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Genetic characterisation of drug resistance and clonal dynamics of Acinetobacter baumannii in a hospital setting in Mexico
被引:43
作者:

Bocanegra-Ibarias, Paola
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机构:
Hosp Univ Dr Jose Eleuterio Gonzalez, Serv Gastroenterol, Monterrey, Nuevo Leon, Mexico Hosp Univ Dr Jose Eleuterio Gonzalez, Serv Gastroenterol, Monterrey, Nuevo Leon, Mexico

Pena-Lopez, Cynthia
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h-index: 0
机构:
Hosp Univ Dr Jose Eleuterio Gonzalez, Dept Med Interna, Monterrey, Nuevo Leon, Mexico Hosp Univ Dr Jose Eleuterio Gonzalez, Serv Gastroenterol, Monterrey, Nuevo Leon, Mexico

Camacho-Ortiz, Adrian
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机构:
Hosp Univ Dr Jose Eleuterio Gonzalez, Serv Infectol Coordinac Epidemiol Hosp, Monterrey, Nuevo Leon, Mexico Hosp Univ Dr Jose Eleuterio Gonzalez, Serv Gastroenterol, Monterrey, Nuevo Leon, Mexico

Llaca-Diaz, Jorge
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机构:
Univ Autonoma Nuevo Leon, Hosp Univ Dr Jose Eleuterio Gonzalez, Dept Patol Clin, San Nicolas De Los Garza, Nuevo Leon, Mexico Hosp Univ Dr Jose Eleuterio Gonzalez, Serv Gastroenterol, Monterrey, Nuevo Leon, Mexico

Silva-Sanchez, Jesus
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机构:
Inst Nacl Salud Publ, Dept Diagnost Epidemiol, Cuernavaca, Morelos, Mexico Hosp Univ Dr Jose Eleuterio Gonzalez, Serv Gastroenterol, Monterrey, Nuevo Leon, Mexico

Barrios, Humberto
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Inst Nacl Salud Publ, Dept Diagnost Epidemiol, Cuernavaca, Morelos, Mexico Hosp Univ Dr Jose Eleuterio Gonzalez, Serv Gastroenterol, Monterrey, Nuevo Leon, Mexico

Garza-Ramos, Ulises
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Inst Nacl Salud Publ, Dept Diagnost Epidemiol, Cuernavaca, Morelos, Mexico Hosp Univ Dr Jose Eleuterio Gonzalez, Serv Gastroenterol, Monterrey, Nuevo Leon, Mexico

Rodriguez-Flores, Adrian Marcelo
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机构:
Hosp Univ Dr Jose Eleuterio Gonzalez, Dept Med Interna, Monterrey, Nuevo Leon, Mexico Hosp Univ Dr Jose Eleuterio Gonzalez, Serv Gastroenterol, Monterrey, Nuevo Leon, Mexico

Garza-Gonzalez, Elvira
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机构:
Hosp Univ Dr Jose Eleuterio Gonzalez, Serv Gastroenterol, Monterrey, Nuevo Leon, Mexico
Univ Autonoma Nuevo Leon, Hosp Univ Dr Jose Eleuterio Gonzalez, Dept Patol Clin, San Nicolas De Los Garza, Nuevo Leon, Mexico Hosp Univ Dr Jose Eleuterio Gonzalez, Serv Gastroenterol, Monterrey, Nuevo Leon, Mexico
机构:
[1] Hosp Univ Dr Jose Eleuterio Gonzalez, Serv Gastroenterol, Monterrey, Nuevo Leon, Mexico
[2] Hosp Univ Dr Jose Eleuterio Gonzalez, Dept Med Interna, Monterrey, Nuevo Leon, Mexico
[3] Hosp Univ Dr Jose Eleuterio Gonzalez, Serv Infectol Coordinac Epidemiol Hosp, Monterrey, Nuevo Leon, Mexico
[4] Univ Autonoma Nuevo Leon, Hosp Univ Dr Jose Eleuterio Gonzalez, Dept Patol Clin, San Nicolas De Los Garza, Nuevo Leon, Mexico
[5] Inst Nacl Salud Publ, Dept Diagnost Epidemiol, Cuernavaca, Morelos, Mexico
关键词:
Acinetobacter;
PFGE;
Carbapenemases;
OXA-58;
OXA-72;
Biofilm;
CRITICALLY-ILL PATIENTS;
MULTIPLEX PCR;
CARBAPENEMASES;
STRAINS;
D O I:
10.1016/j.ijantimicag.2014.10.022
中图分类号:
R51 [传染病];
学科分类号:
100401 ;
摘要:
The aim of this study was to determine the clinical characteristics, molecular epidemiology and biofilm production of Acinetobacter baumannii clinical isolates obtained from a tertiary-care hospital in Mexico. Clinical isolates of A. baumannii (n = 152) isolated from 2007 to 2012 were included. Clonal diversity was analysed by pulsed-field gel electrophoresis (PFGE) and multilocus sequence typing (MLST). Antimicrobial susceptibility was determined using the broth microdilution method. IMP, VIM, NDM and OXA-type genes were screened by PCR. Biofilm production was analysed using the crystal violet method. Mortality attributable to A. baumannii infection was 14.5%. Fifty-four clones were detected, of which five predominated. MLST results showed three new sequence types and two reported sequence types. More than 86% of the isolates were resistant to ciprofloxacin, ceftazidime and cefotaxime. Furthermore, 50.7% and 35.5% of the isolates were resistant to imipenem and meropenem, respectively. Of the isolates evaluated, 28.3% and 25.7% were positive for the bla(OXA-58) and bla(OXA-72) genes, respectively. Biofilm production was associated with resistance to imipenem (P = 0.002). (C) 2014 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.
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页码:309 / 313
页数:5
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h-index: 0
机构:
Univ Autonoma Nuevo Leon, Hosp Univ Dr Jos Eleuterio Gonz lez, Serv Gastroenterol, Monterrey, Nuevo Leon, Mexico
Univ Autonoma Nuevo Leon, Hosp Univ Dr Jos Eleuterio Gonz lez, Dept Patol Clin, Monterrey, Nuevo Leon, Mexico Univ Autonoma Nuevo Leon, Hosp Univ Dr Jos Eleuterio Gonz lez, Serv Gastroenterol, Monterrey, Nuevo Leon, Mexico