Carbapenem-Resistant Acinetobacter baumannii in U.S. Hospitals: Diversification of Circulating Lineages and Antimicrobial Resistance

Author:

Iovleva Alina1ORCID,Mustapha Mustapha M.1,Griffith Marissa P.1,Komarow Lauren2,Luterbach Courtney3,Evans Daniel R.14,Cober Eric5,Richter Sandra S.6,Rydell Kirsten78,Arias Cesar A.78,Jacob Jesse T.9ORCID,Salata Robert A.10,Satlin Michael J.11,Wong Darren12,Bonomo Robert A.10131415ORCID,van Duin David16ORCID,Cooper Vaughn S.17ORCID,Van Tyne Daria1ORCID,Doi Yohei118ORCID

Affiliation:

1. Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA

2. The Biostatistics Center, The George Washington University, Rockville, Maryland, USA

3. Division of Pharmacotherapy and Experimental Therapeutics, University of North Carolina, Chapel Hill, North Carolina, USA

4. Department of Infectious Diseases and Microbiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania, USA

5. Department of Infectious Diseases, Cleveland Clinic, Cleveland, Ohio, USA

6. Department of Laboratory Medicine and Pathology, Mayo Clinic, Jacksonville, Florida, USA

7. Division of Infectious Diseases, Houston Methodist Hospital, Houston, Texas, USA

8. Center for Infectious Diseases Research, Houston Methodist Research Institute, Houston, Texas USA

9. Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA

10. Division of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA

11. Division of Infectious Diseases, Department of Medicine, Weill Cornell Medicine, New York, New York, USA

12. Division of Infectious Diseases, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA

13. Research Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA

14. Departments of Biochemistry, Pharmacology, Molecular Biology and Microbiology, and Proteomics and Bioinformatics, Case Western Reserve University School of Medicine, Cleveland, OH, USA

15. CWRU-Cleveland VAMC Center for Antimicrobial Resistance and Epidemiology (Case VA CARES) Cleveland, OH, USA

16. Division of Infectious Diseases, University of North Carolina, Chapel Hill, North Carolina, USA

17. Department of Microbiology and Molecular Genetics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA

18. Departments of Microbiology and Infectious Diseases, Fujita Health University School of Medicine, Aichi, Japan

Abstract

Carbapenem-resistant Acinetobacter baumannii (CR Ab ) constitutes a major threat to public health. To elucidate the molecular and clinical epidemiology of CR Ab in the United States, clinical CR Ab isolates were collected along with data on patient characteristics and outcomes, and bacterial isolates underwent whole-genome sequencing and antibiotic susceptibility phenotyping.

Funder

National Institutes of Health

NIH

US Department of Veteran Affairs

PA CURES Grant

Burroughs Wellcome Fund

Publisher

American Society for Microbiology

Subject

Virology,Microbiology

Reference40 articles.

1. New Treatment Options against Carbapenem-Resistant Acinetobacter baumannii Infections

2. Tacconelli E, Magrini N. 2017. Global priority list of antibiotic-resistant bacteria to guide research, discovery, and development of new antibiotics. World Health Organization, Geneva, Switzerland.

3. Desirability of Outcome Ranking (DOOR) and Response Adjusted for Duration of Antibiotic Risk (RADAR)

4. CDC. 2019. Antibiotic resistance threats in the Unisted States. https://www.cdc.gov/drugresistance/biggest-threats.html.

5. Emergence, molecular mechanisms and global spread of carbapenem-resistant Acinetobacter baumannii

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