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20161

Genetic Background of Carbapenem Resistant Acinetobacter baumannii in a Health Care Setting in Alexandria, Egypt

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Last updated: 22 Jan 2023

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Abstract

Acinetobacter baumannii (A. baumannii) is recognized as a major pathogen causing nosocomial infections, particularly in patients admitted to intensive care units (ICU), and many widespread strains are resistant to almost all antibiotics currently in use. Carbapenemases belonging to molecular class D (OXA enzymes) have emerged globally as the main mechanism responsible for this resistance. This work aimed at detecting the spread of OXA carbapenemases in A. baumannii in ICU patients and to identify the susceptibility patterns of strains to polymyxin E (colistin), polymyxin B, and tigecycline as a promising option for treatment. Twenty seven clinical isolates of A. baumannii, collected from Alexandria Main University Hospital, were included in this study.  A. baumannii was isolated from different clinical samples from ICU patients. All 27 isolates were subjected to complete identification and antimicrobial susceptibility testing. The identified carbapenem resistant A. baumannii strains were tested for the presence of bla OXA-23, blaOXA-24, blaOXA-58 and blaOXA-51 genes using multiplex PCR assay. Colistin and polymyxin B were found to be active upon the majority of identified resistant A. baumannii strains, where around 70% of the strains were sensitive to both of them, while tigecycline was found to be more effective as 92.5% of strains were sensitive to it. Resistance to carbapenems was mediated by both OXA-51 (100%) and OXA-23 (92.5%)  for the tested A. baumannii strains.

DOI

10.21608/jhiph.2011.20161

Keywords

Acinetobacter baumannii, carbapenemases, Polymyxins, Colistin, Tigecycline, OXA genes

Authors

First Name

Amira

Last Name

Amine

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Affiliation

Microbiology Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt

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First Name

Walaa

Last Name

Hazzah

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Affiliation

Microbiology Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt

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Orcid

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First Name

Asmaa

Last Name

Abou Bakr

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Affiliation

Alexandria Main University Hospital

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Volume

41

Article Issue

3

Related Issue

4056

Issue Date

2011-07-01

Receive Date

2018-12-01

Publish Date

2011-07-01

Page Start

311

Page End

324

Print ISSN

2357-0601

Online ISSN

2357-061X

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https://jhiphalexu.journals.ekb.eg/article_20161.html

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https://jhiphalexu.journals.ekb.eg/service?article_code=20161

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Original Article

Type Code

511

Publication Type

Journal

Publication Title

Journal of High Institute of Public Health

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https://jhiphalexu.journals.ekb.eg/

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Article

Created At

22 Jan 2023