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In this study, we report a clonal dissemination of carbapenem resistant  Acinetobacter baumannii  isolates due to the acquisition of bla OXA-23  in a regional hospital located in Brazilian Amazon Region.METHODS:   The isolates were identified by MALDI-TOF and the carbapenemase-encoding genes were detected by multiplex-PCR. The genetic similarity was investigated by pulsed-field gel electrophoresis (PFGE).RESULTS:   Only 10 (55.6%) isolates harbored the gene  bla   OXA-23 . PFGE analysis revealed that these isolates belong to a single clone.CONCLUSIONS:   This dissemination strategy indicates the need for surveillance, adoption of control procedures defined in guidelines, and the careful administration of antimicrobials should be reinforced.

Molecular epidemiology and drug resistance of Acinetobacter baumannii isolated from a regional hospital in the Brazilian Amazon region