Abstract:ObjectiveTo understand the carriage of NDM1 and other carbapenemases in carbapenemresistant Acinetobacter baumannii(CRAB) in Jiangxi area, and provide laboratory basis for the prevention and control of healthcareassociated infection (HAI). MethodsSixtyfour strains of CRAB isolated from clinical specimens from 3 tertiary firstclass hospitals in Jiangxi area from January 2015 to June 2016 were collected, susceptibility to commonly used antimicrobial agents were detected with KirbyBauer method. Carbapenemases and metalloenzyme in CRAB were screened with modified Hodge test and EDTAdisk synergy test respectively, carbapenems gene was detected by polymerase chain reaction (PCR), NDM1producing Acinetobacter baumannii (A. baumannii) were performed conjugation test.ResultsThe resistance rates of CRAB to ampicillin/sulbactam, ciprofloxacin, gentamicin, and levofloxacin were up to 95.31%, 98.44%, 90.63%, and 54.69% respectively. The positive rates of modified Hodge test and EDTAdisk synergy test were 76.56% and 96.88% respectively. PCR amplification result showed that 87.50%(n=56) of CRAB carried OXA23 and VIM1 genes,18.75%(n=12)carried SIM, 3.13%(n=2)carried OXA-24,and 26.56%(n=17) carried NDM1. CRAB carrying NDM1 gene were all from The First Affiliated Hospital of Nanchang University, 64.70%(11/17)of which were pandrugresistant strains. Conjugation test result showed that NDM1producing strains could transfer NDM1 gene to recipient strain Escherichia coli J53, then acquired resistance to imipenem. ConclusionAntimicrobial resistance rates of clinically isolated CRAB in this area are high, OXA23 and VIM1 genes are the main carbapenemase genes, NDM1 gene positive CRAB is detected, and there may be a clonal spread of NDM1 gene in hospital, effective measures should be taken as soon as possible to prevent and control the spread of NDM1 positive CRAB.