With the increase of the use of antibiotics and invasive procedures, infections caused by multidrug-resistant Acinetobacter baumannii(MRAB) are increasing. We screened the antibiotic producing strain B-51 for antibacterial activity against MRAB from the soils and studied the effects of culture medium on the antibiotic production of B-51. The medium conditions for maximum antibiotic productivity of B-51 was 2% glycerol, 0.5% soybean meal, 0.01% CaCl2, 0.01% MgSO4, 7H2O and 0.01% KH2PO4 at an initial pH of 6.0, at 30℃ for 76 h.

Acinetobacter baumannii is one of the most problematic causative agents of nosocomial infections, especially in the immune compromised or patients in intensive care units. In recent years, as multiple antibiotic resistant A. baumannii has increasingly emerged, it has become difficult to treat infections effectively. The authors report a case of extreme drug resistant A. baumannii bacteremia caused by catheter-related infection, as confirmed by blood and catheter tip culture, in a 63-year-old man. The patient responded well to 24 days of doripenem and colistin treatment.

Acinetobacter baumannii is usually considered an opportunistic pathogen that it responsible for a variety of nosocomial infections, such as, pneumonia, tracheobronchitis, meningitis, endocarditis, peritonitis, skin and soft tissue infections, and urinary tract infections. However, over the years, the organism has developed substantial antimicrobial resistance, and thus, the management of infections has become more difficult. The less common infective endocarditis is one of the more serious consequences of nosocomial bacteremia. Here, we report the successful treatment of the first case of multidrug-resistant A. baumannii endocarditis in a 33-year-old patient.