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Acinetobacter spp. resistant to carbapenems have become common in hospitals worldwide (Dijkshoorn et al., 2007). Carbapenem resistance mechanisms described in Acinetobacter spp. include hydrolysis by b-lactamases, alterations in outer-membrane proteins and penicillinbinding proteins, and increased activity of efflux pumps (Peleg et al., 2008). However, carbapenemases, such as metallo-blactamase (MBL) or oxacillinases, cause the most concern due to the chance of rapid dissemination (Lee et al., 2005; Poirel & Nordmann, 2006; Brown & Amyes, 2006). Four families of oxacillinases have been described in Acinetobacter baumannii so far: OXA-23like, OXA-24-like and OXA-58-like enzymes, and OXA-51-like, a chromosomal oxacillinase enzyme present in A. baumannii that when overexpressed can be associated with carbapenem resistance (Turton et al., 2006; Poirel & Nordmann, 2006).

Multiplex PCR for rapid detection of genes encoding oxacillinases and metallo-β-lactamases in carbapenem-resistant Acinetobacter spp.