Molecular typing of multi-drug resistant Acinetobacter baumannii isolates from clinical and environmental specimens in three Iranian hospitals by pulsed field gel electrophoresis

BMC Microbiology

article

Mohammadi Bardbari, Ali¹  Mohajeri, Parviz²  Arabestani, Mohammad Reza¹  Karami, Manoochehr³  Keramat, Fariba⁴  Asadollahi, Saba²  Khodavirdipour, Amir⁶  Alikhani, Mohammad Yousef¹ 

[1] Department of Microbiology, Faculty of Medicine, Hamadan University of Medical Sciences;Department of Microbiology, Faculty of Medicine, Kermanshah University of Medical Sciences;Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences;Department of Infectious Diseases, Faculty of Medicine, Hamadan University of Medical Sciences;Brucellosis Research Center, Hamadan University of Medical Sciences;Division of Human Genetics, Department of Anatomy, St. John’s Hospital

关键词: A.baumannii;    MDR;    Biofilm formation;    Antibiotic resistance;    PFGE;   

DOI  :  10.1186/s12866-020-01792-w

学科分类：放射科、核医学、医学影像

来源: BioMed Central

【 摘 要 】

Multi-drug resistant (MDR) Acinetobacter baumannii is one of the most important causes of nosocomial infections. The purpose of this study was to identify antibiotic resistance patterns, biofilm formation and the clonal relationship of clinical and environmental isolates of A. baumannii by Pulsed Field Gel Electrophoresis method. Forty-three clinical and 26 environmental isolates of the MDR A. baumannii were collected and recognized via API 20NE. Antibiotic resistance of the isolates was assessed by the disk diffusion method, and the biofilm formation test was done by the microtiter plate method. Pulsed Field Gel Electrophoresis (PFGE) was used to assess the genomic features of the bacterial isolates. The resistance rate of clinical and environmental isolates against antibiotics were from 95 to 100%. The difference in antibiotic resistance rates between clinical and environmental isolates was not statistically significant (p > 0.05). Biofilm production capabilities revealed that 31 (44.9%), and 30 (43.5%) isolates had strong and moderate biofilm producer activity, respectively. PFGE typing exhibited eight different clusters (A, B, C, D, E, F, G, and H) with two significant clusters included A and G with 21 (30.4%) and 16 (23.2%) members respectively, which comprises up to 53.6% of all isolates. There was no relationship between biofilm formation and antibiotic resistance patterns with PFGE pulsotypes. The results show that there is a close relationship between environmental and clinical isolates of A. baumannii. Cross-contamination is also very important that occurs through daily clinical activities between environmental and clinical isolates. Therefore, in order to reduce the clonal contamination of MDR A. baumannii environmental and clinical isolates, it is necessary to use strict infection control strategies.

【 授权许可】

CC BY|CC0