and prevalence of MGEs contributing to the spread of antibiotic resistance worldwide and require special attention. These findings could be useful to understand the antimicrobial resistance genetics of A. baumannii in Bolivia and the difficulty in tackling these infections. This work was supported by the Basque Government 1129 and University of the Basque Country [Grupo Consolidado del Sistema Universitario Vasco (IT1097-16)/UPV/EHU GIC15/143]. PH was supported by the German Research Council (DFG) – FOR2251 (www.acinetobacter.de). This work was supported by the German Center for Infection Research (DZIF).
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- 2020
17. Gene-Silencing Antisense Oligomers Inhibit Acinetobacter Growth In Vitro and In Vivo.
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Geller, Bruce L., Marshall-Batty, Kimberly, Schnell, Frederick J., McKnight, Mattie M., Iversen, Patrick L., and Greenberg, David E.
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GENE silencing , *ACINETOBACTER , *OLIGOMERS , *ACINETOBACTER lwoffii , *ACINETOBACTER baumannii , *MICROBIOLOGY , *RESPIRATORY infections - Abstract
Background. Peptide-conjugated phosphorodiamidate morpholino oligomers (PPMOs) are synthetic DNA/RNA analogues that silence expression of specific genes. We studied whether PPMOs targeted to essential genes in Acinetobacter lwoffii and Acinetobacter baumannii are active in vitro and in vivo.Methods. PPMOs were evaluated in vitro using minimum inhibitory concentration (MIC) and viability assays, and in vivo using murine pulmonary infection models with intranasal PPMO treatment.Results. MICs of PPMOs ranged from 0.1 to 64 µM (approximately 0.6–38 µg/mL). The most effective PPMO tested was (RXR)4-AcpP, which is targeted to acpP. (RXR)4-AcpP reduced viability of A. lwoffii and A. baumannii by >103 colony-forming units/mL at 5–8 times MIC. Mice treated with ≥0.25 mg/kg of (RXR)4-AcpP survived longer and had less inflammation and bacterial lung burden than mice treated with a scrambled-sequence PPMO or phosphate-buffered saline. Treatment could be delayed after infection and still increase survival.Conclusions. PPMOs targeted to essential genes of A. lwoffii and A. baumannii were bactericidal and had MICs in a clinically relevant range. (RXR)4-AcpP increased survival of mice infected with A. lwoffii or A. baumannii, even when initial treatment was delayed after infection. PPMOs could be a viable therapeutic approach in dealing with multidrug-resistant Acinetobacter species. [ABSTRACT FROM AUTHOR]
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- 2013
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18. Control of Acinetobacter baumannii outbreak in the neonatal intensive care unit in Latvia: whole-genome sequencing powered investigation and closure of the ward
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Gramatniece, A., Silamikelis, I., Zahare, Ie., Urtans, V., Zahare, Ir., Dimina, E., Saule, M., Balode, A., Radovica-Spalvina, I., Klovins, J., Fridmanis, D., and Dumpis, U.
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- 2019
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19. The structure of the polysaccharide O-chain of the LPS from Acinetobacter baumannii strain ATCC 17961
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MacLean, Leann L., Perry, Malcolm B., Chen, Wangxue, and Vinogradov, Evgeny
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POLYSACCHARIDES , *ACINETOBACTER infections , *ANIMAL models in research , *NUCLEAR magnetic resonance spectroscopy , *MASS spectrometry , *CHEMICAL structure - Abstract
Abstract: The gram-negative bacterium Acinetobacter baumannii strain ATCC17961 has been used by several laboratories in mouse models of respiratory A. baumannii infection, and a study of the role of its lipopolysaccharide in the pathogenicity is of interest. The structure of the O-deacylated polysaccharide O-chain component of its LPS has been determined by 2D NMR spectroscopy and mass spectrometry methods, and by the structural identification of oligosaccharides obtained by sequential application of the Smith degradation of the O-antigen. The O-chain was determined to be a polymer of a branched pentasaccharide repeating unit composed of 2,3-diacetamido-2,3-dideoxy-d-glucuronic acid, 2-acetamido-2-deoxy-d-glucose, 2-acetamido-2-deoxy-d-galactose, d-glucose, and d-galactose, and has the following structure:▪ [Copyright &y& Elsevier]
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- 2009
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20. Choice of therapeutic interventions and outcomes for the treatment of infections caused by multidrug-resistant gram-negative pathogens: a systematic review
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Mark G. J. de Boer, Alma B Pedersen, Christina M. J. E. Vandenbroucke-Grauls, Camilla Skaarup Jensen, Josefine Aalestrup, and Sarah Melissa Nørgaard
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Microbiology (medical) ,Imipenem ,medicine.medical_specialty ,medicine.drug_class ,Clinical Decision-Making ,Antibiotics ,Microbial Sensitivity Tests ,Drug resistance ,Review ,Meropenem ,beta-Lactamases ,lcsh:Infectious and parasitic diseases ,chemistry.chemical_compound ,Antibiotic resistance ,Enterobacteriaceae ,Drug Resistance, Multiple, Bacterial ,Internal medicine ,Gram-Negative Bacteria ,medicine ,polycyclic compounds ,Humans ,lcsh:RC109-216 ,Pharmacology (medical) ,baumannii ,business.industry ,MDR bacteria ,Public Health, Environmental and Occupational Health ,Disease Management ,biochemical phenomena, metabolism, and nutrition ,Prognosis ,bacterial infections and mycoses ,aeruginosa ,Anti-Bacterial Agents ,Treatment ,Treatment Outcome ,Infectious Diseases ,P. aeruginosa ,chemistry ,Doripenem ,Colistin ,bacteria ,Gram-Negative Bacterial Infections ,business ,A. baumannii ,Publication Bias ,Ertapenem ,medicine.drug - Abstract
BackgroundAntimicrobial resistance is an increasingly serious threat to public health, and the increased occurrence of multidrug-resistant (MDR) bacteria is a concern in both high-income and low- and middle-income countries. The purpose of this systematic review was to identify and critically appraise current antimicrobial treatment options for infections with MDR Gram-negative bacteria.MethodsA literature search for treatment of MDR extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae, A. baumannii, and P. aeruginosa was conducted in MEDLINE in January 2019. Relevant studies published in English, German, and French that evaluated clinical success, microbiological success, and 30-day mortality outcomes were included. The population of interest was adult patients.ResultsOf 672 studies, 43 met the inclusion criteria. Carbapenems are the most common antibiotics used for the treatment of ESBL-producing Enterobacteriaceae. The clinical and microbiological success was similar for group 1 carbapenems (imipenem, meropenem, or doripenem), group 2 carbapenems (ertapenem), and non-carbapenem antibiotics. Mortality data were contradictory for group 1 carbapenems compared to group 2 carbapenems. The most common treatment option for A. baumannii and P. aeruginosa infections was intravenous colistin, regardless of infection site. Clinical success and mortality were similar in A. baumannii infections treated with colistin combination therapy vs. colistin monotherapy, whereas heterogeneous results were found with respect to microbiological success. Monotherapy and colistin combination therapy were used against P. aeruginosa with clinical and microbiological success (70–100%) depending on the infection site and severity, and the antibiotic used. Ceftazidime-avibactam therapy for ESBL-producing Enterobacteriaceae and P. aeruginosa showed good clinical success in one study.ConclusionWe did not find robust evidence for antibiotic treatment of any infection with MDR Gram-negative bacteria, including ESBL-producing Enterobacteriaceae, A. baumannii, and P. aeruginosa, that would lead to a firm recommendation for one specific antibiotic over another or for monotherapy over combination therapy. The choice of antibiotic treatment should be based on susceptibility testing balancing the expected clinical success rate against the risk of development of antibiotic resistance and the risk of severe side effects. Background: Antimicrobial resistance is an increasingly serious threat to public health, and the increased occurrence of multidrug-resistant (MDR) bacteria is a concern in both high-income and low- and middle-income countries. The purpose of this systematic review was to identify and critically appraise current antimicrobial treatment options for infections with MDR Gram-negative bacteria. Methods: A literature search for treatment of MDR extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae, A. baumannii, and P. aeruginosa was conducted in MEDLINE in January 2019. Relevant studies published in English, German, and French that evaluated clinical success, microbiological success, and 30-day mortality outcomes were included. The population of interest was adult patients. Results: Of 672 studies, 43 met the inclusion criteria. Carbapenems are the most common antibiotics used for the treatment of ESBL-producing Enterobacteriaceae. The clinical and microbiological success was similar for group 1 carbapenems (imipenem, meropenem, or doripenem), group 2 carbapenems (ertapenem), and non-carbapenem antibiotics. Mortality data were contradictory for group 1 carbapenems compared to group 2 carbapenems. The most common treatment option for A. baumannii and P. aeruginosa infections was intravenous colistin, regardless of infection site. Clinical success and mortality were similar in A. baumannii infections treated with colistin combination therapy vs. colistin monotherapy, whereas heterogeneous results were found with respect to microbiological success. Monotherapy and colistin combination therapy were used against P. aeruginosa with clinical and microbiological success (70-100%) depending on the infection site and severity, and the antibiotic used. Ceftazidime-avibactam therapy for ESBL-producing Enterobacteriaceae and P. aeruginosa showed good clinical success in one study. Conclusion: We did not find robust evidence for antibiotic treatment of any infection with MDR Gram-negative bacteria, including ESBL-producing Enterobacteriaceae, A. baumannii, and P. aeruginosa, that would lead to a firm recommendation for one specific antibiotic over another or for monotherapy over combination therapy. The choice of antibiotic treatment should be based on susceptibility testing balancing the expected clinical success rate against the risk of development of antibiotic resistance and the risk of severe side effects.
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- 2019
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21. Treatment of ventilator-associated pneumonia (VAP) caused by Acinetobacter: results of prospective and multicenter ID-IRI study
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Jordi Rello, Alper Şener, Meliha Meric-Koc, Yasemin Cag, Mustafa Dogan, Fazilet Duygu, Esmeray Mutlu-Yilmaz, Tumer Guven, Rodrigo Hasbun, Selma Güler, Hakan Erdem, Serkan Oncu, Yasemin Akkoyunlu, Arzu Dogru, Ozgur Dagli, Zuhal Karakurt, Serhat Uysal, Serap Gencer, Oguz Karabay, Hale Turan, Güven Çelebi, Gül Durmuş, Rezan Harman, Ayse Batirel, Mehmet Ulug, Asuman Inan, Emel Aslan, Yesim Uygun, Selma Tosun, Gülden Ersöz, Erdem, H, Cag, Y, Gencer, S, Uysal, S, Karakurt, Z, Harman, R, Aslan, E, Mutlu-Yilmaz, E, Karabay, O, Uygun, Y, Ulug, M, Tosun, S, Dogru, A, Sener, A, Dogan, M, Hasbun, R, Durmus, G, Turan, H, Batirel, A, Duygu, F, Inan, A, Akkoyunlu, Y, Celebi, G, Ersoz, G, Guven, T, Dagli, O, Guler, S, Meric-Koc, M, Oncu, S, Rello, J, Sakarya Üniversitesi/Tıp Fakültesi/Dahili Tıp Bilimleri Bölümü, Karabay, Oğuz, AKKOYUNLU, YASEMİN, and Zonguldak Bülent Ecevit Üniversitesi
- Subjects
0301 basic medicine ,Male ,Intensive-Care Units ,Antibiotics ,Resistance ,results of prospective and multicenter ID-IRI study.-, European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2019 [Erdem H., Cag Y., Gencer S., Uysal S., Karakurt Z., Harman R., Aslan E., Mutlu-Yilmaz E., Karabay O., Uygun Y., et al., -Treatment of ventilator-associated pneumonia (VAP) caused by Acinetobacter] ,law.invention ,chemistry.chemical_compound ,0302 clinical medicine ,Medical microbiology ,law ,Risk Factors ,030212 general & internal medicine ,Prospective Studies ,Lung ,biology ,Acinetobacter ,Ventilator-associated pneumonia ,Pneumonia, Ventilator-Associated ,General Medicine ,Middle Aged ,Antimicrobial ,Baumannii ,Intensive care unit ,Management ,Anti-Bacterial Agents ,Infectious-Diseases Society ,Intensive Care Units ,Infectious Diseases ,Female ,Original Article ,Acinetobacter Infections ,Microbiology (medical) ,medicine.medical_specialty ,medicine.drug_class ,030106 microbiology ,America ,Guidelines ,Microbiology ,03 medical and health sciences ,Internal medicine ,medicine ,Humans ,Mortality ,Aged ,Creatinine ,business.industry ,Pneumonia ,medicine.disease ,biology.organism_classification ,Treatment ,chemistry ,VAP ,business - Abstract
Ventilator-associated pneumonia (VAP) due to Acinetobacter spp. is one of the most common infections in the intensive care unit. Hence, we performed this prospective-observational multicenter study, and described the course and outcome of the disease. This study was performed in 24 centers between January 06, 2014, and December 02, 2016. The patients were evaluated at time of pneumonia diagnosis, when culture results were available, and at 72 h, at the 7th day, and finally at the 28th day of follow-up. Patients with coexistent infections were excluded and only those with a first VAP episode were enrolled. Logistic regression analysis was performed. A total of 177 patients were included; empiric antimicrobial therapy was appropriate (when the patient received at least one antibiotic that the infecting strain was ultimately shown to be susceptible) in only 69 (39%) patients. During the 28-day period, antibiotics were modified for side effects in 27 (15.2%) patients and renal dose adjustment was made in 38 (21.5%). Ultimately, 89 (50.3%) patients died. Predictors of mortality were creatinine level (OR, 1.84 (95% CI 1.279–2.657); p = 0.001), fever (OR, 0.663 (95% CI 0.454–0.967); p = 0.033), malignancy (OR, 7.095 (95% CI 2.142–23.500); p = 0.001), congestive heart failure (OR, 2.341 (95% CI 1.046–5.239); p = 0.038), appropriate empiric antimicrobial treatment (OR, 0.445 (95% CI 0.216–0.914); p = 0.027), and surgery in the last month (OR, 0.137 (95% CI 0.037–0.499); p = 0.003). Appropriate empiric antimicrobial treatment in VAP due to Acinetobacter spp. was associated with survival while renal injury and comorbid conditions increased mortality. Hence, early diagnosis and appropriate antibiotic therapy remain crucial to improve outcomes. © 2019, Springer-Verlag GmbH Germany, part of Springer Nature.
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- 2019
22. Development of an Anti-Acinetobacter baumannii Biofilm Phage Cocktail: Genomic Adaptation to the Host.
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Blasco L, Bleriot I, González de Aledo M, Fernández-García L, Pacios O, Oliveira H, López M, Ortiz-Cartagena C, Fernández-Cuenca F, Pascual Á, Martínez-Martínez L, Pachón J, Azeredo J, and Tomás M
- Subjects
- Biofilms, Genome, Viral, Genomics, Humans, Acinetobacter Infections microbiology, Acinetobacter baumannii genetics, Bacteriophages genetics
- Abstract
The need for alternatives to antibiotic therapy due to the emergence of multidrug resistant bacteria (MDR), such as the nosocomial pathogen Acinetobacter baumannii, has led to the recovery of phage therapy. In addition, phages can be combined in cocktails to increase the host range. In this study, the evolutionary mechanism of adaptation was utilized in order to develop a phage adapted to A. baumannii, named phage Ab105-2phiΔCI404ad, from a mutant lytic phage, Ab105-2phiΔCI, previously developed by our group. The whole genome sequence of phage Ab105-2phiΔCI404ad was determined, showing that four genomic rearrangements events occurred in the tail morphogenesis module affecting the ORFs encoding the host receptor binding sites. As a consequence of the genomic rearrangements, 10 ORFs were lost and four new ORFs were obtained, all encoding tail proteins; two inverted regions were also derived from these events. The adaptation process increased the host range of the adapted phage by almost 3-fold. In addition, a depolymerase-expressing phenotype, indicated by formation of a halo, which was not observed in the ancestral phage, was obtained in 81% of the infected strains. A phage cocktail was formed by combining this phage with the A. baumannii phage vB_AbaP_B3, known to express a depolymerase. Both the individual phages and the phage cocktail showed strong antimicrobial activity against 5 clinical strains and 1 reference strain of A. baumannii tested. However, in all cases resistance to the bacterial strains was also observed. The antibiofilm activity of the individual phages and the cocktail was assayed. The phage cocktail displayed strong antibiofilm activity.
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- 2022
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23. Genetic Dissection of Antibiotic Adjuvant Activity.
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Bailey J, Gallagher L, Barker WT, Hubble VB, Gasper J, Melander C, and Manoil C
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- Ceftazidime pharmacology, Meropenem, Vancomycin, Clarithromycin, beta-Lactamases metabolism, Microbial Sensitivity Tests, Anti-Bacterial Agents pharmacology, Acinetobacter baumannii metabolism
- Abstract
Small molecule adjuvants that enhance the activity of established antibiotics represent promising agents in the battle against antibiotic resistance. Adjuvants generally act by inhibiting antibiotic resistance processes, and specifying the process acted on is a critical step in defining an adjuvant's mechanism of action. This step is typically carried out biochemically by identifying molecules that bind adjuvants and then inferring their roles in resistance. Here, we present a complementary genetic strategy based on identifying mutations that both sensitize cells to antibiotic and make them "adjuvant blind." We tested the approach in Acinetobacter baumannii AB5075 using two adjuvants: a well-characterized β-lactamase inhibitor (avibactam) and a compound enhancing outer membrane permeability (aryl 2-aminoimidazole AI-1). The avibactam studies showed that the adjuvant potentiated one β-lactam (ceftazidime) through action on a single β-lactamase (GES-14) and a second (meropenem) by targeting two different enzymes (GES-14 and OXA-23). Mutations impairing disulfide bond formation (DsbAB) also reduced potentiation, possibly by impairing β-lactamase folding. Mutations reducing AI-1 potentiation of canonical Gram-positive antibiotics (vancomycin and clarithromycin) blocked lipooligosaccharide (LOS/LPS) synthesis or its acyl modification. The results indicate that LOS-mediated outer membrane impermeability is targeted by the adjuvant and show the importance of acylation in the resistance. As part of the study, we employed Acinetobacter baylyi as a model to verify the generality of the A. baumannii results and identified the principal resistance genes for ceftazidime, meropenem, vancomycin, and clarithromycin in A. baumannii AB5075. Overall, the work provides a foundation for analyzing adjuvant action using a comprehensive genetic approach. IMPORTANCE One strategy to confront the antibiotic resistance crisis is through the development of adjuvant compounds that increase the efficacy of established drugs. A key step in the development of a natural product adjuvant as a drug is identifying the resistance process it undermines to enhance antibiotic activity. Previous procedures designed to accomplish this have relied on biochemical identification of cell components that bind adjuvant. Here, we present a complementary strategy based on identifying mutations that eliminate adjuvant activity.
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- 2022
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24. Improving Cleaning and Disinfection of High-Touch Surfaces in Intensive Care during Carbapenem-Resistant Acinetobacter baumannii Endemo-Epidemic Situations
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Serena Giorgi, Pietro Luigi Lopalco, Anna Laura Costa, Lavinia Zezza, Paola Valentini, Enrico Tagliaferri, Anna Righi, Simona Barnini, Michele Totaro, Paolo Malacarne, Gaetano Pierpaolo Privitera, Angelo Baggiani, Beatrice Casini, and Nunzio De Feo
- Subjects
Acinetobacter baumannii ,Male ,Health, Toxicology and Mutagenesis ,Disinfectant ,Iatrogenic Disease ,lcsh:Medicine ,030501 epidemiology ,carbapenem-resistant A. baumannii ,law.invention ,Toxicology ,0302 clinical medicine ,Hygiene ,law ,Medicine ,030212 general & internal medicine ,media_common ,Aged, 80 and over ,biology ,Middle Aged ,Baumannii ,Intensive care unit ,Intensive Care Units ,Italy ,Health ,Female ,Public Health ,0305 other medical science ,media_common.quotation_subject ,Total Viable Count ,Article ,Bioburden ,Carbapenem-resistant A ,03 medical and health sciences ,Intensive care ,Humans ,Toxicology and Mutagenesis ,Aged ,business.industry ,outsourced cleaning services ,Environmental and Occupational Health ,lcsh:R ,Public Health, Environmental and Occupational Health ,high-touch surfaces ,biology.organism_classification ,Bacterial Load ,Disinfection ,Carbapenems ,business ,Carbapenem resistant Acinetobacter baumannii ,pre-impregnated wipes ,Disinfectants ,High-touch surfaces ,Outsourced cleaning services ,Pre-impregnated wipes - Abstract
Aims: High-touch surfaces cleaning and disinfection require the adoption of effective and proper executed protocols, especially during carbapenem-resistant Acinetobacter baumannii (CRAB) endemo-epidemic situations. We evaluated the effectiveness and residual disinfectant activity of disposable pre-impregnated wipes (Modified Operative Protocol, MOP) in reducing environmental bioburden versus a two-step Standard Operative Protocol (SOP) in a 12-bed Intensive Care Unit. Methods: Five high-touch surfaces were cleaned and disinfected either according to the SOP (alcohol-based cleaning and chlorine-based disinfection) or using quaternary ammonium compounds-based disposable wipes (MOP). Sampling was performed before each procedure and at 0.5, 2.5, 4.5 and 6.5 h after (560 sites). Total viable count (TVC) was evaluated according to Italian hygiene standard (<, 50 CFU/24 cm2). Clinical and environmental CRAB strains isolated were genotyped. Results: On non-electromedical surfaces the difference between TVC before procedure and at each of the following times was significant only for the MOP (p <, 0.05, Wilcoxon test). Using the MOP, only 7.4% (10/135) of sites showed TVC >, 50 CFU/24 cm2 (hygiene failures) versus 18.9% (25/132) after SOP (p <, 0.05, Fisher&rsquo, s Exact test). On infusion pumps a higher number of hygiene failures was observed after the SOP (7/44, 15.9%) compared with the MOP (4/45, 8.9%). Genotyping highlighted a common source of infection. Conclusion: On high-touch surfaces, the use of disposable wipes by in-house auxiliary nurses may represent a more effective alternative to standard cleaning and disinfection procedure performed by outsourced cleaning services, showing effectiveness in reducing microbial contamination and residual disinfection activity up to 6.5 h.
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- 2018
25. Infective endocarditis by Acinetobacter species: a systematic review.
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Ioannou P, Mavrikaki V, and Kofteridis DP
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- Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Aortic Valve microbiology, Child, Child, Preschool, Echocardiography, Endocarditis, Bacterial diagnosis, Endocarditis, Bacterial epidemiology, Female, Humans, Infant, Infant, Newborn, Male, Middle Aged, Mitral Valve microbiology, Sex Factors, Young Adult, Acinetobacter, Endocarditis, Bacterial physiopathology, Endocarditis, Bacterial therapy
- Abstract
A. baumannii - A. calcoaceticus complex infections are increasingly frequent, especially in intensive care units. Such infections are associated with a mortality that can be as high as 62%. On the other hand, infective endocarditis (IE) is an uncommon disease with notable morbidity and mortality. Even though IE is rarely caused by Acinetobacter species, these infections can be particularly problematic due to increasing antimicrobial resistance. The purpose of this study was to systemically review all published cases of IE by Acinetobacter species in the literature. A systematic review of PubMed, Scopus and Cochrane library (through 25 April 2020) for studies providing epidemiological, clinical, microbiological as well as treatment data and outcomes of IE by Acinetobacter species was performed. A total of 35 studies, containing data of 37 patients, were included. A prosthetic valve was present in 40.5%, while the most common causative pathogen was A. baumannii - A. calcoaceticus complex, followed by A. lwoffii . Aortic valve was the commonest infected site, followed by mitral valve. Diagnosis was set with transthoracic echocardiography in 48.6%, while the diagnosis was set at autopsy in 20%. Fever and sepsis were the commonest clinical presentations, followed by heart failure and embolic phenomena. Aminoglycosides, cephalosporins and carbapenems were the commonest antimicrobials used. Clinical cure was noted in 70.3%, while overall mortality was 32.4%. Development of heart failure was independently associated with mortality by IE. This systematic review thoroughly describes IE by Acinetobacter and provides information on epidemiology, clinical presentation, treatment and outcomes.
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- 2021
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26. Recherche d'outils thérapeutique innovants pour lutter contre la bactérie Acinetobacter baumannii
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Nicol, Marion, STAR, ABES, Polymères Biopolymères Surfaces (PBS), Institut national des sciences appliquées Rouen Normandie (INSA Rouen Normandie), Institut National des Sciences Appliquées (INSA)-Normandie Université (NU)-Institut National des Sciences Appliquées (INSA)-Normandie Université (NU)-Institut de Chimie du CNRS (INC)-Institut Normand de Chimie Moléculaire Médicinale et Macromoléculaire (INC3M), Institut de Chimie du CNRS (INC)-École Nationale Supérieure d'Ingénieurs de Caen (ENSICAEN), Normandie Université (NU)-Normandie Université (NU)-Institut national des sciences appliquées Rouen Normandie (INSA Rouen Normandie), Institut National des Sciences Appliquées (INSA)-Normandie Université (NU)-Institut National des Sciences Appliquées (INSA)-Université Le Havre Normandie (ULH), Normandie Université (NU)-Université de Rouen Normandie (UNIROUEN), Normandie Université (NU)-Centre National de la Recherche Scientifique (CNRS)-Université de Caen Normandie (UNICAEN), Normandie Université (NU)-École Nationale Supérieure d'Ingénieurs de Caen (ENSICAEN), Normandie Université (NU)-Université Le Havre Normandie (ULH), Normandie Université (NU)-Centre National de la Recherche Scientifique (CNRS), Normandie Université, and Emmanuelle Dé
- Subjects
Proteomics ,Squalamine ,Pellicle ,Persistant ,Biofilm ,Tolerant ,SDF ,Quorum Sensing ,biochemical phenomena, metabolism, and nutrition ,Baumannii ,Tolérant ,Antibiofilm ,VBNC ,Protéomique ,Acides gras ,Persister ,[SDV.BBM] Life Sciences [q-bio]/Biochemistry, Molecular Biology ,[SDV.BBM]Life Sciences [q-bio]/Biochemistry, Molecular Biology ,Pellicule ,Fatty acids ,A. baumannii ,ATCC 17978 ,Virstatine - Abstract
Today, Acinetobacter baumannii is one of the most problematic pathogens in the world. This bacterium is responsible for worldwide epidemic outbreaks associated with dramatic mortality rates. It possesses high capacities to evade the immune host system and to resist to numerous available antibacterial agents. A. baumannii is also able to persist into hospital environment due to high adhesion abilities which induce community development. This process is also associated to an enhanced survival rate. In Acinetobacter genus, community modes of lif can take two forms : biofilm and pellicle. In this study on the strain ATCC 17978, we tried to discriminate these two lifestyles by a large scale proteomic analysis. We have confirmed the presence of many common community markers (transporters, ion acquisition secretion systems, adhesins and pili) and highlighted systems specifically related to biofilm (pilus Fim, T2SS, T1SS / pump A1S_0535-38, LPS / LOS, capsular pattern) and pellicle communities. Furthermore the proteomic analysis of an avirulent A. baumannii strain, SDF, in biofilm allowed to highlight peculiar metabolic pathways, specific adhesion determinants but very few markers shared by ATCC 17978. This demonstrated the difficulty in developing a treatment directed against A. baumannii biofilm. Then, we tested different approaches to prevent and eradicate biofilms. The first one targeted the Quorum Sensing system (QS), an essential communication system for cell coordination. We have showed that monounsaturated fatty acids (palmitoleic acid and myristoleic acid), like virstatin prevent the community formation of A. baumannii by inhibiting the expression of the abaR regulator required for QS. In a second strategy, we have evaluated the antibacterial and antibiofilm activity of a new natural compound : the squalamine. We showed for the first time that if ciprofloxacin treatment was able to induce a dormancy population (persistent/VBNCs) in A. baumannii, squalamine was able to eradicate this population of dormant cells., Acinetobacter baumanii fait aujourd’hui partie des bactéries les plus problématiques dans le monde. Responsable de nombreux pics épidémiques d’infections nosocomiales auxquelles sont associés de forts taux de mortalité, cette bactérie puise sa pathogénie dans de multiples caractéristiques qui lui permettent ainsi d’échapper au système immunitaire de l’hôte et à la plupart des traitements actuels. Capable d’adhérer à de multiples surfaces, A. baumanii persiste dans l’environnement hospitalier à travers un mode de vie communautaire au sein duquel ses capacités de survie sont exacerbées. Chez les espèces du genre Acinetobacter, le mode de vie communautaire peut prendre deux formes distinctes : le biofilm et la pellicule. Dans la première partie de cette thèse, nous avons cherché à discriminer ces deux modes de vie, chez la souche ATCC 17978, par une analyse protéomique à large échelle. Nous avons confirmé la présence de nombreux marqueurs communs aux deux communautés (transporteurs, systèmes de sécrétion, d’acquisition d’ions, adhésines et pili) et mis en exergue des systèmes spécifiquement reliés à la formation du biofilm (pilus Fim, T2SS, T1SS/pompe A1S_0535-38, LPS/LOS, motif capsulaire) et à celle de la pellicule (Gac). Grâce à l’étude de la souche A. baumannii SDF en mode biofilm, qui présente un génome plus compact, nous montrons que très peu de mécanismes moléculaires sont partagés par les deux souches étudiées. Ce résultat témoigne de la difficulté quant au développement d’un traitement dirigé contre les biofilms A. baumannii. Dans une deuxième partie, nous avons testé deux approches pour prévenir et éradiquer les biofilms à A. baumannii. La première a ciblé le Quorum Sensing (QS), système de communication essentielle à la coordination des cellules. Nous avons pu montrer que les acides gras mono-insaturés (acide palmitoléique et acide myristoléique), au même titre que la virstatine, limitait la formation de communautés à A. baumannii en inhibant l’expression du régulateur abaR nécessaire au QS. Dans une seconde stratégie, nous avons finalement évalué l’action antibactérienne et antibiofilm d’un nouveau composé d’origine naturelle : la squalamine. Dans cette étude, nous montrons pour la première fois qu’A. baumannii est capable d’entrer dans un état de dormance (persistant/VBNC) pour survivre à de fortes doses de ciprofloxacine, mais que la squalamine est capable d’éradiquer ces cellules persistantes grâce à des concentrations inférieures à la concentration hémolytique.
- Published
- 2017
27. Pitfalls associated with evaluating enzymatic quorum quenching activity : the case of MomL and its effect on Pseudomonas aeruginosa and Acinetobacter baumannii biofilms
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Yunhui Zhang, Gilles Brackman, and Tom Coenye
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Acinetobacter baumannii ,0301 basic medicine ,BACTERIAL BIOFILMS ,LACTONASE ,030106 microbiology ,Homoserine ,lcsh:Medicine ,Virulence ,Biology ,SUSCEPTIBILITY ,medicine.disease_cause ,Quorum quenching ,General Biochemistry, Genetics and Molecular Biology ,Microbiology ,MECHANISMS ,03 medical and health sciences ,chemistry.chemical_compound ,ATTENUATION ,medicine ,Lactonase ,PATHOGEN ,SENSING INHIBITORS ,baumannii ,Quorum sensing inhibition ,Acinetobacter ,Pseudomonas aeruginosa ,General Neuroscience ,Biofilm ,lcsh:R ,Biology and Life Sciences ,General Medicine ,biochemical phenomena, metabolism, and nutrition ,biology.organism_classification ,Quorum sensing ,030104 developmental biology ,chemistry ,biology.protein ,VIRULENCE ,General Agricultural and Biological Sciences ,MomL ,ANTIBIOTICS ,RESISTANCE - Abstract
BackgroundThe enzymatic degradation of quorums sensing (QS) molecules (called quorum quenching, QQ) has been considered as a promising anti-virulence therapy to treat biofilm-related infections and combat antibiotic resistance. The recently-discovered QQ enzyme MomL has been reported to efficiently degrade differentN-acyl homoserine lactones (AHLs) of various Gram-negative pathogens. Here we investigated the effect of MomL on biofilms formed by two important nosocomial pathogens,Pseudomonas aeruginosaandAcinetobacter baumannii.MethodsMomL was expressed inE.coliBL21 and purified. The activity of MomL on AHLs with hydroxyl substituent was tested. Biofilms ofP. aeruginosaPAO1 andAcinetobacterstrains were formed in 96-well microtiter plates. Biofilm formation was evaluated by crystal violet staining, plating and fluorescence microscopy. The effect of MomL on biofilm susceptibility to antibiotics was also tested. We further evaluated MomL in dual-species biofilms formed byP. aeruginosaandA. baumannii, and in biofilms formed in a wound model. The effect of MomL on virulence ofA. baumanniiwas also tested in theCaenorhabditis elegansmodel.ResultsMomL reduced biofilm formation and increased biofilm susceptibility to different antibiotics in biofilms ofP. aeruginosaPAO1 andA. baumanniiLMG 10531 formed in microtiter platesin vitro. However, no significant differences were detected in the dual-species biofilm and in wound model biofilms. In addition, MomL did not affect virulence ofA. baumanniiin theC. elegansmodel. Finally, the effect of MomL on biofilm ofAcinetobacterstrains seems to be strain-dependent.DiscussionOur results indicate that although MomL showed a promising anti-biofilm effect againstP. aeruginosaandA. baumaniibiofilms formed in microtiter plates, the effect on biofilm formation under conditions more likely to mimic the real-life situation was much less pronounced or even absent. Our data indicate that in order to obtain a better picture of potential applicability of QQ enzymes for the treatment of biofilm-related infections, more elaborate model systems need to be used.
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- 2017
28. The structure of the polysaccharide isolated from Acinetobacter baumannii strain LAC-4
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Wangxue Chen, Evgeny Vinogradov, H. Howard Xu, and Leann L. MacLean
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anion exchange chromatography ,Acinetobacter baumannii ,Lipopolysaccharides ,LPS ,Magnetic Resonance Spectroscopy ,gel chromatography ,Molecular Sequence Data ,Polysaccharide ,Biochemistry ,Nuclear magnetic resonance ,Analytical Chemistry ,Microbiology ,Structure (composition) ,Organic compounds ,Carbohydrate Conformation ,carbohydrate analysis ,Acinetobacters ,Trisaccharide ,Repeating unit ,nuclear magnetic resonance spectroscopy ,chemistry.chemical_classification ,Strain (chemistry) ,biology ,lipopolysaccharide ,Organic Chemistry ,Chains ,O-polysaccharide ,General Medicine ,NMR data ,Acinetobacter ,Baumannii ,bacterial strain ,biology.organism_classification ,Capsular polysaccharides ,Nmr data ,trisaccharide ,Carbohydrate Sequence ,chemistry ,Synthesis (chemical) ,polysaccharide ,D-glucosamine ,Trisaccharides - Abstract
The structure of the surface polysaccharide from a hypervirulent for mice Acinetobacter baumannii strain LAC-4 was studied. The polysaccharide was built of trisaccharide repeating units containing α-l-fucosamine, α-d-glucosamine, and α-8-epi-legionaminic acid. The structure interpretation was based mostly on NMR data. Polysaccharide was obtained using a procedure of LPS O-chain preparation, although whether it is an LPS O-chain or capsular polysaccharide remained unclear. © 2014 Published by Elsevier Ltd. All rights reserved.
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- 2014
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29. A systematic review of implications, mechanisms, and stability of in vivo emergent resistance to colistin and tigecycline in Acinetobacter baumannii .
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Karakonstantis S
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- Acinetobacter Infections drug therapy, Bacterial Proteins, Calcium-Transporting ATPases genetics, Humans, Lipopolysaccharides metabolism, Membrane Transport Proteins biosynthesis, Microbial Sensitivity Tests, Prospective Studies, Acinetobacter baumannii drug effects, Anti-Bacterial Agents pharmacology, Colistin pharmacology, Drug Resistance, Multiple, Bacterial drug effects, Tigecycline pharmacology
- Abstract
The potential of A. baumannii for acquired resistance to last resort antibiotics (colistin and tigecycline) during treatment has important clinical implications, especially when dealing with patients failing to improve despite treatment with an active antimicrobial. However, the relevant literature remains scattered. Therefore, a systematic search was conducted in PubMed and Scopus. Several studies reported emergence of resistance to colistin or tigecycline during treatment, in most cases (86%) resulting in persistent or recurrent infections, especially in cases of emergent resistance without fitness cost. Lipopolysaccharide modification in the case of colistin and overexpression of efflux pumps in the case of tigecycline were the main mechanisms of resistance. Emergent colistin resistance is often associated with fitness cost which may result in re-emergence of the fitter and more virulent colistin susceptible strain after cessation of antibiotic pressure. Prospective studies are needed to determine the frequency of emergent resistance during treatment and its impact on patient outcomes.
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- 2021
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30. Genome Sequence of Airborne Acinetobacter sp. Strain 5-2Ac02 in the Hospital Environment, Close to the Species of Acinetobacter towneri
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Álvaro Pascual, Eva Gato, Laura Fernandez-Garcia, Rodolpho Mattos Albano, Begoña Fernández, María Tomás, Germán Bou, Elizabeth Andrade Marques, Beathriz G. V. Barbosa, María M. López, Lucia Blasco, Felipe-Fernández Cuenca, Robson Souza Leão, [Barbosa, Beathriz G. V.] Univ Estado Rio De Janeiro, FCM, Dept Microbiol Inmunol & Parasitol, Rio De Janeiro, Brazil, [Leao, Robson Souza] Univ Estado Rio De Janeiro, FCM, Dept Microbiol Inmunol & Parasitol, Rio De Janeiro, Brazil, [Marques, Elizabeth A.] Univ Estado Rio De Janeiro, FCM, Dept Microbiol Inmunol & Parasitol, Rio De Janeiro, Brazil, [Fernandez-Garcia, Laura] UDC, INIBIC Sergas, Complejo Hosp Univ, Dept Microbiol, La Coruna, Spain, [Gato, Eva] UDC, INIBIC Sergas, Complejo Hosp Univ, Dept Microbiol, La Coruna, Spain, [Lopez, Maria] UDC, INIBIC Sergas, Complejo Hosp Univ, Dept Microbiol, La Coruna, Spain, [Blasco, Lucia] UDC, INIBIC Sergas, Complejo Hosp Univ, Dept Microbiol, La Coruna, Spain, [Fernandez, Begona] UDC, INIBIC Sergas, Complejo Hosp Univ, Dept Microbiol, La Coruna, Spain, [Bou, German] UDC, INIBIC Sergas, Complejo Hosp Univ, Dept Microbiol, La Coruna, Spain, [Tomas, Maria] UDC, INIBIC Sergas, Complejo Hosp Univ, Dept Microbiol, La Coruna, Spain, [Albano, Rodolpho M.] Univ Estado Rio de Janeiro, Inst Biol Roberto Alcantara Gomes, Dept Bioquim, Rio De Janeiro, Brazil, [Cuenca, Felipe-Fernandez] Hosp Univ Virgen Macarena, Unidad Intercentros Enfermedades Infecciosas Micr, Seville, Spain, [Pascual, Alvaro] Hosp Univ Virgen Macarena, Unidad Intercentros Enfermedades Infecciosas Micr, Seville, Spain, [Gato, Eva] Spanish Network Res Infect Dis REIPI RD12 0015, Seville, Spain, [Lopez, Maria] Spanish Network Res Infect Dis REIPI RD12 0015, Seville, Spain, [Cuenca, Felipe-Fernandez] Spanish Network Res Infect Dis REIPI RD12 0015, Seville, Spain, [Pascual, Alvaro] Spanish Network Res Infect Dis REIPI RD12 0015, Seville, Spain, [Bou, German] Spanish Network Res Infect Dis REIPI RD12 0015, Seville, Spain, [Tomas, Maria] Spanish Network Res Infect Dis REIPI RD12 0015, Seville, Spain, [Cuenca, Felipe-Fernandez] Biomed Inst Seville IBiS, Seville, Spain, State Plan for R + D + I 2013 -2016 (National Plan for Scientific Research, Technological Development and Innovation 2008-2011), ISCIII-Deputy General Directorate of Evaluation and Promotion of Research-European Regional Development Fund 'A way of Making Europe', Instituto de Salud Carlos III FEDER, Spanish Network for the Research in Infectious Diseases, Miguel Servet Research Programme (CH U.A Coruna), Miguel Servet Research Programme (ISCIII), and Axencia Galega de Innovacion (GAIN-XUNTA GALICIA)
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0301 basic medicine ,Whole genome sequencing ,Identification ,biology ,Phylogenetic tree ,Strain (biology) ,030106 microbiology ,Acinetobacter ,Baumannii ,biology.organism_classification ,Genome ,Microbiology ,03 medical and health sciences ,030104 developmental biology ,Genetics ,Acinetobacter towneri ,Colonization ,Prokaryotes ,Acinetobacter sp ,Molecular Biology - Abstract
Acinetobacter spp. are found in 53% of air colonization samples from the hospital environment. In this work, we sequenced all the genome of airborne Acinetobacter sp. strain 5-2Ac02. We found important features at the genomic level in regards to the rhizome. By phylogenetic analysis, A. towneri was the species most closely related to Acinetobacter sp. 5-2Ac02.
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- 2016
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31. Bacteremia due to Acinetobacter ursingii in infants: Reports of two cases
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Ahmet Soysal, Ayşe Karaaslan, Serkan Atıcı, Nurhayat Yakut, Gülşen Akkoç, Eda Kepenekli, Mustafa Bakir, Sevliya Öcal Demir, Yakut, Nurhayat, Kepenekli, Eda Kadayifci, Karaaslan, Ayse, Atici, Serkan, Akkoc, Gulsen, Demir, Sevliya Ocal, Soysal, Ahmet, and Bakir, Mustafa
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0301 basic medicine ,Male ,Pediatrics ,medicine.medical_specialty ,acinetobacter ursingii ,acinetobacteruringii ,Fistula ,030106 microbiology ,Case Report ,Opportunistic Infections ,03 medical and health sciences ,Pharmacotherapy ,BAUMANNII ,Acinetobacter ursingii ,Pediatric surgery ,medicine ,Humans ,bacteremia ,child ,lcsh:R5-920 ,biology ,Acinetobacter ,IDENTIFICATION ,business.industry ,lcsh:Public aspects of medicine ,Infant ,lcsh:RA1-1270 ,General Medicine ,medicine.disease ,biology.organism_classification ,Surgery ,Anti-Bacterial Agents ,Diarrhea ,Recurrent aspiration pneumonia ,Sulbactam ,Bacteremia ,Vomiting ,SP-NOV ,Ampicillin ,medicine.symptom ,business ,lcsh:Medicine (General) ,Acinetobacter Infections - Abstract
Acinetobacter ursingii is an aerobic, gram-negative, opportunistic microorganism which is rarely isolated among Acinetobacter species. We present two immunocompetent infants who developed bacteremia due to A.ursingii. The first patient is a two -month- old boy who had been hospitalized in pediatric surgery unit for suspected tracheo-esophageal fistula because of recurrent aspiration pneumonia unresponsive to antibiotic therapy. The second patient is a fourteen -month- old boy with prolonged vomiting and diarrhea. A. ursingii was isolated from their blood cultures. They were successfully treated with ampicillin-sulbactam. Although A.ursingii has recently been isolated from a clinical specimen; reports of infection with A.ursingii in children are rare. A.ursingii should be kept in mind as an opportunistic microorganism in children.Pan African Medical Journal 2016; 23
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- 2016
32. Understanding the Regulatory Mechanism of BfmR in Acinetobacter baumannii ATCC 19606T
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Mack, Lydia Eileen
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- Microbiology, Acinetobacter, baumannii, two component system, BfmR, regulation, microbiology
- Abstract
The BfmRS two-component regulatory system of Acinetobacter baumannii plays roles in biofilm formation, pili production, capsule production, and other functions essential for colonization and persistence. Based on previously-collected RNA sequencing data comparing wild-type A. baumannii ATCC 19606T to an isogenic BfmR-deficient strain, we hypothesized that BfmR negatively regulates transcription of the genes for acinetobactin biosynthesis, secretion, and uptake for A. baumannii ATCC 19606T. Considering the recent identification of a BfmR-binding inverted repeat sequence, we also hypothesized that BfmR directly regulates the transcription of genes containing the BfmR-binding site upstream of the predicted start codon. Experimental analyses performed in this work included immunoblotting assays, qRT-PCR, electrophoretic mobility shift assays, molecular cloning techniques, and biofilm formation assays. The data acquired in this thesis demonstrate that BfmR is capable of repressing the expression of acinetobactin biosynthesis, secretion, and uptake genes. We also present information regarding the ability of BfmR to exhibit direct and indirect transcriptional regulation of metabolite transport and pili production genes.
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- 2019
33. The changing epidemiology of Acinetobacter spp. producing OXA carbapenemases causing bloodstream infections in Brazil: a BrasNet report
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Ana Tereza Ribeiro de Vasconcelos, Julival Ribeiro, Juliana Oliveira Silva, Danielle Murici Brasiliense, Rodrigo Cayô, Bianca R. Lucarevschi, Sânia Alves dos Santos, Marília Lima da Conceição, Anna S. Levin, Rosângela Morais, Willames M. B. S. Martins, Flavia Rossi, Irna Carla do Rosário Souza Carneiro, Mariama Tomaz da Silva, Marise Reis de Freitas, Karla Valéria Batista Lima, Marina Moreira, Guilherme Henrique Campos Furtado, Afonso Luis Barth, Blenda Gonçalves Cabral, Mirian de Freitas Dalben, Ricardo D. Guzman, Maura Salaroli de Oliveira, Maria Helena Marques Fonseca de Britto, Luci Correa, Marines Dalla Valle Martino, Alexandre P. Zavascki, Ana Cristina Gales, Lima, Karla https://orcid.org/0000-0001-5807-0392, Correa, Luciana https://orcid.org/0000-0002-5774-0750, Levin, Anna https://orcid.org/0000-0003-2427-8368, Vasconcelos, Ana Tereza R https://orcid.org/0000-0002-4632-2086, Gales, Ana Cristina https://orcid.org/0000-0003-0913-768X, Martins, Willames https://orcid.org/0000-0002-3001-3625, Lima, Karla/N-6531-2016, Correa, Luciana/H-3875-2012, Levin, Anna/C-8831-2012, Vasconcelos, Ana Tereza R/I-1011-2012, Gales, Ana Cristina/C-8280-2013, and Barth, Afonso/H-2392-2012
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Male ,Acinetobacter Spp ,Bacteremia ,Polymerase Chain Reaction ,Tertiary Care Centers ,Drug Resistance, Multiple, Bacterial ,Epidemiology ,polycyclic compounds ,Cluster Analysis ,Child ,Aged, 80 and over ,Molecular Epidemiology ,Oxa-143 ,biology ,Acinetobacter ,General Medicine ,Middle Aged ,Baumannii ,Acinetobacter baumannii ,Anti-Bacterial Agents ,Infectious Diseases ,Child, Preschool ,Geographic regions ,Female ,Brazil ,Acinetobacter Infections ,Microbiology (medical) ,Adult ,medicine.medical_specialty ,Adolescent ,Genotype ,Spread ,Microbial Sensitivity Tests ,Microbiology ,beta-Lactamases ,Oxa Carbapenemase ,Young Adult ,Bacterial Proteins ,medicine ,Humans ,Aged ,IDOSOS ,Acinetobacter pittii ,Molecular epidemiology ,business.industry ,Infant, Newborn ,Infant ,Bloodstream Infections ,biochemical phenomena, metabolism, and nutrition ,biology.organism_classification ,Molecular Typing ,bacteria ,business - Abstract
Made available in DSpace on 2019-09-12T16:53:35Z (GMT). No. of bitstreams: 0 Previous issue date: 2015 Merieux Research Grants - Institut Merieux We evaluated the epidemiology of Acinetobacter spp. recovered from patients diagnosed with bloodstream infections in 9 tertiary hospitals located in all Brazilian geographic regions between April and August 2014. Although OXA-23-producing Acinetobacter baumannii clones were disseminated in most hospitals, it was observed for the first time the spread of OXA-72 among clonally related A. baumannii isolated from distinct hospitals. Interestingly, Acinetobacter pittii was the most frequent species found in a Northern region hospital. Contrasting with the multisusceptible profile displayed by A. pittii isolates, the tetracyclines and polymyxins were the only antimicrobials active against all A. baumannii isolates. (C) 2015 Elsevier Inc. All rights reserved. [Vasconcelos, Ana Tereza R.] Lab Nacl Comp Cient LNCC MCTI, Petropolis, RJ, Brazil [Barth, Afonso L.; Zavascki, Alexandre P.] Univ Fed Rio Grande do Sul, Hosp Clin Porto Alegre, Lab Pesquisa Resistencia Bacteriana LABRESIS, Porto Alegre, RS, Brazil [Gales, Ana C.; Furtado, Guilherme H. C.; da Silva, Juliana O.; Correa, Luci; Cayo, Rodrigo; Martins, Willames M. B. S.] Univ Fed Sao Paulo UNIFESP, Disciplina Infectol, Dept Med, Sao Paulo, SP, Brazil [Levin, Anna S.; Rossi, Flavia; Silva, Mariama T.; Oliveira, Maura S.; Dalben, Mirian F.; Santos, Sania A.] Univ Sao Paulo, Inst Med Trop USP LIM 54, Dept Patol LIM 03, Hosp Clin,Fac Med, Sao Paulo, SP, Brazil [Lucarevschi, Bianca R.; Moreira, Marina] Universidade de Taubaté (Unitau) , Dept Med [Cabral, Blenda G.; Brasiliense, Danielle M.; Carneiro, Irna Carla R. S.; Lima, Karla V. B.; da Conceicao, Marilia L.] Fundacao Santa Casa Misericordia Para UFPA, Belem, Para, Brazil [Cabral, Blenda G.; Brasiliense, Danielle M.; Carneiro, Irna Carla R. S.; Lima, Karla V. B.; da Conceicao, Marilia L.] Inst Evandro Chagas SVS MS, Belem, Para, Brazil [Ribeiro, Julival; Guzman, Ricardo D.] Hosp Base, Brasilia, DF, Brazil [Correa, Luci; Martino, Marines D. V.] Hosp Israelita Albert Einstein HIAE, Sao Paulo, SP, Brazil [Correa, Luci; Martino, Marines D. V.] Fac Ciencias Med Santa Casa Sao Paulo, Sao Paulo, SP, Brazil [Britto, Maria H.; de Freitas, Manse R.; Morais, Rosangela] Univ Fed Rio Grande Norte UFRN, Ctr Patol Clin, Natal, RN, Brazil
- Published
- 2015
34. Etude multicentrique de la résistance aux antibiotiques chez Acinetobacter baumannii
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MERAD BOUDIA, née MESLI Esma
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baumannii ,antibiotiques chez Acinetobacter - Published
- 2014
35. A GC1 Acinetobacter baumannii isolate carrying AbaR3 and the aminoglycoside resistance transposon TnaphA6 in a conjugative plasmid
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Hamidian, M, Holt, KE, Pickard, D, Dougan, G, Hall, RM, Hamidian, M, Holt, KE, Pickard, D, Dougan, G, and Hall, RM
- Abstract
OBJECTIVES: To locate the acquired antibiotic resistance genes, including the amikacin resistance transposon TnaphA6, in the genome of an Australian isolate belonging to Acinetobacter baumannii global clone 1 (GC1). METHODS: A multiply antibiotic-resistant GC1 isolate harbouring TnaphA6 was sequenced using Illumina HiSeq, and reads were used to generate a de novo assembly and determine multilocus sequence types (STs). PCR was used to assemble the AbaR chromosomal resistance island and a large plasmid carrying TnaphA6. Plasmid DNA sequences were compared with ones available in GenBank. Conjugation experiments were conducted. RESULTS: The A. baumannii GC1 isolate G7 was shown to include the AbaR3 antibiotic resistance island. It also contains an 8.7 kb cryptic plasmid, pAb-G7-1, and a 70,100 bp plasmid, pAb-G7-2, carrying TnaphA6. pAb-G7-2 belongs to the Aci6 Acinetobacter plasmid family. It encodes transfer functions and was shown to conjugate. Plasmids related to pAb-G7-2 were detected in further amikacin-resistant GC1 isolates using PCR. From the genome sequence, isolate G7 was ST1 (Institut Pasteur scheme) and ST231 (Oxford scheme). Using Oxford scheme PCR-based methods, the isolate was ST109 and this difference was traced to a single base difference resulting from the inclusion of the original primers in the gpi segment analysed. CONCLUSIONS: The multiply antibiotic-resistant GC1 isolate G7 carries most of its resistance genes in AbaR3 located in the chromosome. However, TnaphA6 is on a conjugative plasmid, pAb-G7-2. Primers developed to locate TnaphA6 in pAb-G7-2 will simplify the detection of plasmids related to pAb-G7-2 in A. baumannii isolates.
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- 2014
36. Staring at the cold sun: blue light regulation is distributed within the genus Acinetobacter
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Alexandr Nemec, Adrián Ezequiel Golic, Alejandro M. Viale, Luis A. Actis, María Alejandra Mussi, and Mario Vaneechoutte
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ACINETOBACTER ,Acinetobacter baumannii ,Light ,lcsh:Medicine ,Genome ,purl.org/becyt/ford/1 [https] ,BAUMANNII ,Microbial Physiology ,Medicine and Health Sciences ,lcsh:Science ,Phylogeny ,Multidisciplinary ,biology ,Phylogenetic tree ,Ecology ,Temperature ,GENOME SEQUENCE ,Bacterial Biochemistry ,Bacterial Pathogens ,ESCHERICHIA-COLI ,CALCOACETICUS ,CIENCIAS NATURALES Y EXACTAS ,Research Article ,BLUE LIGHT ,Microbial Sensitivity Tests ,HUMAN CLINICAL SPECIMENS ,TRANSDUCTION ,Microbiology ,Microbial Ecology ,Ciencias Biológicas ,Biología Celular, Microbiología ,Phylogenetics ,MOTILITY ,ABIOTIC SURFACES ,purl.org/becyt/ford/1.6 [https] ,Gene ,Biology ,Microbial Pathogens ,DNA Primers ,IDENTIFICATION ,Base Sequence ,lcsh:R ,BIOFILM FORMATION ,Biofilm ,Photoreceptor protein ,Bacteriology ,Acinetobacter ,biochemical phenomena, metabolism, and nutrition ,biology.organism_classification ,SP NOV ,Biofilms ,Microbial Evolution ,lcsh:Q ,Bacterial Biofilms - Abstract
We previously showed that the opportunistic nosocomial pathogen Acinetobacter baumannii is able to sense and respond to light via BlsA, a BLUF (Blue-Light-sensing Using FAD)-domain photoreceptor protein. Here, we extend our previous studies showing that light regulation is not restricted to A. baumannii, but rather widespread within the genus Acinetobacter. First, we found that blue light modulates motility and biofilm formation in many species of the genus, including members of the Acinetobacter calcoaceticus-A. baumannii complex. In many of these species blue light acts as a key factor guiding the decision between motility or sessility at 24uC, whereas in A. baumannii, light inhibits both motility and biofilm formation. We also show that light regulation of motility occurred not only at 24uC but also at 37uC in non-A. baumannii species, contrasting the situation of A. baumannii which only shows photoregulation at 24uC. Second, we show that Acinetobacter baylyi (strain ADP1) BLUF-photoreceptors can functionally replace in vivo the A. baumannii 17978 BlsA protein and that the pathways leading to biofilm formation are inversely regulated at 24uC between these two microorganisms. Finally, we found the presence of predicted genes coding BLUF-containing proteins in all Acinetobacter sequenced genomes, even though the copy number is variable among them. Phylogenetic analysis suggests a common origin for all BLUF domains present in members of this genus, and could distinguish well-differentiated clusters that group together BLUF homologs from different species, a situation particularly clear for members of the ACB complex. Despite a role played by these BLUF domain-containing proteins in the photoregulation observed in the members of the genus Acinetobacter is a likely scenario given our findings in A. baumannii and A. baylyi, further research will contribute to confirm this possibility. Fil: Golic, Adrián Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Rosario. Instituto de Biología Molecular y Celular de Rosario; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Rosario. Centro de Estudios Fotosintéticos y Bioquímicos (i); Argentina Fil: Vaneechoutte, Mario. Ghent University. Ghent University Hospital. Laboratory for Bacteriology Research; Bélgica Fil: Nemec, Alexandr. National Institute of Public Health. Laboratory of Bacterial Genetics; República Checa Fil: Viale, Alejandro Miguel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Rosario. Instituto de Biología Molecular y Celular de Rosario; Argentina Fil: Actis, Luis A.. Miami University. Department of Microbiology; Estados Unidos Fil: Mussi, María Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Rosario. Centro de Estudios Fotosintéticos y Bioquímicos (i); Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Rosario. Instituto de Biología Molecular y Celular de Rosario; Argentina
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- 2012
37. Exploring the evolutionary dynamics of plasmids: the Acinetobacter pan-plasmidome
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Alessio Mengoni, Renato Fani, Lenie Dijkshoorn, Marco Fondi, Giovanni Bacci, Mario Vaneechoutte, Maria Cristiana Papaleo, Matteo Brilli, Baobab, Département PEGASE [LBBE] (PEGASE), Laboratoire de Biométrie et Biologie Evolutive - UMR 5558 (LBBE), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National de Recherche en Informatique et en Automatique (Inria)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National de Recherche en Informatique et en Automatique (Inria)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Laboratoire de Biométrie et Biologie Evolutive - UMR 5558 (LBBE), Université de Lyon-Université de Lyon-Institut National de Recherche en Informatique et en Automatique (Inria)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS), Dipartimento di Biologia Evoluzionistica 'Leo Pardi', Università degli Studi di Firenze = University of Florence [Firenze] (UNIFI), Bioinformatique, phylogénie et génomique évolutive (BPGE), Laboratory for Bacteriology Research [Ghent], Universiteit Gent = Ghent University [Belgium] (UGENT), Leiden University Medical Center (LUMC), Università degli Studi di Firenze = University of Florence (UniFI), Universiteit Gent = Ghent University (UGENT), and Universiteit Leiden
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DNA, Bacterial ,[SDV.OT]Life Sciences [q-bio]/Other [q-bio.OT] ,VENETIANUS VE-C3 ,Evolution ,DIESEL FUEL DEGRADATION ,[SDV]Life Sciences [q-bio] ,Biology ,SEQUENCE ,Genome ,HORIZONTAL GENE-TRANSFER ,Evolution, Molecular ,NATURAL TRANSFORMATION ,03 medical and health sciences ,BAUMANNII ,Plasmid ,Phylogenetics ,Research article ,QH359-425 ,Cluster Analysis ,Gene ,Phylogeny ,Ecology, Evolution, Behavior and Systematics ,ComputingMilieux_MISCELLANEOUS ,BAYLYI ,030304 developmental biology ,Genetics ,Comparative Genomic Hybridization ,0303 health sciences ,Acinetobacter ,030306 microbiology ,Circular bacterial chromosome ,Biology and Life Sciences ,Computational Biology ,Sequence Analysis, DNA ,Chromosomes, Bacterial ,GENOME ,Genes, Bacterial ,horizontal gene-transfer diesel fuel degradation natural transformation bacterial plasmids venetianus ve-c3 baumannii resistance genome sequence baylyi ,Horizontal gene transfer ,plasmids, evolution, acinetobacter ,Plasmidome ,BACTERIAL PLASMIDS ,Mobile genetic elements ,RESISTANCE ,Genome, Bacterial ,Plasmids - Abstract
Background Prokaryotic plasmids have a dual importance in the microbial world: first they have a great impact on the metabolic functions of the host cell, providing additional traits that can be accumulated in the cell without altering the gene content of the bacterial chromosome. Additionally and/or alternatively, from a genome perspective, plasmids can provide a basis for genomic rearrangements via homologous recombination and so they can facilitate the loss or acquisition of genes during these events, which eventually may lead to horizontal gene transfer (HGT). Given their importance for conferring adaptive traits to the host organisms, the interest in plasmid sequencing is growing and now many complete plasmid sequences are available online. Results By using the newly developed Blast2Network bioinformatic tool, a comparative analysis was performed on the plasmid and chromosome sequence data available for bacteria belonging to the genus Acinetobacter, an ubiquitous and clinically important group of γ-proteobacteria. Data obtained showed that, although most of the plasmids lack mobilization and transfer functions, they have probably a long history of rearrangements with other plasmids and with chromosomes. Indeed, traces of transfers between different species can be disclosed. Conclusions We show that, by combining plasmid and chromosome similarity, identity based, network analysis, an evolutionary scenario can be described even for highly mobile genetic elements that lack extensively shared genes. In particular we found that transposases and selective pressure for mercury resistance seem to have played a pivotal role in plasmid evolution in Acinetobacter genomes sequenced so far.
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- 2010
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38. Acinetobacter beijerinckii sp nov and Acinetobacter gyllenbergii sp nov., haemolytic organisms isolated from humans
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Martina Maixnerova, Alexandr Nemec, Tanny J. K. van der Reijden, Thierry De Baere, L. Dijkshoorn, Mario Vaneechoutte, and Martin Musílek
- Subjects
DNA, Bacterial ,Acinetobacter beijerinckii ,Acinetobacter gyllenbergii ,Sequence analysis ,Restriction Mapping ,medicine.disease_cause ,HUMAN CLINICAL SPECIMENS ,DNA, Ribosomal ,Hemolysis ,Microbiology ,BAUMANNII ,Species Specificity ,Phylogenetics ,RNA, Ribosomal, 16S ,Environmental Microbiology ,medicine ,Medicine and Health Sciences ,Animals ,Humans ,Phylogeny ,Ecology, Evolution, Behavior and Systematics ,Acinetobacter ,biology ,IDENTIFICATION ,STRAINS ,RECOGNITION ,Nucleic Acid Hybridization ,Genes, rRNA ,DNA-Directed RNA Polymerases ,Sequence Analysis, DNA ,General Medicine ,Ribosomal RNA ,biology.organism_classification ,16S ribosomal RNA ,TRANSFORMATION ,Bacterial Typing Techniques ,Culture Media ,Phenotype ,CALCOACETICUS ,GENUS ACINETOBACTER ,Amplified fragment length polymorphism ,Polymorphism, Restriction Fragment Length ,Acinetobacter Infections - Abstract
The taxonomic status of 24 haemolytic, non-glucose acidifying Acinetobacter strains that did not belong to any previously described species was investigated by means of a polyphasic approach. Using AFLP fingerprinting, amplified rDNA restriction analysis and phenotypic characterization, the strains were classified into two phenetically coherent groups (comprising 15 and 9 strains) that were distinct from each other and from all known Acinetobacter species. Confirmation that these groups formed two separate lineages within the genus Acinetobacter was obtained from comparative analysis of partial sequences of the gene encoding the beta-subunit of RNA polymerase in all strains and also from 16S rRNA gene sequence analysis of representative strains. Previously published DNA-DNA reassociation data for some of the strains used also supported the species rank for both groups, for which the names Acinetobacter beijerinckii sp. nov. and Acinetobacter gyllenbergii sp. nov. are proposed. The strains of A. beijerinckii sp. nov. originated from human and animal specimens and from various environmental sources, whereas those of A. gyllenbergii sp. nov. were isolated exclusively from human clinical specimens. The phenotypic characteristics most useful for the differentiation of these species from other Acinetobacter species that comprise haemolytic strains were the inability of A. beijerinckii sp. nov. to grow on L-arginine and the ability of A. gyllenbergii sp. nov. to grow on azelate. The type strain of A. beijerinckii sp. nov. is NIPH 838(T) (=LUH 4759(T)= CCUG 51249(T)= CCM 7266(T) =58a(T)) and the type strain of A. gyllenbergii sp. nov. is NIPH 2150(T) (=RUH 422(T)= CCUG 51248(T)=CCM 7267(T)=1271(T)).
- Published
- 2009
39. The structure of the polysaccharide O-chain of the LPS from Acinetobacter baumannii strain ATCC 17961
- Author
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Wangxue Chen, Malcolm B. Perry, Leann L. MacLean, and Evgeny Vinogradov
- Subjects
Acinetobacter baumannii ,LPS ,Acetylgalactosamine ,Magnetic Resonance Spectroscopy ,Glucuronates ,Polysaccharide ,Biochemistry ,Mass Spectrometry ,Analytical Chemistry ,Acetylglucosamine ,chemistry.chemical_compound ,Carbohydrate Conformation ,chemistry.chemical_classification ,biology ,Strain (chemistry) ,Acinetobacter ,Molecular Structure ,Chemistry ,Organic Chemistry ,Structure ,Galactose ,O Antigens ,General Medicine ,biology.organism_classification ,Glucuronic acid ,Baumannii ,NMR ,Glucose ,Carbohydrate Sequence ,Two-dimensional nuclear magnetic resonance spectroscopy ,Bacteria - Abstract
The gram-negative bacterium Acinetobacter baumannii strain ATCC17961 has been used by several laboratories in mouse models of respiratory A. baumannii infection, and a study of the role of its lipopolysaccharide in the pathogenicity is of interest. The structure of the O-deacylated polysaccharide O-chain component of its LPS has been determined by 2D NMR spectroscopy and mass spectrometry methods, and by the structural identification of oligosaccharides obtained by sequential application of the Smith degradation of the O-antigen. The O-chain was determined to be a polymer of a branched pentasaccharide repeating unit composed of 2,3-diacetamido-2,3-dideoxy-D-glucuronic acid, 2-acetamido-2-deoxy-D-glucose, 2-acetamido-2-deoxy-D-galactose, D-glucose, and D-galactose, and has the following structure: [carbohydrate sequence see in text].
- Published
- 2008
40. Clinical importance of extended-spectrum beta-lactamase (PER-1-type)-producing Acinetobacter spp. and Pseudomonas aeruginosa strains
- Author
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Özlem Tansel, Sesin Kocagoz, Mehmet Ali Ozinel, Hakan Leblebicioglu, Recep Öztürk, Muserref Tatman-Otkun, Figen Coskunkan, Bekir Kocazeybek, Volkan Korten, Halis Akalin, Iftahar Koksal, Nursu Sahin, Haluk Vahaboglu, Uludağ Üniversitesi/Tıp Fakültesi/Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı., Akalın, Emin Halis, and AAU-8952-2020
- Subjects
Adult ,Male ,Microbiology (medical) ,Turkey ,medicine.medical_treatment ,Population ,Resistance ,Biology ,medicine.disease_cause ,Microbiology ,beta-Lactamases ,Cohort Studies ,Sex Factors ,Risk Factors ,Outcome Assessment, Health Care ,Pneumonia, Bacterial ,medicine ,Humans ,Pseudomonas Infections ,Prospective Studies ,Mortality ,Prospective cohort study ,education ,Cross Infection ,education.field_of_study ,Acinetobacter ,Pseudomonas aeruginosa ,Outer-membrane ,Outbreak ,General Medicine ,Pneumonia ,biology.organism_classification ,Baumannii ,Acquisition ,Multivariate Analysis ,Urinary Tract Infections ,Cohort ,Pseudomonadales ,Beta-lactamase ,Female ,Acinetobacter Infections ,Cohort study - Abstract
Recently, an extended-spectrum beta -lactamase (PER-I) was found to be disseminated among Acinetobacter spp, and Pseudomonas aeruginosa isolates in Turkey. A population-based cohort study was conducted to elucidate predictive mortality factors in patients with nosocomial infections caused by Acinetobacter spp. and P. aeruginosa, with particular reference to PER-1-type extended-spectrum beta -lactamase (ESBL) production. The study group comprised 16 and 21 non-survivors and 82 and 126 survivors in cohorts infected with Acinetobacter and E. aeruginosa, respectively. In the Acinetobacter-infected cohort, nosocomial pneumonia, hypotension and infection with a PER-positive isolate were independent predictors of mortality. In the P. aeruginosa-infected cohort, impaired consciousness, a PER-positive isolate, male sex and (with a negative relative risk) urinary tract infection were independent predictors of death. This study demonstrated the relationship of PER-1-type ESBL-producing Acinetobacter spp. and P. aeruginosa with poor clinical outcome.
- Published
- 2001
41. Identification of a small molecule inhibitor of virulence factors in multidrug resistant acinetobacter baumannii
- Author
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Massey, George David Kostides
- Subjects
- Microbiology, Acinetobacter, Alternatives, Antibiotic, Baumannii, Resistance, Treatment
- Abstract
Acinetobacter baumannii is an opportunistic pathogen prevalent in nosocomial infections, most commonly infecting humans with compromised immune systems during their hospital stays. The organism's success in such circumstances has to do with its ability to survive on dry, abiotic surfaces (e.g. catheters, bed railings, and other medical equipment) and its increasingly apparent antibiotic resistance. These factors make A. baumannii a serious problem for healthcare professionals and in public health generally. A. baumannii is paradigmatic and representative of the issues confronting healthcare in the ongoing antibiotic crisis, and many strains are showing multidrug resistant (MDR) phenotypes. Given that the patients infected by A. baumannii tend to be very vulnerable and traditional antibiotic treatment seems to be getting less and less effective, it is imperative to explore alternative treatment options that may lead to better outcomes, especially if their mechanisms are not the same as the traditional antibiotics that exert the selective pressures that have led to the current antibiotic crisis. A small molecule called M64 is known to inhibit a LysR-type transcription regulator (LTTR) important for virulence, but not cell growth or viability, in another opportunistic pathogen, Pseudomonas aeruginosa. The experiments presented here show that M64 was able to rescue mice infected with A. baumannii and to downregulate the expression of important metabolic genes downstream from A. baumannii LTTRs BenM and CatM in vitro while having no effect on bacterial growth. BenM and CatM regulate genes involved in the metabolism of benzoate and catechol respectively, both of which are parts of tryptophan metabolism and are eventually broken down to form acetyl-CoA and succinyl-CoA for energy production in the citric acid cycle. Such a pharmacodynamic profile offers a starting point in the design of alternative treatments of MDR bacterial infections, as successful outcomes are observed without the direct killing of cells in vitro seen in traditional antibiotics. In this case, as catechol metabolism is important for siderophore biosynthesis and thus bacterial virulence, inhibition of the transcription of genes involved in catechol metabolism may be playing a role in the observed rescue of infected mice. Further studies are required to ascertain the nature of the inhibitor's effect, however.
- Published
- 2015
42. Quorum sensing and surface attachment in Acinetobacter baumannii
- Author
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Lopez Martin, Mario and Lopez Martin, Mario
- Abstract
Acinetobacter baumannii is a Gram-negative nosocomial pathogen that causes a wide range of infections, including ventilator-associated pneumonia and soft tissue infections, mostly in seriously ill patients. Even though several virulence-associated factors have been described, the exact mechanisms of infection and the overall regulation of A. baumannii virulence are still poorly understood. One of the regulatory systems involved in virulence in many other pathogenic bacteria is quorum sensing (QS), a cell density-dependent bacterial communication system that relies in the accumulation of an extracellular signal. In Gram-negative bacteria, these are usually N-acyl-homoserine lactones (AHLs)) and they facilitate coordination of gene expression within a bacterial population. A. baumannii possesses a single LuxR/LuxI-type QS locus, named AbaR/AbaI, that, despite being reported in previous publications to be involved in surface motility and biofilm formation, remains poorly characterized. In this project the role of ABUW_3775 (here named abaM), a gene encoding an RsaM orthologue, and QS were investigated in the hypervirulent A. baumannii strain AB5075. AbaM and QS were phenotypically and genetically characterized, elucidating their role in attachment, surface motility, AHL production, virulence in G. mellonella and gene regulation (which included several genes involved in biofilm formation, such as de Csu pili operon). Further research involving Csu pili suggest that, despite being important in biofilm formation, they might not be the only factor involved in surface sensing and ‘deciding’ whether a surface is suitable for attachment and formation of biofilm or not. This work provides a deeper understanding of QS, gene regulation, attachment and virulence in A. baumannii, but more detailed future investigations will be required for a more comprehensive understanding of the virulence and physiology of this challenging pathogen.
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