Journal article
Genomic epidemiology of severe community-onset Acinetobacter baumannii infection
Microbial genomics, Vol.5(3)
2019
Abstract
Acinetobacter baumannii causes severe, fulminant, community-acquired pneumonia (CAP) in tropical and subtropical regions. We compared the population structure, virulence and antimicrobial resistance determinants of northern Australian community-onset A. baumannii strains with local and global strains. We performed whole-genome sequencing on 55 clinical and five throat colonization A. baumannii isolates collected in northern Australia between 1994 and 2016. Clinical isolates included CAP (n=41), healthcare-associated pneumonia (n=7) and nosocomial bloodstream (n=7) isolates. We also included 93 publicly available international A. baumannii genome sequences in the analyses. Patients with A. baumannii CAP were almost all critically unwell; 82 % required intensive care unit admission and 18 % died during their inpatient stay. Whole-genome phylogenetic analysis demonstrated that community-onset strains were not phylogenetically distinct from nosocomial strains. Some non-multidrug-resistant local strains were closely related to multidrug-resistant strains from geographically distant locations. Pasteur sequence type (ST)10 was the dominant ST and accounted for 31/60 (52 %) northern Australian strains; the remainder belonged to a diverse range of STs. The most recent common ancestor for ST10 was estimated to have occurred in 1738 (95 % highest posterior density, 1626-1826), with evidence of multiple introduction events between Australia and Southeast Asia between then and the present day. Virulence genes associated with biofilm formation and the type 6 secretion system (T6SS) were absent in many strains, and were not associated with in-hospital mortality. All strains were susceptible to gentamicin and meropenem; none carried an AbaR resistance island. Our results suggest that international dissemination of A. baumannii is occurring in the community on a contemporary timescale. Genes associated with biofilm formation and the T6SS may not be required for survival in community niches. The relative contributions of host and bacterial factors to the clinical severity of community-onset A. baumannii infection require further investigation.
Details
- Title
- Genomic epidemiology of severe community-onset Acinetobacter baumannii infection
- Authors
- Ella M Meumann (Author) - Menzies School of Health ResearchNicholas M Anstey (Author) - Menzies School of Health ResearchBart J Currie (Author) - Menzies School of Health ResearchKim A Piera (Author) - Menzies School of Health ResearchJohanna J Kenyon (Author) - Queensland University of TechnologyRuth M Hall (Author) - University of SydneyJoshua S Davis (Author) - Menzies School of Health ResearchDerek S Sarovich (Author) - Menzies School of Health Research
- Publication details
- Microbial genomics, Vol.5(3); 13
- Publisher
- Microbiology Society
- Date published
- 2019
- DOI
- 10.1099/mgen.0.000258
- ISSN
- 2057-5858
- Copyright note
- Copyright © 2019 The Authors. This is an open access article published by the Microbiology Society under the Creative Commons Attribution License
- Organisation Unit
- University of the Sunshine Coast, Queensland; Centre for Bioinnovation
- Language
- English
- Record Identifier
- 99451002602621
- Output Type
- Journal article
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- Domestic collaboration
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- Microbiology
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