Assessment of Efflux Activity Using H33342 Accumulation in Tigecycline-Resistant Acinetobacter baumannii Clinical Isolates
Original article PDF Choon-Mee Kim1*, In Sun Choi2*, Sook Jin Jang2, Na-Ra Yun3, Dong-Min Kim3, Donghoon Lim4, Young-Joon Ahn5, Seong Ho Kang2, Geon Park2, Dae Soo Moon2 1Premedical Science, College of Medicine, Chosun University, Departments of 2Laboratory Medicine, 3Internal Medicine, 4Urology, 5Medical Education, College of Medicine, Chosun University, Gwangju, Korea Corresponding to Sook Jin Jang, E-mail: sjbjang@chosun.ac.kr Ann Clin Microbiol 2017;20(4):90-96. https://doi.org/10.5145/ACM.2017.20.4.90Copyright © Korean Society of Clinical Microbiology. Abstract Background: Tigecycline resistance has emerged recently and has shown diverse mechanisms. The aim of this study was to assess the role of efflux activity in tigecycline resistance in 120 clinical isolates of A. baumannii using two methods: the H33342 accumulation assay and adeB real-time reverse transcriptase polymerase chain reaction. In addition, we analyzed the correlation between the expression level of adeB and H33342 accumulation level. Methods: A. baumannii clinical isolates was divided into tigecycline-resistant (49 strains), intermediate (40 strains), and susceptible (31 strains) groups. The H33342 accumulation was measured in the absence or


