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Antimicrobial Resistance and Molecular Epidemiology of Virulence Genes Among Multi-Drug Resistant Acinetobacter Baumannii Clinical Isolates in Iran Publisher



Sadr M1 ; Fahimzad SA1 ; Karimi A1 ; Fallah F1 ; Armin S1 ; Almasian Tehrani N2 ; Shamshiri AR3 ; Azimi L1
Authors
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Authors Affiliations
  1. 1. Pediatric Infections Research Center, Research Institute of children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Department of Microbiology and Microbial Biotechnology, Faculty of Life Science and Biotechnology, Shahid Beheshti University, Tehran, Iran
  3. 3. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Gene Reports Published:2021


Abstract

Introduction: Multidrug-resistant (MDR) Acinetobacter baumannii (A. baumannii) is considered a serious threat level bacterial pathogen. This study aims to investigate the prevalence rate of main virulence genes within clinically MDR isolates of A. baumannii and extract their antibiotic susceptibility patterns. Methods: In the present study, various clinical specimens were collected from general hospitals of Tehran, Iran in two years. The identification of A. baumannii isolates was performed by conventional biochemical tests. The antibiotic resistance profile of A. baumannii isolates was determined using the disk diffusion method and results were interpreted according to the CLSI guidelines. The existence and frequency of main virulence genes were screened by PCR method in MDR A. baumannii isolates. Results: A total of 198 A. baumannii were isolated from clinical specimens in selected general hospitals in Iran, out of which 90 (45.45%) isolates were recognized as MDR A. baumannii isolates. The highest frequency of MDR A. baumannii isolates was detected in blood (42.22%) and urine (24.44%) specimens, respectively. Moreover, most MDR A. baumannii isolates (43.33%) were isolated from ICU. All of MDR A. baumannii isolates were resistant to piperacillin/tazobactam and cefepime. The prevalence of surveyed virulence genes among MDR A. baumannii isolates was as follows: pld (76.67%), bap (70%), traT (66.67%) lasB (56.67%), omp33-36 (52.22%), and ompA (23.33%). Conclusion: The results of our study revealed that the prevalence of MDR A. baumannii isolates and virulence-associated genes in general hospitals was high. It is suggested that virulence genes were associated with antibiotic resistance in A. baumannii isolates. © 2021 Elsevier Inc.
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