Clinical and molecular epidemiology of Acinetobacter baumannii bloodstream infections in an endemic setting.

Abstract:

AIM:The transmission dynamics of Acinetobacter baumannii in endemic settings, and the relation between microbial properties and patients' clinical outcomes, are yet obscure and hampered by insufficient metadata. METHODS & RESULTS:Of 20 consecutive patients with A. baumannii bloodstream infection that were thoroughly analyzed at a single center, at least one transmission opportunity was evident for 85% of patients. This implies that patient-to-patient transmission is the major mode of A. baumannii acquisitions in health facilities. Moreover, all patients who died immediately (<24 h of admission) were infected with a single clone (ST457; relative risk = 1.6; p = 0.05). CONCLUSION:This preliminary analysis should prompt further investigation by mapping genomic virulence determinants among A. baumannii ST457 lineage compared with other strains.

journal_name

Future Microbiol

journal_title

Future microbiology

authors

Marchaim D,Levit D,Zigron R,Gordon M,Lazarovitch T,Carrico JA,Chalifa-Caspi V,Moran-Gilad J

doi

10.2217/fmb-2016-0158

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

271-283

eissn

1746-0913

issn

1746-0921

journal_volume

12

pub_type

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