Effects of Subminimal Inhibitory Concentrations of Chlorhexidine on the Chlorhexidine Resistance and Biofilm Formation in Clinical Drug-resistant Acinetobacter baumannii Isolates

Background and objectives: Multi-drug resistant microorganisms have caused a remarkable increase in hospital-acquired infections (HAI) during the previous few decades. Moreover, microbiological contamination of antiseptics and disinfectants has been recorded in medical settings. Methods: A total of...

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Main Authors: Hawkar S. Omer, Safaa T. Aka
Format: Article
Language:English
Published: Erbil Polytechnic University 2023-09-01
Series:Polytechnic Journal
Subjects:
Online Access:https://polytechnic-journal.epu.edu.iq/home/vol12/iss2/9
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author Hawkar S. Omer
Safaa T. Aka
author_facet Hawkar S. Omer
Safaa T. Aka
author_sort Hawkar S. Omer
collection DOAJ
description Background and objectives: Multi-drug resistant microorganisms have caused a remarkable increase in hospital-acquired infections (HAI) during the previous few decades. Moreover, microbiological contamination of antiseptics and disinfectants has been recorded in medical settings. Methods: A total of 61 clinically relevant Acinetobacter baumannii isolates were collected from various clinical specimens in hospitals in Erbil city/Iraq between September 2021 and March 2022. The isolates were identified using VITEK-2 compact system. Antimicrobial susceptibility testing was carried out for a total of 16 different therapeutically relevant antibiotics in accordance with the criteria of the Clinical Laboratory Standards Institute (CLSI) using the above mentioned system. A spectrophotometer was used to determine the optical density at 600 nm (OD600nm) for biofilm evaluation. Wilcoxon signed ranks test used to determine the effect of sub-MIC of CHX on the CHXMIC and biofilm formation. Results: the study showed that there is a significant difference in CHX-MIC and biofilm formation before and after 7 days of incubation of Acinetobacter baumannii in sub-MIC of CHX (p<0.05). Exposure of Acinetobacter baumannii to sub-lethal CHX concentrations develops inducible resistance to lethal CHX doses. The biofilm formation ability of isolates also increased after using sub-lethal dose of CHX.
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spelling doaj-art-2e7400d729d042cebf714d5adfcaceea2025-08-20T02:38:51ZengErbil Polytechnic UniversityPolytechnic Journal2707-77992023-09-011228591https://doi.org/10.25156/ptj.v12n2y2022.pp85-91Effects of Subminimal Inhibitory Concentrations of Chlorhexidine on the Chlorhexidine Resistance and Biofilm Formation in Clinical Drug-resistant Acinetobacter baumannii IsolatesHawkar S. Omer0Safaa T. Aka1Department of Pharmacognosy, College of Pharmacy, Hawler Medical University Department of Pharmacognosy, College of Pharmacy, Hawler Medical University Background and objectives: Multi-drug resistant microorganisms have caused a remarkable increase in hospital-acquired infections (HAI) during the previous few decades. Moreover, microbiological contamination of antiseptics and disinfectants has been recorded in medical settings. Methods: A total of 61 clinically relevant Acinetobacter baumannii isolates were collected from various clinical specimens in hospitals in Erbil city/Iraq between September 2021 and March 2022. The isolates were identified using VITEK-2 compact system. Antimicrobial susceptibility testing was carried out for a total of 16 different therapeutically relevant antibiotics in accordance with the criteria of the Clinical Laboratory Standards Institute (CLSI) using the above mentioned system. A spectrophotometer was used to determine the optical density at 600 nm (OD600nm) for biofilm evaluation. Wilcoxon signed ranks test used to determine the effect of sub-MIC of CHX on the CHXMIC and biofilm formation. Results: the study showed that there is a significant difference in CHX-MIC and biofilm formation before and after 7 days of incubation of Acinetobacter baumannii in sub-MIC of CHX (p<0.05). Exposure of Acinetobacter baumannii to sub-lethal CHX concentrations develops inducible resistance to lethal CHX doses. The biofilm formation ability of isolates also increased after using sub-lethal dose of CHX.https://polytechnic-journal.epu.edu.iq/home/vol12/iss2/9acinetobacter baumannii,chlorhexidine,biofilm,multiresistant.
spellingShingle Hawkar S. Omer
Safaa T. Aka
Effects of Subminimal Inhibitory Concentrations of Chlorhexidine on the Chlorhexidine Resistance and Biofilm Formation in Clinical Drug-resistant Acinetobacter baumannii Isolates
Polytechnic Journal
acinetobacter baumannii,
chlorhexidine,
biofilm,
multiresistant.
title Effects of Subminimal Inhibitory Concentrations of Chlorhexidine on the Chlorhexidine Resistance and Biofilm Formation in Clinical Drug-resistant Acinetobacter baumannii Isolates
title_full Effects of Subminimal Inhibitory Concentrations of Chlorhexidine on the Chlorhexidine Resistance and Biofilm Formation in Clinical Drug-resistant Acinetobacter baumannii Isolates
title_fullStr Effects of Subminimal Inhibitory Concentrations of Chlorhexidine on the Chlorhexidine Resistance and Biofilm Formation in Clinical Drug-resistant Acinetobacter baumannii Isolates
title_full_unstemmed Effects of Subminimal Inhibitory Concentrations of Chlorhexidine on the Chlorhexidine Resistance and Biofilm Formation in Clinical Drug-resistant Acinetobacter baumannii Isolates
title_short Effects of Subminimal Inhibitory Concentrations of Chlorhexidine on the Chlorhexidine Resistance and Biofilm Formation in Clinical Drug-resistant Acinetobacter baumannii Isolates
title_sort effects of subminimal inhibitory concentrations of chlorhexidine on the chlorhexidine resistance and biofilm formation in clinical drug resistant acinetobacter baumannii isolates
topic acinetobacter baumannii,
chlorhexidine,
biofilm,
multiresistant.
url https://polytechnic-journal.epu.edu.iq/home/vol12/iss2/9
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