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Updated: Nov 23, 2025

Rapid and Specific Detection of Acinetobacter baumannii Infections Using a Recombinase Polymerase Amplification/Cas12a-based System
Published on: April 25, 2025
Association of Acinetobacter Baumannii with invasive procedures in hospitalized patients in Jakarta
Lucky H Moehario1, Tasia Esterita2, Valencia Shirleen3
1Department of Microbiology, School of Medicine and Health Sciences of Atma Jaya Catholic University of Indonesia. luckyhmoehario@gmail.com.
Introduction:
Acinetobacter baumannii, a multidrug-resistant Gram-negative opportunist has been known among the cause of nosocomial infection. Risk factors of infection related to A. baumannii have been reported elsewhere. This study aimed to find the association of A. baumannii positive culture and invasive procedures in patients hospitalized in the Intensive Care Unit and Hospital ward in Jakarta.
Methodology:
This study was a retrospective, 1:1 matched case-control study with total sampling method from in-patients in the ICU and the Internal Medicine Wards (IMW) of a Private Hospital, North Jakarta in 2015 - 2018. Data retrieved were positive culture of A. baumannii. Positive cultures of multi-sensitive bacteria were included as a control group. Antibiotic susceptibility test was carried out as recommended by Clinical and Laboratory Standards Institute.
Results:
A total of 88 in-patients were studied, and A. baumannii isolates were identified from 44 patients. Most of A. baumannii showed resistant to almost all antibiotics tested, except for colistin. Bivariate analysis showed a significant association of A. baumannii positive culture and the use of ventilator in the ICU (p = 0,039), and with urinary catheters in the IMW (p = 0,022). Multivariate analysis showed that length of stay also has a significant association to A. baumannii positive culture in the ICU.
Conclusions:
The use of ventilators and urinary catheters showed a significant association with Acinetobacter baumannii positive culture in patients in the ICU and in the IMW respectively. All of the A. baumannii isolates were susceptible to colistin.
Insights
Acinetobacter baumannii infections in Jakarta hospitals are linked to ventilator use in the ICU and urinary catheters in wards. Most strains were multidrug-resistant, but all remained susceptible to colistin.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Hospital Epidemiology
Background:
- Acinetobacter baumannii is a multidrug-resistant Gram-negative bacterium causing nosocomial infections.
- Risk factors for Acinetobacter baumannii infections have been previously documented.
- Understanding specific associations in different hospital settings is crucial for infection control.
Purpose of the Study:
- To investigate the association between Acinetobacter baumannii positive cultures and invasive procedures in hospitalized patients.
- To identify specific risk factors for Acinetobacter baumannii acquisition in Intensive Care Units (ICU) and Internal Medicine Wards (IMW).
Main Methods:
- A retrospective, 1:1 matched case-control study was conducted.
- Data from in-patients in an ICU and IMW in Jakarta from 2015-2018 were analyzed.
- Acinetobacter baumannii positive cultures were compared with multi-sensitive bacteria controls.
Main Results:
- A significant association was found between Acinetobacter baumannii positive culture and ventilator use in the ICU (p=0.039).
- Urinary catheter use in the IMW showed a significant association with Acinetobacter baumannii positive culture (p=0.022).
- Multivariate analysis indicated that length of stay in the ICU was also associated with Acinetobacter baumannii positive culture.
Conclusions:
- Ventilator use in ICUs and urinary catheters in IMWs are significant risk factors for Acinetobacter baumannii positive cultures.
- All identified Acinetobacter baumannii isolates demonstrated susceptibility to colistin.
- These findings highlight the importance of targeted infection control measures based on invasive procedures.
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