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Antimicrobial resistance and clonality in Acinetobacter baumannii Nemec, A.

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Antimicrobial resistance and clonality in Acinetobacter baumannii

Nemec, A.

Citation

Nemec, A. (2009, September 23). Antimicrobial resistance and clonality in Acinetobacter baumannii. Retrieved from

https://hdl.handle.net/1887/14012

Version: Corrected Publisher’s Version License:

Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/14012

Note: To cite this publication please use the final published version

(if applicable).

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STELLINGEN

1. Increased expression of the AdeABC efflux system is an important first step in the evolution of Acinetobacter baumannii to become multidrug resistant. (This thesis) 2. Both activation of intrinsic mechanisms and horizontal acquisition of resistance

genes play a role in the evolution of antibiotic resistance of A. baumannii. (This thesis)

3. The occurrence of European clones I and II of A. baumannii in Europe at least since the late 1970s emphasizes the stability of these clonal complexes. (This thesis) 4. Many studies describing new resistance mechanisms in A. baumannii used unreli-

able methods for species identification. Consequently, such mechanisms may be incorrectly associated with this species. (This thesis)

5. Resistance islands integrate acquired resistance genes and, therefore, are responsi- ble for a striking variation in resistance genotypes in both clonally and epide- miologically closely related isolates. (This thesis; Adams et al., J Bacteriol 2008, 190: 8053-8064)

6. The finding that multidrug resistance is linked to a limited range of genetically related A. baumannii strains is significant in the light of the progressive increase in resistance in Acinetobacter strains during the last decades. (Nemec et al., J Med Microbiol 1999, 48: 287-296)

7. We are closer to the much-threatened ‘end of antibiotics’ for A. baumannii more than for any other common pathogen. (Livermore & Woodford, Trends Microbiol 2006, 14: 413-420)

8. ISAba1 is believed to serve as a ‘moving switch’ to turn on those genes in A.

baumannii with which it is juxtaposed. (Livermore & Woodford, Trends Microbiol 2006, 14: 413-420)

9. The acceptance of a method-free species concept would free microbiologists to choose from a range of techniques those that are most suitable for the target organism, as the concept specifies neither a specific methodology nor a specific cut- off, but rather invokes a general evolutionary criterion for speciation. (Achtman &

Wagner, Nat Rev Microbiol 2008, 6: 431-440)

10. Two descriptions are better than one. (Gregory Bateson, Mind and Nature: A Necessary Unity)

11. Thought is creating divisions out of itself and then saying that they are there naturally. (David Bohm, Thought as a System)

12. Science cannot solve the ultimate mystery of nature. And that is because, in the last analysis, we ourselves are a part of the mystery that we are trying to solve. (Max Planck)

23 September 2009 Alexandr Nemec

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License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden Downloaded.

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden Downloaded from: https://hdl.handle.net/1887/14012.

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