{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T17:24:00Z","timestamp":1791307440684,"version":"4.3.1"},"reference-count":38,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2014,12,1]],"date-time":"2014-12-01T00:00:00Z","timestamp":1417392000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Microbial Drug Resistance"],"published-print":{"date-parts":[[2014,12]]},"abstract":"\n \n Purpose:<\/jats:italic>\n <\/jats:bold>\n The aim of this study was to investigate the molecular support of resistance to carbapenems, aminoglycosides, and fluoroquinolones in\n Acinetobacter baumannii<\/jats:italic>\n clinical isolates collected from Yemen hospital.\n \n Methods:<\/jats:italic>\n <\/jats:bold>\n Three\n A. baumannii<\/jats:italic>\n were isolated in February 2013 from three patients hospitalized at Al-Thawra University Hospital in Sana'a, Yemen. Antibiotic susceptibility testing was performed using the disk diffusion and E-test methods. Carbapenemase production was carried out by the modified Hodge test (MHT) and imipenem\u2013ethylenediaminetetraacetic acid (EDTA) methods. Carbapenem, aminoglycoside, and fluoroquinolone resistance determinants were studied by polymerase chain reaction and sequencing. The epidemiological relatedness of the three strains was studied using multilocus sequence typing (MLST).\n \n Results:<\/jats:italic>\n <\/jats:bold>\n The isolates were resistant to almost all antibiotics tested with very high imipenem, amikacin, and ciprofloxacin minimum inhibitory concentrations (>32, >256, and >32\u2009mg\/L, respectively). The microbiological tests showed that the three\n A. baumannii<\/jats:italic>\n were MHT positive, besides, the activity of \u03b2-lactamases was not inhibited by EDTA. All the three isolates contained the naturally occurring\n bla<\/jats:italic>\n OXA-51<\/jats:sub>\n -like gene and the\n bla<\/jats:italic>\n OXA-23<\/jats:sub>\n -like carbapenemase-encoding gene. The 16S rRNA methylase\n armA<\/jats:italic>\n gene was detected in the three isolates. In addition, screening for genes encoding the aminoglycoside-modifying enzymes (AMEs) demonstrated that one isolate contained the acetyltransferase gene\n aac(6\u2032)-Ib<\/jats:italic>\n . Fluoroquinolone resistance was associated with a single mutation Ser83Leu in the quinolone resistance determining region of the\n gyrA<\/jats:italic>\n gene in all isolates. The MLST showed that the sequence type (ST) obtained corresponds to ST2 for the three strains.\n \n Conclusions:<\/jats:italic>\n <\/jats:bold>\n Here we report the first identification of multidrug-resistant\n A. baumannii<\/jats:italic>\n isolates harboring the\n bla<\/jats:italic>\n OXA-23<\/jats:sub>\n -like gene, AMEs [\n aac(6\u2032)-Ib<\/jats:italic>\n ], and the 16S rRNA methylase (\n armA<\/jats:italic>\n ) in the Yemen hospital.\n <\/jats:p>","DOI":"10.1089\/mdr.2014.0018","type":"journal-article","created":{"date-parts":[[2014,6,5]],"date-time":"2014-06-05T10:25:48Z","timestamp":1401963948000},"page":"604-609","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":35,"title":["Characterization of\n Acinetobacter baumannii<\/i>\n Clinical Isolates Carrying\n bla<\/i>\n OXA-23<\/sub>\n Carbapenemase and 16S rRNA Methylase\n armA<\/i>\n genes in Yemen"],"prefix":"10.1177","volume":"20","author":[{"given":"Sofiane","family":"Bakour","sequence":"first","affiliation":[{"name":"Universit\u00e9 A\/MIRA de B\u00e9jaia"},{"name":"Aix-Marseille-Universit\u00e9","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samer Ahmed","family":"Alsharapy","sequence":"additional","affiliation":[{"name":"Universit\u00e9 A\/MIRA de B\u00e9jaia"},{"name":"H\u00f4pital Al-Thawra","place":["Yemen"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelaziz","family":"Touati","sequence":"additional","affiliation":[{"name":"Universit\u00e9 A\/MIRA de B\u00e9jaia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Marc","family":"Rolain","sequence":"additional","affiliation":[{"name":"Aix-Marseille-Universit\u00e9","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,12]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"48","article-title":"Types of Bacteria associated with Neonatal Sepsis in Al-Thawra University Hospital, Sana'a, Yemen, and their antimicrobial profile","volume":"12","author":"Al-Shamahy H.A.","year":"2012","unstructured":"Al-Shamahy H.A., , Sabrah A.A., , Al-Robasi A.B., , and Naser S.M. 2012. Types of Bacteria associated with Neonatal Sepsis in Al-Thawra University Hospital, Sana'a, Yemen, and their antimicrobial profile. Sultan. Qaboos. Univ. Med. J., 12:48\u201354.","journal-title":"Sultan. Qaboos. Univ. Med. J."},{"key":"e_1_3_3_3_2","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.jiph.2011.11.004","article-title":"Three distinct clones of carbapenem-resistant Acinetobacter baumannii with high diversity of carbapenemases isolated from patients in two hospitals in Kuwait","volume":"5","author":"Al-Sweih N.A.","year":"2012","unstructured":"Al-Sweih N.A., , Al-Hubail M., , and Rotimi V.O. 2012. Three distinct clones of carbapenem-resistant Acinetobacter baumannii with high diversity of carbapenemases isolated from patients in two hospitals in Kuwait. J. Infect. Public Health, 5:102\u2013108.","journal-title":"J. Infect. 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