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Mechanisms of Resistance

Dissemination of a Carbapenem-Resistant Acinetobacter baumannii Strain Belonging to International Clone II/Sequence Type 2 and Harboring a Novel AbaR4-Like Resistance Island in Latvia

Mara Saule, Ørjan Samuelsen, Uga Dumpis, Arnfinn Sundsfjord, Aija Karlsone, Arta Balode, Edvins Miklasevics, Nabil Karah
Mara Saule
aP. Stradins Clinical University Hospital, Riga, Latvia
bUniversity of Latvia, Riga, Latvia
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Ørjan Samuelsen
cReference Centre for Detection of Antimicrobial Resistance, Department of Microbiology and Infection Control, University Hospital of North Norway, Tromsø, Norway
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Uga Dumpis
aP. Stradins Clinical University Hospital, Riga, Latvia
bUniversity of Latvia, Riga, Latvia
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Arnfinn Sundsfjord
cReference Centre for Detection of Antimicrobial Resistance, Department of Microbiology and Infection Control, University Hospital of North Norway, Tromsø, Norway
dResearch Group for Host-Microbe Interactions, Department of Medical Biology, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway
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Aija Karlsone
bUniversity of Latvia, Riga, Latvia
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Arta Balode
aP. Stradins Clinical University Hospital, Riga, Latvia
eRiga Stradins University, Riga, Latvia
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Edvins Miklasevics
aP. Stradins Clinical University Hospital, Riga, Latvia
eRiga Stradins University, Riga, Latvia
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Nabil Karah
cReference Centre for Detection of Antimicrobial Resistance, Department of Microbiology and Infection Control, University Hospital of North Norway, Tromsø, Norway
dResearch Group for Host-Microbe Interactions, Department of Medical Biology, Faculty of Health Sciences, University of Tromsø, Tromsø, Norway
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DOI: 10.1128/AAC.01783-12
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    Fig 1

    Structures of three different Acinetobacter baumannii resistance islands: Tn6167 (A), AbaR25 (B), and ΔAbaR25 (C) (GenBank accession numbers JN968483, JX481978, and JX481979, respectively). The genes and open reading frames (orf) are shown by labeled arrows, with the arrowhead indicating the direction of transcription. The mobile elements ISAba17, ISAba1, and CR2 are shown as labeled open boxes. Inverted repeats are shown as vertical bars. The vertical dashed arrow in panel A defines the transposition site of the second copy of Tn6022a in AbaR25. The vertical dashed arrows in panel B define the deletion in ΔAbaR25. The genes and genetic structures are drawn to scale.

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  • Table 1

    Molecular detection of particular antimicrobial resistance genes and elements in 35 OXA-23-producing A. baumannii isolates collected in Latviaa

    IsolateDate of isolation (mo/yr)HospitalarmAaacA4-catB8-aadA1AbaRClonal lineagePFGEMLST
    K51-655/2008PSCUH++AbaR25Int. IIA1ST2
    K51-666/2008PSCUH++AbaR25Int. IIA2ST2
    K51-677/2008PSCUH−−AbaR4Int. IIBST2
    K51-689/2008PSCUH+−AbaR25Group 4A3ST2
    K51-6910/2008PSCUH++AbaR25Int. IIA1ND
    K51-7010/2008PSCUH++AbaR25Int. IIA1ND
    K51-7111/2008PSCUH++AbaR25Int. IIA1ND
    K51-7212/2008PSCUH++AbaR25Int. IIA1ST2
    K51-7312/2008PSCUH++AbaR25Int. IIA1ND
    K51-741/2009PSCUH++ΔAbaR25Int. IIA4ND
    K51-751/2009PSCUH++AbaR25Int. IIA1ND
    K51-761/2009PSCUH++AbaR25Int. IIA5ND
    K51-771/2009PSCUH+−AbaR25Int. IIA6ND
    K51-783/2009PSCUH++AbaR25Int. IIA7ND
    K51-793/2009PSCUH++AbaR25Int. IIA6ND
    K51-803/2009PSCUH++AbaR25Int. IIA6ND
    K51-814/2009PSCUH+−AbaR25Int. IIA1ND
    K70-646/2009PSCUH++AbaR25Int. IIA8ND
    K70-656/2009PSCUH++AbaR25Int. IIA8ND
    K70-666/2009PSCUH−−AbaR25Int. IIA9ND
    K70-678/2009PSCUH++AbaR25Int. IIA10ND
    K70-689/2009PSCUH−−AbaR25Int. IIA9ND
    K70-699/2009PSCUH−−AbaR25Int. IIA9ND
    K70-7010/2009PSCUH++AbaR25Int. IIA10ND
    K70-7110/2009PSCUH−−AbaR25Int. IIA9ND
    K70-7210/2009PSCUH−−AbaR25Int. IIA9ND
    K70-7311/2009PSCUH−−AbaR25Int. IIA9ND
    K70-7412/2009PSCUH−−AbaR25Int. IIA9ST2
    K70-7512/2009PSCUH−−AbaR25Int. IIA4ND
    K70-7612/2009PSCUH−−AbaR25Int. IIA9ND
    K70-777/2009DRH++AbaR25Int. IIA2ND
    K70-783/2009VzH+−AbaR25Int. IIA1ND
    K70-793/2009VH++AbaR25Int. IIA2ND
    K70-806/2009R1H++AbaR25Group 4A3ST2
    K70-816/2009R1H−−AbaR25Int. IIA1ST2
    • ↵a Abbreviations: PSCUH, P. Stradins Clinical University Hospital, Riga; DRH, Daugavpils Regional Hospital, Daugavpils; VzH, Vidzemes Hospital, Valmiera; VH, Venstpils Hospital, Ventspils; R1H, Riga 1st Hospital, Riga; Int., international clone; ST, sequence type; ND, not determined.

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      Tables S1 to S4.

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Dissemination of a Carbapenem-Resistant Acinetobacter baumannii Strain Belonging to International Clone II/Sequence Type 2 and Harboring a Novel AbaR4-Like Resistance Island in Latvia
Mara Saule, Ørjan Samuelsen, Uga Dumpis, Arnfinn Sundsfjord, Aija Karlsone, Arta Balode, Edvins Miklasevics, Nabil Karah
Antimicrobial Agents and Chemotherapy Jan 2013, 57 (2) 1069-1072; DOI: 10.1128/AAC.01783-12

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Dissemination of a Carbapenem-Resistant Acinetobacter baumannii Strain Belonging to International Clone II/Sequence Type 2 and Harboring a Novel AbaR4-Like Resistance Island in Latvia
Mara Saule, Ørjan Samuelsen, Uga Dumpis, Arnfinn Sundsfjord, Aija Karlsone, Arta Balode, Edvins Miklasevics, Nabil Karah
Antimicrobial Agents and Chemotherapy Jan 2013, 57 (2) 1069-1072; DOI: 10.1128/AAC.01783-12
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