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Published on: August 4, 2023
Prevalence of antimicrobial resistance in Acinetobacter calcoaceticus-baumannii complex in a Saudi Arabian hospital
Jaffar A Al-Tawfiq1, Thangiah X Mohandhas
1Internal Medicine Services Division, Dhahran Health Center, Saudi Aramco Medical Services Organization, Saudi Aramco, Dhahran, Saudi Arabia. jaffar.tawfiq@aramco.com
Abstract:
During the period from 1998 through 2004, a total of 476 isolates of Acinetobacter calcoaceticus-baumannii complex were recovered. The organism showed high rates of resistance to ampicillin (86% of isolates), cefoxitin (89%), and nitrofurantoin (89%). The rate of resistance to imipenem was 3%; to ticarcillin-clavulanic acid, 16.5%; to gentamicin, 26%; and to ceftazidime, 38%. Multidrug resistance was observed in 14%-35.8% of Acinetobacter species isolates.
Insights
Acinetobacter calcoaceticus-baumannii complex isolates showed high resistance to common antibiotics like ampicillin and cefoxitin. Multidrug resistance was also prevalent, highlighting a significant challenge in treating infections caused by these bacteria.
Area of Science:
- Microbiology
- Infectious Diseases
- Antimicrobial Resistance
Background:
- The Acinetobacter calcoaceticus-baumannii complex is a significant opportunistic pathogen.
- Understanding antimicrobial resistance patterns is crucial for effective treatment strategies.
Purpose of the Study:
- To determine the antimicrobial resistance profiles of Acinetobacter calcoaceticus-baumannii complex isolates.
- To assess the prevalence of multidrug resistance within this bacterial group.
Main Methods:
- Retrospective analysis of 476 Acinetobacter calcoaceticus-baumannii complex isolates.
- Antimicrobial susceptibility testing was performed for various antibiotics.
Main Results:
- High resistance rates were observed for ampicillin (86%), cefoxitin (89%), and nitrofurantoin (89%).
- Resistance to imipenem was low (3%), while resistance to ticarcillin-clavulanic acid (16.5%), gentamicin (26%), and ceftazidime (38%) was moderate.
- Multidrug resistance ranged from 14% to 35.8% among the isolates.
Conclusions:
- The Acinetobacter calcoaceticus-baumannii complex exhibits significant resistance to several commonly used antibiotics.
- The prevalence of multidrug resistance necessitates careful selection of antimicrobial agents for treating infections caused by these bacteria.
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