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Whole-Genome Sequencing to Differentiate Relapse From Reinfection in Community-Onset Bacteremic Acinetobacter baumannii Pneumonia
Author(s) -
Ella M. Meumann,
Nicholas M. Anstey,
Bart J. Currie,
Kim A. Piera,
Rob Baird,
Derek S. Sarovich,
Joshua S. Davis
Publication year - 2019
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofz263
Subject(s) - acinetobacter baumannii , pneumonia , medicine , whole genome sequencing , acinetobacter , bacteremia , genome , microbiology and biotechnology , antibiotics , pseudomonas aeruginosa , gene , biology , bacteria , genetics
Community-onset bacteremic pneumonia recurred in 3 of 30 (10%) patients followed prospectively, all with ongoing hazardous alcohol intake, 3-56 months after initial pneumonia. Paired isolates underwent whole-genome sequencing. Phylogenetic analysis showed that recurrence strains were all distinct from preceding strains, indicating reinfection in susceptible individuals rather than relapse.

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