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Arbuscular Mycorrhizal Fungi Increase the Phenolic Compounds Concentration in the Bark of the Stem of Libidibia Ferrea in Field Conditions. 丛枝菌根真菌在田间条件下提高了铁树茎皮中酚类化合物的浓度。
Q3 Immunology and Microbiology Pub Date : 2017-10-31 eCollection Date: 2017-01-01 DOI: 10.2174/1874285801711010283
Emanuela Lima Dos Santos, Francineyde Alves da Silva, Fábio Sérgio Barbosa da Silva

Background: Libidibia ferrea is a species particular to the caatinga presenting medicinal properties for containing bioactive compounds. The use of Arbuscular Mycorrhizal Fungi (AMF) can increase the production of biomolecules in the legume leaves; however, no light has been shed on the role of symbiosis in maximizing metabolites production in the bark of L. ferrea stem.

Objective: The aim was to select AMF that are efficient at increasing the production of phenolic compounds with medicinal properties in the bark of the L. ferrea stem.

Methods: The experiment was designed in randomized blocks with four inoculation treatments (plants pre-inoculated with Claroideoglomus etunicatum, with Gigaspora albida, with Acaulospora longula, and non-inoculated plants - control) with six repetitions. Thirteen months after the transplanting, the plants were pruned and the bark of the stem was collected; subsequently, this plant material was dried in a chamber. After the drying process, fractions of the bark of the stem were macerated in methanol. The extracts were further used for analyses of the biomolecules.

Results: The flavonoids concentration had an increase of, respectively, 236% and 186% in relation to the control for the treatments with A. longula and C. etunicatum; plants inoculated with A. longula had an increase of 47% in total tannins concentration compared with the non-inoculated control - a benefit that the proanthocyanidins did not present.

Conclusion: Applying inoculation with A. longula may be an alternative to increase the production of biomolecules of the secondary metabolism in the bark of the L. ferrea stem in field conditions.

背景:铁利bidibia ferrea是caatinga特有的一种,因其含有生物活性化合物而具有药用价值。利用丛枝菌根真菌(AMF)可以增加豆科植物叶片中生物分子的产量;然而,目前还没有研究表明共生关系在铁属植物茎皮代谢产物最大化中的作用。目的:筛选能有效提高铁氧根茎皮中酚类药用化合物产量的AMF。方法:试验采用随机分组设计,采用4个接种处理(预接种毛囊、粗孢子虫、长孢子虫和未接种对照),每组6次重复。移栽13个月后,修剪植株,收集茎皮;随后,这种植物材料在室内干燥。干燥过程后,茎皮的部分在甲醇中浸泡。提取液进一步用于生物分子分析。结果:与对照相比,龙骨草和弓尾草处理的黄酮类化合物浓度分别提高了236%和186%;与未接种的对照相比,接种了龙葵的植株的总单宁浓度增加了47%,这是原花青素所没有的好处。结论:在田间条件下,接种长曲霉可能是增加铁酸根茎皮次生代谢生物分子产量的一种替代方法。
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引用次数: 20
Paracoccidioidomycosis: Current Perspectives from Brazil. 副球虫病:来自巴西的最新观点。
Q3 Immunology and Microbiology Pub Date : 2017-10-31 eCollection Date: 2017-01-01 DOI: 10.2174/1874285801711010224
Rinaldo Poncio Mendes, Ricardo de Souza Cavalcante, Sílvio Alencar Marques, Mariângela Esther Alencar Marques, James Venturini, Tatiane Fernanda Sylvestre, Anamaria Mello Miranda Paniago, Ana Carla Pereira, Julhiany de Fátima da Silva, Alexandre Todorovic Fabro, Sandra de Moraes Gimenes Bosco, Eduardo Bagagli, Rosane Christine Hahn, Adriele Dandara Levorato

Background: This review article summarizes and updates the knowledge on paracoccidioidomycosis. P lutzii and the cryptic species of P. brasiliensis and their geographical distribution in Latin America, explaining the difficulties observed in the serological diagnosis.

Objectives: Emphasis has been placed on some genetic factors as predisposing condition for paracoccidioidomycosis. Veterinary aspects were focused, showing the wide distribution of infection among animals. The cell-mediated immunity was better characterized, incorporating the recent findings.

Methods: Serological methods for diagnosis were also compared for their parameters of accuracy, including the analysis of relapse.

Results: Clinical forms have been better classified in order to include the pictures less frequently observesiod.

Conclusion: Itraconazole and the trimethoprim-sulfamethoxazole combination was compared regarding efficacy, effectiveness and safety, demonstrating that azole should be the first choice in the treatment of paracoccidioidomycosis.

背景:这篇综述文章总结和更新了对副球虫病的认识。卢齐氏毕赤酵母和巴西毕赤酵母的隐种及其在拉丁美洲的地理分布,解释了血清学诊断中观察到的困难。目的:强调一些遗传因素作为副球虫病的易感条件。重点关注兽医方面,显示感染在动物中的广泛分布。结合最近的发现,细胞介导的免疫得到了更好的表征。方法:还比较了血清学诊断方法的准确性参数,包括复发分析。结果:临床形式得到了更好的分类,以便包括观察频率较低的图片。结论:比较了伊曲康唑与甲氧苄啶-磺胺甲恶唑联合用药的疗效、有效性和安全性,表明唑类药物应是治疗副球虫病的首选药物。
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引用次数: 103
Antibiotic Resistance Patterns and Virulence Determinants of Different SCCmec and Pulsotypes of Staphylococcus Aureus Isolated from a Major Hospital in Ilam, Iran. 伊朗伊拉姆一家大医院分离的不同SCCmec和Pulsotypes金黄色葡萄球菌的抗生素耐药模式和毒力决定因素
Q3 Immunology and Microbiology Pub Date : 2017-10-31 eCollection Date: 2017-01-01 DOI: 10.2174/1874285801711010211
Mehdi Abbasi, Majid BaseriSalehi, Nima Bahador, Morovat Taherikalani

Aims & objectives: The aim of this study is to evaluate genetic relatedness, antibiotic resistance pattern, and virulence characteristics of different types of S. aureus isolated from air, surfaces, staff, and patients in a Public hospital in Ilam.

Methods & materials: A total of 88 of 140 staphylococci identified as S. aureus by conventional and molecular methods were used in this study. Isolate samples were obtained from surfaces, staff, patients, and hospital indoor air. The sampling from staff and surfaces was done through using swab and air by standard pump. Antimicrobial susceptibility testing and presence different resistant and virulence determinants was assessed. Isolates were then typed by pulsed-field gel electrophoresis (PFGE) and SCCmec typing methods.

Results: Out of 88isolates, 36 of them (40.9%) were MRSA. Among MRSA isolates, the range of resistance to antibiotic was 0% in vancomycin to 83.3% in gentamycin. The most prevalent resistant genes among gentamicin resistant S. aureus were acc (6')/aph (2")Ia and aph(3")IIIa. The most common erythromycin resistant gene was ermC. Surprisingly, SCCmec types I (30.5%), II (25%)were highly distributed. PFGE analysis showed 33 different pulsotypes.

Conclusion: This study confirms that different isolates of MSSA and MRSA circulate in Ilam which differ in antimicrobial susceptibility, content of resistance, and virulence determinants.

目的和目的:本研究的目的是评估从伊拉姆一家公立医院的空气、表面、工作人员和患者中分离的不同类型金黄色葡萄球菌的遗传相关性、抗生素耐药性模式和毒力特征。方法与材料:对140株经常规方法和分子方法鉴定为金黄色葡萄球菌的葡萄球菌中的88株进行研究。从表面、工作人员、患者和医院室内空气中获得分离样本。工作人员和表面的采样是通过使用棉签和空气通过标准泵完成的。评估了抗菌素敏感性试验和存在不同的耐药和毒力决定因素。采用脉冲场凝胶电泳(PFGE)和SCCmec分型方法对分离物进行分型。结果:88株分离物中有36株(40.9%)为MRSA。在MRSA分离株中,万古霉素的耐药率为0%,庆大霉素的耐药率为83.3%。耐庆大霉素金黄色葡萄球菌中最常见的耐药基因是acc(6’)/aph(2’)Ia和aph(3’)IIIa。最常见的红霉素耐药基因为ermC。令人惊讶的是,SCCmec I型(30.5%)和II型(25%)分布广泛。PFGE分析显示33种不同的脉冲型。结论:本研究证实了不同分离株的MSSA和MRSA在伊拉姆流行,它们在抗菌药物敏感性、耐药含量和毒力决定因素上存在差异。
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引用次数: 10
Protective Effect of Anti-Phosphatidylserine Antibody in a Guinea Pig Model of Advanced Hemorrhagic Arenavirus Infection. 抗磷脂酰丝氨酸抗体对晚期出血性沙粒病毒感染豚鼠模型的保护作用。
Q3 Immunology and Microbiology Pub Date : 2017-10-30 eCollection Date: 2017-01-01 DOI: 10.2174/1874285801711010303
John M Thomas, Philip E Thorpe

Objective: Host derived markers on virally infected cells or virions may provide targets for the generation of antiviral agents. Recently, we identified phosphatidylserine (PS) as a host marker of virions and virally-infected cells.

Methods and materials: Under normal physiological conditions, PS is maintained on the inner leaflet of the plasma membrane facing the cytosol. Following viral infection, activation or pre-apoptotic changes cause PS to become externalized. We have previously shown that bavituximab, a chimeric human-mouse antibody that binds PS complexed with β2-glycoprotein I (β2GP1), protected rodents against lethal Pichinde virus and cytomegalovirus infections.

Results: Here, we determined the antiviral activity of a fully human monoclonal antibody, PGN632, that directly binds to PS. Treatment with PGN632 protected 20% of guinea pigs with advanced infections of the hemorrhagic arenavirus, Pichinde, from death. Combining PGN632 with ribavirin improved the antiviral activity of both agents, such that the combination rescued 50% of animals from death.

Conclusion: The major mechanisms of action of PGN632 appear to be opsonization of virus and antibody-dependent cellular cytotoxicity of virally-infected cells. PS-targeting agents may have utility in the treatment of viral diseases.

目的:病毒感染细胞或病毒粒子上的宿主来源标记物可能为抗病毒药物的产生提供靶点。最近,我们发现磷脂酰丝氨酸(PS)是病毒粒子和病毒感染细胞的宿主标记物。方法与材料:在正常生理条件下,PS维持在质膜面向胞质溶胶的内小叶上。在病毒感染后,激活或凋亡前改变导致PS外化。我们之前已经证明,巴伐昔单抗是一种将PS与β2-糖蛋白I (β2GP1)结合的嵌合人-鼠抗体,可以保护啮齿动物免受致命的Pichinde病毒和巨细胞病毒感染。结果:在这里,我们确定了一种直接与PS结合的全人源单克隆抗体PGN632的抗病毒活性。用PGN632治疗可保护20%晚期出血性沙粒病毒(Pichinde)感染的豚鼠免于死亡。PGN632与利巴韦林联合使用提高了两种药物的抗病毒活性,使50%的动物免于死亡。结论:PGN632的主要作用机制可能是介导病毒和抗体依赖的病毒感染细胞的细胞毒性作用。ps靶向药物在病毒性疾病的治疗中可能具有实用价值。
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引用次数: 5
Co-Occurrence of Plasmid-Mediated AmpC β-Lactamase Activity Among Klebsiella pneumoniae and Escherichia Coli. 质粒介导的AmpC β-内酰胺酶活性在肺炎克雷伯菌和大肠杆菌中共现
Q3 Immunology and Microbiology Pub Date : 2017-09-26 eCollection Date: 2017-01-01 DOI: 10.2174/1874285801711010195
Abdulaziz Zorgani, Hiyam Daw, Najib Sufya, Abdullah Bashein, Omar Elahmer, Chedly Chouchani

Introduction: Extended-spectrum β-lactamases (ESBLs), including the AmpC type, are important mechanisms of resistance among Klebsiella pneumoniae and Escherichia coli isolates.

Objective: The aim of the study was to investigate the occurrence of AmpC-type β-lactamase producers isolated from two hospitals in Tripoli, Libya.

Methods: All clinical isolates (76 K. pneumoniae and 75 E. coli) collected over two years (2013-2014) were evaluated for susceptibility to a panel of antimicrobials and were analyzed phenotypically for the ESBL and AmpC phenotype using E-test and ESBL and AmpC screen disc test. Both ESBL and AmpC-positive isolates were then screened for the presence of genes encoding plasmid-mediated AmpC β-lactamases by polymerase chain reaction (PCR).

Results: Of the K. pneumoniae and E. coli tested, 75% and 16% were resistant to gentamicin, 74% and 1.3% to imipenem, 71% and 12% to cefoxitin, 80% and 12% to cefepime, 69% and 22.6% to ciprofloxacin, respectively. None of the E. coli isolates were multidrug resistant compared with K. pneumoniae (65.8%). K. pneumoniae ESBL producers were significantly higher (85.5%) compared with (17.3%) E. coli isolates (P <0.0001, OR=4.93). Plasmid-mediated AmpC genes were detected in 7.9% of K. pneumoniae, and 4% E. coli isolates. There was low agreement between phenotypic and genotypic methods, phenotypic testing underestimated detection of AmpC enzyme and did not correlate well with molecular results. The gene encoding CMY enzyme was the most prevalent (66.6%) of AmpC positive isolates followed by MOX, DHA and EBC. Only one AmpC gene was detected in 5/9 isolates, i.e, blaCMY (n=3), blaMOX (n=1), blaDHA (n=1). However, co-occurrence of AmpC genes were evident in 3/9 isolates with the following distribution: blaCMY and blaEBC (n=1), and blaCMY and blaMOX (n=2). Neither blaFOX nor blaACC was detected in all tested isolates. All AmpC positive strains were resistant to cefoxitin and isolated from patients admitted to intensive care units.

Conclusion: Further studies are needed for detection of other AmpC variant enzyme production among such isolates. Continued surveillance and judicious antibiotic usage together with the implementation of efficient infection control measures are absolutely required.

广谱β-内酰胺酶(ESBLs),包括AmpC型,是肺炎克雷伯菌和大肠杆菌分离株耐药的重要机制。目的:调查利比亚的黎波里两家医院分离的ampc型β-内酰胺酶产生菌的发生情况。方法:对2013-2014年两年内收集的所有临床分离株(76株肺炎克雷伯菌和75株大肠杆菌)进行抗菌药物敏感性评估,并采用E-test和ESBL和AmpC筛片试验分析ESBL和AmpC表型。然后用聚合酶链反应(PCR)筛选ESBL和AmpC阳性分离株是否存在编码质粒介导的AmpC β-内酰胺酶的基因。结果:检出的肺炎克雷伯菌和大肠杆菌对庆大霉素耐药率分别为75%和16%,对亚胺培南耐药率分别为74%和1.3%,对头孢西丁耐药率分别为71%和12%,对头孢吡肟耐药率分别为80%和12%,对环丙沙星耐药率分别为69%和22.6%。与肺炎克雷伯菌(65.8%)相比,所有大肠杆菌分离株均无多重耐药。肺炎克雷伯菌ESBL产生菌(85.5%)显著高于大肠杆菌(17.3%)和大肠杆菌(4%)。表型检测方法与基因检测方法的一致性较低,表型检测低估了AmpC酶的检测,与分子检测结果的相关性不强。AmpC阳性菌株中编码CMY酶的基因最多(66.6%),其次是MOX、DHA和EBC。5/9株分离株中仅检测到1个AmpC基因,分别为blaCMY (n=3)、blaMOX (n=1)、blaDHA (n=1)。而AmpC基因在3/9的菌株中明显共现,分布如下:blaCMY和blaEBC (n=1), blaCMY和blaMOX (n=2)。所有分离株均未检出blaFOX和blaACC。所有AmpC阳性菌株均对头孢西丁耐药,并从重症监护病房住院患者中分离出来。结论:需要进一步的研究来检测这些分离株中其他AmpC变异酶的产生。绝对需要继续监测和明智地使用抗生素,同时实施有效的感染控制措施。
{"title":"Co-Occurrence of Plasmid-Mediated AmpC β-Lactamase Activity Among <i>Klebsiella pneumoniae</i> and <i>Escherichia Coli</i>.","authors":"Abdulaziz Zorgani,&nbsp;Hiyam Daw,&nbsp;Najib Sufya,&nbsp;Abdullah Bashein,&nbsp;Omar Elahmer,&nbsp;Chedly Chouchani","doi":"10.2174/1874285801711010195","DOIUrl":"https://doi.org/10.2174/1874285801711010195","url":null,"abstract":"<p><strong>Introduction: </strong>Extended-spectrum β-lactamases (ESBLs), including the AmpC type, are important mechanisms of resistance among <i>Klebsiella pneumoniae</i> and <i>Escherichia coli</i> isolates.</p><p><strong>Objective: </strong>The aim of the study was to investigate the occurrence of AmpC-type β-lactamase producers isolated from two hospitals in Tripoli, Libya.</p><p><strong>Methods: </strong>All clinical isolates (76 <i>K. pneumoniae</i> and 75 <i>E. coli</i>) collected over two years (2013-2014) were evaluated for susceptibility to a panel of antimicrobials and were analyzed phenotypically for the ESBL and AmpC phenotype using E-test and ESBL and AmpC screen disc test. Both ESBL and AmpC-positive isolates were then screened for the presence of genes encoding plasmid-mediated AmpC β-lactamases by polymerase chain reaction (PCR).</p><p><strong>Results: </strong>Of the <i>K. pneumoniae</i> and <i>E. coli</i> tested, 75% and 16% were resistant to gentamicin, 74% and 1.3% to imipenem, 71% and 12% to cefoxitin, 80% and 12% to cefepime, 69% and 22.6% to ciprofloxacin, respectively. None of the <i>E. coli</i> isolates were multidrug resistant compared with <i>K. pneumoniae</i> (65.8%). <i>K. pneumoniae</i> ESBL producers were significantly higher (85.5%) compared with (17.3%) <i>E. coli</i> isolates (P <0.0001, OR=4.93). Plasmid-mediated AmpC genes were detected in 7.9% of <i>K. pneumoniae</i>, and 4% <i>E. coli</i> isolates. There was low agreement between phenotypic and genotypic methods, phenotypic testing underestimated detection of AmpC enzyme and did not correlate well with molecular results. The gene encoding CMY enzyme was the most prevalent (66.6%) of AmpC positive isolates followed by MOX, DHA and EBC. Only one AmpC gene was detected in 5/9 isolates, i.e, <i>bla</i><sub>CMY</sub> (n=3), <i>bla</i><sub>MOX</sub> (n=1), <i>bla</i><sub>DHA</sub> (n=1). However, co-occurrence of AmpC genes were evident in 3/9 isolates with the following distribution: <i>bla</i><sub>CMY</sub> and <i>bla</i><sub>EBC</sub> (n=1), and <i>bla</i><sub>CMY</sub> and <i>bla</i><sub>MOX</sub> (n=2). Neither <i>bla</i><sub>FOX</sub> nor <i>bla</i><sub>ACC</sub> was detected in all tested isolates. All AmpC positive strains were resistant to cefoxitin and isolated from patients admitted to intensive care units.</p><p><strong>Conclusion: </strong>Further studies are needed for detection of other AmpC variant enzyme production among such isolates. Continued surveillance and judicious antibiotic usage together with the implementation of efficient infection control measures are absolutely required.</p>","PeriodicalId":38953,"journal":{"name":"Open Microbiology Journal","volume":"11 ","pages":"195-202"},"PeriodicalIF":0.0,"publicationDate":"2017-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35623181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 21
Genetic Investigation of Beta-Lactam Associated Antibiotic Resistance Among Escherichia Coli Strains Isolated from Water Sources. 水源分离大肠埃希菌β -内酰胺类相关抗生素耐药性的遗传研究
Q3 Immunology and Microbiology Pub Date : 2017-09-22 eCollection Date: 2017-01-01 DOI: 10.2174/1874285801711010203
Reza Ranjbar, Mehrdad Sami

Background: Antimicrobial resistance is an important factor threatening human health. It is widely accepted that antibiotic resistant bacteria such as Escherichia coli (E. coli) released from humans and animals into the water sources, can introduce their resistance genes into the natural bacterial community.

Objective: The aim of this study was to investigate the prevalence of blaTEM, blaCTX, blaSHV, blaOXA and blaVEB associated-antibiotic resistance among E. coli bacteria isolated from different water resources in Iran.

Methods: The study contained all E. coli strains segregated from different surface water sources. The Kirby-Bauer method and combined discs method was determined in this study for testing antimicrobial susceptibility and strains that produced Extended-Spectrum Beta Lactamases (ESBL), respectively. DNA extraction kit was applied for genomic and plasmid DNA derivation. Finally the frequency of resistant genes including blaTEM, blaCTX, blaSHV, blaOXA and blaVEB in ESBL producing isolates were studied by PCR.

Results: One hundred E. coli strains were isolated and entered in the study. The highest antibiotic resistance was observed on clindamycin (96%). Moreover, 38.5% isolates were ESBL producers. The frequency of different ESBLs genes were 37%, 27%, 27%, and 25% for blaTEM, blaCTX, blaSHV, and blaOXA , respectively. The blaVEB wasn't found in any isolates.

Conclusion: The study revealed a high prevalence of CTX-M, TEM, SHV and OXA genes among E. coli strains in surface water resources. In conclusion, these results raised a concern regarding the presence and distribution of these threatening factors in surface water sources and its subsequent outcomes.

背景:抗生素耐药性是威胁人类健康的重要因素。人们普遍认为,人类和动物释放到水源中的大肠杆菌等耐抗生素细菌可以将其耐药基因引入天然细菌群落。目的:调查伊朗不同水源分离的大肠杆菌中blaTEM、blaCTX、blaSHV、blaOXA和blaVEB相关抗生素耐药性的流行情况。方法:采用从不同地表水水源中分离的所有大肠杆菌菌株进行研究。本研究分别采用Kirby-Bauer法和联合纸片法检测抗菌药物敏感性和产生扩展谱β -内酰胺酶(ESBL)的菌株。DNA提取试剂盒用于基因组和质粒DNA的提取。最后,采用PCR方法对ESBL产株中blblem、blaCTX、blaSHV、blaOXA和blaVEB耐药基因的频率进行了分析。结果:分离得到100株大肠杆菌。抗生素耐药性最高的是克林霉素(96%)。38.5%的分离株为ESBL生产者。blem、blaCTX、blaSHV和blaOXA的ESBLs基因频率分别为37%、27%、27%和25%。blaVEB未在任何分离株中发现。结论:地表水资源大肠杆菌中CTX-M、TEM、SHV和OXA基因的流行率较高。总之,这些结果引起了对地表水水源中这些威胁因素的存在和分布及其后续后果的关注。
{"title":"Genetic Investigation of Beta-Lactam Associated Antibiotic Resistance Among <i>Escherichia Coli</i> Strains Isolated from Water Sources.","authors":"Reza Ranjbar,&nbsp;Mehrdad Sami","doi":"10.2174/1874285801711010203","DOIUrl":"https://doi.org/10.2174/1874285801711010203","url":null,"abstract":"<p><strong>Background: </strong>Antimicrobial resistance is an important factor threatening human health. It is widely accepted that antibiotic resistant bacteria such as <i>Escherichia coli</i> (<i>E. coli)</i> released from humans and animals into the water sources, can introduce their resistance genes into the natural bacterial community.</p><p><strong>Objective: </strong>The aim of this study was to investigate the prevalence of <i>bla<sub>TEM</sub>, bla<sub>CTX</sub>, bla<sub>SHV</sub>, bla<sub>OXA</sub></i> and <i>bla<sub>VEB</sub></i> associated-antibiotic resistance among <i>E. coli</i> bacteria isolated from different water resources in Iran.</p><p><strong>Methods: </strong>The study contained all <i>E. coli</i> strains segregated from different surface water sources. The Kirby-Bauer method and combined discs method was determined in this study for testing antimicrobial susceptibility and strains that produced Extended-Spectrum Beta Lactamases (ESBL), respectively. DNA extraction kit was applied for genomic and plasmid DNA derivation. Finally the frequency of resistant genes including <i>bla<sub>TEM</sub>, bla<sub>CTX</sub>, bla<sub>SHV</sub>, bla<sub>OXA</sub></i> and <i>bla<sub>VEB</sub></i> in ESBL producing isolates were studied by PCR.</p><p><strong>Results: </strong>One hundred <i>E. coli</i> strains were isolated and entered in the study. The highest antibiotic resistance was observed on clindamycin (96%). Moreover, 38.5% isolates were ESBL producers. The frequency of different ESBLs genes were 37%, 27%, 27%, and 25% for <i>bla<sub>TEM</sub>, bla<sub>CTX</sub>, bla<sub>SHV</sub>, and bla<sub>OXA</sub></i> , respectively. The <i>bla<sub>VEB</sub></i> wasn't found in any isolates.</p><p><strong>Conclusion: </strong>The study revealed a high prevalence of <i>CTX-M, TEM, SHV</i> and <i>OXA</i> genes among <i>E. coli</i> strains in surface water resources. In conclusion, these results raised a concern regarding the presence and distribution of these threatening factors in surface water sources and its subsequent outcomes.</p>","PeriodicalId":38953,"journal":{"name":"Open Microbiology Journal","volume":"11 ","pages":"203-210"},"PeriodicalIF":0.0,"publicationDate":"2017-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2174/1874285801711010203","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35623182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 16
Antimicrobial Activity of Cultivable Endophytic Fungi Associated with Hancornia Speciosa Gomes Bark. 山茱萸树皮内生真菌抑菌活性研究。
Q3 Immunology and Microbiology Pub Date : 2017-09-21 eCollection Date: 2017-01-01 DOI: 10.2174/1874285801711010179
Mardonny Bruno de Oliveira Chagas, Irailton Prazeres Dos Santos, Luis Claudio Nascimento da Silva, Maria Tereza Dos Santos Correia, Janete Magali de Araújo, Marilene da Silva Cavalcanti, Vera Lucia de Menezes Lima

Introduction: In this study, we evaluated the antimicrobial potential of cultivable endophytic fungi associated with Hancornia speciosa Gomes stem bark.

Methods and materials: Plant samples were collected in rainy (July 2010) and dry (January 2011) seasons. In total, 116 endophytic fungi strains were isolated from 90 fragments (64.4% frequency of colonization). Higher fungi frequency was observed in the rainy season (84.4%). The strains were grouped into 14 species; the most frequent were Phoma cava (13.8%), Colletotrichum gloeosporioides (12.1%), and Lasiodiplodia theobromae (11.2%). Fungal diversity was similar in both the seasons. Among the 116 strains, 39 (33.6%) showed antimicrobial activity in preliminary screening. The ten most active isolates were subjected to semi-solid fermentation using rice or corn as substrates. Methanolic extracts were obtained from each fermentation medium and the minimum inhibitory (MIC) and minimum microbicide concentrations (MMC) were determined.

Results: The best antimicrobial results (MIC < 100 µg/mL) were observed for fungi strains grown in rice medium: Aspergillus niger FHS061 against Proteus mirabilis (MIC = 19 µg/mL) and Staphylococcus aureus (MIC = 39 µg/mL). These strains also showed good results when cultivated in corn medium against P. mirabilis (MIC = 78 µg/mL).

Conclusion: Thus, the stem bark of H. speciosa harbors diverse endophytic fungi with antimicrobial potential.

摘要:本研究对汉草茎皮内生真菌的抑菌潜力进行了研究。方法与材料:植物标本采集时间为雨季(2010年7月)和旱季(2011年1月)。90个片段共分离到116株内生真菌,定殖率为64.4%。真菌出现频率在雨季较高(84.4%)。菌株分为14种;最常见的分别为:cava(13.8%)、gloeosporioides(12.1%)、Lasiodiplodia可可(11.2%)。真菌多样性在两个季节相似。初步筛选116株病原菌中有39株(33.6%)具有抗菌活性。以水稻或玉米为底物进行半固态发酵。从每种发酵培养基中提取甲醇提取物,并测定最小抑菌浓度(MIC)和最小杀微生物浓度(MMC)。结果:在水稻培养基中培养的真菌菌株:黑曲霉FHS061对神奇变形杆菌(MIC = 19µg/mL)和金黄色葡萄球菌(MIC = 39µg/mL)的抑菌效果最好(MIC < 100µg/mL)。这些菌株在玉米培养基(MIC = 78µg/mL)中也表现出良好的抗mirabilis效果。结论:槐茎皮中含有多种具有抗菌潜力的内生真菌。
{"title":"Antimicrobial Activity of Cultivable Endophytic Fungi Associated with <i>Hancornia Speciosa</i> Gomes Bark.","authors":"Mardonny Bruno de Oliveira Chagas,&nbsp;Irailton Prazeres Dos Santos,&nbsp;Luis Claudio Nascimento da Silva,&nbsp;Maria Tereza Dos Santos Correia,&nbsp;Janete Magali de Araújo,&nbsp;Marilene da Silva Cavalcanti,&nbsp;Vera Lucia de Menezes Lima","doi":"10.2174/1874285801711010179","DOIUrl":"https://doi.org/10.2174/1874285801711010179","url":null,"abstract":"<p><strong>Introduction: </strong>In this study, we evaluated the antimicrobial potential of cultivable endophytic fungi associated with <i>Hancornia speciosa</i> Gomes stem bark.</p><p><strong>Methods and materials: </strong>Plant samples were collected in rainy (July 2010) and dry (January 2011) seasons. In total, 116 endophytic fungi strains were isolated from 90 fragments (64.4% frequency of colonization). Higher fungi frequency was observed in the rainy season (84.4%). The strains were grouped into 14 species; the most frequent were <i>Phoma cava</i> (13.8%), <i>Colletotrichum gloeosporioides</i> (12.1%), and <i>Lasiodiplodia theobromae</i> (11.2%). Fungal diversity was similar in both the seasons. Among the 116 strains, 39 (33.6%) showed antimicrobial activity in preliminary screening. The ten most active isolates were subjected to semi-solid fermentation using rice or corn as substrates. Methanolic extracts were obtained from each fermentation medium and the minimum inhibitory (MIC) and minimum microbicide concentrations (MMC) were determined.</p><p><strong>Results: </strong>The best antimicrobial results (MIC < 100 µg/mL) were observed for fungi strains grown in rice medium: <i>Aspergillus niger</i> FHS061 against <i>Proteus mirabilis</i> (MIC = 19 µg/mL) and <i>Staphylococcus aureus</i> (MIC = 39 µg/mL). These strains also showed good results when cultivated in corn medium against <i>P. mirabilis</i> (MIC = 78 µg/mL).</p><p><strong>Conclusion: </strong>Thus, the stem bark of <i>H. speciosa</i> harbors diverse endophytic fungi with antimicrobial potential.</p>","PeriodicalId":38953,"journal":{"name":"Open Microbiology Journal","volume":"11 ","pages":"179-188"},"PeriodicalIF":0.0,"publicationDate":"2017-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2174/1874285801711010179","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35622177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 31
The Molecular Study of Antibiotic Resistance to Quinolones in Salmonella enterica Strains Isolated in Tehran, Iran. 伊朗德黑兰肠炎沙门氏菌对喹诺酮类抗生素耐药性的分子研究。
Q3 Immunology and Microbiology Pub Date : 2017-09-21 eCollection Date: 2017-01-01 DOI: 10.2174/1874285801711010189
Shirin Malehmir, Reza Ranjbar, Naser Harzandi

Introduction: Salmonella is known as one of the most important causes of gastrointestinal disease in the world. Quinolones and fluoroquinolones are used successfully in the treatment of salmonellosis particularly for infections that have become resistant to several antibiotics. But non-susceptible isolates to quinolones have been reported in several countries. The data are limited about the prevalence of quinolone-resistant isolates in our country. Therefore, this study investigated the plasmid-mediated quinolone resistance genes in Salmonella enterica isolated in Children's Medical Center in Tehran during 2014-2015.

Methods and materials: Salmonella isolates were isolated and identified using standard microbiological methods. Antibiotic susceptibility testing and screening of Salmonella strains resistant to quinolones were performed according to the CLSI guidelines. The molecular investigation was done using specific primers for detection of qnr genes including: qnrA, qnrB and qnrS, by polymerase chain reaction.

Results: Overall, 92 (66.6%) strains were resistant to nalidixic acid. None of the strains showed resistance to ciprofloxacin. Out of the 92 nalidixic acid resistant strains, 52 (56.52%) harbored qnrS genes, 15 strains (16.30%) had both qnrA and qnrS genes. Two (1.1%) isolates were positive for qnrB gene. Twenty four (26.08%) nalidixic acid resistant isolates did not have any qnr qens.

Conclusion: The results of this study show high prevalence of resistance to nalidixic and qnr genes in Salmonella isolates. Plasmid nature of this type of resistance poses an increased risk of dissemination of quinolone resistance between Salmonella and non-Salmonella isolates circulating in hospitals environments.

简介:沙门氏菌被认为是世界上最重要的胃肠道疾病的原因之一。喹诺酮类药物和氟喹诺酮类药物已成功用于治疗沙门氏菌病,特别是对几种抗生素产生耐药性的感染。但是在一些国家已经报告了对喹诺酮类药物不敏感的分离株。关于我国喹诺酮耐药菌株流行情况的数据有限。因此,本研究对2014-2015年德黑兰儿童医疗中心分离的肠炎沙门氏菌质粒介导的喹诺酮类耐药基因进行了研究。方法和材料:采用标准微生物学方法分离鉴定沙门氏菌。根据CLSI指南进行抗生素敏感性试验和对喹诺酮类药物耐药的沙门氏菌菌株筛选。采用聚合酶链反应对qnr基因(qnrA、qnrB和qnrS)的特异性引物进行分子分析。结果:共有92株(66.6%)耐药菌株。所有菌株对环丙沙星均无耐药性。92株耐草酸菌株中,52株(56.52%)携带qnrS基因,15株(16.30%)同时携带qnrA和qnrS基因。2株(1.1%)qnrB基因阳性。24株(26.08%)耐萘啶酸菌株无qnr序列。结论:本研究结果显示沙门氏菌分离株对nalidiic和qnr基因具有较高的耐药率。这类耐药性的质粒性质增加了在医院环境中传播的沙门氏菌和非沙门氏菌分离株之间传播喹诺酮类耐药性的风险。
{"title":"The Molecular Study of Antibiotic Resistance to Quinolones in <i>Salmonella enterica</i> Strains Isolated in Tehran, Iran.","authors":"Shirin Malehmir,&nbsp;Reza Ranjbar,&nbsp;Naser Harzandi","doi":"10.2174/1874285801711010189","DOIUrl":"https://doi.org/10.2174/1874285801711010189","url":null,"abstract":"<p><strong>Introduction: </strong><i>Salmonella</i> is known as one of the most important causes of gastrointestinal disease in the world. Quinolones and fluoroquinolones are used successfully in the treatment of salmonellosis particularly for infections that have become resistant to several antibiotics. But non-susceptible isolates to quinolones have been reported in several countries. The data are limited about the prevalence of quinolone-resistant isolates in our country. Therefore, this study investigated the plasmid-mediated quinolone resistance genes in <i>Salmonella enterica</i> isolated in Children's Medical Center in Tehran during 2014-2015.</p><p><strong>Methods and materials: </strong><i>Salmonella</i> isolates were isolated and identified using standard microbiological methods. Antibiotic susceptibility testing and screening of <i>Salmonella</i> strains resistant to quinolones were performed according to the CLSI guidelines. The molecular investigation was done using specific primers for detection of qnr genes including: <i>qnr</i>A, <i>qnr</i>B and <i>qnr</i>S, by polymerase chain reaction.</p><p><strong>Results: </strong>Overall, 92 (66.6%) strains were resistant to nalidixic acid. None of the strains showed resistance to ciprofloxacin. Out of the 92 nalidixic acid resistant strains, 52 (56.52%) harbored <i>qnr</i>S genes, 15 strains (16.30%) had both <i>qnr</i>A and <i>qnr</i>S genes. Two (1.1%) isolates were positive for <i>qnr</i>B gene. Twenty four (26.08%) nalidixic acid resistant isolates did not have any qnr qens.</p><p><strong>Conclusion: </strong>The results of this study show high prevalence of resistance to nalidixic and qnr genes in <i>Salmonella</i> isolates. Plasmid nature of this type of resistance poses an increased risk of dissemination of quinolone resistance between <i>Salmonella</i> and non-<i>Salmonella</i> isolates circulating in hospitals environments.</p>","PeriodicalId":38953,"journal":{"name":"Open Microbiology Journal","volume":"11 ","pages":"189-194"},"PeriodicalIF":0.0,"publicationDate":"2017-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35622178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Aerococcus urinae and Aerococcus sanguinicola: Susceptibility Testing of 120 Isolates to Six Antimicrobial Agents Using Disk Diffusion (EUCAST), Etest, and Broth Microdilution Techniques. 尿道球菌(Aerococcus urinae)和血清球菌(Aerococcus sanguinicola):使用盘式扩散(EUCAST)、Etest 和肉汤微量稀释技术检测 120 个分离株对六种抗菌剂的敏感性。
Q3 Immunology and Microbiology Pub Date : 2017-09-21 eCollection Date: 2017-01-01 DOI: 10.2174/1874285801711010160
Derya Carkaci, Xiaohui C Nielsen, Kurt Fuursted, Robert Skov, Ole Skovgaard, Emilio P Trallero, Reto Lienhard, Jenny Åhman, Erika Matuschek, Gunnar Kahlmeter, Jens J Christensen

Background: Aerococcus urinae and Aerococcus sanguinicola are relatively newcomers and emerging organisms in clinical and microbiological practice. Both species have worldwide been associated with urinary tract infections. More rarely cases of bacteremia/septicemia and infective endocarditis have been reported. Treatment options are therefore important. Just recently, European recommendations on susceptibility testing and interpretive criteria have been released.

Objective: In this investigation 120 A. urinae and A. sanguinicola isolates were tested for susceptibility to six antimicrobial agents: Penicillin, cefotaxime, meropenem, vancomycin, linezolid, and rifampicin.

Methods: Three susceptibility testing methods were used; disk diffusion according to The European Committee on Antimicrobial Susceptibility Testing (EUCAST) standardized disk diffusion methodology and MIC determination with Etest and broth microdilution (BMD). All testing was performed with EUCAST media for fastidious organisms.

Results: Data obtained in this study were part of the background data for establishing EUCAST breakpoints. MIC values obtained by Etest and BMD were well correlated with disk diffusion results.

Conclusion: All isolates were found susceptible to all six antimicrobial agents: penicillin, cefotaxime, meropenem, vancomycin, linezolid, and rifampicin.

背景:尿道气球菌(Aerococcus urinae)和血尿气球菌(Aerococcus sanguinicola)是临床和微生物学实践中相对较新的新兴微生物。在全球范围内,这两种细菌都与尿路感染有关。据报道,菌血症/败血症和感染性心内膜炎的病例更为罕见。因此,治疗方案非常重要。最近,欧洲发布了关于药敏试验和解释标准的建议:在这项调查中,对 120 个尿囊炎甲菌和痢疾甲菌分离株进行了对六种抗菌药物的敏感性测试:青霉素、头孢他啶、美罗培南、万古霉素、利奈唑胺和利福平:采用了三种药敏试验方法:根据欧洲抗菌药物药敏试验委员会(EUCAST)的标准磁盘扩散法进行磁盘扩散,以及使用Etest和肉汤微量稀释法(BMD)进行MIC测定。所有测试均使用欧盟抗菌药物敏感性测试委员会(EUCAST)的快速微生物培养基进行:结果:本研究获得的数据是确定欧盟CAST断点的部分背景数据。Etest 和 BMD 得出的 MIC 值与磁盘扩散结果有很好的相关性:结论:所有分离菌株均对青霉素、头孢他啶、美罗培南、万古霉素、利奈唑胺和利福平这六种抗菌药物敏感。
{"title":"<i>Aerococcus urinae</i> and <i>Aerococcus sanguinicola</i>: Susceptibility Testing of 120 Isolates to Six Antimicrobial Agents Using Disk Diffusion (EUCAST), Etest, and Broth Microdilution Techniques.","authors":"Derya Carkaci, Xiaohui C Nielsen, Kurt Fuursted, Robert Skov, Ole Skovgaard, Emilio P Trallero, Reto Lienhard, Jenny Åhman, Erika Matuschek, Gunnar Kahlmeter, Jens J Christensen","doi":"10.2174/1874285801711010160","DOIUrl":"10.2174/1874285801711010160","url":null,"abstract":"<p><strong>Background: </strong><i>Aerococcus urinae</i> and <i>Aerococcus sanguinicola</i> are relatively newcomers and emerging organisms in clinical and microbiological practice. Both species have worldwide been associated with urinary tract infections. More rarely cases of bacteremia/septicemia and infective endocarditis have been reported. Treatment options are therefore important. Just recently, European recommendations on susceptibility testing and interpretive criteria have been released.</p><p><strong>Objective: </strong>In this investigation 120 <i>A. urinae</i> and <i>A. sanguinicola</i> isolates were tested for susceptibility to six antimicrobial agents: Penicillin, cefotaxime, meropenem, vancomycin, linezolid, and rifampicin.</p><p><strong>Methods: </strong>Three susceptibility testing methods were used; disk diffusion according to The European Committee on Antimicrobial Susceptibility Testing (EUCAST) standardized disk diffusion methodology and MIC determination with Etest and broth microdilution (BMD). All testing was performed with EUCAST media for fastidious organisms.</p><p><strong>Results: </strong>Data obtained in this study were part of the background data for establishing EUCAST breakpoints. MIC values obtained by Etest and BMD were well correlated with disk diffusion results.</p><p><strong>Conclusion: </strong>All isolates were found susceptible to all six antimicrobial agents: penicillin, cefotaxime, meropenem, vancomycin, linezolid, and rifampicin.</p>","PeriodicalId":38953,"journal":{"name":"Open Microbiology Journal","volume":"11 ","pages":"160-166"},"PeriodicalIF":0.0,"publicationDate":"2017-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5676010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35622175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antibiotic Based Phenotype and Hospital Admission Profile are the Most Likely Predictors of Genotyping Classification of MRSA. 基于抗生素的表型和住院记录是MRSA基因分型的最可能预测因子。
Q3 Immunology and Microbiology Pub Date : 2017-09-21 eCollection Date: 2017-01-01 DOI: 10.2174/1874285801711010167
Ali M Bazzi, Jaffar A Al-Tawfiq, Ali A Rabaan, Dianne Neal, Aimee Ferraro, Mahmoud M Fawarah

Background: Methicillin-resistant Staphylococcus aureus (MRSA) infection is associated with increased morbidity, mortality, and financial burdens. Phenotyping methods are used to classify MRSA as either health care MRSA (HA-MRSA) or community-associated MRSA (CA-MRSA). Recent studies suggested the phenotyping methods are not always reliable, based on a lack of concordance with genotyping results.

Objective: In this study, concordance of classification methods based on clinical characteristics or antibiotic susceptibility compared to the gold standard genotyping was assessed in the classification of MRSA.

Methods: We compared the genotypes and phenotypes of MRSA in 133 samples taken from patients in Saudi Arabia. Statistical analyses included concordance, specificity and sensitivity, and logistic regression modeling.

Results: There was fair a definite agreement between the health care risk and infection type methods (p < .001), but no statistically significant agreement between the susceptibility pattern and health care risk methods (p = 243), and between susceptibility pattern and infection type methods (p = .919). Reduced multiple regression modelling suggested the potential of a phenotyping-based method of antibiotic susceptibility pattern (OR = 15.47, p < .001) in conjunction with hospital admission profile(OR = 2.87, p = .008) to accurately identify MRSA as HA-MRSA and CA-MRSA.

Conclusion: The use of a standardized phenotyping technique, using susceptibility pattern and hospital admission profiles to classify MRSA infections as either HA-MRSA or CA-MRSA, would facilitate diagnosis, infection control efforts, prevention, and assignment of appropriate therapies. The ability to use phenotyping in the classification of these strains would improve efforts to contend with this adept and evolving bacterial organism.

背景:耐甲氧西林金黄色葡萄球菌(MRSA)感染与发病率、死亡率和经济负担增加有关。表型方法用于将MRSA分类为医疗MRSA (HA-MRSA)或社区相关MRSA (CA-MRSA)。最近的研究表明,由于与基因分型结果缺乏一致性,表现型方法并不总是可靠的。目的:在本研究中,比较基于临床特征或抗生素敏感性的分类方法与金标准基因分型方法在MRSA分类中的一致性。方法:我们比较了来自沙特阿拉伯患者的133份MRSA样本的基因型和表型。统计分析包括一致性、特异性和敏感性,以及逻辑回归模型。结果:卫生保健风险与感染类型方法之间存在较为明确的一致性(p < 0.001),而药敏型与卫生保健风险方法之间存在差异(p = 243),药敏型与感染类型方法之间存在差异(p = 0.919)。简化的多元回归模型表明,基于表型的抗生素敏感性模式方法(OR = 15.47, p < .001)结合住院情况(OR = 2.87, p = .008)可以准确地将MRSA鉴定为HA-MRSA和CA-MRSA。结论:使用标准化表型技术,利用易感性模式和住院记录将MRSA感染分类为HA-MRSA或CA-MRSA,将有助于诊断、感染控制、预防和分配适当的治疗。在这些菌株的分类中使用表型的能力将提高与这种熟练和进化的细菌有机体相抗衡的努力。
{"title":"Antibiotic Based Phenotype and Hospital Admission Profile are the Most Likely Predictors of Genotyping Classification of MRSA.","authors":"Ali M Bazzi,&nbsp;Jaffar A Al-Tawfiq,&nbsp;Ali A Rabaan,&nbsp;Dianne Neal,&nbsp;Aimee Ferraro,&nbsp;Mahmoud M Fawarah","doi":"10.2174/1874285801711010167","DOIUrl":"https://doi.org/10.2174/1874285801711010167","url":null,"abstract":"<p><strong>Background: </strong>Methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) infection is associated with increased morbidity, mortality, and financial burdens. Phenotyping methods are used to classify MRSA as either health care MRSA (HA-MRSA) or community-associated MRSA (CA-MRSA). Recent studies suggested the phenotyping methods are not always reliable, based on a lack of concordance with genotyping results.</p><p><strong>Objective: </strong>In this study, concordance of classification methods based on clinical characteristics or antibiotic susceptibility compared to the gold standard genotyping was assessed in the classification of MRSA.</p><p><strong>Methods: </strong>We compared the genotypes and phenotypes of MRSA in 133 samples taken from patients in Saudi Arabia. Statistical analyses included concordance, specificity and sensitivity, and logistic regression modeling.</p><p><strong>Results: </strong>There was fair a definite agreement between the health care risk and infection type methods (<i>p</i> < .001), but no statistically significant agreement between the susceptibility pattern and health care risk methods (<i>p</i> = 243), and between susceptibility pattern and infection type methods (<i>p</i> = .919). Reduced multiple regression modelling suggested the potential of a phenotyping-based method of antibiotic susceptibility pattern (OR = 15.47, <i>p</i> < .001) in conjunction with hospital admission profile(OR = 2.87, <i>p</i> = .008) to accurately identify MRSA as HA-MRSA and CA-MRSA.</p><p><strong>Conclusion: </strong>The use of a standardized phenotyping technique, using susceptibility pattern and hospital admission profiles to classify MRSA infections as either HA-MRSA or CA-MRSA, would facilitate diagnosis, infection control efforts, prevention, and assignment of appropriate therapies. The ability to use phenotyping in the classification of these strains would improve efforts to contend with this adept and evolving bacterial organism.</p>","PeriodicalId":38953,"journal":{"name":"Open Microbiology Journal","volume":"11 ","pages":"167-178"},"PeriodicalIF":0.0,"publicationDate":"2017-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35622176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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Open Microbiology Journal
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