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Published on: August 4, 2023
Epidemiological markers of Acinetobacter baumannii clinical isolates from a spinal cord injury unit
M A Marcos1, S Abdalla, F Pedraza
1Departament de Microbiologia, Facultat de Medicina, Hospital Clinic, Universitat de Barcelona, Spain.
Abstract:
During a period of 28 months, 114 isolates of Acinetobacter baumannii obtained from urine samples of 57 patients, were recovered in a Spinal Cord Unit; an unusual increase in the number of A. baumannii isolates was observed between February 1991 and January 1992. Six different typing methods [biotyping, antimicrobial susceptibility, whole cell and cell-envelope protein analysis, plasmid analysis and chromosomal DNA analysis by pulsed-field gel electrophoresis (PFGE)] were used to study the isolates to establish any potential relationships among them. Chromosomal DNA analysis by digestion with ApaI and separation of the fragments by PFGE was the most powerful tool to determine the relatedness of isolates. The results suggest that the isolates from 1991 and 1992 may have originated from strains present in 1990 that subsequently acquired resistance to amikacin and tobramycin during the epidemic.
Insights
This study investigated Acinetobacter baumannii in spinal cord unit patients. Pulsed-field gel electrophoresis revealed that 1991-1992 isolates likely originated from 1990 strains that acquired antibiotic resistance.
Area of Science:
- Microbiology
- Infectious Diseases
- Genetics
Background:
- Acinetobacter baumannii is a significant nosocomial pathogen.
- An increase in A. baumannii isolates was noted in a Spinal Cord Unit over 28 months.
- Understanding isolate relatedness is crucial for infection control.
Purpose of the Study:
- To investigate the relationships among Acinetobacter baumannii isolates from a Spinal Cord Unit.
- To identify the source and evolution of A. baumannii during an observed increase in cases.
Main Methods:
- Six typing methods were employed: biotyping, antimicrobial susceptibility, protein analysis (whole cell and cell-envelope), plasmid analysis, and chromosomal DNA analysis.
- Pulsed-field gel electrophoresis (PFGE) of ApaI-digested chromosomal DNA was utilized for detailed strain typing.
- Isolate relatedness was assessed using these molecular and phenotypic techniques.
Main Results:
- Pulsed-field gel electrophoresis (PFGE) proved to be the most effective method for determining isolate relatedness.
- The study suggests that the A. baumannii isolates from 1991-1992 likely emerged from strains present in 1990.
- These precursor strains appear to have acquired resistance to amikacin and tobramycin during the epidemic period.
Conclusions:
- A. baumannii outbreaks can be effectively tracked using PFGE for chromosomal DNA analysis.
- The findings indicate a potential clonal spread and acquisition of antibiotic resistance within A. baumannii strains during an epidemic.
- This highlights the importance of molecular typing in managing hospital-acquired infections.
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