Genomic Investigation of Two Acinetobacter baumannii Outbreaks in a Veterinary Intensive Care Unit in The Netherlands

Acinetobacter baumannii is a nosocomial pathogen that frequently causes healthcare-acquired infections. The global spread of multidrug-resistant (MDR) strains with its ability to survive in the environment for extended periods imposes a pressing public health threat. Two MDR A. baumannii outbreaks occurred in 2012 and 2014 in a companion animal intensive care unit (caICU) in the Netherlands. Whole-genome sequencing (WGS) was performed on dog clinical isolates ( n = 6), environmental isolates ( n = 5), and human reference strains ( n = 3) to investigate if the isolates of the two outbreaks were... Mehr ...

Verfasser: Soe Yu Naing
Joost Hordijk
Birgitta Duim
Els M. Broens
Linda van der Graaf-van Bloois
John W. Rossen
Joris H. Robben
Masja Leendertse
Jaap A. Wagenaar
Aldert L. Zomer
Dokumenttyp: Artikel
Erscheinungsdatum: 2022
Reihe/Periodikum: Pathogens, Vol 11, Iss 123, p 123 (2022)
Verlag/Hrsg.: MDPI AG
Schlagwörter: Acinetobacter baumannii / whole-genome sequencing / antimicrobial resistance / veterinary medicine / Medicine / R
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27192181
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://doi.org/10.3390/pathogens11020123

Acinetobacter baumannii is a nosocomial pathogen that frequently causes healthcare-acquired infections. The global spread of multidrug-resistant (MDR) strains with its ability to survive in the environment for extended periods imposes a pressing public health threat. Two MDR A. baumannii outbreaks occurred in 2012 and 2014 in a companion animal intensive care unit (caICU) in the Netherlands. Whole-genome sequencing (WGS) was performed on dog clinical isolates ( n = 6), environmental isolates ( n = 5), and human reference strains ( n = 3) to investigate if the isolates of the two outbreaks were related. All clinical isolates shared identical resistance phenotypes displaying multidrug resistance. Multi-locus Sequence Typing (MLST) revealed that all clinical isolates belonged to sequence type ST2. The core genome MLST (cgMLST) results confirmed that the isolates of the two outbreaks were not related. Comparative genome analysis showed that the outbreak isolates contained different gene contents, including mobile genetic elements associated with antimicrobial resistance genes (ARGs). The time-measured phylogenetic reconstruction revealed that the outbreak isolates diverged approximately 30 years before 2014. Our study shows the importance of WGS analyses combined with molecular clock investigations to reduce transmission of MDR A. baumannii infections in companion animal clinics.