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1 Universite de la Mediterrannee;
2 Leiden University Medical Center;
3 Faculte de Medecine de Marseille, Universite de la Mediterranee
ABSTRACT
Bacteria belonging to the genus Acinetobacter are ubiquitous in soil and water. Only a few species including Acinetobacter baumannii, and the unnamed Acinetobacter genomic species (gen. sp.) 3 and 13TU which together with the soil organism Acinetobacter calcoaceticus are combined in the A. calcoaceticus-A.baumannii (Acb-) complex have been recognized as important nosocomial infectious agents. The ecology, epidemiology and pathology of most species are not yet well-established. Lack of practical and accurate methods limits routine identification of clinical isolates and thus hampers precise identification of those of the Acb-complex and other Acinetobacter species of possible clinical significance. We previously identified a 350-bp highly variable zone on the rpoB gene which appeared a promising target for rapid molecular identification [La Scola et al., Journal of Clinical Microbiology (2006) 44: 827-832]. In the present study, we validated this method for accuracy on a collection of reference strains belonging to A. calcoaceticus (5 strains), Acinetobacter gen. sp. 3 (29 strains), gen. sp. 13TU (18 strains), A. baumannii (30 strains) and one strain each of A. radioresistens, A. gen. sp. 15TU, A. gen. sp. 10, A. gen. sp. 11, A. gen. sp. "between" 1-3 and A. gen. sp. 14TU=13BJ. This represent the largest analysis to date that compares a large number of well-identified strains of the Acb-complex to assess the intra- and interspecies variation within this complex. All were correctly identified with 98.9-100% intra-species relatedness based on partial rpoB sequence analysis. We then applied this tool to identify 99 Acinetobacter clinical isolates from 4 public hospitals in Marseille, France. All isolates could easily be identified to species as they were separated into 13 species sequence types (SSTs) with a sequence variance of 0-2.6% with their respective type strains. Of these 99 isolates, 10 were A. haemolyticus, 52 were A. baumannii, 27 were A. gen. sp. 3, 5 were A. schindleri, 1 was A. lwoffii, 1 was A. gen. sp. 13TU. Three were provisionally identified as A. gen. sp. 9. This is the first work in identifying all specimens of a set of clinical Acinetobacter isolates at species level using rpoB sequence analysis. Our data emphasize the recognition of A. schindleri as an emerging cause of Acinetobacter-related infection and confirm that A. gen. sp. 3 is the second most commonly isolated Acinetobacter species after A. baumannii in patients.
4 E-mail: bernard.lascola{at}medecine.univ-mrs.fr
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