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Comparative Genomics and In Silico Evaluation of Genes Related to the Probiotic Potential of Bifidobacterium breve 1101A 短双歧杆菌1101A益生菌潜能相关基因的比较基因组学和计算机评价
Pub Date : 2022-07-13 DOI: 10.3390/bacteria1030013
Juan Valdez-Baez, Francielly Morais Rodrigues da Costa, Anne Cybelle Pinto Gomide, Rodrigo Profeta, A. L. da Silva, T. Sousa, M. Viana, Rodrigo Bentes Kato, M. Americo, Andria dos Santos Freitas, R. Carvalho, B. Brenig, F. S. Martins, F. Aburjaile, V. Azevedo
Bifidobacterium breve is among the first microorganisms colonizing the intestinal tract in humans and is a predominant species in the gut microbiota of newborns and children. This bacterium is widely used in the probiotic industry due to its capacity to improve host health. The search for new targets with probiotic properties is an increasing trend with the help of next-generation sequencing as they facilitate the characterization of the bacterial features. B. breve 1101A was isolated from the faeces of healthy children in Brazil and therefore could play a protective role in the gut. To investigate the beneficial properties of this strain, the present study performed a comprehensive characterization of the genetic features involved in the bacterium resistance and adaptation to gastrointestinal conditions, production of nutrients, and immunomodulatory compounds. Furthermore, this study carried out the prediction of genomic elements (plasmids, prophages, CRISPR-Cas systems, insertion sequences, genomic islands, antibiotic resistance genes) to evaluate the safety of B. breve 1101A. A comparative genomics approach using 45 B. breve complete genomes based on pangenome and phylogenomic analysis was also performed to identify specific genes in B. breve 1101A. The prediction of genetic elements, possibly safety-related, did not detect plasmids, but only one incomplete prophage, two non-functional CRISPR systems, and seven genomic islands. Additionally, three antibiotic resistance genes were identified: ileS (resistance to mupirocin), rpoB, and erm(X). In the comparative genomic analysis, the pangenome was revealed to be open, and B. breve 1101A presented 63 unique genes associated with several processes, such as transmembrane transport, membrane components, DNA processes, and carbohydrate metabolism. In conclusion, B. breve 1101A is potentially safe and well-adapted for intestinal disorder therapeutics, although the role of its unique genetic repertoire needs further investigation.
短双歧杆菌是最早在人类肠道中定植的微生物之一,也是新生儿和儿童肠道微生物群中的优势物种。这种细菌因其改善宿主健康的能力而广泛应用于益生菌行业。在下一代测序的帮助下,寻找具有益生菌特性的新靶点是一个日益增长的趋势,因为它们有助于细菌特征的表征。短弧菌1101A是从巴西健康儿童的粪便中分离出来的,因此可以在肠道中发挥保护作用。为了研究该菌株的有益特性,本研究对涉及细菌抗性和胃肠道条件适应,营养物质生产和免疫调节化合物的遗传特征进行了全面表征。此外,本研究还对基因组元件(质粒、噬菌体、CRISPR-Cas系统、插入序列、基因组岛、抗生素耐药基因)进行了预测,以评价短螺旋藻1101A的安全性。采用基于泛基因组和系统基因组分析的比较基因组学方法,对45个短弧菌全基因组进行了分析,以确定短弧菌1101A的特异性基因。遗传因子的预测,可能与安全性有关,没有检测到质粒,但只有一个不完整的前噬菌体,两个无功能的CRISPR系统和七个基因组岛。此外,还鉴定出三种抗生素耐药基因:ileS(对莫匹罗星耐药)、rpoB和erm(X)。在比较基因组分析中,揭示了泛基因组是开放的,短芽孢杆菌1101A具有63个独特的基因,这些基因与跨膜运输、膜组分、DNA过程和碳水化合物代谢等过程相关。总之,短芽孢杆菌1101A可能是安全的,并且很好地适应于肠道疾病的治疗,尽管其独特的遗传库的作用需要进一步研究。
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引用次数: 4
Genomic Characterization of Lactiplantibacillus plantarum Strains Possessing Differential Antiviral Immunomodulatory Activities 具有不同抗病毒免疫调节活性的植物乳杆菌菌株的基因组特征
Pub Date : 2022-07-06 DOI: 10.3390/bacteria1030012
L. Albarracín, Fernanda Raya Tonetti, K. Fukuyama, Y. Suda, B. Zhou, Ayelén A. Baillo, S. Fadda, L. Saavedra, S. Kurata, E. Hebert, H. Kitazawa, J. Villena
Lactiplantibacillus plantarum strains are used in the food industry for their probiotic properties. Some of these bacteria have immunomodulatory effects on the host and are able to improve resistance against different pathogens, including viruses. However, to date, the bacterial genes involved in the immunomodulatory effect are not known. In this work, the complete genomes of L. plantarum MPL16, CRL1506, CRL681 and TL2766 were used to perform comparative genomics with the aim of identifying the genes involved in their differential immunomodulatory effects. L. plantarum WCFS1, a strain with proven probiotic activity, was also used for comparisons. The analysis of the genes involved in the metabolic pathways of the five strains did not reveal differences in the metabolism of amino acids, lipids, nucleotides, cofactors and vitamins, nor in the genes associated with energy metabolism or the biosynthesis of lipoproteins and teichoic acids. However, differences were found between the five strains when considering carbohydrate metabolism pathways, particularly in the presence/absence of glycosylhydrolases and glycosyltransferases. In addition, a great variability was detected in the predicted surface proteins of each L. plantarum strain. These results suggest that the surface molecules expressed in the different strains of L. plantarum could be involved in their differential ability to modulate the innate antiviral immune response.
植物乳杆菌菌株因其益生菌特性而被用于食品工业。其中一些细菌对宿主具有免疫调节作用,能够提高对不同病原体(包括病毒)的抵抗力。然而,迄今为止,参与免疫调节作用的细菌基因尚不清楚。本研究利用L. plantarum MPL16、CRL1506、CRL681和TL2766的全基因组进行比较基因组学研究,旨在鉴定其差异免疫调节作用的相关基因。植物乳杆菌WCFS1是一种已证实具有益生菌活性的菌株,也用于比较。对5株菌株代谢途径相关基因的分析没有发现氨基酸、脂质、核苷酸、辅助因子和维生素代谢的差异,也没有发现与能量代谢或脂蛋白和磷壁酸生物合成相关的基因的差异。然而,考虑到碳水化合物代谢途径,特别是糖基水解酶和糖基转移酶的存在/缺失,五种菌株之间存在差异。此外,各植物乳杆菌菌株的预测表面蛋白存在较大差异。这些结果表明,不同植物乳杆菌菌株中表达的表面分子可能参与了它们调节先天抗病毒免疫反应的不同能力。
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引用次数: 6
Comparative Analysis and Ancestral Sequence Reconstruction of Bacterial Sortase Family Proteins Generates Functional Ancestral Mutants with Different Sequence Specificities 细菌分选酶家族蛋白的比较分析和祖先序列重建产生具有不同序列特异性的功能性祖先突变体
Pub Date : 2022-06-09 DOI: 10.3390/bacteria1020011
J. Valgardson, Sarah A. Struyvenberg, Zachary R. Sailer, I. Piper, Justin E. Svendsen, D. A. Johnson, Brandon A. Vogel, John M. Antos, M. Harms, J. Amacher
Gram-positive bacteria are some of the earliest known life forms, diverging from gram-negative bacteria 2 billion years ago. These organisms utilize sortase enzymes to attach proteins to their peptidoglycan cell wall, a structural feature that distinguishes the two types of bacteria. The transpeptidase activity of sortases make them an important tool in protein engineering applications, e.g., in sortase-mediated ligations or sortagging. However, due to relatively low catalytic efficiency, there are ongoing efforts to create better sortase variants for these uses. Here, we use bioinformatics tools, principal component analysis and ancestral sequence reconstruction, in combination with protein biochemistry, to analyze natural sequence variation in these enzymes. Principal component analysis on the sortase superfamily distinguishes previously described classes and identifies regions of relatively high sequence variation in structurally-conserved loops within each sortase family, including those near the active site. Using ancestral sequence reconstruction, we determined sequences of ancestral Staphylococcus and Streptococcus Class A sortase proteins. Enzyme assays revealed that the ancestral Streptococcus enzyme is relatively active and shares similar sequence variation with other Class A Streptococcus sortases. Taken together, we highlight how natural sequence variation can be utilized to investigate this important protein family, arguing that these and similar techniques may be used to discover or design sortases with increased catalytic efficiency and/or selectivity for sortase-mediated ligation experiments.
革兰氏阳性细菌是已知最早的生命形式之一,与20亿年前的革兰氏阴性细菌不同。这些生物利用分选酶将蛋白质附着在肽聚糖细胞壁上,这是区分这两种细菌的结构特征。排序酶的转肽酶活性使其成为蛋白质工程应用的重要工具,例如排序酶介导的连接或排序标记。然而,由于催化效率相对较低,人们正在努力为这些用途创造更好的分选酶变体。本文利用生物信息学工具、主成分分析和祖先序列重建,结合蛋白质生物化学,分析了这些酶的自然序列变异。对排序酶超家族的主成分分析区分了先前描述的类别,并确定了每个排序酶家族中结构保守环中相对较高的序列变异区域,包括活性位点附近的区域。通过祖先序列重建,我们确定了祖先葡萄球菌和链球菌A类分选酶蛋白的序列。酶分析结果表明,该祖先链球菌酶具有较强的活性,与其他A类链球菌酶具有相似的序列变异。综上所述,我们强调如何利用自然序列变异来研究这一重要的蛋白质家族,认为这些和类似的技术可以用来发现或设计具有更高催化效率和/或选择性的排序酶,用于排序酶介导的连接实验。
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引用次数: 3
Acinetobacter baumannii and Its Relationship to Carbapenem Resistance: A Meta-Analysis 鲍曼不动杆菌及其与碳青霉烯耐药性的关系:一项荟萃分析
Pub Date : 2022-05-19 DOI: 10.3390/bacteria1020010
D. L. Rodrigues, F. M. Costa, W. M. Silva, F. Aburjaile, V. Azevedo
Infections by antibiotic-resistant bacteria are a significant and complex global health issue. In this context, Acinetobacter baumannii is particularly important because of its ability to withstand treatments by β-lactams, such as carbapenem. The objective of this work was to investigate, through systematic analysis and meta-analysis, the chance of resistance to carbapenem in A. baumannii strains. For this, a search was conducted for the PubMed and Cochrane databases based on the keywords: “Acinetobacter baumannii” AND “beta-lactam” OR “penicillin” OR “cephalosporin” OR “cephamycin” OR “carbapenem” OR “monobactam”. The initial search resulted in a total of 90,475 articles. It was filtered based on eligibility criteria, and eight articles were selected for analysis. An odds ratio value equivalent to 3.55 was obtained, indicating a high chance of resistance to the carbapenem of strains of the species. Therefore, it is supposed that A. baumannii infection cases have a high probability of not responding adequately to treatments based on carbapenem.
抗生素耐药细菌感染是一个重大而复杂的全球卫生问题。在这种情况下,鲍曼不动杆菌尤其重要,因为它能够承受β-内酰胺类,如碳青霉烯类的处理。本研究旨在通过系统分析和meta分析,探讨鲍曼不动杆菌对碳青霉烯类耐药的可能性。为此,我们在PubMed和Cochrane数据库中检索关键词:“鲍曼不动杆菌”和“β -内酰胺”或“青霉素”或“头孢菌素”或“头孢霉素”或“碳青霉烯”或“单奥巴坦”。最初的搜索结果是总共90,475篇文章。根据资格标准进行筛选,并选择8篇文章进行分析。比值比为3.55,表明该菌株对碳青霉烯类具有较高的耐药几率。因此,假定鲍曼不动杆菌感染病例对碳青霉烯类药物治疗反应不充分的可能性很大。
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引用次数: 0
Antimicrobial Resistance of Neisseria gonorrhoeae in Sub-Saharan Populations 淋病奈瑟菌在撒哈拉以南人群中的耐药性
Pub Date : 2022-05-03 DOI: 10.3390/bacteria1020009
Sinethemba H. Yakobi, O. Pooe
Neisseria gonorrhoeae has become a significant global public health problem due to growing infection rates and antibiotic resistance development. In 2012, N. gonorrhoeae positive samples isolated from Southeast Asia were reported to be the first strains showing resistance to all first-line antibiotics. To date, N. gonorrhoeae’s antimicrobial resistance has since been identified against a wide range of antimicrobial drugs globally. Hence, the World Health Organization (WHO) listed N. gonorrhoeae’s drug resistance as high-priority, necessitating novel therapy development. The persistence of N. gonorrhoeae infections globally underlines the need to better understand the molecular basis of N. gonorrhoeae infection, growing antibiotic resistance, and treatment difficulties in underdeveloped countries. Historically, Africa has had minimal or rudimentary N. gonorrhoeae monitoring systems, and while antimicrobial-resistant N. gonorrhoeae is known to exist, the degree of resistance is unknown. This review looks at the gender-related symptomatic gonorrhoeae disease and provides an overview of the essential bacterial factors for the different stages of pathogenesis, including transmission, immune evasion, and antibiotic resistance. Finally, we deliberate on how molecular epidemiological studies have informed our current understanding of sexual networks in the Sub-Saharan region.
淋病奈瑟菌已成为一个重大的全球公共卫生问题,由于日益增长的感染率和抗生素耐药性的发展。据报告,2012年从东南亚分离出的淋病奈瑟菌阳性样本是对所有一线抗生素表现出耐药性的首批菌株。迄今为止,已在全球范围内确定了淋病奈瑟菌对多种抗菌药物的耐药性。因此,世界卫生组织(WHO)将淋病奈瑟菌的耐药性列为高度优先事项,需要开发新的治疗方法。全球淋病奈瑟菌感染的持续存在,突出表明需要更好地了解淋病奈瑟菌感染的分子基础、不断增长的抗生素耐药性以及不发达国家的治疗困难。从历史上看,非洲只有极少或基本的淋病奈瑟菌监测系统,虽然已知存在耐抗生素的淋病奈瑟菌,但其耐药程度尚不清楚。本文综述了与性别有关的症状性淋病,并概述了不同发病阶段的必要细菌因素,包括传播、免疫逃避和抗生素耐药性。最后,我们讨论了分子流行病学研究如何告知我们目前对撒哈拉以南地区性网络的理解。
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引用次数: 7
Environmental and Anthropogenic Influence on the Core Beneficial Honeybee Gut Microbiota—A Short Communication from Bulgaria 环境和人为对核心有益蜜蜂肠道微生物群的影响——来自保加利亚的简短交流
Pub Date : 2022-04-04 DOI: 10.3390/bacteria1020008
S. Dimov
Bees’ and beehives’ health are strongly influenced by the honeybees’ gut microbiota which in turn is strongly dependent on many different factors, including environmental factors as well as anthropogenic pressure. In this study, in four locations in Bulgaria differing strongly in environmental conditions and anthropogenic pressure, an assessment was made using several obligatory core symbiont species and genera for reference, such as Lactobacillus sp., Bifidobacterium sp., Snodgrassiella alvi, Gilliamella apicola, Frishella perrara, and Commensalibacter sp., as well as an observation of the overall number of species. A snapshot of the relative abundances of the total number of species and the core species was made using a next-generation sequencing (NGS)-based metagenomic approach using the Illumina 2 × 250 bp paired-end platform. It was found that the two forms of anthropogenic pressure, the agricultural and the urban/industrial, have distinct effects, affecting different core genera and species. It was also demonstrated that both types of anthropogenic pressure cause a reduction in the overall number of bacterial species.
蜜蜂和蜂巢的健康受到蜜蜂肠道微生物群的强烈影响,而肠道微生物群又强烈依赖于许多不同的因素,包括环境因素和人为压力。在这项研究中,在保加利亚的四个地点,在环境条件和人为压力强烈不同的情况下,使用几个必要的核心共生体物种和属进行了评估,以供参考,如乳酸杆菌,双歧杆菌,alsnodgrassella, Gilliamella apicola, Frishella perrara和Commensalibacter sp.,以及对物种总数的观察。采用基于下一代测序(NGS)的宏基因组方法,利用Illumina 2 × 250 bp对端平台,对总种数和核心种数的相对丰度进行了快照。研究发现,农业和城市/工业两种人为压力形式对不同核心属和种的影响不同。研究还表明,这两种人为压力都会导致细菌种类总数的减少。
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引用次数: 1
Enterococcus faecium Isolates Present in Human Breast Milk Might Be Carriers of Multi-Antibiotic Resistance Genes 人类母乳中存在的粪肠球菌分离株可能是多种抗生素耐药基因的携带者
Pub Date : 2022-03-25 DOI: 10.3390/bacteria1020007
Ł. Wajda, A. Ostrowski, Ewelina Błasiak, Patrycja Godowska
Using Enterococcus faecium strains as probiotics raises several controversies related to their antibiotic resistance (AR). In the current study, we examined isolates of E. faecium obtained from human breast milk. Catalase-negative and γ-haemolytic isolates were identified by analyzing the sequences of 16S rRNA gene and their phenotypic resistance to antibiotics was investigated. We examined the expression of genes that were found on plasmids. The majority of isolates tested were resistant to erythromycin (96%), followed by trimethoprim (67%), tetracycline (57%), and gentamicin (55%). Ninety-seven percent of E. faecium isolates were resistant to at least two antibiotics. We detected the presence of the following genes on plasmids: ErmB (erythromycin), dfrA17 (trimethoprim), tetO, tetK (tetracycline), Aph(3′)-IIIa (neomycin), and marA (rifampicin). TetO was not expressed in all cases, dfrA14 was not expressed in CDCP1449, while tetK was only expressed in CDCP1128 and CDCP1331 isolates. In the majority of isolates, AR genes were located on chromosomes since they were not detected on plasmids. Our study shows that due to the spread of AR, human milk could be one of the first sources of the bacteria resistant to antimicrobials to infants.
使用粪肠球菌作为益生菌引起了一些与抗生素耐药性(AR)相关的争议。在目前的研究中,我们检测了从人母乳中分离的粪肠杆菌。通过对16S rRNA基因序列的分析,鉴定出过氧化氢酶阴性和γ-溶血菌株,并对其进行表型耐药研究。我们检查了在质粒上发现的基因的表达。大多数分离株对红霉素耐药(96%),其次是甲氧苄啶(67%)、四环素(57%)和庆大霉素(55%)。97%的粪肠杆菌分离株对至少两种抗生素具有耐药性。我们在质粒上检测到以下基因的存在:ErmB(红霉素)、dfrA17(甲氧苄啶)、tetO、tetK(四环素)、Aph(3′)-IIIa(新霉素)和marA(利福平)。TetO在所有病例中均未表达,dfrA14在CDCP1449中未表达,而tetK仅在CDCP1128和CDCP1331中表达。在大多数分离株中,AR基因位于染色体上,因为它们未在质粒上检测到。我们的研究表明,由于AR的传播,母乳可能是婴儿抗微生物药物耐药细菌的主要来源之一。
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引用次数: 4
Chromatic Bacteria v.2-A Himar1 Transposon-Based Delivery Vector to Extend the Host Range of a Toolbox to Fluorescently Tag Bacteria 着色细菌v.2-A基于Himar1转座子的传递载体扩展荧光标记细菌工具箱的宿主范围
Pub Date : 2022-02-15 DOI: 10.3390/bacteria1010006
Christian Stocks, R. Schlechter, Mitja N. P. Remus-Emsermann
A recent publication described the construction and utility of a comprehensive “Chromatic Bacteria” toolbox containing a set of genetic tools that allows for fluorescently tagging a variety of Proteobacteria. In an effort to expand the range of bacteria taggable with the Chromatic Bacteria toolbox, a series of Himar1 transposon vectors was constructed to mediate insertion of fluorescent protein and antibiotic resistant genes. The Himar1 transposon was chosen as it is known to function in a wide range of bacterial species. To test the suitability of the new Himar1 Chromatic Bacteria plasmid derivatives, conjugations were attempted on recently isolated non-model organisms. Although we were unsuccessful in delivering the plasmids into Gram-positive bacterial isolates, we successfully modified previously recalcitrant isolates to the first set of the Chromatic Bacteria toolbox, such as Sphingomonas sp. Leaf357 and Acidovorax sp. Leaf84. This manuscript reports on the currently available plasmids and transposition success in different bacteria.
最近的一份出版物描述了一个全面的“着色细菌”工具箱的构建和实用性,该工具箱包含一套遗传工具,可以对各种变形菌进行荧光标记。为了扩大染色细菌工具箱可标记细菌的范围,构建了一系列Himar1转座子载体,介导荧光蛋白和抗生素耐药基因的插入。之所以选择Himar1转座子,是因为已知它在广泛的细菌物种中起作用。为了测试新的Himar1染色细菌质粒衍生物的适用性,在最近分离的非模式生物上进行了偶联试验。虽然我们没有成功地将质粒转移到革兰氏阳性细菌分离株中,但我们成功地将先前顽固的分离株修饰为染色细菌工具箱的第一组,如Sphingomonas sp. Leaf357和Acidovorax sp. Leaf84。本文报道了目前可用的质粒和在不同细菌中的转座成功。
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引用次数: 1
Physiological and Genomic Characterization of Two Novel Bacteroidota Strains Asinibacterium spp. OR43 and OR53 两种新的拟杆菌科菌株Asinibacterium spp. OR43和OR53的生理和基因组特性
Pub Date : 2022-02-08 DOI: 10.3390/bacteria1010004
R. Brzoska, R. Edelmann, A. Bollmann
Asinibacterium spp. (Family Chitinophagaceae, Phylum Bacteroidota) are abundant in environments contaminated with heavy metals. We characterized the physiology and genome of two Asinibacterium species to elucidate their ability to survive and grow at ambient conditions in the uranium-contaminated environments. Both strains were able to grow at pH 4.5 or 50 mM nitrate under aerobic conditions and did not grow with alternative electron acceptors under anaerobic conditions. Asinibacterium sp. OR53 grew in medium with uranium concentrations up to 300 µM uranium while Asinibacterium sp. OR43 could not grow at uranium concentrations > 200 µM. Elemental mapping using energy dispersive X-ray spectroscopy indicate that uranium co-localized with phosphorus-containing compounds on the cell surface. Genes potentially encoding resistance mechanisms to a variety of heavy metals were detected in the genomes of both strains. The localization of uranium and missing acidic and alkaline phosphatase genes in the genome suggest that biosorption of uranium to the lipopolysaccharide layer might be the mechanism of uranium resistance. In summary, Asinibacterium spp. OR43 and OR53 are physiologically similar to closely related strains within the Chitinophagaceae family but are uniquely acclimated to the presence of uranium and other heavy metals prevalent in the subsurface at Oak Ridge, Tennessee.
Asinibacterium spp.(几丁食菌科,拟杆菌门)在重金属污染环境中大量存在。我们对两种亚硝酸杆菌的生理和基因组进行了表征,以阐明它们在铀污染环境中生存和生长的能力。在好氧条件下,这两种菌株都能在pH为4.5或50 mM的硝酸盐中生长,而在厌氧条件下,没有替代电子受体生长。Asinibacterium sp. OR53在铀浓度高达300µM的培养基中生长,而Asinibacterium sp. OR43在铀浓度> 200µM的培养基中不能生长。利用能量色散x射线光谱的元素映射表明,铀与含磷化合物在细胞表面共定位。在这两个菌株的基因组中检测到可能编码多种重金属抗性机制的基因。铀的定位和基因组中缺失的酸性和碱性磷酸酶基因表明,铀在脂多糖层的生物吸附可能是铀抗性的机制。综上所述,Asinibacterium spp. OR43和OR53在生理上与几丁食菌科密切相关的菌株相似,但它们独特地适应了田纳西州橡树岭地下普遍存在的铀和其他重金属的存在。
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引用次数: 4
Bacteremia Is a Risk Factor for Cerebrospinal Fluid Infection in Patients with Cerebrospinal Fluid Drains—A Retrospective Study 菌血症是脑脊液引流患者脑脊液感染的危险因素——一项回顾性研究
Pub Date : 2022-02-08 DOI: 10.3390/bacteria1010005
C. Vrettou, E. Drosos, Martha Nepka, G. Bouboulis, T. Kalamatianos, C. Liakopoulou, Grigorios Gkouvelos, A. Kotanidou, G. Stranjalis
There is little evidence on the role of prior infection in patients with external ventricular drains (EVDs) and lumbar drains (LDs). In this study, our aim is to investigate whether previous bacteremia is a risk factor for cerebrospinal fluid drain infection (CSFDI) in patients with EVDs and LDs and to describe the microorganisms implicated. We designed a retrospective, single-center cohort study. We recorded patients’ demographic and clinical characteristics, as well as microbiology laboratory data. We used non-parametric statistical methods to identify possible risk factors for CSFDI. We found 799 neurosurgical admissions during the study period, 70 of which fulfilled the inclusion criteria. Acinetobacter baumannii was the most frequent single pathogen isolated in the cerebrospinal fluid (CSF). Acinetobacter baumannii bacteremia was more common in patients with Acinetobacter baumannii CSFDI (p = 0.01). The distribution of the pathogens in the CSF differed from that of the pathogens isolated in blood (p = 0.001). In the univariate analysis, prior bacteremia was more common in patients with CSFDI (p = 0.027), but, in the multivariate model, prior bacteremia was not identified as an independent risk factor (OR = 0.456, CI: 0.138–1.512, p = 0.2). In an ICU population, the most frequently isolated pathogens were Gram-negative Enterobacteriaceae and Acinetobacter baumannii. Previous bacteremia was significantly more probable among patients with EVDs or LDs who developed a CSFDI, and its role warrants further investigation.
很少有证据表明既往感染在室外引流(EVDs)和腰椎引流(ld)患者中的作用。在这项研究中,我们的目的是调查既往菌血症是否是evd和ld患者脑脊液引流感染(CSFDI)的危险因素,并描述所涉及的微生物。我们设计了一项回顾性、单中心队列研究。我们记录了患者的人口学和临床特征,以及微生物实验室数据。我们使用非参数统计方法来确定CSFDI可能的危险因素。在研究期间,我们发现799例神经外科入院患者,其中70例符合纳入标准。鲍曼不动杆菌是脑脊液中最常见的单一病原体。鲍曼不动杆菌菌血症在鲍曼不动杆菌CSFDI患者中更为常见(p = 0.01)。病原菌在脑脊液中的分布与在血液中分离的病原菌不同(p = 0.001)。在单因素分析中,既往菌血症在CSFDI患者中更为常见(p = 0.027),但在多因素模型中,既往菌血症未被确定为独立危险因素(OR = 0.456, CI: 0.138-1.512, p = 0.2)。在ICU人群中,最常见的分离病原体是革兰氏阴性肠杆菌科和鲍曼不动杆菌。既往菌血症在发生CSFDI的evd或ld患者中更有可能发生,其作用有待进一步调查。
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Lactic Acid Bacteria
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