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Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1996 Jun;34(6):1519–1525. doi: 10.1128/jcm.34.6.1519-1525.1996

Comparison of outbreak and nonoutbreak Acinetobacter baumannii strains by genotypic and phenotypic methods.

L Dijkshoorn 1, H Aucken 1, P Gerner-Smidt 1, P Janssen 1, M E Kaufmann 1, J Garaizar 1, J Ursing 1, T L Pitt 1
PMCID: PMC229053  PMID: 8735109

Abstract

Thirty-one Acinetobacter baumannii strains, comprising 14 strains from 14 outbreaks in different northwestern European cities and 17 sporadic strains, were compared by investigating various properties of the strains including biotype, antibiogram, cell envelope protein electrophoretic profile, ribotype pattern, and the band pattern generated by a novel genomic fingerprinting method, named AFLP, which is based on the selective amplification of restriction fragments. Results showed that 12 strains from unrelated outbreaks were linked together in two clusters according to their similarities by these typing methods, whereas sporadic strains were more heterogeneous. Outbreak strains appeared to be markedly more resistant to antibiotics than nonoutbreak strains. The uniformity of typing characters in two sets of outbreak strains suggests that strains in each cluster have a common clonal origin.

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Selected References

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  1. Beck-Sagué C. M., Jarvis W. R., Brook J. H., Culver D. H., Potts A., Gay E., Shotts B. W., Hill B., Anderson R. L., Weinstein M. P. Epidemic bacteremia due to Acinetobacter baumannii in five intensive care units. Am J Epidemiol. 1990 Oct;132(4):723–733. doi: 10.1093/oxfordjournals.aje.a115714. [DOI] [PubMed] [Google Scholar]
  2. Bergogne-Berezin E., Joly-Guillou M. L. An underestimated nosocomial pathogen, Acinetobacter calcoaceticus. J Antimicrob Chemother. 1985 Nov;16(5):535–538. doi: 10.1093/jac/16.5.535. [DOI] [PubMed] [Google Scholar]
  3. Bergogne-Bérézin E. The increasing significance of outbreaks of Acinetobacter spp.: the need for control and new agents. J Hosp Infect. 1995 Jun;30 (Suppl):441–452. doi: 10.1016/0195-6701(95)90048-9. [DOI] [PubMed] [Google Scholar]
  4. Bernards A. T., Dijkshoorn L., Van der Toorn J., Bochner B. R., Van Boven C. P. Phenotypic characterisation of Acinetobacter strains of 13 DNA-DNA hybridisation groups by means of the biolog system. J Med Microbiol. 1995 Feb;42(2):113–119. doi: 10.1099/00222615-42-2-113. [DOI] [PubMed] [Google Scholar]
  5. Bouvet P. J., Grimont P. A. Identification and biotyping of clinical isolates of Acinetobacter. Ann Inst Pasteur Microbiol. 1987 Sep-Oct;138(5):569–578. doi: 10.1016/0769-2609(87)90042-1. [DOI] [PubMed] [Google Scholar]
  6. Bouvet P. J., Jeanjean S. Delineation of new proteolytic genomic species in the genus Acinetobacter. Res Microbiol. 1989 May-Jun;140(4-5):291–299. doi: 10.1016/0923-2508(89)90021-1. [DOI] [PubMed] [Google Scholar]
  7. Cefai C., Richards J., Gould F. K., McPeake P. An outbreak of Acinetobacter respiratory tract infection resulting from incomplete disinfection of ventilatory equipment. J Hosp Infect. 1990 Feb;15(2):177–182. doi: 10.1016/0195-6701(90)90128-b. [DOI] [PubMed] [Google Scholar]
  8. Crombach W. H., Dijkshoorn L., van Noort-Klaassen M., Niessen J., van Knippenberg-Gordebeke G. Control of an epidemic spread of a multi-resistant strain of Acinetobacter calcoaceticus in a hospital. Intensive Care Med. 1989;15(3):166–170. doi: 10.1007/BF01058568. [DOI] [PubMed] [Google Scholar]
  9. 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 Mar;31(3):702–705. doi: 10.1128/jcm.31.3.702-705.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Dijkshoorn L., Michel M. F., Degener J. E. Cell envelope protein profiles of Acinetobacter calcoaceticus strains isolated in hospitals. J Med Microbiol. 1987 Jun;23(4):313–319. doi: 10.1099/00222615-23-4-313. [DOI] [PubMed] [Google Scholar]
  11. Dijkshoorn L., Van Ooyen A., Hop W. C., Theuns M., Michel M. F. Comparison of clinical Acinetobacter strains using a carbon source growth assay. Epidemiol Infect. 1990 Jun;104(3):443–453. doi: 10.1017/s0950268800047452. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Dijkshoorn L., Wubbels J. L., Beunders A. J., Degener J. E., Boks A. L., Michel M. F. Use of protein profiles to identify Acinetobacter calcoaceticus in a respiratory care unit. J Clin Pathol. 1989 Aug;42(8):853–857. doi: 10.1136/jcp.42.8.853. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Dijkshoorn L., van Dalen R., van Ooyen A., Bijl D., Tjernberg I., Michel M. F., Horrevorts A. M. Endemic acinetobacter in intensive care units: epidemiology and clinical impact. J Clin Pathol. 1993 Jun;46(6):533–536. doi: 10.1136/jcp.46.6.533. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Garaizar J., Kaufmann M. E., Pitt T. L. Comparison of ribotyping with conventional methods for the type identification of Enterobacter cloacae. J Clin Microbiol. 1991 Jul;29(7):1303–1307. doi: 10.1128/jcm.29.7.1303-1307.1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Gerner-Smidt P., Tjernberg I. Acinetobacter in Denmark: II. Molecular studies of the Acinetobacter calcoaceticus-Acinetobacter baumannii complex. APMIS. 1993 Nov;101(11):826–832. [PubMed] [Google Scholar]
  16. Gerner-Smidt P., Tjernberg I., Ursing J. Reliability of phenotypic tests for identification of Acinetobacter species. J Clin Microbiol. 1991 Feb;29(2):277–282. doi: 10.1128/jcm.29.2.277-282.1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Hartstein A. I., Rashad A. L., Liebler J. M., Actis L. A., Freeman J., Rourke J. W., Jr, Stibolt T. B., Tolmasky M. E., Ellis G. R., Crosa J. H. Multiple intensive care unit outbreak of Acinetobacter calcoaceticus subspecies anitratus respiratory infection and colonization associated with contaminated, reusable ventilator circuits and resuscitation bags. Am J Med. 1988 Nov;85(5):624–631. doi: 10.1016/s0002-9343(88)80233-x. [DOI] [PubMed] [Google Scholar]
  18. Horrevorts A., Bergman K., Kollée L., Breuker I., Tjernberg I., Dijkshoorn L. Clinical and epidemiological investigations of Acinetobacter genomospecies 3 in a neonatal intensive care unit. J Clin Microbiol. 1995 Jun;33(6):1567–1572. doi: 10.1128/jcm.33.6.1567-1572.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Kämpfer P., Tjernberg I., Ursing J. Numerical classification and identification of Acinetobacter genomic species. J Appl Bacteriol. 1993 Sep;75(3):259–268. doi: 10.1111/j.1365-2672.1993.tb02775.x. [DOI] [PubMed] [Google Scholar]
  20. Orskov F., Orskov I. From the national institutes of health. Summary of a workshop on the clone concept in the epidemiology, taxonomy, and evolution of the enterobacteriaceae and other bacteria. J Infect Dis. 1983 Aug;148(2):346–357. doi: 10.1093/infdis/148.2.346. [DOI] [PubMed] [Google Scholar]
  21. Salvi R. J., Ahroon W., Saunders S. S., Arnold S. A. Evoked potentials: computer-automated threshold-tracking procedure using an objective detection criterion. Ear Hear. 1987 Jun;8(3):151–156. [PubMed] [Google Scholar]
  22. Seifert H., Boullion B., Schulze A., Pulverer G. Plasmid DNA profiles of Acinetobacter baumannii: clinical application in a complex endemic setting. Infect Control Hosp Epidemiol. 1994 Aug;15(8):520–528. doi: 10.1086/646970. [DOI] [PubMed] [Google Scholar]
  23. Struelens M. J., Carlier E., Maes N., Serruys E., Quint W. G., van Belkum A. Nosocomial colonization and infection with multiresistant Acinetobacter baumannii: outbreak delineation using DNA macrorestriction analysis and PCR-fingerprinting. J Hosp Infect. 1993 Sep;25(1):15–32. doi: 10.1016/0195-6701(93)90005-k. [DOI] [PubMed] [Google Scholar]
  24. Tjernberg I., Ursing J. Clinical strains of Acinetobacter classified by DNA-DNA hybridization. APMIS. 1989 Jul;97(7):595–605. doi: 10.1111/j.1699-0463.1989.tb00449.x. [DOI] [PubMed] [Google Scholar]
  25. Welsh J., McClelland M. Fingerprinting genomes using PCR with arbitrary primers. Nucleic Acids Res. 1990 Dec 25;18(24):7213–7218. doi: 10.1093/nar/18.24.7213. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Woods C. R., Versalovic J., Koeuth T., Lupski J. R. Whole-cell repetitive element sequence-based polymerase chain reaction allows rapid assessment of clonal relationships of bacterial isolates. J Clin Microbiol. 1993 Jul;31(7):1927–1931. doi: 10.1128/jcm.31.7.1927-1931.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. van Belkum A., Kluytmans J., van Leeuwen W., Bax R., Quint W., Peters E., Fluit A., Vandenbroucke-Grauls C., van den Brule A., Koeleman H. Multicenter evaluation of arbitrarily primed PCR for typing of Staphylococcus aureus strains. J Clin Microbiol. 1995 Jun;33(6):1537–1547. doi: 10.1128/jcm.33.6.1537-1547.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]

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