Outbreak of extended-spectrum beta-lactamase VEB-1-producing isolates of Acinetobacter baumannii in a French hospital

J Clin Microbiol. 2003 Aug;41(8):3542-7. doi: 10.1128/JCM.41.8.3542-3547.2003.

Abstract

Twelve clonally related and multidrug-resistant Acinetobacter baumannii isolates were recovered during a 4-month period from 12 patients hospitalized at the Valenciennes Hospital in France. Antibiograms determined by the double-disk diffusion technique on cloxacillin-containing plates detected a clavulanic acid-inhibited extended-spectrum beta-lactamase (ESBL). PCR and sequencing identified the gene encoding the Ambler class A ESBL VEB-1. This gene was located on the chromosome and was part of a class 1 integron identical to that previously identified in Pseudomonas aeruginosa isolates from Thailand. Additionally, seven clonally related bla(VEB-1)-positive A. baumannii strains were identified in the immediate environment of the hospitalized patients. This is the first report of the ESBL VEB-1 in Acinetobacter spp. and the first description of VEB-1-producing strains as a source of an outbreak occurring outside Southeast Asia. This report underlines the difficulty of the identification of ESBLs in A. baumannii.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acinetobacter Infections / diagnosis*
  • Acinetobacter Infections / epidemiology
  • Acinetobacter baumannii* / enzymology
  • Acinetobacter baumannii* / genetics
  • Acinetobacter baumannii* / isolation & purification
  • Cross Infection / diagnosis*
  • Cross Infection / epidemiology
  • DNA, Bacterial / genetics
  • DNA, Bacterial / isolation & purification
  • Disease Outbreaks*
  • Electrophoresis, Gel, Pulsed-Field
  • Escherichia coli Proteins
  • France / epidemiology
  • Genes, Bacterial
  • Plasmids
  • Polymerase Chain Reaction / methods
  • Restriction Mapping
  • Retrospective Studies
  • beta-Lactamases / genetics*

Substances

  • DNA, Bacterial
  • Escherichia coli Proteins
  • beta-lactamase VEB-1, E coli
  • beta-Lactamases