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Table 4 Potential transmission events within the Acinetobacter baumannii pulsotype 27 outbreak in Birmingham, England, 2011 to 2013, reconstructed using a parsimonious analysis of ward/theatre occupancy and SNV genotype

From: Genomic epidemiology of a protracted hospital outbreak caused by multidrug-resistant Acinetobacter baumanniiin Birmingham, England

Patient no.

Predicted donor(s) of infection

SNVs compared to predicted donor(s)

Days between donor and recipient(s)

1

Index case: a military patient repatriated from Afghanistan

2

1

0

0

4

1

3

0

6

1

1

0

7

1

1

0

8

6

0

0

9

Unknown

10

9

2

0

11

6 or 8

0,0

0

12

6 or 8 or 11

0,0,0

0

13

1

0

<14

14

6 or 8 or 11 or 12

1,1,1,1

0

15

Not included in transmission analysis: strain lost on subculture

16

13

0

0

17

11 or 12

0,0

0

18

11 or 17

1,1

0

19

18 or 11 or 17

0,1,1

0

20

11

2

<21

21

20

0

0

22

Unknown

23

11

2

<35

24

20

0

0

25

22 or 24

2,1(loss of plasmid)

 

26

20 or 24

0,0

0

27

26

0

0

28

Not included in transmission analysis: mixed culture

29

20 or 24

1,1(loss of plasmid)

0

30

27

0

0

31

27 or 30

0,0

0

32

30 or 31

1,1(loss of plasmid)

0

34

31

0

<14

38

Not included in transmission analysis: not genome-sequenced

39

34

2

Theatre (same day)

40

34

1

Theatre (same day)

43

34

1

<7

44

43

0

<21

49

44

0

0

50

Unknown

51

Unknown

52

Outbreak restarts after patient 52 nursed on bed previously used by patient 50

53

Unknown

54

Unknown

55

54

0

Theatre (1 day gap)

57

50

0

<21

58

57

1

0

59

57

2

0

60

54

1 (loss of plasmid)

<14

61

57

2

Theatre (4 day gap)

62

57

2

0

63

62

1

0

64

57

0

<14

65

64

0

0