Emergence of oligoclonal Acinetobacter baumannii nosocomial infection in a Hospital in Nepal

Badri K Thapa, Chanwit Tribuddharat

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Abstract

The molecular epidemiology of fifteen clinical strains of Acinetobacter baumannii recovered from various clinical specimens from different wards during January to June, 2010 from a hospital in Nepal was evaluated. Kirby-Bauer disk diffusion test was used for determining in-vitro activities of antibiotics. Molecular epidemiology was investigated by polymerase chain reaction-randomly amplified polymorphic DNA (PCR-RAPD) and plasmid profiling. A. baumannii recovered were multidrug resistant. Isolates represented three antibiotypes (a, b and c). Isolates in antibiotype c (n=12) were resistant to all antibiotics tested while isolates in antibiotype a (n=2) was susceptible to netilmicin and b (n=1) was susceptible to aminoglycosides and fluoroquinolones tested. Four plasmid profiles (i) 1 isolate; (ii) 1 isolate; (iii) 1 isolate; and (iv) 12 isolates and four PCR-RAPD types (I)1isolate; (II) 8 isolates; (III) 1 isolate; (IV) 5 isolates revealed oligoclonal population of A. baumannii. Antibiotypes, plasmid profiles and PCR-RAPD types showed no empirical association. A. baumannii isolates were oligoclonal and multi-drug resistant. The emergence of multi-drug resistant oligoclonal population of this pathogen in a hospital warrants for development of appropriate antibiotic policies and immediate implementation of infection prevention and control measures. © 2011 Academic Journals.
Original languageEnglish
Pages (from-to)5872-5876
Number of pages5
JournalAfrican Journal of Microbiology Research
Volume5
Issue number32
DOIs
Publication statusPublished - 2011
Externally publishedYes

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Acinetobacter baumannii
Nepal
cross infection
Cross Infection
plasmids
molecular epidemiology
Plasmids
Molecular Epidemiology
polymerase chain reaction
antibiotics
Anti-Bacterial Agents
Polymerase Chain Reaction
netilmicin
DNA
Netilmicin
drugs
aminoglycosides
fluoroquinolones
DNA Fingerprinting
Fluoroquinolones

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abstract = "The molecular epidemiology of fifteen clinical strains of Acinetobacter baumannii recovered from various clinical specimens from different wards during January to June, 2010 from a hospital in Nepal was evaluated. Kirby-Bauer disk diffusion test was used for determining in-vitro activities of antibiotics. Molecular epidemiology was investigated by polymerase chain reaction-randomly amplified polymorphic DNA (PCR-RAPD) and plasmid profiling. A. baumannii recovered were multidrug resistant. Isolates represented three antibiotypes (a, b and c). Isolates in antibiotype c (n=12) were resistant to all antibiotics tested while isolates in antibiotype a (n=2) was susceptible to netilmicin and b (n=1) was susceptible to aminoglycosides and fluoroquinolones tested. Four plasmid profiles (i) 1 isolate; (ii) 1 isolate; (iii) 1 isolate; and (iv) 12 isolates and four PCR-RAPD types (I)1isolate; (II) 8 isolates; (III) 1 isolate; (IV) 5 isolates revealed oligoclonal population of A. baumannii. Antibiotypes, plasmid profiles and PCR-RAPD types showed no empirical association. A. baumannii isolates were oligoclonal and multi-drug resistant. The emergence of multi-drug resistant oligoclonal population of this pathogen in a hospital warrants for development of appropriate antibiotic policies and immediate implementation of infection prevention and control measures. {\circledC} 2011 Academic Journals.",
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Emergence of oligoclonal Acinetobacter baumannii nosocomial infection in a Hospital in Nepal. / Thapa, Badri K; Tribuddharat, Chanwit.

In: African Journal of Microbiology Research, Vol. 5, No. 32, 2011, p. 5872-5876.

Research output: Contribution to journalArticle

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