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Multiple sequence types responsible for healthcare-associated Acinetobacter baumannii dissemination in a single centre in Egypt
Acinetobacter baumannii is an increasingly worrying organism in the healthcare setting, due to its multidrug resistance and persistence. Prolonged hospitalisation, immunocompromised patients and excessive antibiotic exposure all contribute to increasing the risk of A. baumannii infections, which mak...
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| Published in: | BMC infectious diseases 2019-10, Vol.19 (1), p.829-829, Article 829 |
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| description | Acinetobacter baumannii is an increasingly worrying organism in the healthcare setting, due to its multidrug resistance and persistence. Prolonged hospitalisation, immunocompromised patients and excessive antibiotic exposure all contribute to increasing the risk of A. baumannii infections, which makes cancer patients a significant risk group. This study aims to investigate the dissemination of A. baumannii at the National Cancer Institute (NCI) in Cairo - Egypt.
All bacterial isolates were typed using Multi-locus Sequence Typing (MLST) to characterise the epidemiology of isolates. The intrinsic OXA-51-like, and the acquired carbapanemases OXA-23, - 24/40, - 58, NDM, IMP, and VIM were also amplified and sequenced to genetically identify mechanisms of carbapenem resistance.
MLST results show a high degree of multi-clonal dissemination, with 18 different Sequence Types (STs) identified, including 5 novel. The majority of isolates belonged to International Clone (IC) 2, and carbapenem resistance was detected in 93% of isolates and mediated by bla
, bla
, bla
and bla
. We also report the presence of a resistant ST732 (OXA-378) which has been previously identified in migratory birds
CONCLUSIONS: Multiple highly resistant clones were identified in a Cancer hospital in Cairo. It is vital that clinicians and healthcare workers are aware of the population of A. baumannii present in order to have appropriate treatment and infection control practices. |
| doi_str_mv | 10.1186/s12879-019-4433-1 |
| format | article |
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All bacterial isolates were typed using Multi-locus Sequence Typing (MLST) to characterise the epidemiology of isolates. The intrinsic OXA-51-like, and the acquired carbapanemases OXA-23, - 24/40, - 58, NDM, IMP, and VIM were also amplified and sequenced to genetically identify mechanisms of carbapenem resistance.
MLST results show a high degree of multi-clonal dissemination, with 18 different Sequence Types (STs) identified, including 5 novel. The majority of isolates belonged to International Clone (IC) 2, and carbapenem resistance was detected in 93% of isolates and mediated by bla
, bla
, bla
and bla
. We also report the presence of a resistant ST732 (OXA-378) which has been previously identified in migratory birds
CONCLUSIONS: Multiple highly resistant clones were identified in a Cancer hospital in Cairo. It is vital that clinicians and healthcare workers are aware of the population of A. baumannii present in order to have appropriate treatment and infection control practices.</description><identifier>ISSN: 1471-2334</identifier><identifier>EISSN: 1471-2334</identifier><identifier>DOI: 10.1186/s12879-019-4433-1</identifier><identifier>PMID: 31590644</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Acinetobacter baumannii ; Acinetobacter baumannii - genetics ; Acinetobacter baumannii - isolation & purification ; Acinetobacter infections ; Acinetobacter Infections - diagnosis ; Acinetobacter Infections - drug therapy ; Acinetobacter Infections - epidemiology ; Anti-Bacterial Agents - adverse effects ; Anti-Bacterial Agents - therapeutic use ; Antibiotics ; Bacterial Typing Techniques ; Beef cattle ; Behavior ; beta-Lactamases ; Birds ; Cancer ; Cancer Care Facilities ; Cancer patients ; Cancer research ; Carbapenem resistance ; Carbapenems - adverse effects ; Carbapenems - therapeutic use ; Cloning ; Cross infection ; Demographic aspects ; Drug resistance ; Drug Resistance, Multiple, Bacterial ; Egypt - epidemiology ; Epidemiology ; Female ; Forecasts and trends ; Genes ; Genes, Bacterial ; Genetic aspects ; Genotype ; Health care ; Health Personnel ; Health risks ; Humans ; Immunocompromised host ; Immunocompromised hosts ; Infection ; Infections ; Infectious diseases ; Medical personnel ; Microbial drug resistance ; Microbial Sensitivity Tests ; Migratory birds ; MLST ; Multidrug resistance ; Multilocus Sequence Typing ; Novels ; Oxalic acid ; Patients ; Risk factors ; Studies ; Workers</subject><ispartof>BMC infectious diseases, 2019-10, Vol.19 (1), p.829-829, Article 829</ispartof><rights>COPYRIGHT 2019 BioMed Central Ltd.</rights><rights>2019. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s). 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c628t-de15f68e859c93f490f0c7886dd2181d46c82c538720892d6993cdf39caa43f93</citedby><cites>FETCH-LOGICAL-c628t-de15f68e859c93f490f0c7886dd2181d46c82c538720892d6993cdf39caa43f93</cites><orcidid>0000-0002-0506-050X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6781328/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2306785096?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31590644$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al-Hassan, Leena</creatorcontrib><creatorcontrib>Zafer, Mai M</creatorcontrib><creatorcontrib>El-Mahallawy, Hadir</creatorcontrib><title>Multiple sequence types responsible for healthcare-associated Acinetobacter baumannii dissemination in a single centre in Egypt</title><title>BMC infectious diseases</title><addtitle>BMC Infect Dis</addtitle><description>Acinetobacter baumannii is an increasingly worrying organism in the healthcare setting, due to its multidrug resistance and persistence. Prolonged hospitalisation, immunocompromised patients and excessive antibiotic exposure all contribute to increasing the risk of A. baumannii infections, which makes cancer patients a significant risk group. This study aims to investigate the dissemination of A. baumannii at the National Cancer Institute (NCI) in Cairo - Egypt.
All bacterial isolates were typed using Multi-locus Sequence Typing (MLST) to characterise the epidemiology of isolates. The intrinsic OXA-51-like, and the acquired carbapanemases OXA-23, - 24/40, - 58, NDM, IMP, and VIM were also amplified and sequenced to genetically identify mechanisms of carbapenem resistance.
MLST results show a high degree of multi-clonal dissemination, with 18 different Sequence Types (STs) identified, including 5 novel. The majority of isolates belonged to International Clone (IC) 2, and carbapenem resistance was detected in 93% of isolates and mediated by bla
, bla
, bla
and bla
. We also report the presence of a resistant ST732 (OXA-378) which has been previously identified in migratory birds
CONCLUSIONS: Multiple highly resistant clones were identified in a Cancer hospital in Cairo. It is vital that clinicians and healthcare workers are aware of the population of A. baumannii present in order to have appropriate treatment and infection control practices.</description><subject>Acinetobacter baumannii</subject><subject>Acinetobacter baumannii - genetics</subject><subject>Acinetobacter baumannii - isolation & purification</subject><subject>Acinetobacter infections</subject><subject>Acinetobacter Infections - diagnosis</subject><subject>Acinetobacter Infections - drug therapy</subject><subject>Acinetobacter Infections - epidemiology</subject><subject>Anti-Bacterial Agents - adverse effects</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibiotics</subject><subject>Bacterial Typing Techniques</subject><subject>Beef cattle</subject><subject>Behavior</subject><subject>beta-Lactamases</subject><subject>Birds</subject><subject>Cancer</subject><subject>Cancer Care Facilities</subject><subject>Cancer patients</subject><subject>Cancer research</subject><subject>Carbapenem resistance</subject><subject>Carbapenems - adverse effects</subject><subject>Carbapenems - therapeutic use</subject><subject>Cloning</subject><subject>Cross infection</subject><subject>Demographic aspects</subject><subject>Drug resistance</subject><subject>Drug Resistance, Multiple, Bacterial</subject><subject>Egypt - epidemiology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Forecasts and trends</subject><subject>Genes</subject><subject>Genes, Bacterial</subject><subject>Genetic aspects</subject><subject>Genotype</subject><subject>Health care</subject><subject>Health Personnel</subject><subject>Health risks</subject><subject>Humans</subject><subject>Immunocompromised host</subject><subject>Immunocompromised hosts</subject><subject>Infection</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Medical personnel</subject><subject>Microbial drug resistance</subject><subject>Microbial Sensitivity Tests</subject><subject>Migratory birds</subject><subject>MLST</subject><subject>Multidrug resistance</subject><subject>Multilocus Sequence Typing</subject><subject>Novels</subject><subject>Oxalic acid</subject><subject>Patients</subject><subject>Risk factors</subject><subject>Studies</subject><subject>Workers</subject><issn>1471-2334</issn><issn>1471-2334</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNkktv1DAUhSMEoqXwA9igSGzKIsWvOPYGaVQVGKmoEq-t5XGuM64y9mA7iFnx13E6pXQQC-SFrevvnisfn6p6jtEZxoK_TpiITjYIy4YxShv8oDrGrMMNoZQ9vHc-qp6kdI0Q7gSRj6sjiluJOGPH1c8P05jddoQ6wbcJvIE677aQ6ghpG3xyq3JlQ6zXoMe8NjpCo1MKxukMfb0wzkMOK20yxHqlp4323rm6dynBxnmdXfC187Wuk_ND0TLgc4S5dDHstvlp9cjqMcGz2_2k-vL24vP5--by6t3yfHHZGE5EbnrAreUCRCuNpJZJZJHphOB9T7DAPeNGENNS0REkJOm5lNT0lkqjNaNW0pNqudftg75W2-g2Ou5U0E7dFEIclI7ZmREUiJXotObSUswMsaIMlW1bJsiWIoaL1pu91nZabaC_eZEeD0QPb7xbqyF8V7wTmBJRBE5vBWIopqesNi4ZGEftIUxJEYoI6xDlpKAv_0KvwxR9sWqmimCLJP9DDbo8wHkbylwzi6oFRxRJzNqZOvsHVVZfvsoED9aV-kHDq4OGwmT4kQc9paSWnz7-P3v19ZDFe9bEkFIEe-cdRmpOttonW5VkqznZajb9xX3T7zp-R5n-Ajks8jQ</recordid><startdate>20191007</startdate><enddate>20191007</enddate><creator>Al-Hassan, Leena</creator><creator>Zafer, Mai M</creator><creator>El-Mahallawy, Hadir</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-0506-050X</orcidid></search><sort><creationdate>20191007</creationdate><title>Multiple sequence types responsible for healthcare-associated Acinetobacter baumannii dissemination in a single centre in Egypt</title><author>Al-Hassan, Leena ; Zafer, Mai M ; El-Mahallawy, Hadir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c628t-de15f68e859c93f490f0c7886dd2181d46c82c538720892d6993cdf39caa43f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acinetobacter baumannii</topic><topic>Acinetobacter baumannii - genetics</topic><topic>Acinetobacter baumannii - isolation & purification</topic><topic>Acinetobacter infections</topic><topic>Acinetobacter Infections - diagnosis</topic><topic>Acinetobacter Infections - drug therapy</topic><topic>Acinetobacter Infections - epidemiology</topic><topic>Anti-Bacterial Agents - adverse effects</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Antibiotics</topic><topic>Bacterial Typing Techniques</topic><topic>Beef cattle</topic><topic>Behavior</topic><topic>beta-Lactamases</topic><topic>Birds</topic><topic>Cancer</topic><topic>Cancer Care Facilities</topic><topic>Cancer patients</topic><topic>Cancer research</topic><topic>Carbapenem resistance</topic><topic>Carbapenems - adverse effects</topic><topic>Carbapenems - therapeutic use</topic><topic>Cloning</topic><topic>Cross infection</topic><topic>Demographic aspects</topic><topic>Drug resistance</topic><topic>Drug Resistance, Multiple, Bacterial</topic><topic>Egypt - epidemiology</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Forecasts and trends</topic><topic>Genes</topic><topic>Genes, Bacterial</topic><topic>Genetic aspects</topic><topic>Genotype</topic><topic>Health care</topic><topic>Health Personnel</topic><topic>Health risks</topic><topic>Humans</topic><topic>Immunocompromised host</topic><topic>Immunocompromised hosts</topic><topic>Infection</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Medical personnel</topic><topic>Microbial drug resistance</topic><topic>Microbial Sensitivity Tests</topic><topic>Migratory birds</topic><topic>MLST</topic><topic>Multidrug resistance</topic><topic>Multilocus Sequence Typing</topic><topic>Novels</topic><topic>Oxalic acid</topic><topic>Patients</topic><topic>Risk factors</topic><topic>Studies</topic><topic>Workers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Al-Hassan, Leena</creatorcontrib><creatorcontrib>Zafer, Mai M</creatorcontrib><creatorcontrib>El-Mahallawy, Hadir</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Opposing Viewpoints in Context (Gale)</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Al-Hassan, Leena</au><au>Zafer, Mai M</au><au>El-Mahallawy, Hadir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multiple sequence types responsible for healthcare-associated Acinetobacter baumannii dissemination in a single centre in Egypt</atitle><jtitle>BMC infectious diseases</jtitle><addtitle>BMC Infect Dis</addtitle><date>2019-10-07</date><risdate>2019</risdate><volume>19</volume><issue>1</issue><spage>829</spage><epage>829</epage><pages>829-829</pages><artnum>829</artnum><issn>1471-2334</issn><eissn>1471-2334</eissn><abstract>Acinetobacter baumannii is an increasingly worrying organism in the healthcare setting, due to its multidrug resistance and persistence. Prolonged hospitalisation, immunocompromised patients and excessive antibiotic exposure all contribute to increasing the risk of A. baumannii infections, which makes cancer patients a significant risk group. This study aims to investigate the dissemination of A. baumannii at the National Cancer Institute (NCI) in Cairo - Egypt.
All bacterial isolates were typed using Multi-locus Sequence Typing (MLST) to characterise the epidemiology of isolates. The intrinsic OXA-51-like, and the acquired carbapanemases OXA-23, - 24/40, - 58, NDM, IMP, and VIM were also amplified and sequenced to genetically identify mechanisms of carbapenem resistance.
MLST results show a high degree of multi-clonal dissemination, with 18 different Sequence Types (STs) identified, including 5 novel. The majority of isolates belonged to International Clone (IC) 2, and carbapenem resistance was detected in 93% of isolates and mediated by bla
, bla
, bla
and bla
. We also report the presence of a resistant ST732 (OXA-378) which has been previously identified in migratory birds
CONCLUSIONS: Multiple highly resistant clones were identified in a Cancer hospital in Cairo. It is vital that clinicians and healthcare workers are aware of the population of A. baumannii present in order to have appropriate treatment and infection control practices.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>31590644</pmid><doi>10.1186/s12879-019-4433-1</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-0506-050X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | BMC infectious diseases, 2019-10, Vol.19 (1), p.829-829, Article 829 |
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| source | Publicly Available Content (ProQuest); PubMed Central |
| subjects | Acinetobacter baumannii Acinetobacter baumannii - genetics Acinetobacter baumannii - isolation & purification Acinetobacter infections Acinetobacter Infections - diagnosis Acinetobacter Infections - drug therapy Acinetobacter Infections - epidemiology Anti-Bacterial Agents - adverse effects Anti-Bacterial Agents - therapeutic use Antibiotics Bacterial Typing Techniques Beef cattle Behavior beta-Lactamases Birds Cancer Cancer Care Facilities Cancer patients Cancer research Carbapenem resistance Carbapenems - adverse effects Carbapenems - therapeutic use Cloning Cross infection Demographic aspects Drug resistance Drug Resistance, Multiple, Bacterial Egypt - epidemiology Epidemiology Female Forecasts and trends Genes Genes, Bacterial Genetic aspects Genotype Health care Health Personnel Health risks Humans Immunocompromised host Immunocompromised hosts Infection Infections Infectious diseases Medical personnel Microbial drug resistance Microbial Sensitivity Tests Migratory birds MLST Multidrug resistance Multilocus Sequence Typing Novels Oxalic acid Patients Risk factors Studies Workers |
| title | Multiple sequence types responsible for healthcare-associated Acinetobacter baumannii dissemination in a single centre in Egypt |
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