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Table 1 Description of 52 patients and 84 isolates associated with the Acinetobacter baumannii pulsotype 27 outbreak in Birmingham, England, 2011 to 2013

From: Genomic epidemiology of a protracted hospital outbreak caused by multidrug-resistant Acinetobacter baumanniiin Birmingham, England

Patient no. or environmental source

Length of hospital stay (days)

Isolate no.

Time of isolation (days)

Genotype

SNVs/plasmid loss

(p indicates loss of plasmid)

From admission

From start of outbreak

  

1

231

1a

3

3

1.0

0

1b

21

21

1.1

1,p

2

24

2

7

12

1.0

0

4

88

4

25

36

2.1

2,4,p

6

29

6

6

42

2.0

2

7

422

7

3

55

1.2

3

8

23

8

9

56

2.0

2

9

83

9

52

60

2.2

2,7

10

15

10

65

65

2.3

2,7,10,11

11

99

11

11

65

2.0

2

12

39

12

6

73

2.0

2

13

62

13

3

81

1.0

0

14

77

14

24

87

3.0

2,6

15

LOST: not included in transmission analysis

16

31

16

12

90

1.0

0

17

535

17

24

94

2.0

2

18

15

18

2

97

3.0

2,6

19

58

19

19

123

3.0

2,6

20

49

20a

12

135

4.0

2,5,9

20b

13

136

4.0

2,5,9

21

19

21

1

138

4.0

2,5,9

22

84

22

31

144

2.4

2,5

23

45

23

10

147

2.5

2,5,8

24

218

24a

25

165

4.0

2,5,9

24b

194

334

4.10

2,5,9,12,p

25

19

25

8

180

5.0

2,5,9,p

26

197

26a

17

180

4.1

2,5,9,13

26b

25

188

4.0

2,5,9

26c

100

263

4.2

2,5,9,13,22,p

26d

100

263

4.2

2,5,9,13,22,p

26e

102

265

4.6

2,5,9,14

26f

102

265

4.2

2,5,9,13,22,p

27

82

27a

13

209

4.0

2,5,9

27b

19

215

4.3

2,5,9,15

27c

21

217

4.0

2,5,9

28

114

28a

31

227

LOST: mixed culture

28b

43

239

28c

61

257

29

64

29*

83

227 (GP)

5.0

2,5,9,p

30

23

30a

10

237

4.0

2,5,9

30b

13

240

4.0

2,5,9

31

66

31a

37

235

4.0

2,5,9

31b

37

235

MIXED

31c

39

237

4.4

2,5,9,18

31d

39

237

LOST: mixed culture

31e

39

237

Escherichia coli

31f

39

237

LOST: mixed culture

31g

39

237

LOST: mixed culture

31h

39

237

LOST: mixed culture

31i

46

244

4.5

2,5,9,17

31j

58

256

4.0

2,5,9

31k

64

297

Pseudomonas aeruginosa

32

16

32

4

240

5.0

2,5,9,p

34

107

34a

14

284

4.7

2,5,9,19

34b

15

285

4.0

2,5,9

34c

15

285

4.0

2,5,9

34d

15

285

4.0

2,5,9

34e

26

296

4.8

2,5,9,20

34f

27

297

4.9

2,5,9,28

38

96

38

39

298

LOST

39

9

39

4

308

6.1

2,5,9,16,23

40

53

40a

11

334

6.0

2,5,9,16

40b

13

336

6.0

2,5,9,16

43

60

43

29

383

6.0

2,5,9,16

44

15

44a

8

390

6.0

2,5,9,16

44b

9

391

6.0

2,5,9,16

44c

11

391

6.2

2,5,9,16,24

44e

11

393

6.0

2,5,9,16

44f

11

393

6.0

2,5,9,16

Ward 1 post-patient 44

E1

397

6.0

2,5,9,16

49

49

49a

21

406

6.0

2,5,9,16

49b

33

418

5.0

2,5,9,p

50

50

50

14

437

6.0

2,5,9,16

51

96

51

14

440

6.0

2,5,9,16

52

24

52

13

495

6.0

2,5,9,16

53

26

53

6

506

4.11

2,5,9,21,p

54

37

54

30

507

6.0

2,5,9,16

55

47

55

25

510

6.0

2,5,9,16

Burns Unit shower head post-patient 55

E2

532

5.0

2,5,9,p

Burns Unit shower chair post-patient 55

E3

532

5.0

2,5,9,p

Burns Unit patient chair post-patient 55

E4

532

5.0

2,5,9,p

57

12

57

5

533

6.0

2,5,9,16

Touch screen burns theatre post-patient 57

E5

538

7.0

2,5,9,16,26,29

Anaesthetic machine burns theatre post-patient 57

E6

538

7.0

2,5,9,16,26,29

Pat Slide burns theatre post-patient 57

E7

538

6.4

2,5,9,16,26

Stool burns theatre post-patient 57

E8

538

6.4

2,5,9,16,26

Scissors burns theatre post-patient 57

E9

538

6.5

2,5,9,16,27

ECG leads burns theatre post-patient 57

E10

538

7.0

2,5,9,16,26,29

58

72

58

6

535

6.3

2,5,9,16,25

59

29

59

9

538

7.1

2,5,9,16,26,29,30,p

60

36

60

19

538

5.0

2,5,9,p

61

15

61

9

542

7.0

2,5,9,16,26,29

62

27

62

4

543

7.0

2,5,9,16,26,29

63

29

63

15

544

7.2

2,5,9,16,26,29,31

64

8

64

4

554

6.0

2,5,9,16

65

15

65

2

556

6.0

2,5,9,16

  1. Patients were assigned to the outbreak if an initial isolate was shown by PFGE to belong to pulsotype 27. For three patients (15, 28, 38), no MDR-Aci isolates were available for genome sequencing.
  2. *Isolate 29 was obtained after discharge from hospital from a sample provided by a general practitioner (GP).
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Genome Medicine

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