Acinetobacter baumannii: Correlation between Biofilm Production and Multidrug Resistance
- Department of Medical Microbiology and Immunology, Mansoura Faculty of Medicine, Mansoura, Egypt
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Background: Recently, Acinetobacter baumannii has received much interest owing to its increasing enrollment in a number of serious infections in healthcare settings. Aim: To assess in-vitro biofilm formation and examine the correlation between biofilm production and antibiotic resistance among clinical isolates of A. baumannii. Materials and methods:A prospective cohort study was conducted over a period of 12 months starting from January 2014 to December 2014. A total of 56 A. baumannii isolates from different clinical specimens were recovered from patients admitted to the intensive care unit (ICU) of Emergency Hospital, Mansoura University, Mansoura, Egypt. Antimicrobial susceptibility testing was evaluated by the Kirby-Bauer s disc diffusion method. Biofilm formation was studied by both tube method and microtiter plate assay. Results:A. baumannii isolates were resistant to most of the tested antibiotics except polymyxin B. Of these isolates, 62.5% were able to produce biofilms as shown by both tube method and microtiter plate assay. The highest tendency of biofilm production was shown by A. baumannii isolated from endotracheal aspirates (51.4%). About 77.1% of the biofilm-forming isolates were multidrug-resistant (MDR). Conclusion: The present study revealed a high predilection among A. baumanniiisolates to form biofilm, together with a significant association between biofilm production and MDR.
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[Rania Abd El-Hamid El-Kady (2015); Acinetobacter baumannii: Correlation between Biofilm Production and Multidrug Resistance Int. J. of Adv. Res. 3 (May). 691-699] (ISSN 2320-5407). www.journalijar.com