RT Journal Article T1 Overproduction of Outer Membrane Protein A by Acinetobacter baumannii as a Risk Factor for Nosocomial Pneumonia, Bacteremia, and Mortality Rate Increase. A1 Sánchez-Encinales, Viviana A1 Álvarez-Marín, Rocío A1 Pachón-Ibáñez, María Eugenia A1 Fernández-Cuenca, Felipe A1 Pascual, Alvaro A1 Garnacho-Montero, José A1 Martínez-Martínez, Luis A1 Vila, Jordi A1 Tomás, María Mar A1 Cisneros, José Miguel A1 Bou, Germán A1 Rodríguez-Baño, Jesús A1 Pachón, Jerónimo A1 Smani, Younes K1 Acinetobacter baumannii K1 bacteremia K1 mortality K1 pneumonia K1 OmpA AB Outer membrane protein A (OmpA) is a porin involved in Acinetobacter baumannii pathogenesis. However, OmpA clinical implication in hospital-acquired infections remains unknown. We aimed to determine whether OmpA overproduction was a risk factor associated with pneumonia, bacteremia, and mortality. We analyzed demographic, microbiological, and clinical data from 100 patients included in a unicenter cohort and 246 included in a unicenter cohort and a multicenter cohort. Representative isolates were classified into 2 groups: (1) isolates from patients colonized by A. baumannii (16 from the unicenter and 20 from the multicenter cohort) and (2) isolates from bacteremic or nonbacteremic patients with pneumonia (PP) caused by A. baumannii (13 from the unicenter and 23 from the multicenter cohort) Expression of ompA was determined with quantitative reverse-transcription polymerase chain reaction. Isolates from PP overexpressed more ompA than those from colonized patients from the unicenter (ratio, 1.76 vs 0.36; P These data suggest that ompA overexpression is an associated factor for pneumonia, bacteremia, and death due to A. baumannii. YR 2017 FD 2017 LK http://hdl.handle.net/10668/11147 UL http://hdl.handle.net/10668/11147 LA en DS RISalud RD Apr 10, 2025