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Acinetobacter septicus sp. nov. Association with a Nosocomial Outbreak of Bacteremia in a Neonatal Intensive Care Unit
Acinetobacter species other than Acinetobacter baumannii have rarely been reported to be associated with nosocomial outbreaks of bloodstream infections. Within a period of 1 week, seven Acinetobacter-like isolates were recovered from peripheral blood and catheter specimens of five patients at a neon...
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Published in: | Journal of Clinical Microbiology 2008-03, Vol.46 (3), p.902-908 |
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description | Acinetobacter species other than Acinetobacter baumannii have rarely been reported to be associated with nosocomial outbreaks of bloodstream infections. Within a period of 1 week, seven Acinetobacter-like isolates were recovered from peripheral blood and catheter specimens of five patients at a neonatal intensive care unit (NICU) in a tertiary hospital in Turkey. All five patients had placement of central venous catheters and had received total parenteral nutrition before the onset of bacteremia. Two of the five patients died. Medical devices, tap water, aerators, water samples, various surfaces, intravenous fluids, and the hands of health care workers in the NICU were sampled and were culture negative for the bacterium. All seven of the isolates had identical biochemical reactions, antimicrobial susceptibility results, and pulsed-field gel electrophoresis patterns, indicating a clonal nosocomial outbreak. A panel of standard biochemical reaction profiles and three phenotypic commercial identification systems failed to identify these isolates. Phenotypically, the isolate differed from Acinetobacter ursingii by its hemolysis on sheep blood agar and its negative citrate utilization. Sequences of the full 16S rRNA gene, which contained at least three different gene copies with polymorphic sequences between nucleotide positions 70 and 206, were determined from the first recovered isolate. The complete 1,529- to 1,531-bp 16S rRNA gene sequences and partial 801-bp rpoB gene sequences had similarities of 99.5% and 97.2%, respectively, to an A. ursingii isolate. The DNA-DNA similarities of the strain against the type strain of A. ursingii were 64.7 and 68.7%, which were lower than the recommended threshold value of 70% for the definition of bacterial species. These data indicate that a novel Acinetobacter organism caused the nosocomial outbreak of bacteremia in the NICU unit. We propose the designation of Acinetobacter septicus sp. nov. for these isolates, with isolate AK001 as the type strain. |
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Association with a Nosocomial Outbreak of Bacteremia in a Neonatal Intensive Care Unit</title><source>PubMed Central(OpenAccess)</source><source>American Society for Microbiology Journals</source><creator>Kilic, Abdullah ; Li, Haijing ; Mellmann, Alexander ; Basustaoglu, Ahmet C ; Kul, Mustafa ; Senses, Zeynep ; Aydogan, Hakan ; Stratton, Charles W ; Harmsen, Dag ; Tang, Yi-Wei</creator><creatorcontrib>Kilic, Abdullah ; Li, Haijing ; Mellmann, Alexander ; Basustaoglu, Ahmet C ; Kul, Mustafa ; Senses, Zeynep ; Aydogan, Hakan ; Stratton, Charles W ; Harmsen, Dag ; Tang, Yi-Wei</creatorcontrib><description>Acinetobacter species other than Acinetobacter baumannii have rarely been reported to be associated with nosocomial outbreaks of bloodstream infections. Within a period of 1 week, seven Acinetobacter-like isolates were recovered from peripheral blood and catheter specimens of five patients at a neonatal intensive care unit (NICU) in a tertiary hospital in Turkey. All five patients had placement of central venous catheters and had received total parenteral nutrition before the onset of bacteremia. Two of the five patients died. Medical devices, tap water, aerators, water samples, various surfaces, intravenous fluids, and the hands of health care workers in the NICU were sampled and were culture negative for the bacterium. All seven of the isolates had identical biochemical reactions, antimicrobial susceptibility results, and pulsed-field gel electrophoresis patterns, indicating a clonal nosocomial outbreak. A panel of standard biochemical reaction profiles and three phenotypic commercial identification systems failed to identify these isolates. Phenotypically, the isolate differed from Acinetobacter ursingii by its hemolysis on sheep blood agar and its negative citrate utilization. Sequences of the full 16S rRNA gene, which contained at least three different gene copies with polymorphic sequences between nucleotide positions 70 and 206, were determined from the first recovered isolate. The complete 1,529- to 1,531-bp 16S rRNA gene sequences and partial 801-bp rpoB gene sequences had similarities of 99.5% and 97.2%, respectively, to an A. ursingii isolate. The DNA-DNA similarities of the strain against the type strain of A. ursingii were 64.7 and 68.7%, which were lower than the recommended threshold value of 70% for the definition of bacterial species. These data indicate that a novel Acinetobacter organism caused the nosocomial outbreak of bacteremia in the NICU unit. We propose the designation of Acinetobacter septicus sp. nov. for these isolates, with isolate AK001 as the type strain.</description><identifier>ISSN: 0095-1137</identifier><identifier>EISSN: 1098-660X</identifier><identifier>EISSN: 1098-5530</identifier><identifier>DOI: 10.1128/JCM.01876-07</identifier><identifier>PMID: 18160455</identifier><identifier>CODEN: JCMIDW</identifier><language>eng</language><publisher>Washington, DC: American Society for Microbiology</publisher><subject>Acinetobacter ; Acinetobacter - classification ; Acinetobacter - genetics ; Acinetobacter - isolation & purification ; Acinetobacter baumannii ; Acinetobacter Infections - epidemiology ; Acinetobacter Infections - microbiology ; Acinetobacter ursingii ; Bacteremia - epidemiology ; Bacteremia - microbiology ; Bacterial diseases ; Bacterial sepsis ; Bacterial Typing Techniques ; Bacteriology ; Biological and medical sciences ; Cross Infection - epidemiology ; Cross Infection - microbiology ; Disease Outbreaks ; DNA-Directed RNA Polymerases - genetics ; Electrophoresis, Gel, Pulsed-Field ; Epidemiology ; Female ; Fundamental and applied biological sciences. Psychology ; Human bacterial diseases ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature, Diseases - epidemiology ; Infant, Premature, Diseases - microbiology ; Infant, Very Low Birth Weight ; Infectious diseases ; Intensive Care Units, Neonatal ; Male ; Medical sciences ; Microbial Sensitivity Tests ; Microbiology ; Miscellaneous ; Molecular Sequence Data ; Nucleic Acid Hybridization ; Phylogeny ; RNA, Ribosomal, 16S - genetics ; Sequence Analysis, DNA ; Species Specificity ; Turkey - epidemiology</subject><ispartof>Journal of Clinical Microbiology, 2008-03, Vol.46 (3), p.902-908</ispartof><rights>2008 INIST-CNRS</rights><rights>Copyright © 2008, American Society for Microbiology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c492t-e88d37155ec68729bb1cf363dd068bcc185ebcb3b06741d00f53a78dc46398703</citedby><cites>FETCH-LOGICAL-c492t-e88d37155ec68729bb1cf363dd068bcc185ebcb3b06741d00f53a78dc46398703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2268383/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2268383/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,3188,3189,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20192110$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18160455$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kilic, Abdullah</creatorcontrib><creatorcontrib>Li, Haijing</creatorcontrib><creatorcontrib>Mellmann, Alexander</creatorcontrib><creatorcontrib>Basustaoglu, Ahmet C</creatorcontrib><creatorcontrib>Kul, Mustafa</creatorcontrib><creatorcontrib>Senses, Zeynep</creatorcontrib><creatorcontrib>Aydogan, Hakan</creatorcontrib><creatorcontrib>Stratton, Charles W</creatorcontrib><creatorcontrib>Harmsen, Dag</creatorcontrib><creatorcontrib>Tang, Yi-Wei</creatorcontrib><title>Acinetobacter septicus sp. nov. Association with a Nosocomial Outbreak of Bacteremia in a Neonatal Intensive Care Unit</title><title>Journal of Clinical Microbiology</title><addtitle>J Clin Microbiol</addtitle><description>Acinetobacter species other than Acinetobacter baumannii have rarely been reported to be associated with nosocomial outbreaks of bloodstream infections. Within a period of 1 week, seven Acinetobacter-like isolates were recovered from peripheral blood and catheter specimens of five patients at a neonatal intensive care unit (NICU) in a tertiary hospital in Turkey. All five patients had placement of central venous catheters and had received total parenteral nutrition before the onset of bacteremia. Two of the five patients died. Medical devices, tap water, aerators, water samples, various surfaces, intravenous fluids, and the hands of health care workers in the NICU were sampled and were culture negative for the bacterium. All seven of the isolates had identical biochemical reactions, antimicrobial susceptibility results, and pulsed-field gel electrophoresis patterns, indicating a clonal nosocomial outbreak. A panel of standard biochemical reaction profiles and three phenotypic commercial identification systems failed to identify these isolates. Phenotypically, the isolate differed from Acinetobacter ursingii by its hemolysis on sheep blood agar and its negative citrate utilization. Sequences of the full 16S rRNA gene, which contained at least three different gene copies with polymorphic sequences between nucleotide positions 70 and 206, were determined from the first recovered isolate. The complete 1,529- to 1,531-bp 16S rRNA gene sequences and partial 801-bp rpoB gene sequences had similarities of 99.5% and 97.2%, respectively, to an A. ursingii isolate. The DNA-DNA similarities of the strain against the type strain of A. ursingii were 64.7 and 68.7%, which were lower than the recommended threshold value of 70% for the definition of bacterial species. These data indicate that a novel Acinetobacter organism caused the nosocomial outbreak of bacteremia in the NICU unit. We propose the designation of Acinetobacter septicus sp. nov. for these isolates, with isolate AK001 as the type strain.</description><subject>Acinetobacter</subject><subject>Acinetobacter - classification</subject><subject>Acinetobacter - genetics</subject><subject>Acinetobacter - isolation & purification</subject><subject>Acinetobacter baumannii</subject><subject>Acinetobacter Infections - epidemiology</subject><subject>Acinetobacter Infections - microbiology</subject><subject>Acinetobacter ursingii</subject><subject>Bacteremia - epidemiology</subject><subject>Bacteremia - microbiology</subject><subject>Bacterial diseases</subject><subject>Bacterial sepsis</subject><subject>Bacterial Typing Techniques</subject><subject>Bacteriology</subject><subject>Biological and medical sciences</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - microbiology</subject><subject>Disease Outbreaks</subject><subject>DNA-Directed RNA Polymerases - genetics</subject><subject>Electrophoresis, Gel, Pulsed-Field</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Premature, Diseases - epidemiology</subject><subject>Infant, Premature, Diseases - microbiology</subject><subject>Infant, Very Low Birth Weight</subject><subject>Infectious diseases</subject><subject>Intensive Care Units, Neonatal</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microbial Sensitivity Tests</subject><subject>Microbiology</subject><subject>Miscellaneous</subject><subject>Molecular Sequence Data</subject><subject>Nucleic Acid Hybridization</subject><subject>Phylogeny</subject><subject>RNA, Ribosomal, 16S - genetics</subject><subject>Sequence Analysis, DNA</subject><subject>Species Specificity</subject><subject>Turkey - epidemiology</subject><issn>0095-1137</issn><issn>1098-660X</issn><issn>1098-5530</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNqFkU2P0zAQhiMEYsvCjTP4AidSxnbiOBekUvGxaGEPUImb5TiT1ktiF9vtin-Pu60WOHGyNX70eGbeonhKYU4pk68_LT_PgcpGlNDcK2YUWlkKAd_vFzOAti4p5c1Z8SjGawBaVXX9sDijkgrI11mxXxjrMPlOm4SBRNwma3aRxO2cOL-fk0WM3lidrHfkxqYN0eSLzyU_WT2Sq13qAuofxA_k7a0Cc51Yd8DQO50ydOESumj3SJY6IFk5mx4XDwY9RnxyOs-L1ft335Yfy8urDxfLxWVpqpalEqXseUPrGo2QDWu7jpqBC973IGRnDJU1dqbjHYimoj3AUHPdyN5UgreyAX5evDl6t7tuwt6gS0GPahvspMMv5bVV_744u1Frv1eMCcklz4KXJ0HwP3cYk5psNDiO2qHfRZX_kBxq9l-QgWw5rUUGXx1BE3yMAYe7biioQ6IqJ6puE1XQZPzZ3xP8gU8RZuDFCdDR6HEI2hkb7zgGtGWUHlZBjtzGrjc3NqDScVLXZlKVUFy1cJjh-REZtFd6HbJm9TULOIDM-68Y_w0cmb4U</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Kilic, Abdullah</creator><creator>Li, Haijing</creator><creator>Mellmann, Alexander</creator><creator>Basustaoglu, Ahmet C</creator><creator>Kul, Mustafa</creator><creator>Senses, Zeynep</creator><creator>Aydogan, Hakan</creator><creator>Stratton, Charles W</creator><creator>Harmsen, Dag</creator><creator>Tang, Yi-Wei</creator><general>American Society for Microbiology</general><general>American Society for Microbiology (ASM)</general><scope>FBQ</scope><scope>IQODW</scope><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>7QL</scope><scope>C1K</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20080301</creationdate><title>Acinetobacter septicus sp. nov. Association with a Nosocomial Outbreak of Bacteremia in a Neonatal Intensive Care Unit</title><author>Kilic, Abdullah ; Li, Haijing ; Mellmann, Alexander ; Basustaoglu, Ahmet C ; Kul, Mustafa ; Senses, Zeynep ; Aydogan, Hakan ; Stratton, Charles W ; Harmsen, Dag ; Tang, Yi-Wei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c492t-e88d37155ec68729bb1cf363dd068bcc185ebcb3b06741d00f53a78dc46398703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Acinetobacter</topic><topic>Acinetobacter - classification</topic><topic>Acinetobacter - genetics</topic><topic>Acinetobacter - isolation & purification</topic><topic>Acinetobacter baumannii</topic><topic>Acinetobacter Infections - epidemiology</topic><topic>Acinetobacter Infections - microbiology</topic><topic>Acinetobacter ursingii</topic><topic>Bacteremia - epidemiology</topic><topic>Bacteremia - microbiology</topic><topic>Bacterial diseases</topic><topic>Bacterial sepsis</topic><topic>Bacterial Typing Techniques</topic><topic>Bacteriology</topic><topic>Biological and medical sciences</topic><topic>Cross Infection - epidemiology</topic><topic>Cross Infection - microbiology</topic><topic>Disease Outbreaks</topic><topic>DNA-Directed RNA Polymerases - genetics</topic><topic>Electrophoresis, Gel, Pulsed-Field</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Infant, Premature, Diseases - epidemiology</topic><topic>Infant, Premature, Diseases - microbiology</topic><topic>Infant, Very Low Birth Weight</topic><topic>Infectious diseases</topic><topic>Intensive Care Units, Neonatal</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microbial Sensitivity Tests</topic><topic>Microbiology</topic><topic>Miscellaneous</topic><topic>Molecular Sequence Data</topic><topic>Nucleic Acid Hybridization</topic><topic>Phylogeny</topic><topic>RNA, Ribosomal, 16S - genetics</topic><topic>Sequence Analysis, DNA</topic><topic>Species Specificity</topic><topic>Turkey - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kilic, Abdullah</creatorcontrib><creatorcontrib>Li, Haijing</creatorcontrib><creatorcontrib>Mellmann, Alexander</creatorcontrib><creatorcontrib>Basustaoglu, Ahmet C</creatorcontrib><creatorcontrib>Kul, Mustafa</creatorcontrib><creatorcontrib>Senses, Zeynep</creatorcontrib><creatorcontrib>Aydogan, Hakan</creatorcontrib><creatorcontrib>Stratton, Charles W</creatorcontrib><creatorcontrib>Harmsen, Dag</creatorcontrib><creatorcontrib>Tang, Yi-Wei</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of Clinical Microbiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kilic, Abdullah</au><au>Li, Haijing</au><au>Mellmann, Alexander</au><au>Basustaoglu, Ahmet C</au><au>Kul, Mustafa</au><au>Senses, Zeynep</au><au>Aydogan, Hakan</au><au>Stratton, Charles W</au><au>Harmsen, Dag</au><au>Tang, Yi-Wei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acinetobacter septicus sp. nov. Association with a Nosocomial Outbreak of Bacteremia in a Neonatal Intensive Care Unit</atitle><jtitle>Journal of Clinical Microbiology</jtitle><addtitle>J Clin Microbiol</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>46</volume><issue>3</issue><spage>902</spage><epage>908</epage><pages>902-908</pages><issn>0095-1137</issn><eissn>1098-660X</eissn><eissn>1098-5530</eissn><coden>JCMIDW</coden><abstract>Acinetobacter species other than Acinetobacter baumannii have rarely been reported to be associated with nosocomial outbreaks of bloodstream infections. Within a period of 1 week, seven Acinetobacter-like isolates were recovered from peripheral blood and catheter specimens of five patients at a neonatal intensive care unit (NICU) in a tertiary hospital in Turkey. All five patients had placement of central venous catheters and had received total parenteral nutrition before the onset of bacteremia. Two of the five patients died. Medical devices, tap water, aerators, water samples, various surfaces, intravenous fluids, and the hands of health care workers in the NICU were sampled and were culture negative for the bacterium. All seven of the isolates had identical biochemical reactions, antimicrobial susceptibility results, and pulsed-field gel electrophoresis patterns, indicating a clonal nosocomial outbreak. A panel of standard biochemical reaction profiles and three phenotypic commercial identification systems failed to identify these isolates. Phenotypically, the isolate differed from Acinetobacter ursingii by its hemolysis on sheep blood agar and its negative citrate utilization. Sequences of the full 16S rRNA gene, which contained at least three different gene copies with polymorphic sequences between nucleotide positions 70 and 206, were determined from the first recovered isolate. The complete 1,529- to 1,531-bp 16S rRNA gene sequences and partial 801-bp rpoB gene sequences had similarities of 99.5% and 97.2%, respectively, to an A. ursingii isolate. The DNA-DNA similarities of the strain against the type strain of A. ursingii were 64.7 and 68.7%, which were lower than the recommended threshold value of 70% for the definition of bacterial species. These data indicate that a novel Acinetobacter organism caused the nosocomial outbreak of bacteremia in the NICU unit. We propose the designation of Acinetobacter septicus sp. nov. for these isolates, with isolate AK001 as the type strain.</abstract><cop>Washington, DC</cop><pub>American Society for Microbiology</pub><pmid>18160455</pmid><doi>10.1128/JCM.01876-07</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Acinetobacter Acinetobacter - classification Acinetobacter - genetics Acinetobacter - isolation & purification Acinetobacter baumannii Acinetobacter Infections - epidemiology Acinetobacter Infections - microbiology Acinetobacter ursingii Bacteremia - epidemiology Bacteremia - microbiology Bacterial diseases Bacterial sepsis Bacterial Typing Techniques Bacteriology Biological and medical sciences Cross Infection - epidemiology Cross Infection - microbiology Disease Outbreaks DNA-Directed RNA Polymerases - genetics Electrophoresis, Gel, Pulsed-Field Epidemiology Female Fundamental and applied biological sciences. Psychology Human bacterial diseases Humans Infant, Low Birth Weight Infant, Newborn Infant, Premature, Diseases - epidemiology Infant, Premature, Diseases - microbiology Infant, Very Low Birth Weight Infectious diseases Intensive Care Units, Neonatal Male Medical sciences Microbial Sensitivity Tests Microbiology Miscellaneous Molecular Sequence Data Nucleic Acid Hybridization Phylogeny RNA, Ribosomal, 16S - genetics Sequence Analysis, DNA Species Specificity Turkey - epidemiology |
title | Acinetobacter septicus sp. nov. Association with a Nosocomial Outbreak of Bacteremia in a Neonatal Intensive Care Unit |
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