====== Acinetobacter calcoaceticus ====== [[Acinetobacter]] calcoaceticus is a bacterial species of the genus[[ Acinetobacter]]. It is a nonmotile, Gram-negative coccobacillus. It grows under aerobic conditions, is catalase positive and oxidase negative. A. calcoaceticus is a part of the A. calcoaceticus-A. baumannii complex together with [[Acinetobacter baumannii]], Acinetobacter nosocomialis, Acinetobacter pitti and Acinetobacter seifertii. ---- Since the 1990s, [[antimicrobial resistance]] (AMR) has escalated dramatically among [[Acinetobacter baumannii]]-calcoaceticus complex [ABC]). Global spread of multidrug-resistant (MDR)-ABC strains reflects dissemination of a few clones between [[hospital]]s, geographic regions, and continents; excessive [[antibiotic]] use amplifies this spread. Many isolates are resistant to all antimicrobials except colistimethate sodium and [[tetracycline]]s ([[minocycline]] or [[tigecycline]]); some infections are untreatable with existing antimicrobial agents. AMR poses a serious threat to effectively treat or prevent ABC infections. Strategies to curtail environmental colonization with MDR-ABC require aggressive infection-control efforts and cohorting of infected patients. Thoughtful antibiotic strategies are essential to limit the spread of MDR-ABC. Optimal therapy will likely require combination antimicrobial therapy with existing [[antibiotic]]s as well as development of novel antibiotic classes ((Lynch JP 3rd, Clark NM, Zhanel GG. Infections Due to [[Acinetobacter baumannii]]-calcoaceticus Complex: Escalation of [[Antimicrobial Resistance]] and Evolving Treatment Options. Semin Respir Crit Care Med. 2022 Feb;43(1):97-124. doi: 10.1055/s-0041-1741019. Epub 2022 Feb 16. PMID: 35172361.)). ---- 2: Mazzeo AT, Bullock R. Effect of bacterial meningitis complicating severe head trauma upon brain microdialysis and cerebral perfusion. Neurocrit Care. 2005;2(3):282-7. doi: 10.1385/NCC:2:3:282. PMID: 16159076. 3: Chandra R, Kapil A, Sharma P, Das B. Identification of Acinetobacter species isolated from clinical specimens by amplified ribosomal DNA restriction analysis. Indian J Med Res. 2002 Jul;116:1-4. PMID: 12514971. 4: Filka J, Huttova M, Schwartzová D, Kurak M, Krcméryová T, Tuharský J, Kralinský K, Sagát T, Krcmérý V Jr. Nosocomial meningitis due to Acinetobacter calcoaceticus in 10 children after ventriculoperitoneal shunt insertion. J Hosp Infect. 2000 Jan;44(1):76-7. doi: 10.1053/jhin.1999.0641. PMID: 10633059. 5: Filka J, Huttova M, Tuharsky J, Sagat T, Kralinsky K, Krcmery V Jr. Nosocomial meningitis in children after ventriculoperitoneal shunt insertion. Acta Paediatr. 1999 May;88(5):576-8. doi: 10.1080/08035259950169620. PMID: 10426184. 6: Gerner-Smidt P, Hansen L, Knudsen A, Siboni K, Søgaard I. Epidemic spread of Acinetobacter calcoaceticus in a neurosurgical department analyzed by electronic data processing. J Hosp Infect. 1985 Jun;6(2):166-74. doi: 10.1016/s0195-6701(85)80094-3. PMID: 2862191. 7: Kobayashi TK, Yamaki T, Yoshino E, Terawaki S, Tara K, Nishida K, Sawaragi I. Meningitis with Acinetobacter calcoaceticus in cerebrospinal fluid. A case report. Acta Cytol. 1983 May-Jun;27(3):281-4. PMID: 6575544. 8: Berk SL, McCabe WR. Meningitis caused by Acinetobacter calcoaceticus var anitratus. A specific hazard in neurosurgical patients. Arch Neurol. 1981 Feb;38(2):95-8. doi: 10.1001/archneur.1981.00510020053007. PMID: 7469844. 9: Yogev R. Ventriculitis from Acinetobacter calcoaceticus variant anitratus. J Neurol Neurosurg Psychiatry. 1979 May;42(5):475-7. doi: 10.1136/jnnp.42.5.475. PMID: 448387; PMCID: PMC490237. 10: METELKA M, VANCURIK J. [Bacterium anitratum as the pathogen of postoperative infection of the central nervous system]. Zentralbl Neurochir. 1963;23:176-81. German. PMID: 13935180.