Purpose: In recent years, outbreaks of multidrug-resistant Acinetobacter baumannii have become a significant concern, making the monitoring of this bacterium an urgent priority. Therefore, there is an urgent need to establish a simple and highly specific method for its isolation and identification. The objective of this study was to develop a selective medium for isolating A. baumannii and to investigate the contamination status of this organism in the human oral cavity and within dental hospitals. Methods: The base medium showing the best growth was supplemented with antibiotics that did not inhibit the growth of this organism, resulting in a selective medium for detecting A.baumannii. Subsequently, we attempted to detect A.baumannii using the developed selective medium for isolation, followed by identification via PCR. Samples included 30 human saliva specimens and swabs taken from the drain traps of 30 dental units used in clinical practice. We also investigated the multidrug resistance tendencies of the isolated A.baumannii strains. Conclusion: Using the isolation method with this selective medium and PCR-based identification, A.baumannii was detected from four dental units, but not from any saliva samples. Furthermore, no multidrug-resistant Acinetobacter baumannii was detected at all. This method is presumed to be useful for investigating the distribution of A.baumannii in various samples.
References
[1]
Bergogne-Bérézin, E. and Towner, K.J. (1996) Acinetobacter Spp. as Nosocomial Pathogens: Microbiological, Clinical, and Epidemiological Features. ClinicalMicrobiologyReviews, 9, 148-165. https://doi.org/10.1128/cmr.9.2.148
[2]
Cisneros, J.M., Reyes, M.J., Pachon, J., Becerril, B., Caballero, F.J., Garcia Garmendia, J.L., et al. (1996) Bacteremia Due to Acinetobacter baumannii: Epidemiology, Clinical Findings, and Prognostic Features. ClinicalInfectiousDiseases, 22, 1026-1032. https://doi.org/10.1093/clinids/22.6.1026
[3]
Wisplinghoff, H., Edmond, M.B., Pfaller, M.A., Jones, R.N., Wenzel, R.P. and Seifert, H. (2000) Nosocomial Bloodstream Infections Caused by Acinetobacter Species in United States Hospitals: Clinical Features, Molecular Epidemiology, and Antimicrobial Susceptibility. ClinicalInfectiousDiseases, 31, 690-697. https://doi.org/10.1086/314040
[4]
Euzéby, J.P. (1997) List of Bacterial Names with Standing in Nomenclature: A Folder Available on the Internet. InternationalJournalofSystematicandEvolutionaryMicrobiology, 47, 590-592. https://doi.org/10.1099/00207713-47-2-590
[5]
Schwaber, M.J. and Carmeli, Y. (2008) Carbapenem Resistant Enterobacteriaceae. A Potential Threat. JAMA, 300, 2911-2913.
[6]
Gniadek, T.J., Carroll, K.C. and Simner, P.J. (2016) Carbapenem-Resistant Non-Glucose-Fermenting Gram-Negative Bacilli: The Missing Piece to the Puzzle. JournalofClinicalMicrobiology, 54, 1700-1710. https://doi.org/10.1128/jcm.03264-15
[7]
Peleg, A.Y., Seifert, H. and Paterson, D.L. (2008) Acinetobacter baumannii: Emergence of a Successful Pathogen. ClinicalMicrobiologyReviews, 21, 538-582. https://doi.org/10.1128/cmr.00058-07
[8]
Espinal, P., Seifert, H., Dijkshoorn, L., Vila, J. and Roca, I. (2012) Rapid and Accurate Identification of Genomic Species from the Acinetobacter baumannii (ab) Group by MALDI-TOF Ms. ClinicalMicrobiologyandInfection, 18, 1097-1103. https://doi.org/10.1111/j.1469-0691.2011.03696.x
[9]
Toh, B.E.W., Paterson, D.L., Kamolvit, W., Zowawi, H., Kvaskoff, D., Sidjabat, H., et al. (2015) Species Identification within Acinetobacter calcoaceticus-baumannii Complex Using MALDI-TOF Ms. JournalofMicrobiologicalMethods, 118, 128-132. https://doi.org/10.1016/j.mimet.2015.09.006
[10]
Hsueh, P.R., Kuo, L.C., Chang, T.C., Lee, T.F., Teng, S.H., Chuang, Y.C., et al. (2014) Evaluation of the Bruker Biotyper Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry System for Identification of Blood Isolates of Acinetobacter Species. JournalofClinicalMicrobiology, 52, 3095-3100. https://doi.org/10.1128/jcm.01233-14
[11]
Sousa, C., Botelho, J., Silva, L., Grosso, F., Nemec, A., Lopes, J., et al. (2014) MALDI-TOF MS and Chemometric Based Identification of the Acinetobacter calcoaceticus-Acinetobacter baumannii Complex Species. InternationalJournalofMedicalMicrobiology, 304, 669-677. https://doi.org/10.1016/j.ijmm.2014.04.014
[12]
Hirasawa, M. and Takada, K. (2002) Susceptibility of Streptococcusmutans and Streptococcussobrinus to Cell Wall Inhibitors and Development of a Novel Selective Medium for s.Sobrinus. CariesResearch, 36, 155-160. https://doi.org/10.1159/000059329
[13]
Fukatsu, A., Tsuzukibashi, O., Suzuk, H., Asaka, K., Ono, Y., Fuchigami, M., et al. (2021) One-Step Multiplex PCR for Simultaneous Detection and Identification of Eight Medically Important Candida Species. OpenJournalofStomatology, 11, 14-24. https://doi.org/10.4236/ojst.2021.111002
[14]
Giske, C.G., Turnidge, J., Cantón, R. and Kahlmeter, G. (2022) Update from the European Committee on Antimicrobial Susceptibility Testing (EUCAST). JournalofClinicalMicrobiology, 60, e00276-21. https://doi.org/10.1128/jcm.00276-21
[15]
Bernards, A. T., van der Toorn, J., van Boven, C.P.A. and Dijkshoorn, L. (1996) Evaluation of the Ability of a Commercial System to Identifyacinetobacter Genomic Species. EuropeanJournalofClinicalMicrobiology&InfectiousDiseases, 15, 303-308. https://doi.org/10.1007/bf01695662
[16]
Gerner-Smidt, P., Tjernberg, I. and Ursing, J. (1991) Reliability of Phenotypic Tests for Identification of Acinetobacter Species. JournalofClinicalMicrobiology, 29, 277-282. https://doi.org/10.1128/jcm.29.2.277-282.1991
[17]
Dijkshoorn, L., Nemec, A. and Seifert, H. (2007) An Increasing Threat in Hospitals: Multidrug-Resistant Acinetobacter baumannii. NatureReviewsMicrobiology, 5, 939-951. https://doi.org/10.1038/nrmicro1789
[18]
Horrevorts, A., Bergman, K., Kollée, L., Breuker, I., Tjernberg, I. and Dijkshoorn, L. (1995) Clinical and Epidemiological Investigations of Acinetobacter Genomospecies 3 in a Neonatal Intensive Care Unit. JournalofClinicalMicrobiology, 33, 1567-1572. https://doi.org/10.1128/jcm.33.6.1567-1572.1995
Higgins, P.G., Lehmann, M., Wisplinghoff, H. and Seifert, H. (2010) gyrB Multiplex PCR to Differentiate between Acinetobacter calcoaceticus and Acinetobacter Genomic Species 3. JournalofClinicalMicrobiology, 48, 4592-4594. https://doi.org/10.1128/jcm.01765-10
[21]
Rosenthal, S.L. (1974) Sources of Pseudomonas and Acinetobacter Species Found in Human Culture Materials. AmericanJournalofClinicalPathology, 62, 807-811. https://doi.org/10.1093/ajcp/62.6.807
[22]
Glew, R.H., Moellering, R.C. and Kunz, L.J. (1977) Infections with Acinetobacter calcoaceticus (Herellea vaginicola). Medicine, 56, 79-98. https://doi.org/10.1097/00005792-197703000-00001
[23]
Rosenthal, S. and Tager, I.B. (1975) Prevalence of Gram-Negative Rods in the Normal Pharyngeal Flora. AnnalsofInternalMedicine, 83, 355-357. https://doi.org/10.7326/0003-4819-83-3-355