NDLI: Clonal spread of multidrug-resistant Acinetobacter baumannii in eastern Taiwan.

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Clonal spread of multidrug-resistant Acinetobacter baumannii in eastern Taiwan.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Chang, Kai-Chih Lin, Ming-Feng Lin, Nien-Tsung Wu, Wen-Jui Kuo, Han-Yueh Lin, Teng-Yi Yang, Tsai-Lian Chen, Yu-Chuan Liou, Ming-Li
Spatial Coverage	Taiwan
Description	Country affiliation: Taiwan Author Affiliation: Chang KC ( Department of Laboratory Medicine and Biotechnology, Tzu Chi University, Hualien City, Taiwan.)
Abstract	BACKGROUND AND PURPOSE: This study was conducted to investigate the molecular epidemiology and antimicrobial susceptibility of multidrug-resistant (MDR) Acinetobacter baumannii to three types of antibiotics. METHODS: One hundred and thirty-four specimens of MDR A baumannii were collected from three branches (Taipei, Dalin, and Hualien branches) of Buddhist Tzu Chi Hospital, which are located in northern, southern, and eastern Taiwan, during 2007. Genotyping was performed by pulsed-field gel electrophoresis. Antibiotic susceptibilities to colistin, rifampicin, and tigecycline were determined. The synergistic effects of rifampin and colistin were also evaluated. RESULTS: Antibiotic susceptibility testing showed that 10.4%, 47.8% and 45.5% of the MDR A baumannii isolates are resistant to colistin, rifampicin, and tigecycline, respectively. A majority of the rifampicin-resistant isolates (62.7%) were found in the Haulien branch, whereas 62.2% of tigecycline-resistant isolates were found in the Taipei branch. The combination of colistin and rifampicin had a synergistic effect on all of the isolates. Genotyping by pulsed-field gel electrophoresis identified 17, 23, and 11 pulsotypes in the Taipei, Dalin, and Haulien branches, respectively. Furthermore, 74.5% of isolates in the Haulien branch were identified as one of three pulsotypes. Among 37 rifampicin-resistant and 22 tigecycline-resistant MDR A baumannii isolates found in the Haulien branch, 51.3% (19/37) and 50% (11/22) of the isolates belonged to the same clone, respectively. CONCLUSION: This study confirms the high prevalence of resistance to rifampicin and tigecycline in MDR A baumannii in the three hospitals that were studied, and the high proportion of identical strains that exist in eastern Taiwan.
File Format	HTM / HTML
ISSN	16841182
e-ISSN	19959133
Journal	Journal of Microbiology, Immunology and Infection
Issue Number	1
Volume Number	45
Language	English
Publisher	Elsevier
Publisher Date	2012-02-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline Microbiology Discipline Immunology Acinetobacter Infections Epidemiology Microbiology Acinetobacter Baumannii Classification Drug Effects Drug Resistance, Multiple, Bacterial Molecular Typing Genetics Isolation & Purification Anti-bacterial Agents Pharmacology Cluster Analysis Colistin Drug Synergism Electrophoresis, Gel, Pulsed-field Genotype Microbial Sensitivity Tests Minocycline Analogs & Derivatives Molecular Epidemiology Rifampin Taiwan Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Infectious Diseases Immunology and Microbiology Immunology and Allergy Microbiology (medical)

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