An opportunistic bacterium called Acinetobacter baumannii has significantly increased the frequency of infections in recent years. With only a limited number of “traditional” virulence factors, It is infections have spread rapidly through hospitals across the globe. The present study aimed to work out the relationship between the multi-drug resistance (MDR) of A. Baumannii and biofilm formation. A total of 150 samples were collected from various clinical sources from different age groups and gender patients in Ghazi AL Hariri Hospital and Baghdad Teaching laboratories in Medical City in Baghdad, Iraq from December 2021 to March 2022. Microscopical inspection and cultural features on various culture media, including culturing on selective medium CHROMagar, were used to identify bacterial isolates. The characteristics of the isolates were then established by some biochemical tests. Identification was confirmed using the Vitek-2 system with an accuracy of 99%, which revealed that only (50) isolates were given identical morphological characteristics and biochemical tests belonging to Acinetobacter baumannii isolates. 28 (56%) isolates were collected from burns. 10 isolates (20%) and 9 isolates (18% were collected from wound and sputum cultures of A. baumannii , respectively, while only 3 isolates (6%) were from urine culture. The susceptibility test for all the fifty clinical isolates of A. baumannii was performed against 10 different antibiotics. The results showed that A. baumannii isolates were Multidrug-resistant (MDR) (98%), while the other (2%) of the isolates were extensively drug-resistance (XDR) to themajority of antibiotics tested. All 50 isolates in the present study were subjected to the micro-titer plate (MTP) assay method (96 walls). The results indicated that strong biofilm was detected in 40 (80.0%) of the tested isolates. Thirty bacterial isolates were were found to be MDR and had strong biofilm production.
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