scholarly journals Efficiency of combined action of antimicrobial preparations against poly-resistant strains of conditionally-pathogenic bacteria isolated from wounds of surgery patients

2020 ◽  
Vol 11 (3) ◽  
Author(s):  
T. V. Sklyar ◽  
K. V. Lavrentievа ◽  
O. M. Rudas ◽  
О. V. Bilotserkivska ◽  
N. V. Kurahina ◽  
...  

The strategy of use of combination therapy of antibacterial preparations is being broadly introduced to clinical practice to fight bacterial infections caused by poly-resistant strains of microorganisms. From the wounds of surgery patients, we isolated 67 clinical strains of conditionally-pathogenic bacteria identified as Staphylococcus aureus, S. epidermidis, Escherichia coli, Klebsiella pneumoniaе, Proteus vulgaris, Proteus mirabilis, Pseudomonas aeruginosa. Using disk diffusion method, the isolated bacterial strains were found to be most resistant to penicillin preparations: ampicillin, oxacillin, amoxicillin/clavulanat; tetracycline and cephalosporin of the II generation – cefoxitin. The percentage of strains insusceptible to these antibacterial preparations accounted for 65.0%. The division of antibiotic-resistant cultures regarding phenotype groups according to the level of their antibiotic resistance allowed determination of 4 PDR-, 8 XDR- and 14 MDR-strains. During the studies on experimental determining of MIC of antibiotic and antiseptics in the condition of applying them as monopreparations against isolated bacterial cultures, we saw significant exceess in the threshold values of MIC, and, first of all, regarding pandrug-resistant and extensive drug-resistant clinical microbial isolates. Use of combinations of antibacterial preparations was found to show the synergic effect of antibiotics (ceftriaxone, ofloxacin, gentamicin) and antiseptics (chlorhexidine, decasan), which is expressed in simultaneous decrease in MIC of each of the tested preparations by 2–8 times compared with their isolative application. Such combinatory approach regarding simultaneous application of antibacterial preparations may be considered as one of the most promising ways to combat poly-resistant clinical isolates of conditionally-pathogenic microorganisms and to offer a new strategic approach to prevention of spread of antibiotic resistance as a phenomenon in medical practice.

2021 ◽  
Vol 8 (1) ◽  
pp. 1-4
Author(s):  
Fatemeh Shafiei Seifabadi ◽  
Majid Baserisalehi

Background: Microorganisms have potent activity for transferring antibiotic-resistant genes with either chromosomally- or plasmid-mediated characteristics. The purpose of this study was to isolate Lactobacillus from different commercial products and evaluate their potential in antibiotic-resistant development. Chromosomally-or plasmid-mediated resistant genes were investigated as well. Methods: In total, Lactobacillus strains were isolated from 20 commercial dairy product samples such as cheese and yoghurt. The isolates were phenotypic and molecularly identified and their antibiotic-resistant properties were assessed by the disk-diffusion method. Finally, the plasmid-mediated antibiotic resistant characters of the isolates were evaluated by plasmid curing via evaluated temperatures and acridine orange methods. Results: Five strains Lactobacillus paracasei, L. rhamnosus, L. casei, L. plantarum, and L. fermentum were isolated different products. The results of the antibiotic susceptibility assay indicated that all strains were susceptible to amoxicillin and imipenem and resistant to ciprofloxacin and vancomycin. Furthermore, different responses were observed among the isolates against streptomycin and gentamicin. The evaluation of plasmid-mediated antibiotic resistance in the isolates revealed that streptomycin and gentamicin-resistant characters were of plasmid-mediated type in L. rhamnosus and L. plantarum strains. Conclusions: In general, our finding demonstrated that some commercial Lactobacillus strains harboured antibiotic-resistant genes. These genes can be located either in chromosome or plasmid group. Hence, the frequency of antibiotic-resistant pathogenic bacteria might be increased after consuming some dairy products because of the horizontal transfer of antibiotic-resistance genes among the bacteria.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Noha Ahmed Abd Alfadil ◽  
Malik Suliman Mohamed ◽  
Manal M. Ali ◽  
El Amin Ibrahim El Nima

Background. Banknotes are one of the most exchangeable items in communities and always subject to contamination by pathogenic bacteria and hence could serve as vehicle for transmission of infectious diseases. This study was conducted to assess the prevalence of contamination by pathogenic bacteria in Sudanese banknotes, determine the susceptibility of the isolated organisms towards commonly used antibiotics, and detect some antibiotic resistance genes.Methods. This study was carried out using 135 samples of Sudanese banknotes of five different denominations (2, 5, 10, 20, and 50 Sudanese pounds), which were collected randomly from hospitals, food sellers, and transporters in all three districts of Khartoum, Bahri, and Omdurman. Bacterial prevalence was determined using culture-based techniques, and their sensitivity patterns were determined using the Kirby–Bauer disk diffusion method. Genotypic identification was carried out using PCR and 16S rDNA sequencing. Antibiotic resistance genes of some isolates were detected using PCR technique.Results. All Sudanese banknotes were found to be contaminated with pathogenic bacteria.Klebsiella pneumoniaewas found to be the most frequent isolate (23%), whereasBacillus mycoides(15%) was the most abundant Gram-positive isolate. There was a significant relationship between the number of isolates and the banknote denomination withpvalue <0.05 (the lower denomination showed higher contamination level). Our study has isolated bacteria that are resistant to penicillins and cephalosporins. Multidrug-resistant strains harboring resistant genes (mecA,blaCTX-M, andblaTEM) were also detected.Conclusion. All studied Sudanese banknotes were contaminated with pathogenic bacteria, including multidrug-resistant strains, and may play a significant role in the transmission of bacterial infections.


2020 ◽  
Vol 10 (1) ◽  
pp. 1-4
Author(s):  
Omor Ahmed Chowdhury ◽  
Md Raihan Ahmed ◽  
Md Raihan Dipu ◽  
Md Aftab Uddin

The use of earphones has increased in recent times throughout the world especially among the different level of students such as school, college or university who have a higher tendency of sharing these among them. Unlike airline headsets, headphones and stethoscope ear-pieces, ear phones are often shared by multiple users and can be a potential medium for transmission of pathogens, which can give rise to various ear related infections. The objective of this study was to detect the pathogenic bacteria from the ear-phones used by the students of Stamford University Bangladesh. A total of 16 ear-phone swabs were collected by sterile cotton swabs. The swabs were inoculated onto blood agar and incubated aerobically overnight at 37oC. Microscopic observation and standard biochemical tests were performed to confirm the identification of all the bacterial isolates. Six presumptively identified Staphylococcus spp. (38%) were tested against six different types of antibiotics following Kirby-Bauer disk diffusion method. Isolates were found to be 84% resistant against Cotrimoxazole and demonstrated 100% sensitivity to Vancomycin and Ciprorofloxacin. The findings of this study suggest the users to disinfect their respective ear phones and not to exchange them as they may act as a potential source to transfer pathogenic and antibiotic resistant bacteria among the ear phone users. Stamford Journal of Microbiology, Vol.10 (1) 2020: 1-4


2019 ◽  
Vol 20 (6) ◽  
pp. 1255 ◽  
Author(s):  
Ana Monserrat-Martinez ◽  
Yann Gambin ◽  
Emma Sierecki

Since their discovery in the early 20th century, antibiotics have been used as the primary weapon against bacterial infections. Due to their prophylactic effect, they are also used as part of the cocktail of drugs given to treat complex diseases such as cancer or during surgery, in order to prevent infection. This has resulted in a decrease of mortality from infectious diseases and an increase in life expectancy in the last 100 years. However, as a consequence of administering antibiotics broadly to the population and sometimes misusing them, antibiotic-resistant bacteria have appeared. The emergence of resistant strains is a global health threat to humanity. Highly-resistant bacteria like Staphylococcus aureus (methicillin-resistant) or Enterococcus faecium (vancomycin-resistant) have led to complications in intensive care units, increasing medical costs and putting patient lives at risk. The appearance of these resistant strains together with the difficulty in finding new antimicrobials has alarmed the scientific community. Most of the strategies currently employed to develop new antibiotics point towards novel approaches for drug design based on prodrugs or rational design of new molecules. However, targeting crucial bacterial processes by these means will keep creating evolutionary pressure towards drug resistance. In this review, we discuss antibiotic resistance and new options for antibiotic discovery, focusing in particular on new alternatives aiming to disarm the bacteria or empower the host to avoid disease onset.


2019 ◽  
Vol 82 (11) ◽  
pp. 1857-1863 ◽  
Author(s):  
ZAHRA S. AL-KHAROUSI ◽  
NEJIB GUIZANI ◽  
ABDULLAH M. AL-SADI ◽  
ISMAIL M. AL-BULUSHI

ABSTRACT Enterobacteria may gain antibiotic resistance and be potent pathogens wherever they are present, including in fresh fruits and vegetables. This study tested the antibiotic resistance of enterobacteria isolated from 13 types of local and imported fresh fruits and vegetables (n = 105), using the standard Kirby-Bauer disk diffusion method. Phenotypic and genotypic characterizations of AmpC β-lactamases were determined in cefoxitin-resistant isolates. Ten percent of the enterobacteria tested (n = 88) were pansusceptible, 74% were resistant to at least one antibiotic, and 16% were multidrug resistant. Enterobacteria isolates showed the highest antibiotic resistance against ampicillin (66%), cephalothin (57%), amoxicillin–clavulanic acid (33%), cefoxitin (31%), tetracycline (9%), nalidixic acid (7%), trimethoprim (6%), and kanamycin (5%). Three isolates showed intermediate resistance to the clinically important antibiotic imipenem. Escherichia coli isolated from lettuce exhibited multidrug resistance against five antibiotics. Fifteen isolates were confirmed to have AmpC β-lactamase, using the inhibitor-based test and the antagonism test; the latter test confirmed that the enzyme was an inducible type. Four types of ampC β-lactamase genes (CIT, EBC, FOX, and MOX) were detected in eight isolates: four Enterobacter cloacae isolates and one isolate each of Citrobacter freundii, Enterobacter asburiae, Enterobacter hormaechei, and Enterobacter ludwigii. It was concluded that fresh fruits and vegetables might play a role as a source or vehicle for transferring antibiotic-resistant bacteria that might spread to other countries through exportation. The clinically significant AmpC β-lactamase was rarely documented in the literature on bacteria isolated from fruits and vegetables, and to our knowledge, this is the first report on the detection of an inducible type in such commodities.


2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Feleke Moges ◽  
Setegn Eshetie ◽  
Mengistu Endris ◽  
Kahsay Huruy ◽  
Dagnachew Muluye ◽  
...  

Background. Cockroaches are source of bacterial infections and this study was aimed to assess bacterial isolates and their antimicrobial profiles from cockroaches in Gondar town, Ethiopia.Methods. A total of 60 cockroaches were collected from March 1 to May 30, 2014, in Gondar town. Bacterial species were isolated from external and internal parts of cockroaches. Disk diffusion method was used to determine antibiotic susceptibility patterns. Data were entered and analyzed by using SPSS version 20;Pvalues <0.005 were considered as statistically significant.Results. Of 181 identified bacteria species, 110 (60.8%) and 71 (39.2%) were identified from external and internal parts of cockroaches, respectively.Klebsiella pneumoniae32 (17.7%),Escherichia coli29 (16%), andCitrobacterspp. 27 (15%) were the predominant isolates. High resistance rate was observed to cotrimoxazole, 60 (33.1%), and least resistance rate was noted to ciprofloxacin, 2 (1.1%). Additionally, 116 (64.1%) of the isolates were MDR strains;Salmonellaspp. were the leading MDR isolates (100%) followed byEnterobacter(90.5%) andShigellaspp. (76.9%).Conclusion. Cockroaches are the potential source of bacteria pathogens with multidrug resistant strains and hence effective preventive and control measures are required to minimize cockroach related infections.


Author(s):  
SHIBU GEORGE ◽  
MEVLIN JOY

Objective: The objective of this study was to evaluate the antimicrobial activity of methanolic extract of Ludwigia parviflora L. using standard bacterial strains and compare its activity with that of standard antibiotics. Methods: The antibacterial activity and antibiotic susceptibility tests were done by disk diffusion method using MTCC bacterial strains. Results: The study revealed that the methanolic extract of the whole plant of L. parviflora L. was effective to inhibit the growth of Staphylococcus aureus, Pseudomonas aeruginosa, Klebsiella pneumoniae, and Escherichia coli. Among the tested strains, S. aureus, P. aeruginosa, K. pneumoniae, and E. coli were more susceptible to the methanolic extract of L. parviflora than the commonly using antibiotic tetracycline 30 mcg. The activity of methanolic extract was also higher than the activity of gentamicin 10 mcg against the P. aeruginosa. Conclusion: The study concluded that the crude methanolic extract of the whole plant of L. parviflora L. is a good source for antibacterial agent against S. aureus, P. aeruginosa, K. pneumoniae, and E. coli. Hence, this plant can be used as a natural alternative to the common antibiotics such as gentamicin and tetracycline against common bacterial infections after validating its pharmacological and toxicological activities.


2020 ◽  
Vol 19 (2) ◽  
pp. 269-276
Author(s):  
Kulchai Nakbubpa ◽  
◽  
Kunyavee phattanakitjumroon ◽  
Thitichaya Chukiatsiri ◽  
Krittamet Rommaneeyachitto ◽  
...  

Klebsiella pneumoniae is commonly found in environments, causing secondary infections in both human and animals, as well as antibiotic resistance problem. The objective of this study was to determine the prevalence of K. pneumoniae contaminated in the environments of surgical practice and laboratory dog husbandry rooms at Animal hospital, Rajamangala University of Technology Tawan-ok during 2019 - 2020. Two-hundred-swabbed samples were collected from these nearby environments and laboratory dogs themselves. Then, all samples were tested for K. pneumoniae and antibiotic susceptibility using disk diffusion method. From the results, the total prevalence was 3.5% and the high frequencies were found in three categories: laboratory dogs (35.7%), veterinarian belongings (3.3%) and building structure (2.5%). The antibiotic resistance was also detected including Cephalexin, Ceftazidime and Penicillin G (100%), Gentamicin and Colistin (85.71%), Amikacin (42.86%), and Ciprofloxacin (14.29%). Owning to the fact that laboratory dogs exposed to an external environment leading to bacterial contamination into themself and the husbandry room. Therefore, the hygiene of laboratory dogs and area in husbandry room should be primarily considered. Our study would be the preliminary baseline for the study of antibiotic resistant K. pneumoniae contamination in dogs, human, and their environments.


2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Siti Shahara Zulfakar ◽  
Noraziah Mohamad Zin ◽  
Siti Nur Shafika Mat Zalami ◽  
Nur Syakirah Mohd Nawawee

The risk of foodborne diseases as well as the dissemination of antibiotic resistant bacteria increases with the consumption of street-vended food and beverages. This study investigated the prevalence of Salmonella spp. and Citrobacter spp. in street-vended beverages sold in Chow Kit, Kuala Lumpur, Malaysia. The Kirby-Bauer disk diffusion method was used to identify the antibiotic resistance profile of Salmonella spp. and Citrobacter spp. isolates towards 11 selected antibiotics. Six beverage samples were found positive for presumptive Salmonella spp. and Citrobacter spp. Upon confirmation via Microgen kit and PCR biochemical testing methods, only one isolate was confirmed to be Salmonella enterica serovar Derby while the other isolates were identified as Citrobacter spp. (n= 12; 2 isolates from each positive beverage sample). The antibiogram test showed that 58.3%, 16.7%, and 8.3% of the strains tested were resistance to tetracycline, cephalexin, and ampicillin respectively, while all isolates were fully resistant toward penicillin and erythromycin. The isolate with the highest MAR index (0.45) was S231, with resistance to five of the tested antibiotics (penicillin, erythromycin, tetracycline, cephalexin, and ampicillin). Seven isolates had a MAR index of 0.27 and were resistant to three antibiotics, while the remaining four isolates had the lowest MAR index (0.18) and were resistant to only two antibiotics. This study shows that street-vended beverages have a high risk of spreading antibiotic-resistant bacteria to the public and that Citrobacter spp. should be considered as emerging multidrug-resistant bacteria in the food production system.


Author(s):  
Kathryn Kelly ◽  
Hannah McColl ◽  
Leandra Hess ◽  
Robert Charvat

The normal intestinal microflora plays pivotal roles in aiding with digestion, stimulating the immune system, and providing protection from enteric pathogens. Despite the importance of these organisms, they are often an innocent bystander, caught in the crossfire during antibiotic treatments intended to target and eliminate invading infectious agents. The collateral damage of antibiotic therapy is a reduction in the population of beneficial bacteria as well as an increased risk for more severe infections, including Clostridium difficile. Additionally, the unpleasant condition termed antibiotic-associated diarrhea is an unfortunate consequence of such treatments. In an attempt to alleviate the intestinal distress, individuals are turning to probiotic supplements, which consist of non-pathogenic bacteria purported to provide various health benefits, such as digestive regularity, prevention of disease, and replenishment of the natural microbiota of the human intestinal tract. However, if the bacterial strains present in the physician-recommended probiotic supplements are overly sensitive to antibiotics, then they would fail to reestablish the intestinal microflora during the course of treatment. The purpose of this project was to test the hypothesis that bacterial strains contained within probiotics are resistant to a variety of common antibiotics. Antibiotic susceptibility was assessed for several over-the-counter probiotic supplements via the Kirby-Bauer Disk Diffusion method on medium specific for lactobacilli propagation. After measuring the zones of inhibition, the probiotics were surprisingly sensitive to two-thirds of the antibiotics tested, with the observed growth inhibition greatly exceeding predetermined standards for susceptibility. These results suggest that concomitantly taking probiotic supplements during a course of antibiotics is likely futile for replenishing the intestinal microbiota. We intend to expand the study to include additional antibiotics and supplements of varying formulations in an attempt to gain insight into which strains may exhibit the least sensitivity and be the most effective for recolonization of the gastrointestinal tract.


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