{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T20:37:34Z","timestamp":1791059854873,"version":"4.1.0"},"reference-count":44,"publisher":"American Society for Microbiology","issue":"12","license":[{"start":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T00:00:00Z","timestamp":1764633600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T00:00:00Z","timestamp":1764633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["Microbiol Spectr"],"published-print":{"date-parts":[[2025,12,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Acinetobacter baumannii<\/jats:italic>\n                      has evolved over the years into predominant nosocomial multidrug-resistant (MDR) pathogen, especially associated with ventilator-associated pneumonias (VAPs). About one-third of VAPs can cause bloodstream infections. MDR\n                      <jats:italic toggle=\"yes\">A. baumannii<\/jats:italic>\n                      causing VAP is associated with significant\n                      <jats:named-content content-type=\"\">longer hospital stays<\/jats:named-content>\n                      <jats:named-content content-type=\"\">and<\/jats:named-content>\n                      <jats:named-content content-type=\"\">mortality<\/jats:named-content>\n                      . We carried out the genomic analysis of MDR\n                      <jats:italic toggle=\"yes\">A. baumannii<\/jats:italic>\n                      by whole-genome sequencing (WGS) to study the various virulence factors involved in biofilm formation and pathogenic mechanisms. A total of 44 MDR\n                      <jats:italic toggle=\"yes\">A. baumannii<\/jats:italic>\n                      isolates recovered from respiratory and blood specimens of patients on mechanical ventilators are included in the study. All isolates were identified by Vitek2 and matrix-assisted laser desorption\/ionization\u2013time of flight mass spectrometry and confirmed by WGS. Different virulence factor (VF) genes identified by WGS were analyzed. The most common VF genes found in all isolates of\n                      <jats:italic toggle=\"yes\">A. baumannii<\/jats:italic>\n                      were\n                      <jats:italic toggle=\"yes\">ompA<\/jats:italic>\n                      (97.7%) and\n                      <jats:italic toggle=\"yes\">lps-o<\/jats:italic>\n                      gene (100%) related to adherence,\n                      <jats:italic toggle=\"yes\">adeF<\/jats:italic>\n                      (100%),\n                      <jats:italic toggle=\"yes\">adeG<\/jats:italic>\n                      (95.5%), and\n                      <jats:italic toggle=\"yes\">adeH<\/jats:italic>\n                      (97.7%) (AdeFGH efflux pump-related VF genes) and\n                      <jats:italic toggle=\"yes\">pgaA<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">pgaD<\/jats:italic>\n                      (100%),\n                      <jats:italic toggle=\"yes\">pgaB<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">pgaC<\/jats:italic>\n                      (97.7%) related to biofilm formation,\n                      <jats:italic toggle=\"yes\">plc<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">plcD<\/jats:italic>\n                      (100%) related to enzyme and immune evasion related capsular gene (100%) and\n                      <jats:italic toggle=\"yes\">lpsB, lpxA, lpxC, lpxD, lpxL<\/jats:italic>\n                      , and\n                      <jats:italic toggle=\"yes\">lpxM<\/jats:italic>\n                      found in all isolates respectively. This study is\n                      <jats:named-content content-type=\"\">among<\/jats:named-content>\n                      <jats:named-content content-type=\"\">st<\/jats:named-content>\n                      a few such studies done using WGS in India. These findings have improved our understanding of the various pathogenic mechanisms underlying\n                      <jats:italic toggle=\"yes\">A. baumannii<\/jats:italic>\n                      . This study will also give some insight into how hindering the pathways of virulence mechanism can be used to develop treatment strategies for MDR\n                      <jats:italic toggle=\"yes\">A. baumannii<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>IMPORTANCE<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Acinetobacter baumannii<\/jats:italic>\n                      is a significant cause of mortality in nosocomial infections, particularly ventilator-associated pneumonia (VAP). The evolution of\n                      <jats:italic toggle=\"yes\">A. baumannii<\/jats:italic>\n                      from an avirulent organism to a multidrug-resistant (MDR) nosocomial pathogen is very interesting. The acquisition of multiple drug-resistant genes is also accompanied by the acquisition of many virulence genes. I\n                      <jats:named-content content-type=\"\">nformation regarding<\/jats:named-content>\n                      <jats:named-content content-type=\"\">genomic<\/jats:named-content>\n                      <jats:named-content content-type=\"\">studies of different<\/jats:named-content>\n                      <jats:named-content content-type=\"\">virulence factor<\/jats:named-content>\n                      <jats:named-content content-type=\"\">s in such MDR strains<\/jats:named-content>\n                      <jats:named-content content-type=\"\">,<\/jats:named-content>\n                      <jats:named-content content-type=\"\">prevalent in this geographical region,<\/jats:named-content>\n                      <jats:named-content content-type=\"\">w<\/jats:named-content>\n                      <jats:named-content content-type=\"\">ere<\/jats:named-content>\n                      <jats:named-content content-type=\"\">not performed in the past<\/jats:named-content>\n                      <jats:named-content content-type=\"\">.<\/jats:named-content>\n                      The strains of\n                      <jats:italic toggle=\"yes\">A. baumannii<\/jats:italic>\n                      may vary depending on the geographical location and use of antibiotics in those hospital setups. Control of\n                      <jats:italic toggle=\"yes\">A. baumannii<\/jats:italic>\n                      nosocomial infections requires taking strict hospital infection control measures. We trust that this would suggest some new insights into the control of\n                      <jats:italic toggle=\"yes\">A. baumannii<\/jats:italic>\n                      in our intensive care units to reduce the burden of such a dreadful nosocomial pathogen.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1128\/spectrum.00707-25","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T14:04:13Z","timestamp":1762869853000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":5,"title":["Genomic analysis of virulence factors of nosocomial MDR\n                    <i>A. baumannii<\/i>\n                    from a tertiary care hospital"],"prefix":"10.1128","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4126-4686","authenticated-orcid":false,"given":"Asmabanu","family":"Shaikh","sequence":"first","affiliation":[{"name":"Department of Microbiology, Parul Institute of Medical Sciences & Research, Faculty of Medicine, Parul University","place":["Vadodara, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9001-899X","authenticated-orcid":true,"given":"Anant","family":"Marathe","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Parul Institute of Medical Sciences & Research, Faculty of Medicine, Parul University","place":["Vadodara, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4326-381X","authenticated-orcid":false,"given":"Bhavita","family":"Prajapati","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Parul Institute of Medical Sciences & Research, Faculty of Medicine, Parul University","place":["Vadodara, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"235","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.2217\/fmb-2020-0032"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/2049-632X.12125"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0247832"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines9060570"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2023.1053968"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.crmicr.2022.100131"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/crj.13732"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/mmi.12300"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.ppat.1007030"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.3390\/antibiotics12121749"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.micres.2022.127032"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2022.997897"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.3390\/microorganisms12020322"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/bios13040463"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/nar\/gkac1003"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.12688\/wellcomeopenres.14826.1"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.06094-11"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13061036"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2023.1094184"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.3205\/dgkh000290"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijmm.IJMM_17_225"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12866-025-03804-z"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijmr.ijmr_3470_21"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.5812\/archcid.85766"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.2436\/20.1501.01.270"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1128\/MMBR.00082-15"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1128\/mBio.01076-14"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.18632\/oncotarget.24651"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2018.03301"},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.1128\/aem.01654-23"},{"key":"e_1_3_4_32_2","unstructured":"Noori MS Courreges MC Bergmeier SC January M. 2020. 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