Acinetobacter baumannii

生物 毒力 微生物学 鲍曼不动杆菌 抗生素耐药性 抗生素 致病岛 铜绿假单胞菌 细菌 基因 遗传学
作者
Clémence Whiteway,Anke Breine,Chantal Philippe,Charles Van der Henst
出处
期刊:Trends in Microbiology [Elsevier BV]
卷期号:30 (2): 199-200 被引量:103
标识
DOI:10.1016/j.tim.2021.11.008
摘要

View Large Image Figure ViewerDownload Hi-res image Download (PPT)KEY FACTS:Isolation of extensively resistant and pan-drug-resistant strains ranked as 'high priority' by the WHO (global priority list of antibiotic-resistant bacteria to guide research, discovery and development of new antibiotics, 2017) and the CDC (antibiotic resistance threats in the USA, 2019).Belongs to the 'ESKAPE' group of most problematic nosocomial pathogens.Resistant to desiccation, disinfectant, oxidative stress, and complement-mediated killing.First described as a fast-growing extracellular bacterium; several strains show a potential for intracellular growth in eukaryotic cells.High genetic diversity; rapidly evolving bacteria, with some isolates competent for natural transformation.Lipooligosaccharide instead of classical lipopolysaccharide, with 14 variants identified so far.At least 128 polysaccharide capsule types identified so far.Presence of several secretion systems (SSs): T1SS, T2SS, and T6SS, but absence of T3SS and T4SS usually found in Gram-negative pathogens.Phenotypic heterogeneity by 'phase variation' within clonal populations, with virulent opaque and capsulated (VIR-O) and avirulent translucent and less capsulated (AV-T) types identified.DISEASE FACTS:Nosocomial, community-acquired, and opportunistic infections.Broad infection sites [skin and soft tissue, urinary tract, digestive and respiratory tracts, blood, central nervous system (meningitis), etc.].Can thrive in hospital settings, with a peculiar virulence based on a 'persist and resist' strategy.Infection routes and factors favoring infections: colonization of mechanical devices such as catheters and ventilation equipment, open wounds, major trauma or burns, prolonged hospital stays, and immunocompromisation.Therapeutic dead end because of last-resort antibiotic resistance.TAXONOMY AND CLASSIFICATION:KINGDOM: BacteriaPHYLUM: ProteobacteriaCLASS: GammaproteobacteriaORDER: PseudomonadalesFAMILY: MoraxellaceaeGENUS: AcinetobacterSPECIES: Acinetobacter baumanniiDeclaration of interestsNo interests were declared. KEY FACTS:Isolation of extensively resistant and pan-drug-resistant strains ranked as 'high priority' by the WHO (global priority list of antibiotic-resistant bacteria to guide research, discovery and development of new antibiotics, 2017) and the CDC (antibiotic resistance threats in the USA, 2019).Belongs to the 'ESKAPE' group of most problematic nosocomial pathogens.Resistant to desiccation, disinfectant, oxidative stress, and complement-mediated killing.First described as a fast-growing extracellular bacterium; several strains show a potential for intracellular growth in eukaryotic cells.High genetic diversity; rapidly evolving bacteria, with some isolates competent for natural transformation.Lipooligosaccharide instead of classical lipopolysaccharide, with 14 variants identified so far.At least 128 polysaccharide capsule types identified so far.Presence of several secretion systems (SSs): T1SS, T2SS, and T6SS, but absence of T3SS and T4SS usually found in Gram-negative pathogens.Phenotypic heterogeneity by 'phase variation' within clonal populations, with virulent opaque and capsulated (VIR-O) and avirulent translucent and less capsulated (AV-T) types identified. Isolation of extensively resistant and pan-drug-resistant strains ranked as 'high priority' by the WHO (global priority list of antibiotic-resistant bacteria to guide research, discovery and development of new antibiotics, 2017) and the CDC (antibiotic resistance threats in the USA, 2019). Belongs to the 'ESKAPE' group of most problematic nosocomial pathogens. Resistant to desiccation, disinfectant, oxidative stress, and complement-mediated killing. First described as a fast-growing extracellular bacterium; several strains show a potential for intracellular growth in eukaryotic cells. High genetic diversity; rapidly evolving bacteria, with some isolates competent for natural transformation. Lipooligosaccharide instead of classical lipopolysaccharide, with 14 variants identified so far. At least 128 polysaccharide capsule types identified so far. Presence of several secretion systems (SSs): T1SS, T2SS, and T6SS, but absence of T3SS and T4SS usually found in Gram-negative pathogens. Phenotypic heterogeneity by 'phase variation' within clonal populations, with virulent opaque and capsulated (VIR-O) and avirulent translucent and less capsulated (AV-T) types identified. DISEASE FACTS:Nosocomial, community-acquired, and opportunistic infections.Broad infection sites [skin and soft tissue, urinary tract, digestive and respiratory tracts, blood, central nervous system (meningitis), etc.].Can thrive in hospital settings, with a peculiar virulence based on a 'persist and resist' strategy.Infection routes and factors favoring infections: colonization of mechanical devices such as catheters and ventilation equipment, open wounds, major trauma or burns, prolonged hospital stays, and immunocompromisation.Therapeutic dead end because of last-resort antibiotic resistance. Nosocomial, community-acquired, and opportunistic infections. Broad infection sites [skin and soft tissue, urinary tract, digestive and respiratory tracts, blood, central nervous system (meningitis), etc.]. Can thrive in hospital settings, with a peculiar virulence based on a 'persist and resist' strategy. Infection routes and factors favoring infections: colonization of mechanical devices such as catheters and ventilation equipment, open wounds, major trauma or burns, prolonged hospital stays, and immunocompromisation. Therapeutic dead end because of last-resort antibiotic resistance. TAXONOMY AND CLASSIFICATION:KINGDOM: BacteriaPHYLUM: ProteobacteriaCLASS: GammaproteobacteriaORDER: PseudomonadalesFAMILY: MoraxellaceaeGENUS: AcinetobacterSPECIES: Acinetobacter baumannii KINGDOM: Bacteria PHYLUM: Proteobacteria CLASS: Gammaproteobacteria ORDER: Pseudomonadales FAMILY: Moraxellaceae GENUS: Acinetobacter SPECIES: Acinetobacter baumannii Declaration of interestsNo interests were declared. No interests were declared.
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