First report of NDM-1-producing Acinetobacter baumannii in East Africa

Two distinct clones of CRAB - ECII and non-ECII epidemic clones - were disseminated in Kenya. The concomitance of ISAba1-blaOXA-23 was the major mechanism contributing to CRAB. The first identification of ECII CRAB and New Delhi metallo-β-lactamase 1 (NDM-1) extensively drug-resistant A. baumannii in East Africa is of concern.