Two distinct clones of carbapenem-resistant Acinetobacter baumannii isolates from Korean hospitals

  • Young Kyoung Park
  • , Ji Young Choi
  • , Sook In Jung
  • , Kyong Hwa Park
  • , Hyuck Lee
  • , Dong Sik Jung
  • , Sang Taek Heo
  • , Shin Woo Kim
  • , Hyun Ha Chang
  • , Hae Suk Cheong
  • , Doo Ryeon Chung
  • , Kyong Ran Peck
  • , Jae Hoon Song
  • , Kwan Soo Ko

Research output: Contribution to journalArticlepeer-review

36 Scopus citations

Abstract

We investigated the characteristics of 48 carbapenem-resistant Acinetobacter baumannii isolates collected from 5 tertiary care hospitals in Korea by multilocus sequencing typing, pulsed-field gel electrophoresis, and polymerase chain reaction amplification of the antimicrobial resistance determinants. We identified 2 distinct main clones of carbapenem-resistant A. baumannii isolates, which showed different antimicrobial resistance profiles and are also differentiated by the kinds of oxacillinase (OXA) carbapenemases and Acinetobacter-derived cephalosporinase (ADC) β-lactamases. One main clone, ST22:A, had 27 carbapenem-resistant isolates (56.3%), showed high polymyxin B and colistin resistances (33.3% and 37.0%, respectively), and contained both blaOXA-51-like and blaOXA-23-like genes and the blaADC-29 or blaADC-30 gene. In contrast, the other main clone, ST28:B, included 15 isolates (31.3%), showed complete susceptibilities to polymyxin B and colistin, and contained only the blaOXA-51-like gene and blaADC-31 or blaADC-32 genes. The distribution of these main carbapenem-resistant A. baumannii clones did not relate to locality, indicating that they are widespread in Korean hospitals. In addition, we found new types of PER β-lactamases, PER-6.

Original languageEnglish
Pages (from-to)389-395
Number of pages7
JournalDiagnostic Microbiology and Infectious Disease
Volume64
Issue number4
DOIs
StatePublished - Aug 2009

Keywords

  • Acinetobacter baumannii
  • Carbapenemase
  • Colistin
  • Imipenem
  • Meropenem
  • Multilocus sequence typing (MLST)

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