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Identification of the Gene in the First Mucoid XDR Isolated from a Patient with Cystic Fibrosis

Abstract

is one of the pathogens most involved in health care-associated infections in recent decades. Known for its ability to accumulate several antimicrobial resistance mechanisms, it possesses the oxacillinase , a carbapenemase now endemic in Italy. species are not frequently observed in patients with cystic fibrosis, and multidrug-resistant is a rare event in these patients. Non-mucoid carrying the gene has been sporadically detected. Here, we describe the methods used to detect in the first established case of pulmonary infection via a mucoid strain of producing carbapenemase in a 24-year-old cystic fibrosis patient admitted to Bambino Gesù Children's Hospital in Rome, Italy. This strain, which exhibited an extensively drug-resistant antibiotype, also showed a great ability to further increase its resistance in a short time.

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PMID: 39035534 PMC: 11259834. DOI: 10.1016/j.heliyon.2024.e33372.

References
1.
Shan W, Zhang H, Kan J, Yin M, Zhang J, Wan L . Acquired mucoid phenotype of Acinetobacter baumannii: Impact for the molecular characteristics and virulence. Microbiol Res. 2021; 246:126702. DOI: 10.1016/j.micres.2021.126702. View

2.
King C, Brown A, Aryal S, Ahmad K, Donaldson S . Critical Care of the Adult Patient With Cystic Fibrosis. Chest. 2018; 155(1):202-214. DOI: 10.1016/j.chest.2018.07.025. View

3.
Saiman L, Siegel J . Infection control recommendations for patients with cystic fibrosis: Microbiology, important pathogens, and infection control practices to prevent patient-to-patient transmission. Am J Infect Control. 2003; 31(3 Suppl):S1-62. View

4.
Rocha G, Lima D, Rodrigues E, Leao R, Folescu T, Firmida M . Species distribution, sequence types and antimicrobial resistance of Acinetobacter spp. from cystic fibrosis patients. Epidemiol Infect. 2017; 146(4):524-530. PMC: 9134553. DOI: 10.1017/S0950268817002849. View

5.
Nowak J, Zander E, Stefanik D, Higgins P, Roca I, Vila J . High incidence of pandrug-resistant Acinetobacter baumannii isolates collected from patients with ventilator-associated pneumonia in Greece, Italy and Spain as part of the MagicBullet clinical trial. J Antimicrob Chemother. 2017; 72(12):3277-3282. PMC: 5890771. DOI: 10.1093/jac/dkx322. View