Acinetobacter baumannii: an emerging multidrug-resistant threat.
1Department of Infectious Disease, Pfizer Global Research and Development, MS 220-2301, Eastern Point Road, Groton, CT 06340, USA. thomas.d.gootz@pfizer.com
Expert Review of Anti-Infective Therapy
|July 1, 2008
Summary
Acinetobacter baumannii is an emerging pathogen causing severe hospital and community infections. Its increasing antibiotic resistance and hardiness pose a significant threat, demanding greater understanding and attention.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Antimicrobial Resistance
Background:
- Acinetobacter baumannii is increasingly recognized as a significant pathogen.
- Historically considered opportunistic, it now causes severe nosocomial and community-acquired infections.
- Infections primarily affect vulnerable patients, particularly those in intensive care units.
Purpose of the Study:
- To review the growing threat of Acinetobacter baumannii infections.
- To highlight new insights into Acinetobacter virulence and resistance mechanisms.
- To emphasize the need for a comprehensive understanding of this pathogen's rise.
Main Methods:
- Literature review of Acinetobacter baumannii epidemiology and resistance.
- Analysis of trends in incidence and severity of infections.
- Synthesis of current knowledge on virulence factors and antibiotic resistance.
Main Results:
- Acinetobacter baumannii infections have increased in incidence and severity over the past two decades.
- The pathogen exhibits significant and alarming antimicrobial resistance.
- It demonstrates inherent hardiness and persistence in healthcare environments.
Conclusions:
- Acinetobacter baumannii is a formidable emerging pathogen.
- Its rise is linked to increasing antibiotic resistance and virulence.
- Further research is crucial to combat this multifaceted threat.
Related Concept Videos
Clinical Significance of Antibiotic Resistance
Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...
Mechanism of Antibiotic Resistance in MRSA
Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and acquisition...
Development of Antibiotic Resistance
Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
Acute Pyelonephritis II: Diagnostic Studies and Management
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Gene Regulation in Microbial Communities: Quorum Sensing
Quorum sensing is a mechanism of bacterial communication that enables coordinated gene expression in response to changes in population density. This facilitates collective behaviors that enhance survival, resource acquisition, and ecological adaptation. This process relies on small signaling molecules called autoinducers that accumulate as bacterial populations grow. When a critical threshold concentration of autoinducers is reached, bacterial cells collectively modify gene expression,...
Antibiotic Selection
Overview

