Abstract:
Objecitve To investigate the clonal relatedness of local
blaOXA-58-carrying
Acinetobacter baumannii clinical isolates.
Methods Non-duplicated isolates of
Acinetobacter baumannii were collected in West China Hospital and verified by
recA sequencing. Acquired
blaOXA-58 gene and natural
blaOXA-51/66 genes were detected by PCR. Strain typing for
blaOXA-58-carrying
Acinetobacter baumannii isolates was performed by Enterobacterial repetitive intergenic consensus polymerase chain reaction (ERIC-PCR), multilocus sequence typing (MLST) and pulsed-field gel electrophoresis (PFGE).
Results A total of 115
Acinetobacter baumannii isolates were verified by
recA gene and
blaOXA-51/66 detection. Among them, nine (7.8%) isolates carry
blaOXA-58 with reduced susceptibility to imipenem (MIC ≥ 2 mg/L) were observed. ERIC-PCR fingerprints of nine
blaOXA-58-carrying isolates were highly similar. MLST revealed that eight isolates were ST95 and one isolate was ST75. PFGE showed that eight isolates with the same sequence type were of the same fingerprint types, which were of two closely-related subtypes.
Conclusion In West China Hospital, some
Acinetobacter baumannii isolates with reduced susceptibility to carbapenem carried
blaOXA-58. The major spread way of
blaOXA-58-carrying isolates was clonal dissemination.