Evidence map›Paper›PMID 39905304›Full record

ArticleBMC microbiology2025

Detection of AdeAB, TetA, and TetB efflux pump genes in clinical isolates of tetracycline-resistant Acinetobacter baumannii from patients of Suez Canal University Hospitals.

Hasnaa Azab, Aya Mohamed Askar, Noha M Abd El-Fadeal, Amira A A Othman, Amal H Rayan, Sally Khattab

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Article in BMC microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hasnaa AzabMicrobiology and Immunology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Aya Mohamed AskarClinical and Chemical Pathology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Noha M Abd El-FadealMedical Biochemistry and Molecular Biology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Amira A A OthmanInternal Medicine Department, Faculty of Medicine, Suez University, Suez, 43511, Egypt. Amira.Othman@med.suezuni.edu.eg.ORCID 0000-0002-8191-0035
Amal H RayanDepartment of Basic Medical Science, College of Medicine, AlMaarefa University, Riyadh, Saudi Arabia.
Sally KhattabMicrobiology and Immunology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcinetobacter baumannii is an opportunistic bacteria associated primarily with hospital-acquired infections. Its tendency to acquire or donate resistance genes to neighboring bacteria is a major concern. Tetracyclines have shown promise in treating A. baumannii infections, but tetracycline resistance is growing globally in A. baumannii isolates.

objectivesThe study aimed to study (1) the prevalence of multidrug-resistant (MDR) A. baumannii infections at Suez Canal University Hospitals, (2) the distribution of efflux pump genes AdeA &B, TetA, and TetB, and (3) the effect of efflux pump inhibitor (CCCP) on tetracycline-resistant isolates.

methodsClinical samples (457) were collected (blood, urine, sputum, ETA, pus, and pleural fluid), followed by A. baumannii isolation and identification, PCR detection of efflux pump genes, and detection of tetracycline susceptibility and its MIC before and after treatment with the efflux pump inhibitor (CCCP).

resultsA total of 31 A. baumannii isolates were recovered (6.78%). The highest rate of isolation was from the ICU (48.3%) from the ET aspirate samples (48.3%). The efflux system AdeA and TetB genes were distributed in 100% of isolates, whereas AdeB was found in 93.5% of isolates and the TetA gene in 87.1% of isolates. All A. baumannii isolates were MDR showing resistance to three or more classes of antibiotics. 45% of the isolates showed a 4-fold reduction of MIC and 12.9% showed a 2-fold reduction in the MIC.

conclusionsEfflux pump is an important mechanism for tetracycline resistance among A. baumannii isolates.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsBacterial ProteinsMembrane Transport ProteinsTetracycline ResistanceAnti-Bacterial AgentsAntiportersDrug Resistance, Multiple, BacterialHospitals, UniversityHumansMicrobial Sensitivity TestsTetracyclineAdeA protein, Acinetobacter baumanniiAdeB protein, Acinetobacter baumanniiAnti-Bacterial AgentsAntiportersBacterial ProteinsMembrane Transport ProteinstetA protein, BacteriaTetracyclineA. BaumanniiEfflux pump inhibitorMulti-drug resistanceTetracycline

Identifiers

PMID39905304
PMCPMC11796054

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.