Acinetobacter baumannii an important nosocomial pathogen, causes severe inf
ections in patients of intensive care units, but its pathogenic attributes
are unknown. Previously, the adherence of A. baumannii to cell lines has be
en negative in the authors' laboratory. In this work, the adherence of stra
ins of A. baumannii of various biotypes to small pieces of rat bladder tiss
ue was investigated. Tissue pieces were submerged into cultures of A. bauma
nnii and sessile cells were counted after removing planktonic bacteria. Fim
briae and sessile cells were examined by transmission and scanning electron
microscopy, respectively. in contrast to a uropathogenic strain of Escheri
chia coli, all cultures exhibited a mannose- and galactose-resistant agglut
ination of human group O red blood cells as well as mannose- and galactose-
resistant adherence to the bladder tissue. Inhibition of exopolysaccharide
synthesis did not modify adherence. Indeed, adherence, apparently unrelated
to these fimbriae or to the exopolysaccharide, may be a factor contributin
g to the pathogenicity of A. baumannii in the urinary tract or in other tis
sues.