Spread of multidrug-resistant Acinetobacter baumannii isolates belonging to IC1 and IC5 major clones in Rondônia state

In Brazil, carbapenem-resistant A. baumannii (CRAB) is a critical pathogen showing high carbapenem resistance rates. Currently, there is little epidemiological data on A. baumannii isolated in the Northern Brazilian region. Herein, this study aimed to characterize the resistance mechanisms of CRAB i...

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Published in:Brazilian journal of microbiology Vol. 53; no. 2; pp. 795 - 799
Main Authors: Barcelos Valiatti, Tiago, Silva Carvalho, Tatiane, Fernandes Santos, Fernanda, Silva Nodari, Carolina, Cayô, Rodrigo, da Silva, Juliana Thalita Paulino, da Silva, Cicileia Correia, Ferreira, Jacqueline Andrade, Moura, Lorena Brandhuber, dos Santos, Levy Assis, Gales, Ana Cristina
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Language:English
Published: Cham Springer International Publishing 01-06-2022
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Abstract In Brazil, carbapenem-resistant A. baumannii (CRAB) is a critical pathogen showing high carbapenem resistance rates. Currently, there is little epidemiological data on A. baumannii isolated in the Northern Brazilian region. Herein, this study aimed to characterize the resistance mechanisms of CRAB isolates recovered from hospitalized patients in the state of Rondônia in 2019. Most of CRAB were considered as extensively drug-resistant, and some of them showed high MICs for minocycline. Only polymyxins showed a satisfactory activity. All isolates carried bla OXA-23 and were included in 14 distinct clusters, with the predominance of clonal group A (29%). The IC1 was the most frequent clonal group, followed by IC5 and IC4. Here, we firstly reported the epidemiological scenario of CRAB in the state of Rondônia, located in the Brazilian Amazon region. The high frequency of CRAB presenting XDR phenotype is of great concern, due to limited therapeutical options, especially in the actual pandemic scenario, in which we observed an overcrowding of ICU beds. Such results are essential to better characterize the epidemiology of CRAB in the entire Brazilian territory.
AbstractList In Brazil, carbapenem-resistant A. baumannii (CRAB) is a critical pathogen showing high carbapenem resistance rates. Currently, there is little epidemiological data on A. baumannii isolated in the Northern Brazilian region. Herein, this study aimed to characterize the resistance mechanisms of CRAB isolates recovered from hospitalized patients in the state of Rondônia in 2019. Most of CRAB were considered as extensively drug-resistant, and some of them showed high MICs for minocycline. Only polymyxins showed a satisfactory activity. All isolates carried bla OXA-23 and were included in 14 distinct clusters, with the predominance of clonal group A (29%). The IC1 was the most frequent clonal group, followed by IC5 and IC4. Here, we firstly reported the epidemiological scenario of CRAB in the state of Rondônia, located in the Brazilian Amazon region. The high frequency of CRAB presenting XDR phenotype is of great concern, due to limited therapeutical options, especially in the actual pandemic scenario, in which we observed an overcrowding of ICU beds. Such results are essential to better characterize the epidemiology of CRAB in the entire Brazilian territory.
In Brazil, carbapenem-resistant A. baumannii (CRAB) is a critical pathogen showing high carbapenem resistance rates. Currently, there is little epidemiological data on A. baumannii isolated in the Northern Brazilian region. Herein, this study aimed to characterize the resistance mechanisms of CRAB isolates recovered from hospitalized patients in the state of Rondônia in 2019. Most of CRAB were considered as extensively drug-resistant, and some of them showed high MICs for minocycline. Only polymyxins showed a satisfactory activity. All isolates carried blaOXA-23 and were included in 14 distinct clusters, with the predominance of clonal group A (29%). The IC1 was the most frequent clonal group, followed by IC5 and IC4. Here, we firstly reported the epidemiological scenario of CRAB in the state of Rondônia, located in the Brazilian Amazon region. The high frequency of CRAB presenting XDR phenotype is of great concern, due to limited therapeutical options, especially in the actual pandemic scenario, in which we observed an overcrowding of ICU beds. Such results are essential to better characterize the epidemiology of CRAB in the entire Brazilian territory.
In Brazil, carbapenem-resistant A. baumannii (CRAB) is a critical pathogen showing high carbapenem resistance rates. Currently, there is little epidemiological data on A. baumannii isolated in the Northern Brazilian region. Herein, this study aimed to characterize the resistance mechanisms of CRAB isolates recovered from hospitalized patients in the state of Rondônia in 2019. Most of CRAB were considered as extensively drug-resistant, and some of them showed high MICs for minocycline. Only polymyxins showed a satisfactory activity. All isolates carried bla and were included in 14 distinct clusters, with the predominance of clonal group A (29%). The IC1 was the most frequent clonal group, followed by IC5 and IC4. Here, we firstly reported the epidemiological scenario of CRAB in the state of Rondônia, located in the Brazilian Amazon region. The high frequency of CRAB presenting XDR phenotype is of great concern, due to limited therapeutical options, especially in the actual pandemic scenario, in which we observed an overcrowding of ICU beds. Such results are essential to better characterize the epidemiology of CRAB in the entire Brazilian territory.
Author da Silva, Juliana Thalita Paulino
Barcelos Valiatti, Tiago
Moura, Lorena Brandhuber
Cayô, Rodrigo
da Silva, Cicileia Correia
Silva Carvalho, Tatiane
Ferreira, Jacqueline Andrade
Fernandes Santos, Fernanda
Silva Nodari, Carolina
dos Santos, Levy Assis
Gales, Ana Cristina
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  organization: Laboratório Alerta, Division of Infectious Diseases, Department of Internal Medicine. Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP)
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  surname: Gales
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  organization: Laboratório Alerta, Division of Infectious Diseases, Department of Internal Medicine. Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP)
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Issue 2
Keywords Carbapenemase
Northern region
spp
Non-fermenter bacilli
International clones
Acinetobacter spp
Language English
License 2022. The Author(s) under exclusive licence to Sociedade Brasileira de Microbiologia.
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Snippet In Brazil, carbapenem-resistant A. baumannii (CRAB) is a critical pathogen showing high carbapenem resistance rates. Currently, there is little epidemiological...
In Brazil, carbapenem-resistant A. baumannii (CRAB) is a critical pathogen showing high carbapenem resistance rates. Currently, there is little epidemiological...
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springer
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StartPage 795
SubjectTerms Acinetobacter baumannii - genetics
Acinetobacter Infections - epidemiology
Acinetobacter Infections - microbiology
Anti-Bacterial Agents - pharmacology
Antibiotics
Bacterial Proteins - genetics
beta-Lactamases - genetics
Biomedical and Life Sciences
Carbapenems
Clinical Microbiology - Short Communication
Clone Cells
Drug Resistance, Multiple, Bacterial - genetics
Epidemiology
Food Microbiology
Humans
Life Sciences
Medical Microbiology
Microbial Ecology
Microbial Genetics and Genomics
Microbial Sensitivity Tests
Microbiology
Minocycline
Multidrug resistance
Multidrug resistant organisms
Mycology
Overcrowding
Phenotypes
Polymyxins
Title Spread of multidrug-resistant Acinetobacter baumannii isolates belonging to IC1 and IC5 major clones in Rondônia state
URI https://link.springer.com/article/10.1007/s42770-022-00706-4
https://www.ncbi.nlm.nih.gov/pubmed/35141834
https://www.proquest.com/docview/2671700725
https://search.proquest.com/docview/2627477018
https://pubmed.ncbi.nlm.nih.gov/PMC9151963
Volume 53
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