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344926

Virulence Profile of Acinetobacter baumannii Isolated from Ventilator-Associated Pneumonia Cases

Article

Last updated: 28 Dec 2024

Subjects

-

Tags

Clinical microbiology

Abstract

Background: Acinetobacter baumannii (A. baumannii) is an opportunistic bacterium with high antimicrobial resistance and a complex set of virulence factors. It can cause hospital-acquired infections such as ventilator-associated-pneumonia (VAP). The study aimed to detect some virulence factors for A. baumannii isolated from VAP samples phenotypically and genotypically and relating them to antimicrobial resistance. Methodology: Thirty A. baumannii VAP isolates were obtained and tested for antimicrobial sensitivity using the disc-diffusion method. Polystyrene adherence replica method was used to detect bacterial adherence. Capsules were screened using the Anthony capsular staining method. Biofilm forming capacity and serum resistance were also determined. Fifteen genes encoding for either adhesive or non-adhesive virulence factors were detected using multiplex PCR. Results: All A. baumannii isolates showed a high antimicrobial resistance pattern with 60% being multi-drug resistant. Most isolates showed polystyrene adherence; 33.3%, 20% and 26.7% were of high, moderate and low adherence, respectively. All isolates were biofilm formers; 73.3% were moderate or strong biofilm formers. All isolates except 4 were encapsulated and 86.7% showed serum resistance. Most isolates had a high number of virulence genes which correlated significantly with the detected phenotypic virulence factors and multi-drug resistance. Conclusion: A. baumannii VAP isolates could- in a variable degree - adhere to polystyrene, produce biofilm, produce capsule and have serum resistance. Most of these virulence factors were associated with multidrug-resistance and mostly correlated with adhesive and/or non-adhesive virulence genes. A virulence profile was introduced for these isolates that highlights the hazard of this highly resistant and virulent bacterium.

DOI

10.21608/ejmm.2024.272642.1228

Keywords

adherence, Biofilm, Serum resistance, Virulence, Acinetobacter baumannii

Authors

First Name

Nancy

Last Name

Attia

MiddleName

M.

Affiliation

Microbiology Department, Medical Research Institute, Alexandria University, Alexandria, Egypt

Email

nancy.attia@alexu.edu.eg

City

Alexandria

Orcid

-

First Name

Abeer

Last Name

Ghazal

MiddleName

M.

Affiliation

Microbiology Department, Medical Research Institute, Alexandria University, Alexandria, Egypt

Email

abeer.ghazal@alexu.edu.eg

City

Alexandria

Orcid

-

First Name

Ahmed

Last Name

Gaballah

MiddleName

-

Affiliation

Microbiology Department, Medical Research Institute, Alexandria University, Alexandria, Egypt

Email

ahmed.gaballah@alexu.edu.eg

City

-

Orcid

-

First Name

Rawya

Last Name

Ragab

MiddleName

-

Affiliation

Clinical Bacteriology department, Central Public Health Laboratories, Ministry of Health and Population

Email

rawya.ragab.anan@gmail.com

City

-

Orcid

-

First Name

Rasha

Last Name

Emad

MiddleName

-

Affiliation

Alexandria Main University Hospital, Alexandria University, Alexandria, Egypt.

Email

gs-rasha.emad@alexu.edu.eg

City

-

Orcid

-

First Name

Ingy

Last Name

El-Soudany

MiddleName

I.

Affiliation

Microbiology and Immunology Department, Pharos University in Alexandria, Alexandria, Egypt

Email

ingy.elsoudany@pua.edu.eg

City

-

Orcid

0000-0001-9602-0185

Volume

33

Article Issue

1

Related Issue

44331

Issue Date

2024-01-01

Receive Date

2024-02-25

Publish Date

2024-01-01

Page Start

165

Page End

174

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_344926.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=344926

Order

344,926

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Virulence Profile of Acinetobacter baumannii Isolated from Ventilator-Associated Pneumonia Cases

Details

Type

Article

Created At

28 Dec 2024