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Bloodstream infections in cancer patients in central India: pathogens and trends of antimicrobial resistance over a 5-year period. 印度中部癌症患者的血流感染:5 年间的病原体和抗菌药耐药性趋势。
Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000673.v5
Sonali Choudhari, Ruchita Gawande, Jerestin Watchmaker, Pooja Bamnote, Pradeep Mishra, Pankaj Dwivedi
<p><p><b>Introduction.</b> Bloodstream infection (BSI) is a common complication with a high fatality rate in cancer patients. There are notable variations in the epidemiology of BSI over time and among different countries. Infections due to multidrug-resistant organisms (MDROs) such as extended-spectrum beta-lactamases (ESBLs) and carbapenem-resistant <i>Enterobacteriaceae</i> (CRE) are increasing. This may lead to inadequate empirical antibiotic therapy, increasing the antimicrobial resistance (AMR) problem and unfavourable outcomes in these immunocompromised patients. There is paucity of data pertaining to AMR in such vulnerable patients from developing countries such as India. The aim of this study was to investigate the distribution of the bacterial pathogens causing BSI and the AMR trend in cancer patients in central India. <b>Methodology.</b> This single-centre retrospective observational study was conducted in a tertiary care cancer hospital. Patients with solid organ and haematological malignancies, both adults and paediatric, who had blood cultures sent to the microbiology laboratory from January 2018 to December 2022 were included. Blood cultures were processed using the BacT/ALERT 3D system (bioMérieux, France), and the identification of the bacteria and their antimicrobial susceptibility (AST) was performed using the Vitek 2 compact system (bioMérieux, France). Electronic medical records and microbiology lab records were used to retrieve the demographic and microbiological data. Microsoft Excel (RRID:SCR_016137) was used to enter and tabulate the data. Statistical analysis was performed using SPSS version 29 (RRID:SCR_002865). <b>Results.</b> A total of 687 isolates from 524 patients were studied. Gram-negative bacteria (64%) were the commonest cause of BSI in the studied patients, followed by Gram-positive cocci (25%) and fungal isolates (9%). Ten cases were polymicrobial. <i>Escherichia coli</i> (<i>n</i>=140) was the most common among the isolated pathogens, followed by <i>Klebsiella</i> species (<i>n</i>=103), <i>Pseudomonas</i> species (<i>n</i>=102), and coagulase-negative staphylococci (CONS) (<i>n</i>=92). Among the 140 isolates of <i>E. coli</i>, 66% were extended-spectrum β-lactamase (ESBL) producers and 26% were resistant to carbapenem. Among the 103 isolated <i>Klebsiella</i> species, 50% were carbapenem resistant and 36% were ESBL producers. Among enterobacterales, the CRE rate was 34%. Carbapenem resistance was seen in 25% of <i>Pseudomonas</i> species and 53% of <i>Acinetobacter</i> species isolates. <i>Klebsiella</i> species were the most resistant pathogens isolated. CONS comprised 56% of all Gram-positive isolates, followed by <i>Staphylococcus aureus</i> (36%), enterococci species (11%), and streptococci species (3%). Methicillin resistance was 60% in CONS and 64% in <i>S. aureus</i>. One vancomycin-resistant enterococcus was isolated. Non-<i>albicans Candida</i> was the most common fungal pathogen. The sensitivity
简介血流感染(BSI)是癌症患者常见的并发症,致死率很高。不同时期和不同国家的 BSI 流行病学存在明显差异。耐多药生物(MDRO),如广谱β-内酰胺酶(ESBL)和耐碳青霉烯类肠杆菌科细菌(CRE)引起的感染正在增加。这可能会导致经验性抗生素治疗不足,增加抗菌药耐药性(AMR)问题,对这些免疫力低下的患者造成不利影响。在印度等发展中国家,有关此类易感患者的抗菌药物耐药性的数据十分匮乏。本研究旨在调查印度中部地区癌症患者中引起 BSI 的细菌病原体的分布情况和 AMR 趋势。研究方法。这项单中心回顾性观察研究在一家三级癌症医院进行。研究纳入了2018年1月至2022年12月期间将血液培养物送至微生物实验室的实体器官和血液恶性肿瘤患者,包括成人和儿童。使用 BacT/ALERT 3D 系统(法国生物梅里埃公司)处理血液培养物,并使用 Vitek 2 紧凑型系统(法国生物梅里埃公司)鉴定细菌及其抗菌药物敏感性(AST)。电子病历和微生物实验室记录用于检索人口统计学和微生物学数据。使用 Microsoft Excel (RRID:SCR_016137) 输入数据并制成表格。统计分析使用 SPSS 29 版 (RRID:SCR_002865) 进行。结果共研究了来自 524 名患者的 687 个分离菌株。革兰氏阴性菌(64%)是导致 BSI 的最常见原因,其次是革兰氏阳性球菌(25%)和真菌分离物(9%)。其中有 10 例为多微生物感染。在分离出的病原体中,最常见的是大肠埃希菌(n=140),其次是克雷伯菌(n=103)、假单胞菌(n=102)和凝固酶阴性葡萄球菌(CONS)(n=92)。在分离出的 140 株大肠埃希菌中,66% 产生广谱 β-内酰胺酶(ESBL),26% 对碳青霉烯类耐药。在 103 个分离出的克雷伯氏菌中,50%对碳青霉烯类耐药,36%产生 ESBL。在肠杆菌中,CRE 的比率为 34%。25%的假单胞菌和53%的醋氨梭菌分离菌株对碳青霉烯类耐药。克雷伯菌是分离出的耐药性最强的病原体。在所有革兰氏阳性分离菌中,CONS 占 56%,其次是金黄色葡萄球菌(36%)、肠球菌(11%)和链球菌(3%)。甲氧西林耐药性在 CONS 中占 60%,在金黄色葡萄球菌中占 64%。分离出一种耐万古霉素肠球菌。非大肠念珠菌是最常见的真菌病原体。非阿氏念珠菌对氟康唑的敏感率为 84%,只有一例白念珠菌对氟康唑产生耐药性。5 年间,病原体的变化趋势并不明显,最常见的是革兰氏阴性菌。此外,5 年来 ESBL 和 CRE 耐药模式的趋势也没有明显变化。结论革兰氏阴性菌是 BSI 中最常见的病原体,癌症患者的抗菌药耐药率较高。34%的CRE耐药率令人担忧,限制了经验性抗生素治疗的选择。
{"title":"Bloodstream infections in cancer patients in central India: pathogens and trends of antimicrobial resistance over a 5-year period.","authors":"Sonali Choudhari, Ruchita Gawande, Jerestin Watchmaker, Pooja Bamnote, Pradeep Mishra, Pankaj Dwivedi","doi":"10.1099/acmi.0.000673.v5","DOIUrl":"https://doi.org/10.1099/acmi.0.000673.v5","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Introduction.&lt;/b&gt; Bloodstream infection (BSI) is a common complication with a high fatality rate in cancer patients. There are notable variations in the epidemiology of BSI over time and among different countries. Infections due to multidrug-resistant organisms (MDROs) such as extended-spectrum beta-lactamases (ESBLs) and carbapenem-resistant &lt;i&gt;Enterobacteriaceae&lt;/i&gt; (CRE) are increasing. This may lead to inadequate empirical antibiotic therapy, increasing the antimicrobial resistance (AMR) problem and unfavourable outcomes in these immunocompromised patients. There is paucity of data pertaining to AMR in such vulnerable patients from developing countries such as India. The aim of this study was to investigate the distribution of the bacterial pathogens causing BSI and the AMR trend in cancer patients in central India. &lt;b&gt;Methodology.&lt;/b&gt; This single-centre retrospective observational study was conducted in a tertiary care cancer hospital. Patients with solid organ and haematological malignancies, both adults and paediatric, who had blood cultures sent to the microbiology laboratory from January 2018 to December 2022 were included. Blood cultures were processed using the BacT/ALERT 3D system (bioMérieux, France), and the identification of the bacteria and their antimicrobial susceptibility (AST) was performed using the Vitek 2 compact system (bioMérieux, France). Electronic medical records and microbiology lab records were used to retrieve the demographic and microbiological data. Microsoft Excel (RRID:SCR_016137) was used to enter and tabulate the data. Statistical analysis was performed using SPSS version 29 (RRID:SCR_002865). &lt;b&gt;Results.&lt;/b&gt; A total of 687 isolates from 524 patients were studied. Gram-negative bacteria (64%) were the commonest cause of BSI in the studied patients, followed by Gram-positive cocci (25%) and fungal isolates (9%). Ten cases were polymicrobial. &lt;i&gt;Escherichia coli&lt;/i&gt; (&lt;i&gt;n&lt;/i&gt;=140) was the most common among the isolated pathogens, followed by &lt;i&gt;Klebsiella&lt;/i&gt; species (&lt;i&gt;n&lt;/i&gt;=103), &lt;i&gt;Pseudomonas&lt;/i&gt; species (&lt;i&gt;n&lt;/i&gt;=102), and coagulase-negative staphylococci (CONS) (&lt;i&gt;n&lt;/i&gt;=92). Among the 140 isolates of &lt;i&gt;E. coli&lt;/i&gt;, 66% were extended-spectrum β-lactamase (ESBL) producers and 26% were resistant to carbapenem. Among the 103 isolated &lt;i&gt;Klebsiella&lt;/i&gt; species, 50% were carbapenem resistant and 36% were ESBL producers. Among enterobacterales, the CRE rate was 34%. Carbapenem resistance was seen in 25% of &lt;i&gt;Pseudomonas&lt;/i&gt; species and 53% of &lt;i&gt;Acinetobacter&lt;/i&gt; species isolates. &lt;i&gt;Klebsiella&lt;/i&gt; species were the most resistant pathogens isolated. CONS comprised 56% of all Gram-positive isolates, followed by &lt;i&gt;Staphylococcus aureus&lt;/i&gt; (36%), enterococci species (11%), and streptococci species (3%). Methicillin resistance was 60% in CONS and 64% in &lt;i&gt;S. aureus&lt;/i&gt;. One vancomycin-resistant enterococcus was isolated. Non-&lt;i&gt;albicans Candida&lt;/i&gt; was the most common fungal pathogen. The sensitivity ","PeriodicalId":94366,"journal":{"name":"Access microbiology","volume":"6 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549945","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
Bacteriological profile of community peritonitis operated in a Moroccan Hospital. 在摩洛哥一家医院手术的社区腹膜炎细菌学概况。
Pub Date : 2024-10-24 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000816.v5
Samia Bazhar, Elmostafa Benaissa, Fatima Ziad, Leila Laamara, Yassine Ben Lahlou, Mariama Chadli, Mostafa Elouennass

Introduction. Peritonitis is characterized by acute inflammation of the peritoneum, often resulting from digestive organ perforation or intra-abdominal septic focus. It may be of either infectious or non-infectious origin. The bacteria involved are those of the digestive flora (Enterobacteriaceae and anaerobes), while Gram-positive cocci and yeasts can be isolated in nosocomial infections. Our study aims to isolate and identify the germs involved in community-acquired peritonitis in order to assess their susceptibility to the antibiotics available in our country. Methods. This is a retrospective study of the bacteriological profile of community peritonitis in Rabat Morocco. A total of 150 adult patients with peritonitis were admitted and samples were collected intraoperatively for bacteriological examination between 1 July 2022 and 30 April 2023. Results. Among the 150 patients, 101 (67.8%) were males and 49 (32.2%) were females, with a sex ratio (M/F) of 2 : 1. The mean age of the patients was 40.5 years±20.12. The distribution of bacteria was dominated by Escherichia coli (44%). Overall, 70% of E. coli isolated exhibited resistance to ampicillin, whereas no resistance to ampicillin has been reported for Enterococcus. Discussion. In the present study, we were interested in the bacteriological profile of community peritonitis in order to adapt the antibiotic therapy to our bacterial ecology. Our findings indicate a concerning trend of increasing resistance among E. coli to the commonly used amoxicillin/clavulanic acid combination in our clinical setting. Conclusion. Consequently, there is a need to reassess the empiric antibiotic prescribed for the management of community-acquired peritonitis.

简介腹膜炎的特点是腹膜急性发炎,通常由消化器官穿孔或腹腔内化脓性病灶引起。腹膜炎可由感染或非感染引起。涉及的细菌是消化道菌群(肠杆菌科和厌氧菌)中的细菌,而革兰阳性球菌和酵母菌则可能在医院感染中分离出来。我们的研究旨在分离和鉴定社区获得性腹膜炎的病菌,以评估它们对我国现有抗生素的敏感性。研究方法。这是一项关于摩洛哥拉巴特社区腹膜炎细菌学概况的回顾性研究。在2022年7月1日至2023年4月30日期间,共收治了150名成年腹膜炎患者,并在术中采集样本进行细菌学检查。结果150 名患者中,101 名(67.8%)为男性,49 名(32.2%)为女性,男女性别比为 2 :1.患者的平均年龄为(40.5±20.12)岁。细菌分布以大肠杆菌为主(44%)。总体而言,70%的大肠埃希菌对氨苄西林具有耐药性,而肠球菌对氨苄西林没有耐药性。讨论。在本研究中,我们对社区腹膜炎的细菌学概况很感兴趣,以便根据细菌生态学调整抗生素疗法。我们的研究结果表明,在我们的临床环境中,大肠杆菌对常用的阿莫西林/克拉维酸复方制剂的耐药性呈上升趋势。结论是因此,有必要重新评估治疗社区获得性腹膜炎的经验性抗生素处方。
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引用次数: 0
Complete sequences of pIJ101-based Streptomyces-Escherichia coli shuttle vectors. 基于 pIJ101 的链霉菌-大肠杆菌穿梭载体的完整序列。
Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000893.v3
Katelyn V Brown, S Eric Nybo

High-copy-number plasmids are indispensable tools for gene overexpression studies in prokaryotes to engineer pathways or probe phenotypes of interest. The development of genetic tools for the industrially relevant Actinobacteria is of special interest, given their utility in producing keratolytic enzymes and biologically active natural products. Within the Actinobacteria, Streptomyces-Escherichia coli shuttle vectors based on the SCP2* and pIJ101 incompatibility groups are widely employed for molecular cloning and gene expression studies. Here, the sequences of two commonly used pIJ101-based Streptomyces-E. coli shuttle vectors, pEM4 and pUWL201, were determined using next-generation sequencing. These plasmids drive the expression of heterologous genes using the constitutive ermE*p promoter. pEM4 was found to be 8.3 kbp long, containing a β-lactamase gene, thiostrepton resistance marker, the lacZɑ fragment, a ColE1 origin of replication and the Streptomyces pIJ101 origin of replication. pUWL201 was found to be 6.78 kbp long, containing a β-lactamase gene, thiostrepton resistance marker, the lacZɑ fragment, a ColE1 origin of replication and the Streptomyces pIJ101 origin of replication. Interestingly, the sequences for both pEM4 and pUWL201 exceed their previously reported size by 1.1 and 0.4 kbp, respectively. This report updates the literature with the corrected sequences for these shuttle vectors, ensuring their compatibility with modern synthetic biology cloning methodologies.

高拷贝数质粒是原核生物基因过表达研究不可或缺的工具,可用于设计途径或探究感兴趣的表型。鉴于放线菌在生产角质溶解酶和具有生物活性的天然产品方面的作用,为与工业相关的放线菌开发遗传工具具有特殊意义。在放线菌中,基于 SCP2* 和 pIJ101 不相容组的链霉菌-大肠杆菌穿梭载体被广泛用于分子克隆和基因表达研究。本文利用新一代测序技术测定了两种常用的基于 pIJ101 的链霉菌-大肠杆菌穿梭载体 pEM4 和 pUWL201 的序列。发现 pEM4 长 8.3 kbp,含有一个 β-内酰胺酶基因、硫链霉素抗性标记、lacZɑ 片段、ColE1 复制源和链霉菌 pIJ101 复制源。pUWL201 长 6.78 kbp,含有一个 β-内酰胺酶基因、硫链霉素抗性标记、lacZɑ 片段、ColE1 复制源和链霉菌 pIJ101 复制源。有趣的是,pEM4 和 pUWL201 的序列分别比之前报道的大小超出了 1.1 和 0.4 kbp。本报告用这些穿梭载体的校正序列更新了文献,确保了它们与现代合成生物学克隆方法的兼容性。
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引用次数: 0
Environmental sampling for the detection of capripox viruses and peste des petits ruminants virus in households and livestock markets in Plateau State, Nigeria. 在尼日利亚高原州的家庭和牲畜市场进行环境采样,以检测天花病毒和小反刍兽疫病毒。
Pub Date : 2024-10-18 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000872.v3
Emma Brown, David Ehizibolo, Banenat B Dogonyaro, Yiltawe Wungak, Olumuyiwa Oyekan, Adeyinka Adedeji, Sandra Ijeoma, Rebecca Atai, Moses Oguche, Mark Samson, Fabrizio Rosso, Anna B Ludi, Georgina Limon, Andrew E Shaw, Claire Colenutt, Simon Gubbins

Multiple transboundary animal diseases (TADs) circulate in Plateau State, Nigeria, where livestock keeping is common and contributes to both the physical and socio-economic well-being of a large proportion of the population. In this study, we explored the potential for environmental sampling to detect viruses causing TADs circulating in the region. Electrostatic dust cloths were used to swab areas of the environment likely to have contact with secretions and excretions from infected animals. Samples were collected monthly from five households, one transhumance site and one livestock market in two local government areas in Plateau State between March and October 2021. These were tested for the presence of peste des petits ruminants virus (PPRV) and capripox viruses using real-time PCR. Of the 458 samples collected, 2.4% (n = 11) were positive for PPRV RNA and 1.3 % (n = 6) were positive for capripox virus DNA. A capripox differentiation assay showed that these samples were positive for sheep pox virus (n = 2), goat pox virus (n = 2) and lumpy skin disease virus (n = 2). Our results demonstrate that environmental sampling could be used as part of TAD surveillance in the area. Environmental swabs require little technical knowledge to collect and can be used to detect multiple viruses from a single sample.

多种跨界动物疾病(TADs)在尼日利亚高原州流行,该州饲养牲畜十分普遍,为当地大部分人口的物质和社会经济福祉做出了贡献。在这项研究中,我们探索了环境采样检测导致该地区流行的 TAD 病毒的潜力。我们使用静电除尘布对环境中可能与受感染动物的分泌物和排泄物接触的区域进行擦拭。2021 年 3 月至 10 月期间,每月从高原州两个地方政府辖区的五个家庭、一个转运点和一个牲畜市场采集样本。利用实时 PCR 对这些样本进行了小反刍兽疫病毒(PPRV)和天花病毒检测。在采集的 458 份样本中,2.4%(n = 11)的 PPRV RNA 呈阳性,1.3%(n = 6)的天花病毒 DNA 呈阳性。天花分化检测显示,这些样本对绵羊痘病毒(2 例)、山羊痘病毒(2 例)和块状皮肤病病毒(2 例)均呈阳性。我们的研究结果表明,环境采样可作为该地区塔得氏菌监测的一部分。环境拭子的采集只需很少的技术知识,而且可用于从单一样本中检测多种病毒。
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引用次数: 0
The complete genome sequence of five pre-2013 Escherichia coli sequence type (ST)1193 strains reveals insights into an emerging pathogen. 五株 2013 年以前的大肠埃希菌序列类型 (ST)1193 菌株的完整基因组序列揭示了一种新出现的病原体。
Pub Date : 2024-10-18 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000894.v3

Fluoroquinolone-resistant Escherichia coli sequence type (ST)1193 is a profound, emerging lineage associated with systemic, urinary tract and neonatal infections. Humans, companion animals and the environment are reservoirs for ST1193, which has been disseminated globally. Following its detection in 2007, ST1193 has been identified repeatedly amongst fluoroquinolone-resistant clones in Australia. However, despite the growing importance of ST1193, only three complete genomes are published in the literature, none of which are from Australia. Here we expand on the available ST1193 resources with the complete genomes of five ST1193 strains sequenced using Oxford Nanopore Technologies and Illumina. Using in silico genotyping, we found that all strains were multi-drug resistant, including resistances to fluoroquinolones and cephalosporins. In vitro antibiotic susceptibility testing mostly correlated with individual genotypes. The exception was MS8320, which had additional in vitro resistance to piperacillin/tazobactam, ampicillin/sulbactam, cefazolin and doripenem (carbapenem). Further investigation identified seven additional copies of an IS26 transposable unit carrying a bla TEM-1B beta-lactamase gene, suggesting this tandem amplification is associated with extended resistance phenotypes. Uropathogenicity factors, including three separate siderophore-encoding loci, were conserved in chromosomal and plasmid regions. Using all complete genomes, we further elucidated the recombination events surrounding the previously described K5/K1 capsular locus switch. Phenotypic confirmation of differing capsules in Australian ST1193 strains, coupled with genetic analysis revealing insertions downstream of the capsular locus, underscored the genetic distinctions between K5 and K1 capsule encoding strains. This study provides five new reference ST1193 genomes from Australia. These include the earliest complete K5-capsule ST1193 genomes on record (collected 2007), alongside our reference genome (MS10858), a clinical isolate obtained early during the ST1193 expansion and representative of the predominant K1-associated clade. These findings lay the foundations for further genomic and molecular analyses that may help understand the underlying reasons for the rapid global expansion of ST1193.

耐氟喹诺酮大肠埃希菌序列类型(ST)1193 是一种与全身、泌尿道和新生儿感染有关的严重的新兴菌系。人类、伴侣动物和环境是 ST1193 的贮藏地,它已在全球范围内传播。ST1193 于 2007 年被发现后,在澳大利亚的耐氟喹诺酮克隆中反复被发现。然而,尽管 ST1193 的重要性与日俱增,但文献中只发表了三个完整的基因组,其中没有一个来自澳大利亚。在此,我们利用牛津纳米孔技术公司(Oxford Nanopore Technologies)和 Illumina 测序了五株 ST1193 菌株的完整基因组,从而扩展了现有的 ST1193 资源。通过使用硅基因分型技术,我们发现所有菌株都具有多重耐药性,包括对氟喹诺酮类和头孢菌素类的耐药性。体外抗生素药敏试验大多与个体基因型相关。MS8320 是个例外,它对哌拉西林/他唑巴坦、氨苄西林/舒巴坦、头孢唑啉和多尼培南(碳青霉烯类)具有额外的体外耐药性。进一步调查发现,携带 bla TEM-1B β-内酰胺酶基因的 IS26 转座单元又多了 7 个拷贝,这表明这种串联扩增与扩展的耐药性表型有关。尿致病因子,包括三个独立的苷元编码基因座,在染色体和质粒区域都是保守的。利用所有完整的基因组,我们进一步阐明了围绕先前描述的 K5/K1 胶囊基因座切换的重组事件。澳大利亚 ST1193 株系中不同胶囊的表型确认,加上揭示了胶囊基因座下游插入物的遗传分析,强调了 K5 和 K1 胶囊编码株系之间的遗传差异。本研究提供了来自澳大利亚的五个新的 ST1193 参考基因组。其中包括有记录以来最早的完整 K5 胶囊 ST1193 基因组(2007 年收集),以及我们的参考基因组(MS10858),后者是 ST1193 扩增早期获得的临床分离株,是主要 K1 相关支系的代表。这些发现为进一步的基因组和分子分析奠定了基础,可能有助于了解 ST1193 在全球迅速扩展的根本原因。
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引用次数: 0
Bacterial profile of wound site infections and evaluation of risk factors for sepsis among road traffic accident patients from Apex Trauma Centre, Northern India. 印度北部 Apex 外伤中心道路交通事故患者伤口感染的细菌概况及败血症风险因素评估。
Pub Date : 2024-10-14 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000836.v4
Aparna Singh, Sangram Singh Patel, Chinmoy Sahu, Amit Kumar Singh, Nidhi Tejan, Gerlin Varghese, Ashima Jamwal, Pooja Singh, Malay Ghar

Background. Among the most significant yet often ignored health issues worldwide are trauma and accidental injuries. India accounts for 11% of global deaths in road accidents, the highest in the world, according to the World Bank report. There are limited data about the bacterial contamination of road traffic accident (RTA) wounds and their antibiotic susceptibility patterns. Materials and Methods. This prospective study was conducted in a tertiary care centre in northern India from January 2023 to January 2024. Wound deep swabs or aspirates were collected from RTA patients with traumatic injuries at different time intervals. Gram stain and culture were performed, and positive aerobic culture was subjected to antibiotic susceptibility testing. Organism identification was done using MALDI-TOF MS and routine biochemical tests. Blood samples were also collected to rule out bloodstream infections during follow-up if the patient became febrile or showed symptoms of systemic infection. Sepsis was defined in those patients who had two or more scores in the systemic inflammatory response syndrome criteria with a positive microbiological culture. Risk factors were evaluated for sepsis on the basis of the patient's vitals, injury characteristics, procalcitonin, Glasgow Coma Scale (GCS) score, need for mechanical ventilation and complete blood count, which were obtained from the patient's admission file. Results. A total of 189 wound samples were collected, of which 99 (52.38%) samples showed the growth of microorganisms. The aerobic isolates included 69 (69.69%) Gram-negative bacilli, of which the majority were Klebsiella pneumoniae, 28 (28.28%) Gram-positive cocci, of which the majority were Staphylococcus aureus and 2 (2.02%) anaerobic isolates. Among the Gram-negative isolates, none of the isolates were resistant to colistin. All S. aureus isolates were susceptible to vancomycin, teicoplanin and levonadifloxacin. Sepsis developed in 50 (26.45 %) patients. Significant risk factors evaluated for sepsis were a raised procalcitonin level, a low GCS score, a higher injury severity score, the need for mechanical ventilation and a raised quick sequential organ failure assessment score. Conclusion. It is essential to ascertain the profile of microorganisms isolated from RTA wounds in order to reduce antibiotic resistance and deliver efficient treatment.

背景。创伤和意外伤害是全球最重要的健康问题之一,但却常常被忽视。根据世界银行的报告,印度占全球道路交通事故死亡人数的 11%,居世界首位。有关道路交通事故(RTA)伤口细菌污染及其抗生素敏感性模式的数据十分有限。材料和方法。这项前瞻性研究于 2023 年 1 月至 2024 年 1 月在印度北部的一家三级医疗中心进行。研究人员在不同时间间隔从外伤的 RTA 患者身上采集伤口深部拭子或抽吸物。进行革兰氏染色和培养,对阳性需氧培养物进行抗生素药敏试验。使用 MALDI-TOF MS 和常规生化检验进行微生物鉴定。在随访期间,如果患者出现发热或全身感染症状,也会采集血样以排除血流感染。全身炎症反应综合征标准中有两项或两项以上评分且微生物培养呈阳性的患者被定义为败血症。根据患者的生命体征、损伤特征、降钙素原、格拉斯哥昏迷量表(GCS)评分、机械通气需求和全血细胞计数评估败血症的风险因素,这些信息均来自患者的入院档案。结果共采集了 189 个伤口样本,其中 99 个样本(52.38%)显示有微生物生长。需氧菌分离物包括 69 个(69.69%)革兰氏阴性杆菌,其中大部分是肺炎克雷伯氏菌;28 个(28.28%)革兰氏阳性球菌,其中大部分是金黄色葡萄球菌;2 个(2.02%)厌氧菌分离物。在革兰氏阴性分离株中,没有一个对可乐定产生耐药性。所有分离出的金黄色葡萄球菌均对万古霉素、替考拉宁和左氧氟沙星敏感。50名患者(26.45%)出现败血症。脓毒症的重要风险因素包括降钙素原水平升高、GCS评分较低、损伤严重程度评分较高、需要机械通气以及快速器官功能衰竭评估评分升高。结论必须确定从 RTA 伤口中分离出的微生物的特征,以减少抗生素耐药性并提供有效治疗。
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引用次数: 0
Spectrum of respiratory viruses identified from SARS-CoV-2-negative human respiratory tract specimens in Watansoppeng, Indonesia. 从印度尼西亚瓦坦索彭 SARS-CoV-2 阴性人类呼吸道标本中发现的呼吸道病毒谱。
Pub Date : 2024-10-11 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000840.v3
Irfan Idris, Isra Wahid, Ungke Antonjaya, Edison Johar, Fiqry Hasan Kleib, Ida Yus Sriyani, Aghnianditya Kresno Dewantari, Oderna Daming, Mustakim Duharing, Fatmawati Sappe, Hajar Hasan, Frilasita Aisyah Yudhaputri, Din Syafruddin, Khin Saw Aye Myint

Respiratory infections account for millions of hospital admissions worldwide. The aetiology of respiratory infections can be attributed to a diverse range of pathogens including viruses, bacteria and fungi. SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2)-negative specimens from Wattansoppeng city, South Sulawesi, were analysed to study the spectrum of respiratory viruses. Samples were screened for influenza virus, enterovirus, Paramyxoviridae, Nipah virus, Coronaviridae and Pneumoviridae. Of 210 specimens, 19 were positive for respiratory syncytial virus (RSV)-A, RSV-B, human parainfluenza virus type 1 (HPIV-1), HPIV-2, human rhinovirus (HRV)-A, HRV-B, HRV-C, human metapneumovirus (HMPV), influenza A virus (IAV) and coxsackievirus A6 (CV-A6). Influenza virus was of seasonal H3N2 subtype. The HMPVs were of genotypes B1 and A2a, while one RSV-A was of the ON-1 genotype. The viruses mostly affected children with unknown severity.

全世界数百万人因呼吸道感染入院治疗。呼吸道感染的病原体多种多样,包括病毒、细菌和真菌。我们对南苏拉威西瓦坦索彭市的 SARS-CoV-2(严重急性呼吸系统综合征冠状病毒 2)阴性标本进行了分析,以研究呼吸道病毒的谱系。对样本进行了流感病毒、肠道病毒、副粘病毒科、尼帕病毒、冠状病毒科和肺炎病毒科的筛查。在 210 份样本中,19 份样本的呼吸道合胞病毒(RSV)-A、RSV-B、人类副流感病毒 1 型(HPIV-1)、HPIV-2、人类鼻病毒(HRV)-A、HRV-B、HRV-C、人类偏肺病毒(HMPV)、甲型流感病毒(IAV)和柯萨奇病毒 A6(CV-A6)呈阳性。流感病毒为季节性 H3N2 亚型。HMPV 病毒的基因型为 B1 和 A2a,而一种 RSV-A 病毒的基因型为 ON-1。这些病毒主要影响儿童,严重程度不明。
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引用次数: 0
Carbapenem-resistant Citrobacter amalonaticus and VRE bacteraemia in an immunocompetent patient after a urological Rezum procedure. 一名免疫功能正常的患者在接受泌尿科 Rezum 手术后发生耐碳青霉烯类的阿马隆杆菌和 VRE 菌血症。
Pub Date : 2024-10-10 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000852.v4
David Midlick, Jason Harhay, Nathan A Summers

In this report, we discuss the case of a 62-year-old man who presented with gross haematuria, fever, and chills 1 day after undergoing a Rezum procedure and was found to have carbapenem-resistant Citrobacter amalonaticus and vancomycin-resistant Enterococcus faecalis bacteraemia. The patient was treated with daptomycin, eravacycline, and ceftalozane-tazobactam with positive results. We discuss our case and treatment of C. amalonaticus bacteraemia, a pathogen with limited existing literature on its incidence, presentation, and treatment.

在本报告中,我们讨论了一例 62 岁男性患者的病例,该患者在接受 Rezum 手术 1 天后出现毛细血尿、发热和寒战,并被发现患有耐碳青霉烯类的阿马隆杆菌和耐万古霉素的粪肠球菌菌血症。患者接受了达托霉素、克拉维西林和头孢他嗪-他唑巴坦治疗,效果良好。我们讨论了我们的病例和对阿马洛那他球菌菌血症的治疗,关于这种病原体的发病率、表现和治疗的现有文献很有限。
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引用次数: 0
Characterization of the Clostridioides difficile 630Δerm putative Pro-Pro endopeptidase CD1597. 艰难梭菌 630Δerm 假定性 Pro-Pro 内肽酶 CD1597 的特征。
Pub Date : 2024-10-08 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000855.v3
Bart Claushuis, Arnoud H de Ru, Peter A van Veelen, Paul J Hensbergen, Jeroen Corver

Clostridioides difficile is the leading cause of antibiotic-associated infections worldwide. Within the host, C. difficile can transition from a sessile to a motile state by secreting PPEP-1, which releases the cells from the intestinal epithelium by cleaving adhesion proteins. PPEP-1 belongs to the group of Pro-Pro endopeptidases (PPEPs), which are characterized by their unique ability to cleave proline-proline bonds. Interestingly, another putative member of this group, CD1597, is present in C. difficile. Although it possesses a domain similar to other PPEPs, CD1597 displays several distinct features that suggest a markedly different role for this protein. We investigated the proteolytic activity of CD1597 by testing various potential substrates. In addition, we investigated the effect of the absence of CD1597 by generating an insertional mutant of the cd1597 gene. Using the cd1597 mutant, we sought to identify phenotypic changes through a series of in vitro experiments and quantitative proteomic analyses. Furthermore, we aimed to study the localization of this protein using a fluorogenic fusion protein. Despite its similarities to PPEP-1, CD1597 did not show proteolytic activity. In addition, the absence of CD1597 caused an increase in various sporulation proteins during the stationary phase, yet we did not observe any alterations in the sporulation frequency of the cd1597 mutant. Furthermore, a promoter activity assay indicated a very low expression level of cd1597 in vegetative cells, which was independent of the culture medium and growth stage. The low expression was corroborated by our comprehensive proteomic analysis of the whole cell cultures, which failed to identify CD1597. However, an analysis of purified C. difficile spores identified CD1597 as part of the spore proteome. Hence, we predict that the protein is involved in sporulation, although we were unable to define a precise role for CD1597 in C. difficile.

艰难梭菌是全球抗生素相关感染的主要病因。在宿主体内,艰难梭菌可通过分泌 PPEP-1 从无柄状态转变为运动状态,PPEP-1 可通过裂解粘附蛋白将细胞从肠上皮细胞中释放出来。PPEP-1 属于原脯氨酸内肽酶(PPEPs),其特点是具有裂解脯氨酸-脯氨酸键的独特能力。有趣的是,难辨梭状芽孢杆菌中还存在该类蛋白的另一个推定成员 CD1597。虽然 CD1597 具有与其他 PPEPs 相似的结构域,但它显示出几个不同的特征,表明该蛋白的作用明显不同。我们通过测试各种潜在底物研究了 CD1597 的蛋白水解活性。此外,我们还通过生成 cd1597 基因的插入突变体来研究 CD1597 缺失的影响。利用 cd1597 突变体,我们试图通过一系列体外实验和定量蛋白质组分析来确定表型变化。此外,我们还利用荧光融合蛋白研究了该蛋白的定位。尽管 CD1597 与 PPEP-1 相似,但它并不具有蛋白水解活性。此外,CD1597 的缺失会导致静止期各种孢子蛋白的增加,但我们并未观察到 cd1597 突变体的孢子发生频率有任何改变。此外,启动子活性检测表明,cd1597 在无性细胞中的表达水平很低,这与培养基和生长阶段无关。我们对整个细胞培养物进行了全面的蛋白质组分析,但没有发现 CD1597。然而,对纯化的艰难梭菌孢子的分析却发现 CD1597 是孢子蛋白质组的一部分。因此,尽管我们无法确定 CD1597 在艰难梭菌中的确切作用,但我们预测该蛋白参与了孢子的形成。
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引用次数: 0
Xanthomonas citri pv. eucalyptorum strain 4866-2_S43 (formerly X. axonopodis pv. eucalyptorum): the causal agent of bacterial leaf blight on eucalypts recovered in Argentina. Xanthomonas citri pv. eucalyptorum strain 4866-2_S43 (formerly X. axonopodis pv. eucalyptorum): the causal agent of bacterial leaf blight on eucalyptorum recovered in Argentina.
Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000827.v3
German Matias Traglia, Mousami Poudel, Samuel Miño, Blanca Isabel Canteros, G V Minsavage, Anuj Sharma, Erica M Goss, Jeffrey B Jones, Alberto Gochez

We report the draft genome assembly of strain 4866-2_S43 isolated from a eucalyptus lesion in Argentina and what until recently was caused by Xanthomonas citri pv. eucalyptorum (Xce). The genome size is 5 188 607 bp, with a G+C content of 64.66%. Comparative analysis reveals that the closest relative of strain 4866-2_S43 is Xce LPF 602, isolated in Brazil. Comparison of the whole genome sequences revealed an average nucleotide identity (ANI) of 99.96% between the two strains. ANIs were determined between the whole genome sequence of strain 4866-2_S43 and the genomes of all currently validated Xanthomonas spp. These results revealed that strain 4866-2_S43 shared >95% similarity with X. citri pv. citri and X. citri pv. phaseoli, and <95% with X. euvesicatoria pv. alfalfae, X. euvesicatoria pv. perforans, and X. euvesicatoria pathovars euvesicatoria and eucalyptii.

我们报告了从阿根廷桉树病害中分离出的菌株 4866-2_S43 的基因组组装草案,直到最近,该病害一直是由柠檬黄单胞菌(Xanthomonas citri pv. eucalyptorum,Xce)引起的。基因组大小为 5 188 607 bp,G+C 含量为 64.66%。比较分析表明,菌株 4866-2_S43 的近亲是分离自巴西的 Xce LPF 602。全基因组序列比较显示,两株菌株的平均核苷酸同一性(ANI)为 99.96%。这些结果表明,菌株 4866-2_S43 与 X. citri pv. citri 和 X. citri pv. phaseoli,以及 X. euvesicatoria pv. alfalfae、X. euvesicatoria pv. perforans 和 X. euvesicatoria pathovars euvesicatoria 和 eucalyptii 的相似度大于 95%。
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引用次数: 0
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