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.

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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