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Global Epidemiology and Mechanisms of Resistance of Acinetobacter baumannii-calcoaceticus Complex

Clin Infect Dis. 2023 May 1;76(Suppl 2):S166-S178. doi: 10.1093/cid/ciad109.

Abstract

Acinetobacter baumannii-calcoaceticus complex is the most commonly identified species in the genus Acinetobacter and it accounts for a large percentage of nosocomial infections, including bacteremia, pneumonia, and infections of the skin and urinary tract. A few key clones of A. baumannii-calcoaceticus are currently responsible for the dissemination of these organisms worldwide. Unfortunately, multidrug resistance is a common trait among these clones due to their unrivalled adaptive nature. A. baumannii-calcoaceticus isolates can accumulate resistance traits by a plethora of mechanisms, including horizontal gene transfer, natural transformation, acquisition of mutations, and mobilization of genetic elements that modulate expression of intrinsic and acquired genes.

Keywords: A. baumannii-calcoaceticus complex; epidemiology; international clones; resistance mechanisms.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acinetobacter Infections* / epidemiology
  • Acinetobacter baumannii* / genetics
  • Acinetobacter calcoaceticus* / genetics
  • Acinetobacter*
  • Anti-Bacterial Agents / pharmacology
  • Bacteremia* / epidemiology
  • Drug Resistance, Multiple, Bacterial / genetics
  • Humans

Substances

  • Anti-Bacterial Agents