Introduction: Multidrug-resistance in Acinetobacter baumannii  has emerged as a serious problem to public health. There is still a significant gap in the understanding of the multidrug-resistance and the genome diversity evolutionary process of A. baumannii  in China, especially in the central and western regions.
Methods: Ten A. baumannii  strains were collected from three hospitals in Chongqing, China. Whole-genome re-sequencing was used to obtain differences in genomic levels among strains. The diversity were determined by multi-locus sequence typing method, and investigate the genetic relationship between the ten strains and others by phylogenetic analysis. Comparative analysis focused on resistance genes related to insertions and deletions (InDels) and single-nucleotide polymorphisms (SNPs) was performed.
Results: The overall G+C% content was 39.05%∼39.43%, the average sequencing depth was 273.95∼428.99, and the alignment ratio of the sequencing data was 92.93%∼99.27%. A total of 42 InDels and 11,387 SNPs were detected in the coding sequence region of the isolates. Phylogenetic tree shows that the 10 A. baumannii  isolates were divided into four relative groups, and there exist the possibility of cross-regional spread pattern. A total number of 19 drug resistance genes had been found in each strain, and efflux pump-related genes accounted for the most. Only AacA4 underwent a change in InDel. Six types of drug resistance genes were found in the SNPs resistance gene-related loci, among which gene ANT(3’’)-II and QacE mutations were found in each strain.
Conclusion: In this study, the main mechanism of A. baumannii  multi-drug resistance is due to the multi-drug efflux pump related genes. The point mutations at the SNPs sites of the six types of resistance genes are the main differences in A. baumannii  between Chongqing and the eastern coastal areas of China.
Keywords: Acinetobacter baumannii , antimicrobial resistance, genome-wide re-sequencing, MLST, phylogenetic analysis, SNP