Differences in carbapenem resistance genes among Acinetobacter baumannii, Acinetobacter genospecies 3 and Acinetobacter genospecies 13TU in Taiwan

Abstract 

A total of 81 clinical isolates of the three clinically important Acinetobacter spp., namely Acinetobacter baumannii, Acinetobacter genospecies 3 and Acinetobacter genospecies 13TU, were analysed for differences in carbapenem resistance genes. Of the 81 isolates, 40 (49%) were resistant to carbapenems. Most A. baumannii isolates (47/53, 88.7%) contained the ISAba1–bla_OXA-51-like gene and exhibited a higher minimum inhibitory concentration to imipenem than A. baumannii without the ISAba1 element. All four carbapenem-resistant A. genospecies 3 isolates contained bla_IMP-1 and an ISAba3–bla_OXA-58-like gene. Three A. genospecies 13TU isolates contained an ISAba3–bla_OXA-58-like and either a bla_IMP-1 or a bla_VIM-11 gene. The five bla_IMP-1-containing strains were resistant to imipenem and were positive for metallo-β-lactamase (MBL) activity by the Etest, and the two bla_VIM-11-containing strains were susceptible to imipenem and were MBL-negative by Etest. Imipenem hydrolysis tests showed that the bla_IMP-1-containing strains exhibited much higher imipenem-hydrolysing activity than the two bla_VIM-11-containing strains. No transcripts of bla_VIM-11 or bla_OXA-58-like genes were detected. Analysis of outer membrane proteins showed that OprD was absent in the only bla_IMP-1-containing A. genospecies 13TU strain owing to the presence of a premature stop codon in the oprD gene. In summary, several differences were detected between the carbapenem resistance genes of clinical Acinetobacter spp. in Taiwan, and loss of OprD may be associated with imipenem resistance in A. genospecies 13TU.

Keywords: Acinetobacter, Acinetobacter genospecies 3, Acinetobacter genospecies 13TU, Carbapenem resistance genes, Antimicrobial susceptibility, ISAba1, Metallo-β-lactamase, OprD, OXA