Antibiogram and biofilm-forming capacity of Acinetobacter baumannii isolated from Anbar hospitals
Keywords:
Virulence genes, Acinetobacter baumannii, Antibiotic Resistance, biofilm formationAbstract
In hospitals, Acinetobacter baumannii is considered one of the major pathogens due to its antibiotic and antiseptic resistance capacity thus it persists in a stressed environment and leads to nosocomial infections. Its persistence is influenced by biofilm development. This study looked at 60 A. baumannii isolates from four Iraqi hospitals. A significant distribution of biofilm-forming characteristics was identified among A. baumannii isolates obtained from several hospitals in this research. They determined the antibiotic sensitivity pattern of A. baumannii towards 13 different antibiotics (Imipenem, Meropenem, Colistin Sulfate, Doripenem, Ceftazidime, Cefepime, Cefiderocol, Amikacin, Levofloxacin, Tobramycin, Ciprofloxacin, Gentamicin, and Piperacillin). The frequency of multidrug resistance (MDR) was found to be 58.3 % in the tested strains, while the frequency of extensively drug resistance (XDR) was found to be 31.6 %. 100% of the clinical isolates could form biofilms, with 6.6 % having weak biofilm formation ability, 86.6 % having moderate biofilm formation ability, and 6.6 %having high biofilm formation capacity.
Downloads
References
Ahmed SS, Alp E, Ulu-Kilic A, Dinc G, Aktas Z et al. Spread of carbapenem-resistant international clones of Acinetobacter baumannii in Turkey and Azerbaijan: a collaborative study. Eur J Clin Microbiol Infect Dis 2016;35:1463–1468.
AL-Kazmi I. M. S., Ali A. N. M, Salman I. M. A. and Khazaal S. S. 2018. Molecular characterization of Acinetobacter baumannii isolated from Iraqi hospital environment. New Microbes and New Infections, Volume 21 Number C.
Al-Shaabani Mahmood J. M., Turki Ahmed M., and Al-Mathkhury Harith J. F. The Antibiofilm Efficacy of Gold Nanoparticles Against Acinetobacter baumannii. Iraqi Journal of Science, 2020, Vol. 61, No.4, pp: 749-753 DOI: 10.24996/ijs.2020.61.4.6.
Al-Shamiri M. M., Zhang S., Mi P., Liu Y., Xun M., Yang E., Ai L., Han L., Chen Y. Phenotypic and genotypic characteristics of Acinetobacter baumannii enrolled in the relationship among antibiotic resistance, biofilm formation and motility. Microbial Pathogenesis 155 (2021) 104922.
Asadollahi P, Akbari M, Soroush S, Taherikalani M, Asadollahi K, Sayehmiri K, et al. Antimicrobial resistance patterns and their encoding genes among Acinetobacter baumannii strains isolated from burned patients. Burns. 2012;38(8):1198–203. doi: 10.1016/j.burns.2012.04.008. [PubMed: 22579564].
Azizi O, Shahcheraghi F, Salimizand H, Modarresi F, Shakibaie MR, Mansouri S, et al. Molecular analysis and expression of bap gene in biofilm-forming multi-drug-resistant Acinetobacter baumannii. Rep Biochem Mol Biol. 2016;5(1):62–72. [PubMed: 28070537]. [PubMed Central: PMC5214686].
Bardbari AM, Arabestani MR, Karami M, Keramat F, Alikhani MY, Bagheri KP. Correlation between ability of biofilm formation with their responsible genes and MDR patterns in clinical and environmental Acinetobacter baumannii isolates. Microb Pathog. 2017; 108:122–8. doi: 10.1016/j.micpath.2017.04.039. [PubMed: 28457900].
C.H. Yang, et al., biofilm formation in Acinetobacter baumannii: genotype phenotype correlation, Molecules 24 (10) (2019).
C.R. Lee, et al., Biology of Acinetobacter baumannii: pathogenesis, antibiotic resistance mechanisms, and prospective treatment options, Front Cell. Infect. Microbiol. 7 (2017) 55.
Cevallos, M. A. S., Rosado, C. A. Z., & Terán, O. V. T. (2019). The procedure used on diagnostic evaluation process. International Journal of Health & Medical Sciences, 3(1), 1-10. https://doi.org/10.31295/ijhms.v3n1.98
Chang Y, Luan G, Xu Y, Wang Y, Shen M et al. Characterization of carbapenem-resistant Acinetobacter baumannii isolates in a Chinese teaching hospital. Front Microbiol 2015; 6:910.
Chmielarczyk A, Pilarczyk-Żurek M, Kaminska W, Pobiega M, Romaniszyn D et al. Molecular epidemiology and drug resistance of Acinetobacter baumannii isolated from hospitals in southern Poland: ICU as a risk factor for XDR strains. Microb Drug Resist 2016;22:328–335.
Darvishi M. Virulence factors profile and antimicrobial resistance of Acinetobacter baumannii strains isolated from various infections recovered from immunosuppressive patients. Biomed Pharmacol J 2016;9(3).
Darvishi, M. (2016) ‘Virulence Factors Profile and Antimicrobial Resistance of Acinetobacter baumannii Strains Isolated from Various Infections Recovered from Immunosuppressive Patients’, Biomedical and Pharmacology Journal, pp. 1057–1062. doi: 10.13005/bpj/1048.
Eijkelkamp BA, Stroeher UH, Hassan KA, Paulsen IT, Brown MH. Comparative analysis of surface-exposed virulence factors of Acinetobacter baumannii. BMC Genomics. 2014; 15(1):1020.
Eze E. C., Chenia H. Y., and El Zowalaty M. E. Acinetobacter baumannii biofilms: effects of physicochemical factors, virulence, antibiotic resistance determinants, gene regulation, and future antimicrobial treatments Infection and Drug Resistance 2018:11 2277–2299.
G.K. Badave, Biofilm producing multidrug resistant Acinetobacter baumannii: an emerging challenge, J. Clin. Diagn. Res. 9 (1) (2015) DC08–DC10.
Hu Y, He L, Tao X, Meng F, Zhang J (2016) Biofilm may not be Necessary for the Epidemic Spread of Acinetobacter baumannii. Sci Rep 6: 32066.
L. Qi, et al., Relationship between antibiotic resistance, biofilm formation, and biofilm-specific resistance in Acinetobacter baumannii, Front. Microbiol. 7 (2016) 483.
Liu H, Wu YQ, Chen LP, Gao X, Huang HN, Qiu FL, et al. Biofilmrelated genes: Analyses in multi-antibiotic resistant Acinetobacter baumannii isolatesfrom Mainland China. Med Sci Monit. 2016;22:1801– 7. doi: 10.12659/MSM.898959. [PubMed: 27234982]. [PubMed Central: PMC4913728].
Lowings M, Ehlers MM, Dreyer AW, Kock MM. High prevalence of oxacillinases in clinical multidrug-resistant Acinetobacter baumannii isolates from the Tshwane region, South Africa–an update. BMC Infect Dis. 2015;15(1):521.
M. P. Weinstein, J. S. Lewis, A. M. Bobenchik, S. Campeau, Sh.K. Cullen, M. F. Galas, H. Gold, and R. M. Humphries. (2020) CLSI. Performance Standards for Antimicrobial Susceptibility Testing. 30th ed. CLSI supplement M100.
M. P. Weinstein, J. S. Lewis, A. M. Bobenchik, S. Campeau, Sh.K. Cullen, M. F. Galas, H. Gold, and R. M. Humphries. (2021) CLSI. Performance Standards for Antimicrobial Susceptibility Testing. 30th ed. CLSI supplement M100.
M. P. Weinstein, J. S. Lewis, A. M. Bobenchik, S. Campeau, Sh.K. Cullen, M. F. Galas, H. Gold, and R. M. Humphries. (2021) CLSI. Performance Standards for Antimicrobial Susceptibility Testing. 30th ed. CLSI supplement M100.
M.Monfared A., A.Rezaei, F. Poursina and J. Faghri. Detection of Genes Involved in Biofilm Formation in MDR and XDR Acinetobacter baumannii Isolated from Human Clinical Specimens in Isfahan, Iran. Arch Clin Infect Dis. 2019; 14(2): e85766.
Momtaz H, Seifati SM, Tavakol M. Determining the prevalence and detection of the most prevalent virulence genes in Acinetobacter baumannii isolated from hospital infections. Int J Med Lab 2015; 2:87–97.
Momtaz, H., Seifati, S.M., Tavakol, M., 2015. Determining the prevalence and detection of the most prevalent virulence genes in Acinetobacter baumannii isolated from hospital infections. Int. J. Med. Lab. 2 (2), 87–97.
Nazari M., Youzbashi Z., Khaledi M., Fathi J., Afkhami H. Detection of carbapenem resistance and virulence genes among Acinetobacter baumannii isolated from hospital environments in center of Iran. Journal of Current Biomedical Reports. 2021, V.2, N.1.
Nor A’shimiMH, Alattraqchi AG, Mohd RaniF, A RahmanNI, Ismail S, Abdullah FH, Othman N, Cleary DW, Clarke SC, Yeo CC (2019) Biocide susceptibilities and biofilm-forming capacities of Acinetobacter baumannii clinical isolates from Malaysia. J Infect Dev Ctries 13:626-633. doi: 10.3855/jidc.11455.
Ozbek B, Mataraci E. In vitro effectiveness of colistin, tigecycline and levofloxacin alone and combined with clarithromycin and/or heparin as lock solutions against embedded Acinetobacter baumannii strains. J Antimicrob Chemother. 2012;68(4):827-830.
R. Tewari, et al., Antimicrobial susceptibility patterns of an emerging multidrug resistant nosocomial pathogen: acinetobacter baumannii, Malays. J. Med. Sci. 25 (3) (2018) 129–134.
S.K. Yadav, et al., Burden of multidrug-resistant Acinetobacter baumannii infection
in hospitalized patients in a tertiary care hospital of Nepal, Infect. Drug Resist. 13 (2020) 725–732.
S.Y. Ryu, W.K. Baek, H.A. Kim, Association of biofilm production with colonization among clinical isolates of Acinetobacter baumannii, Korean J. Intern. Med. 32 (2) (2017) 345–351.
Saba J. J. Al – Zubaidi. Study of Phenotype and Genotype Diversity of Biofilm Formation and Identification of 16SrRNA Gene in Multidrug Resistance Acinetobacter baumannii Isolated from Different Clinical Samples in Baogba/ Iraq. (2020) Journal of Natural Remedies Vol. 21, No. 6.
Safari M, Saidijam M, Bahador A, Jafari R, Alikhani MY. High prevalence of multidrug resistance and metallo-beta-lactamase (MbL) producing Acinetobacter baumannii isolated from patients in ICU wards, Hamadan, Iran. J Res Health Sci 2013;13:162–167.
Sepahvand S, Doudi M, Davarpanah MA, Bahador A, Ahmadi M. Analyzing pmrA and pmrB genes in Acinetobacter baumannii resistant to colistin in Shahid Rajai Shiraz, Iran Hospital by PCR: First report in Iran. Pak J Pharm Sci. 2016;29(4 Suppl):1401–6. [PubMed: 27592491].
Shirmohammadlou N., Zeighami H., Haghi F., and Kashefieh M. Resistance pattern and distribution of carbapenemase and antiseptic resistance genes among multidrug-resistant Acinetobacter baumannii icrobiology 2018; 67:1467– 1473.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2022). Post-pandemic health and its sustainability: Educational situation. International Journal of Health Sciences, 6(1), i-v. https://doi.org/10.53730/ijhs.v6n1.5949
Tavakol, M. et al., 2018. Genotyping and distribution of putative virulence factors and antibiotic resistance genes of Acinetobacter baumannii strains isolated from raw meat. Antimicrob. Resist. Infect. Control 7, 120.
Vijayakumar S, Rajenderan S, Laishram S, Anandan S, Balaji V, Biswas I. Biofilm formation and motility depend on the nature of the Acinetobacter baumannii clinical isolates. Front Public Health. 2016; 4:105. doi: 10.3389/fpubh.2016.00105. [PubMed: 27252939]. [PubMed Central: PMC4877508].
Y.C. Wang, et al., Biofilm formation is not associated with worse outcome in Acinetobacter baumannii bacteremia pneumonia, Sci. Rep. 8 (1) (2018) 7289.
Zeighami, H. et al., 2019. Virulence characteristics of multidrug resistant biofilm forming Acinetobacter baumannii isolated from intensive care unit patients. BMC Infect. Dis. 19 (1), 629.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.








