Acinetobacter baumannii extensively drug resistant lineages in Buenos Aires hospitals differ from the international clones I–III

• The STs of 93 isolates from Buenos Aires and Rosario hospitals were achieved by Bartual (B) and Pasteur (P) schemes. • CC113B/CC79P prevailed among Buenos Aires isolates, at least in 1992–2010. • CC109B/CC1P prevailed among Rosario isolates, but CC113B/CC79P was also found. • CC110B/ST25P apparent...

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Published inInfection, genetics and evolution Vol. 14; pp. 294 - 301
Main Authors Stietz, María Silvina, Ramírez, María Soledad, Vilacoba, Elisabet, Merkier, Adriana Karina, Limansky, Adriana Sara, Centrón, Daniela, Catalano, Mariana
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier B.V 01.03.2013
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Abstract • The STs of 93 isolates from Buenos Aires and Rosario hospitals were achieved by Bartual (B) and Pasteur (P) schemes. • CC113B/CC79P prevailed among Buenos Aires isolates, at least in 1992–2010. • CC109B/CC1P prevailed among Rosario isolates, but CC113B/CC79P was also found. • CC110B/ST25P apparently increased over the last years. • Several single locus variants (SLV) of STs from CC79P, previously annoted as a singleton, were described. As a way to contribute to the assessment of Acinetobacter baumannii clinical population structure, multi-locus sequence typing (MLST) was performed in a collection of 93 isolates from Buenos Aires (1983–2012) and Rosario (2006–2009) hospitals. Sequence types (STs) were achieved by Bartual (B) and Institut Pasteur (P) schemes. PFGE typing, antimicrobial susceptibility assays, and the amplification of the OXA carbapenemase genes most prevalent in our region, were also performed. e-Burst clustered the 25 STsB (15 novels) into 5 clonal complexes (CC) and 5 singletons, and grouped the 18 STsP (12 novels) into 3 CC and 4 singletons. Bartual scheme divided the CC79P into two groups. CC113B/CC79P prevailed in Buenos Aires at least in 1992–2009, being responsible for epidemic and for endemic infections and acquiring the XDR (extensively drug-resistant) pattern throughout the years. While, CC119B/CC79P was apparently present before the CC113B/CC79Pdomain. CC103B/CC15P was the second most prevalent CC. Interestingly, CC110B/ST25P apparently increased over the last years. Conversely, CC109B/CC1P (international clone I) predominated in Rosario, although the presence of CC113B/CC79P, CC103B/CC15P and CC110B/ST25P was observed. Nineteen novel STs clustered in CC79P, CC15P, CC113B, CC109B and CC103B, suggesting their clonal expansion during persistence. PFGE typing proved transmission of strains intra- and inter-hospitals in each city. Except for one, all the recent isolates (2007–2012) harboured the blaOXA-23-like. All isolates were susceptible to colistin. Tigecycline MIC90 was 1mg/L and the rifampicin MIC>512mg/l was found among isolates in three hospitals. In conclusion, the international clone II (CC92B/CC2P) was not found among our isolates. CC113B/CC79P, CC103B/CC15P, and ST25P, suggested also as major components in the A. baumannii population together with the international clone I, were present in Buenos Aires and Rosario with different prevalence rate. Their recent isolates showed high distribution of the blaOXA-23-like as well as the XDR pattern.
AbstractList • The STs of 93 isolates from Buenos Aires and Rosario hospitals were achieved by Bartual (B) and Pasteur (P) schemes. • CC113B/CC79P prevailed among Buenos Aires isolates, at least in 1992–2010. • CC109B/CC1P prevailed among Rosario isolates, but CC113B/CC79P was also found. • CC110B/ST25P apparently increased over the last years. • Several single locus variants (SLV) of STs from CC79P, previously annoted as a singleton, were described. As a way to contribute to the assessment of Acinetobacter baumannii clinical population structure, multi-locus sequence typing (MLST) was performed in a collection of 93 isolates from Buenos Aires (1983–2012) and Rosario (2006–2009) hospitals. Sequence types (STs) were achieved by Bartual (B) and Institut Pasteur (P) schemes. PFGE typing, antimicrobial susceptibility assays, and the amplification of the OXA carbapenemase genes most prevalent in our region, were also performed. e-Burst clustered the 25 STsB (15 novels) into 5 clonal complexes (CC) and 5 singletons, and grouped the 18 STsP (12 novels) into 3 CC and 4 singletons. Bartual scheme divided the CC79P into two groups. CC113B/CC79P prevailed in Buenos Aires at least in 1992–2009, being responsible for epidemic and for endemic infections and acquiring the XDR (extensively drug-resistant) pattern throughout the years. While, CC119B/CC79P was apparently present before the CC113B/CC79Pdomain. CC103B/CC15P was the second most prevalent CC. Interestingly, CC110B/ST25P apparently increased over the last years. Conversely, CC109B/CC1P (international clone I) predominated in Rosario, although the presence of CC113B/CC79P, CC103B/CC15P and CC110B/ST25P was observed. Nineteen novel STs clustered in CC79P, CC15P, CC113B, CC109B and CC103B, suggesting their clonal expansion during persistence. PFGE typing proved transmission of strains intra- and inter-hospitals in each city. Except for one, all the recent isolates (2007–2012) harboured the blaOXA-23-like. All isolates were susceptible to colistin. Tigecycline MIC90 was 1mg/L and the rifampicin MIC>512mg/l was found among isolates in three hospitals. In conclusion, the international clone II (CC92B/CC2P) was not found among our isolates. CC113B/CC79P, CC103B/CC15P, and ST25P, suggested also as major components in the A. baumannii population together with the international clone I, were present in Buenos Aires and Rosario with different prevalence rate. Their recent isolates showed high distribution of the blaOXA-23-like as well as the XDR pattern.
As a way to contribute to the assessment of Acinetobacter baumannii clinical population structure, multi-locus sequence typing (MLST) was performed in a collection of 93 isolates from Buenos Aires (1983-2012) and Rosario (2006-2009) hospitals. Sequence types (STs) were achieved by Bartual (B) and Institut Pasteur (P) schemes. PFGE typing, antimicrobial susceptibility assays, and the amplification of the OXA carbapenemase genes most prevalent in our region, were also performed. e-Burst clustered the 25 STs(B) (15 novels) into 5 clonal complexes (CC) and 5 singletons, and grouped the 18 STs(P) (12 novels) into 3 CC and 4 singletons. Bartual scheme divided the CC79(P) into two groups. CC113(B)/CC79(P) prevailed in Buenos Aires at least in 1992-2009, being responsible for epidemic and for endemic infections and acquiring the XDR (extensively drug-resistant) pattern throughout the years. While, CC119(B)/CC79(P) was apparently present before the CC113(B)/CC79(P)domain. CC103(B)/CC15(P) was the second most prevalent CC. Interestingly, CC110(B)/ST25(P) apparently increased over the last years. Conversely, CC109(B)/CC1(P) (international clone I) predominated in Rosario, although the presence of CC113(B)/CC79(P), CC103(B)/CC15(P) and CC110(B)/ST25(P) was observed. Nineteen novel STs clustered in CC79(P), CC15(P), CC113(B), CC109(B) and CC103(B), suggesting their clonal expansion during persistence. PFGE typing proved transmission of strains intra- and inter-hospitals in each city. Except for one, all the recent isolates (2007-2012) harboured the blaOXA-23-like. All isolates were susceptible to colistin. Tigecycline MIC(90) was 1mg/L and the rifampicin MIC>512mg/l was found among isolates in three hospitals. In conclusion, the international clone II (CC92(B)/CC2(P)) was not found among our isolates. CC113(B)/CC79(P), CC103(B)/CC15(P), and ST25(P), suggested also as major components in the A. baumannii population together with the international clone I, were present in Buenos Aires and Rosario with different prevalence rate. Their recent isolates showed high distribution of the blaOXA-23-like as well as the XDR pattern.
As a way to contribute to the assessment of Acinetobacter baumannii clinical population structure, multi-locus sequence typing (MLST) was performed in a collection of 93 isolates from Buenos Aires (1983-2012) and Rosario (2006-2009) hospitals. Sequence types (STs) were achieved by Bartual (B) and Institut Pasteur (P) schemes. PFGE typing, antimicrobial susceptibility assays, and the amplification of the OXA carbapenemase genes most prevalent in our region, were also performed. e-Burst clustered the 25 STs(B) (15 novels) into 5 clonal complexes (CC) and 5 singletons, and grouped the 18 STs(P) (12 novels) into 3 CC and 4 singletons. Bartual scheme divided the CC79(P) into two groups. CC113(B)/CC79(P) prevailed in Buenos Aires at least in 1992-2009, being responsible for epidemic and for endemic infections and acquiring the XDR (extensively drug-resistant) pattern throughout the years. While, CC119(B)/CC79(P) was apparently present before the CC113(B)/CC79(P)domain. CC103(B)/CC15(P) was the second most prevalent CC. Interestingly, CC110(B)/ST25(P) apparently increased over the last years. Conversely, CC109(B)/CC1(P) (international clone I) predominated in Rosario, although the presence of CC113(B)/CC79(P), CC103(B)/CC15(P) and CC110(B)/ST25(P) was observed. Nineteen novel STs clustered in CC79(P), CC15(P), CC113(B), CC109(B) and CC103(B), suggesting their clonal expansion during persistence. PFGE typing proved transmission of strains intra- and inter-hospitals in each city. Except for one, all the recent isolates (2007-2012) harboured the blaOXA-23-like. All isolates were susceptible to colistin. Tigecycline MIC(90) was 1mg/L and the rifampicin MIC>512mg/l was found among isolates in three hospitals. In conclusion, the international clone II (CC92(B)/CC2(P)) was not found among our isolates. CC113(B)/CC79(P), CC103(B)/CC15(P), and ST25(P), suggested also as major components in the A. baumannii population together with the international clone I, were present in Buenos Aires and Rosario with different prevalence rate. Their recent isolates showed high distribution of the blaOXA-23-like as well as the XDR pattern.
As a way to contribute to the assessment of Acinetobacter baumannii clinical population structure, multi-locus sequence typing (MLST) was performed in a collection of 93 isolates from Buenos Aires (1983–2012) and Rosario (2006–2009) hospitals. Sequence types (STs) were achieved by Bartual (B) and Institut Pasteur (P) schemes. PFGE typing, antimicrobial susceptibility assays, and the amplification of the OXA carbapenemase genes most prevalent in our region, were also performed. e-Burst clustered the 25 STsᴮ (15 novels) into 5 clonal complexes (CC) and 5 singletons, and grouped the 18 STsᴾ (12 novels) into 3 CC and 4 singletons. Bartual scheme divided the CC79ᴾ into two groups. CC113ᴮ/CC79ᴾ prevailed in Buenos Aires at least in 1992–2009, being responsible for epidemic and for endemic infections and acquiring the XDR (extensively drug-resistant) pattern throughout the years. While, CC119ᴮ/CC79ᴾ was apparently present before the CC113ᴮ/CC79ᴾdomain. CC103ᴮ/CC15ᴾ was the second most prevalent CC. Interestingly, CC110ᴮ/ST25ᴾ apparently increased over the last years. Conversely, CC109ᴮ/CC1ᴾ (international clone I) predominated in Rosario, although the presence of CC113ᴮ/CC79ᴾ, CC103ᴮ/CC15ᴾ and CC110ᴮ/ST25ᴾ was observed. Nineteen novel STs clustered in CC79ᴾ, CC15ᴾ, CC113ᴮ, CC109ᴮ and CC103ᴮ, suggesting their clonal expansion during persistence. PFGE typing proved transmission of strains intra- and inter-hospitals in each city. Except for one, all the recent isolates (2007–2012) harboured the blaOXA₋₂₃₋ₗᵢₖₑ. All isolates were susceptible to colistin. Tigecycline MIC⁹⁰ was 1mg/L and the rifampicin MIC>512mg/l was found among isolates in three hospitals. In conclusion, the international clone II (CC92ᴮ/CC2ᴾ) was not found among our isolates. CC113ᴮ/CC79ᴾ , CC103ᴮ/CC15ᴾ, and ST25ᴾ, suggested also as major components in the A. baumannii population together with the international clone I, were present in Buenos Aires and Rosario with different prevalence rate. Their recent isolates showed high distribution of the blaOXA₋₂₃₋ₗᵢₖₑ as well as the XDR pattern.
Author Stietz, María Silvina
Limansky, Adriana Sara
Centrón, Daniela
Merkier, Adriana Karina
Ramírez, María Soledad
Catalano, Mariana
Vilacoba, Elisabet
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Keywords PFGE
Acinetobacter baumannii
Multilocus sequence typing
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PublicationDecade 2010
PublicationPlace Netherlands
PublicationPlace_xml – name: Netherlands
PublicationTitle Infection, genetics and evolution
PublicationTitleAlternate Infect Genet Evol
PublicationYear 2013
Publisher Elsevier B.V
Publisher_xml – name: Elsevier B.V
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Snippet • The STs of 93 isolates from Buenos Aires and Rosario hospitals were achieved by Bartual (B) and Pasteur (P) schemes. • CC113B/CC79P prevailed among Buenos...
As a way to contribute to the assessment of Acinetobacter baumannii clinical population structure, multi-locus sequence typing (MLST) was performed in a...
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SubjectTerms Acinetobacter baumannii
Acinetobacter baumannii - classification
Acinetobacter baumannii - drug effects
Acinetobacter baumannii - genetics
Acinetobacter Infections - virology
antibiotic resistance
Argentina
Bacterial Proteins - genetics
beta-lactamase
beta-Lactamases - genetics
clones
Cluster Analysis
colistin
Cross Infection
Drug Resistance, Bacterial - genetics
genes
hospitals
Humans
Microbial Sensitivity Tests
Multilocus Sequence Typing
PFGE
population structure
rifampicin
Title Acinetobacter baumannii extensively drug resistant lineages in Buenos Aires hospitals differ from the international clones I–III
URI https://dx.doi.org/10.1016/j.meegid.2012.12.020
https://www.ncbi.nlm.nih.gov/pubmed/23313831
https://search.proquest.com/docview/1314705479
Volume 14
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