Longitudinal surveillance for meningitis by Acinetobacter in a large urban setting in Brazil

被引:17
作者
Coelho-Souza, T. [1 ]
Reis, J. N. [2 ]
Martins, N. [1 ]
Martins, I. S. [3 ]
Menezes, A. O. [4 ]
Reis, M. G. [4 ]
Silva, N. O. [5 ]
Dias, R. C. S. [6 ]
Riley, L. W. [7 ]
Moreira, B. M. [1 ]
机构
[1] Univ Fed Rio de Janeiro, BR-21941902 Rio De Janeiro, Brazil
[2] Univ Fed Bahia, Salvador, BA, Brazil
[3] Univ Fed Fluminense, Niteroi, RJ, Brazil
[4] Fundacao Oswaldo Cruz, Salvador, BA, Brazil
[5] Hosp Couto Maia, Salvador, BA, Brazil
[6] Univ Fed Estado Rio de Janeiro, Rio De Janeiro, Brazil
[7] Univ Calif Berkeley, Berkeley, CA 94720 USA
基金
英国惠康基金;
关键词
Acinetobacter baumannii; bacterial meningitis; carbapenem resistance; multilocus sequence typing; clonal complexes; STRAINS; GENES; PCR;
D O I
10.1111/1469-0691.12145
中图分类号
R51 [传染病];
学科分类号
100201 [内科学];
摘要
The study aim was to describe the emergence of carbapenem resistance and clonal complexes (CC), defined by multilocus sequence typing (MLST), in Acinetobacter baumannii in a surveillance system for meningitis. Starting in 1996 in an urban setting of Brazil, surveillance detected meningitis by Acinetobacter sp for the first time in 2002. Up to 2008, 35 isolates were saved. Carbapenem resistance emerged in 2006, reaching 70% of A.baumannii isolates in 2008, including one that was colistin resistant. A.baumannii belonged to CC113/79 (University of Oxford/Institute Pasteur schemes), CC235/162 and CC103/15. Dissemination of infections resistant to all antimicrobial agents may occur in the future.
引用
收藏
页码:E241 / E244
页数:4
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