ORIGINAL RESEARCH article

Front. Public Health

Sec. Infectious Diseases: Epidemiology and Prevention

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1592783

This article is part of the Research TopicTransmission dynamics and population genomics of superbug pathogens of public health importanceView all 8 articles

Epidemiology of Acinetobacter baumannii: Analysis of hazard factors associated with positivity cases in Guizhou province, China from 2015 to 2023

Provisionally accepted
Zhongzhi  LiangZhongzhi Liang1Di  TianDi Tian1Yanlan  HuangYanlan Huang2Shanjiang  DouShanjiang Dou2Anxin  YangAnxin Yang1ZUyi  ChenZUyi Chen1*
  • 1Affiliated Hospital of Zunyi Medical University, Zunyi, China
  • 2Qianxi People's Hospital, Guizhou, China

The final, formatted version of the article will be published soon.

The widely prevalent Acinetobacter baumannii is a gram-negative opportunistic pathogen, with the enormous potential to trigger multiple concurrent diseases. Due to its multidrug resistance, A. baumannii has emerged as a key monitored pathogen of WHO for surveillance in healthcare settings, particularly in intensive care units (ICUs). To identify factors associated with A. baumannii infection in Guizhou province, China from 2015 to 2023, a retrospective cross-sectional analysis was carried out with the data from hospital records, electronic medical databases. Fisher’s exact test (gender) and Chi-square were used for statistical tests, while p-values was used to define the statistically significance of variables. Out of 460,620 patients; there were 6,944 positive infection events, with ICU-related infections accounting for 45.77%. Males had a significantly higher risk of A. baumannii infection compared to females, and host factors such as gender and increasing age were associated with greater susceptibility. In addition, infection rates were higher during warmer summer months, suggesting a possible seasonal trend in transmission. Within the population undergoing antibiotic therapy, only polymyxin B demonstrated an alarmingly high level of resistance, whereas other clinically employed antibiotics were invalid. In summary, the statistical data from these years emphasizes that gender and age are main drivers of A. baumannii outbreaks in Guizhou, and follow-up public health interventions need to target these factors to enhance infection control and reduce the spread. Also, the observation of high levels of resistance to multiple antibiotics is a matter of concern, as it presents significant challenges in terms of treatment.

Keywords: Acinetobacter baumannii, Epidemiological characteristics, Guizhou Province, Correlation, multi-drug resistance

Received: 13 Mar 2025; Accepted: 23 Jun 2025.

Copyright: © 2025 Liang, Tian, Huang, Dou, Yang and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: ZUyi Chen, Affiliated Hospital of Zunyi Medical University, Zunyi, China

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