1887

Abstract

Surmmary

A comparative study of biotyping, antimicrobial susceptibility, whole-cell protein analysis, plasmid analysis, pulsed-field gel electrophoresis of chromosomal DNA and polymerase chain reaction with arbitrary primers of isolates from three large hospitals was performed to determine the best markers for epidemiological purposes. Ninety-two isolates were included: 38 belonged to a previously described outbreak and 54 were randomly selected from sporadic cases of infection. Biotyping, whole-cell protein and plasmid analysis were the least discriminatory methods, whereas antimicrobial susceptibility and polymerase chain reaction with arbitrary primers showed moderate discriminatory power. Typing based on pulsed-field gel electrophoresis of chromosomal DNA appeared to be the best discriminatory method (discrimination index of 0.9623). The addition of polymerase chain reaction with arbitrary primers or antimicrobial susceptibility to pulsed-field gel electrophoresis of chromosomal DNA did not further increase the discriminatory power.

Loading

Article metrics loading...

/content/journal/jmm/10.1099/00222615-42-5-328
1995-05-01
2024-04-20
Loading full text...

Full text loading...

/deliver/fulltext/jmm/42/5/medmicro-42-5-328.html?itemId=/content/journal/jmm/10.1099/00222615-42-5-328&mimeType=html&fmt=ahah

References

  1. Hartstein A. I., Morthland V. H., Rourke J. W. Plasmid DNA fingerprinting of Acinetobacter calcoaceticus subspecies anitratus from intubated and mechanically ventilated paints. Infect Control Hosp Epidemiol 1990; 11:531–537
    [Google Scholar]
  2. Castle M., Tenney J. H., Weinstein M. P., Eickhoff T. C. Outbreak of a multiply resistant Acinetobacter in a surgical intensive care unit: epidemiology and control. Heart Lung 1978; 7:641–644
    [Google Scholar]
  3. Vila J., Almela M., Jimenez de Anta M. T. Laboratory investi gation of a hospital outbreak caused by two different multiresistant Acinetobacter calcoaceticus subsp. anitratus strains. J Clin Microbiol 1989; 27:1086–1089
    [Google Scholar]
  4. Bergogne-Bérézin E., Joly-Guillou M. L., Vieu J. F. Epidemiology of nosocomial infections due to Acinetobacter calcoaceticus . J Hosp Infect 1987; 10:105–113
    [Google Scholar]
  5. French G. L., Casewell M. W., Roncoroni A. J., Knight S., Phillips I. A hospital outbreak of antibiotic-resistant Acinetobacter anitratus: epidemiology and control. J Hosp Infect 1980; 1:125–131
    [Google Scholar]
  6. Bouvet P. J. M., Grimont P. A. D. Identification and biotyping of clinical isolates of Acinetobacter . Ann Inst Pasteur/Microbiol 1987; 138:569–578
    [Google Scholar]
  7. Berk S. L., McCabe W. R. Meningitis caused by Acinetobacter calcoaceticus var anitratus . Arch Neurol 1981; 38:95–98
    [Google Scholar]
  8. Buxton A. E., Anderson R. L., Werdegar D., Atlas E. Nosocomial respiratory tract infection and colonization with Acinetobacter calcoaceticus. Epidemiologic characteristics. Am J Med 1978; 65:507–513
    [Google Scholar]
  9. Raz R., Alroy G., Sobel J. D. Nosocomial bacteremia due to Acinetobacter calcoaceticus . Infection 1982; 10:168–171
    [Google Scholar]
  10. Joly-Guillou M. L., Bergogne-Berezin E., Vieu J. F. Epidemiologie et resistance aux antibiotiques des Acinetobacter en milieu hospitalier: Bilan de 5 annees. Presse Med 1990; 19:357–361
    [Google Scholar]
  11. Vila J., Marcos M. A., Marco F. In vitro antimicrobial production of β-lactamases, aminoglycoside-modifying enzymes, and chloramphenicol acetyltransferase by and susceptibility of clinical isolates of Acinetobacter baumannii . Antimicrob Agents Chemother 1993; 37:138–141
    [Google Scholar]
  12. Bouvet P. J. M., Jeanjean S., Vieu J.-F., Dijkshoorn L. Species, biotype, and bacteriophage type determinations compared with cell envelope protein profiles for typing Acinetobacter strains. J Clin Microbiol 1990; 28:170–176
    [Google Scholar]
  13. Allen K. D., Green H. T. Hospital outbreak of multi-resistant Acinetobacter anitratus: an airborne mode of spread?. J Hosp Infect 1987; 9:110–119
    [Google Scholar]
  14. Alexander M., Ismail F., Jackman P. J. H., Noble W. C. Finger printing Acinetobacter strains from clinical sources by numerical analysis of electrophoretic protein patterns. J Med Microbiol 1984; 18:55–64
    [Google Scholar]
  15. Vila J., Canales M. A., Marcos M. A., Gomez-Lus R., Jimenez de Anta M. T. Molecular epidemiological analysis of nosocomial Acinetobacter baumannii isolates. In Towner K. J., Bergogne-Berezin E., Fewson C. A. (eds) The biology of Acinetobacter. Taxonomy, clinical importance, molecular biology, physiology, industrial relevance New York: Plenum Press; 199169–76
    [Google Scholar]
  16. Dijkshoorn L., van Viaven W., Degener J. E., Michel M. F. Typing of Acinetobacter calcoaceticus strains isolated from hospital patients by cell envelope protein profiles. Epidemiol Infect 1987; 99:659–667
    [Google Scholar]
  17. Gerner-Smidt P. Frequency of plasmids in strains of Acinetobacter calcoaceticus . J Hosp Infect 1989; 14:23–28
    [Google Scholar]
  18. Joly-Guillou M. L., Bergogne-Berezin E., Vieu J. F. Study of the relationships between antibiotic resistance phenotypes, phage-typing and biotyping of 117 clinical isolates of Acinetobacter spp. J Hosp Infect 1990; 16:49–58
    [Google Scholar]
  19. Gerner-Smidt P. Ribotyping of Acinetobacter calcoaceticus-Acinetobacter baumannii complex. J Clin Microbiol 1992; 30:2680–2685
    [Google Scholar]
  20. Dijkshoorn L., Aucken H. M., Gerner-Smidt P., Kaufmann M. E., Ursing J., Pitt T. L. Correlation of typing methods for Acinetobacter isolates from hospital outbreaks. J Clin Microbiol 1993; 31:702–705
    [Google Scholar]
  21. Graser Y., Klare I., Halle E. Epidemiological study of an Acinetobacter baumannii outbreak by using polymerase chain reaction fingerprinting. J Clin Microbiol 1993; 31:2417–2420
    [Google Scholar]
  22. Allardet-Servent A., Bouziges N., Carles-Nurit M.-J., Bourg G., Gouby A., Ramuz M. Use of low-frequency-cleavage restriction endonucleases for DNA analysis in epidemiological investigations of nosocomial bacterial infections. J Clin Microbiol 1989; 27:2057–2061
    [Google Scholar]
  23. Gouby A., Carles-Nurit M.-J., Bouziges N., Bourg G., Mesnard R., Bouvet P. J. M. Use of pulsed-field gel electrophoresis for investigation of hospital outbreaks of Acinetobacter baumannii . J Clin Microbiol 1992; 30:1588–1591
    [Google Scholar]
  24. Bauer A. W., Kirby W. M., Sherris J. C. Antibiotic susceptibility testing by a standardized single disk method. Am J Clin Pathol 1966; 45:493–496
    [Google Scholar]
  25. Laemmli U. K. Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature 1970; 227:680–685
    [Google Scholar]
  26. Birnboim H. C., Doly J. A rapid alkaline extraction procedure for screening recombinant plasmid DNA. Nucleic Acids Res 1979; 7:1513–1517
    [Google Scholar]
  27. Hunter P. R., Gaston M. A. Numerical index of the discriminatory ability of typing systems: an application of Simpson’s index of diversity. J Clin Microbiol 1988; 26:2465–2466
    [Google Scholar]
  28. Gilardi G. L. Identification of miscellaneous glucose non-fermenting Gram-negative bacteria. In Gilardi G. L. (ed) glucose non-fermenting Gram-negative bacteria in clinical microbiology West Palm Beach: CRC Press; 197845–69
    [Google Scholar]
  29. Towner K. J., Chopade B. A. Biotyping of Acinetobacter calcoaceticus using the API 20NE system. J Hosp Infect 1987; 10:145–151
    [Google Scholar]
  30. Holton J. A report of a further hospital outbreak caused by a multi-resistant Acinetobacter anitratus . J Hosp Infect 1982; 3:305–309
    [Google Scholar]
  31. Crombach W. H. J., Dijkshoorn L., Van Noort-Klaassen M., Niessen J., van Knippenberg-Gordebeke G. Control of an epidemic spread of a multi-resistant K strain of Acinetobacter calcoaceticus in a hospital. Intens Care Med 1989; 15:166–170
    [Google Scholar]
  32. Beck-Sagué C. M., Jaarvis W. R., Brook J. H. Epidemic bacteremia due to Acinetobacter baumannii in five intensive care units. Am J Epidemiol 1990; 132:723–733
    [Google Scholar]
  33. Patterson J. E., Vecchio J., Pantelick E. L. Association of contaminated gloves with transmission of Acinetobacter calcoaceticus var anitratus in an intensive care unit. Am J Med 1991; 91:479–483
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/00222615-42-5-328
Loading
/content/journal/jmm/10.1099/00222615-42-5-328
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error