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Widespread dispersion of the resistance element tet (B)::IS CR2 in XDR Acinetobacter baumannii isolates

SUMMARY Acinetobacter baumannii is a significant nosocomial pathogen often associated with extreme drug resistance (XDR). In Argentina, isolates of A. baumannii resistant to tetracyclines have accounted for more than 40% of drug-resistant isolates in some hospitals. We have previously reported the d...

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Published in:Epidemiology and infection 2016-05, Vol.144 (7), p.1574-1578
Main Authors: VILACOBA, E., ALMUZARA, M., GULONE, L., TRAGLIA, G. M., MONTAÑA, S., RODRÍGUEZ, H., PASTERAN, F., PENNINI, M., SUCARI, A., GÓMEZ, N., FERNÁNDEZ, A., CENTRÓN, D., RAMÍREZ, M. S.
Format: Article
Language:English
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Summary:SUMMARY Acinetobacter baumannii is a significant nosocomial pathogen often associated with extreme drug resistance (XDR). In Argentina, isolates of A. baumannii resistant to tetracyclines have accounted for more than 40% of drug-resistant isolates in some hospitals. We have previously reported the dispersion of the tet (B) resistance element associated with the IS CR2 transposase in epidemiologically unrelated A. baumannii isolates recovered from 1983 to 2011. This study extends this surveillance to 77 recent (2009–2013) XDR A. baumannii isolates with different levels of minocycline susceptibility. Isolates were examined by a pan-PCR assay, which showed six different amplification patterns, and specific PCRs were used for the confirmation of the the ΔIS CR2-tet (B)- tet (R)-IS CR2 element. The tet (B) gene was present in 66 isolates and the IS CR2 element in 68 isolates; the tet (B) gene was associated with IS CR2 in all tet (B)-positive isolates. We conclude that this element is widespread in XDR A. baumannii isolates from Argentina and could be responsible for the emergence of tetracycline resistance in recent years.
ISSN:0950-2688
1469-4409
DOI:10.1017/S0950268815002897