Abstract:ObjectiveTo investigate the carriage and homology of carbapenemase genes of multidrugresistant Acinetobacter baumannii (MDRAB) in Wujiang area.MethodsA total of 44 nonduplicated MDRAB isolated from patients in 3 general hospitals in Wujiang area from January 2010 to December 2013 were collected. Minimum inhibitory concentrations(MICs) were detected, carbapenemase genes OXA51, OXA23, OXA24, OXA58, IMP, TEM, SHV, and GES were amplified with polymerase chain reaction(PCR), homology of strains was detected with pulsedfield gel electrophoresis(PFGE).Results44 MDRAB strains were mainly collected from sputum (93.18%), mainly distributed in intensive care unit (ICU), department of respiratory diseases, and department of neurosurgery, accounting for 45.45%, 27.27%, and 13.64% respectively; MDRAB were both sensitive to minocycline and polymyxin B, resistance rates to piperacillin, ampicillin/sulbactam, ceftazidime, gentamicin, amikacin, and ciprofloxacin were all 100.00%, resistance rates to imipenem and meropenem were both 97.73%. 44 MDRAB strains were all detected OXA51, OXA23 and TEM genes, 12 strains were positive for GES gene, 1 strain was positive for OXA58 and SHV respectively, OXA24 and IMP genes were not found ; MDRAB were divided into 7 types of GA, which included 19, 3, 9, 3, 1, 4, and 5 strains respectively, type A was mainly from two large general hospitals in Wujiang area (Wujiang First People’s Hospital and Shengze Hospital), type B, D and E strains were not detected in Wujiang First People’s Hospital, type E strain was only 1 isolate and was from Yongding Hospital, the other types were sporadically distributed.ConclusionMultidrug resistance of clinically isolated Acinetobacter baumannii is serious in Wujiang area, OXA23 and TEM genes are major causes of multidrug resistance in Acinetobacter baumannii, the main types are A and C, which present clonal spread.