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Characteristics of soil origin Pseudomonas batumici Koz11 isolated from a remote island in Japan. 从日本偏远岛屿分离出的土壤来源巴氏假单胞菌 Koz11 的特征。
Pub Date : 2024-08-16 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000799.v3
Hui Zuo, Yuh Morimoto, Kenzo Muroi, Tadashi Baba

Soil samples from a remote Japanese island (Kozushima) were processed and investigated for organisms exhibiting antimicrobial activity against pathogenic strains. A Pseudomonas strain demonstrating antimicrobial activity against Staphylococcus aureus (S. aureus) was identified, prompting further investigation. Whole-genome sequencing was employed to identify the species and conduct phylogenetic analysis, followed by in silico molecular analysis. Chemotaxonomic and biochemical analyses were conducted to further characterize the strain. Genomic analysis identified the strain of interest as Pseudomonas batumici (P. batumici), originally isolated from soil of the Black Sea coast of the Caucasus in 1980. P. batumici Koz11 is the second P. batumici strain to be isolated and identified outside its initial area of discovery. Similar to the type strain, P. batumici Koz11 showed antimicrobial activity against various S. aureus strains, including methicillin-resistant S. aureus (MRSA) and vancomycin-resistant S. aureus (VRSA). However, the previously reported 'batumin gene cluster', which synthesizes antimicrobial compounds, was absent from P. batumici Koz11. This study provides new insights into P. batumici. Since the type strain of P. batumici is exclusively deposited in the Ukrainian Collection of Microorganisms, the Koz11 strain may serve as a surrogate to facilitate continued study of P. batumici.

对来自日本偏远岛屿(高津岛)的土壤样本进行了处理和研究,以寻找对致病菌株具有抗菌活性的生物。结果发现了一种对金黄色葡萄球菌(S. aureus)具有抗菌活性的假单胞菌菌株,从而引发了进一步的研究。研究人员利用全基因组测序技术确定了假单胞菌的种类,并进行了系统进化分析,随后又进行了硅分子分析。为进一步确定菌株的特征,还进行了化学分类学和生物化学分析。基因组分析确定该菌株为巴图米氏假单胞菌(P. batumici),最初于 1980 年从高加索黑海沿岸的土壤中分离出来。P. batumici Koz11 是第二个在其最初发现地区之外分离和鉴定出的 P. batumici 菌株。与模式菌株相似,P. batumici Koz11 对多种金黄色葡萄球菌菌株具有抗菌活性,包括耐甲氧西林金黄色葡萄球菌(MRSA)和耐万古霉素金黄色葡萄球菌(VRSA)。然而,之前报道的能合成抗菌化合物的 "batumin 基因簇 "在 P. batumici Koz11 中并不存在。这项研究提供了对 P. batumici 的新认识。由于 P. batumici 的模式菌株只保存在乌克兰微生物保藏中心,Koz11 菌株可作为替代菌株,促进对 P. batumici 的继续研究。
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引用次数: 0
Genomic investigations of diverse corbiculate bee gut-associated Gilliamella reveal conserved pathways for energy metabolism, with diverse and variable energy sources. 对多种冠突伪尾柱虫肠道相关的基因组研究发现了能量代谢的保守途径,其能量来源多种多样。
Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000793.v3
Viet Hung Nguyen

Gilliamella is a genus of bacteria commonly found as symbionts of corbiculate bees. Research into energy metabolism by this genus has predominantly been done through in vivo and in vitro experiments focused on the type species Gilliamella apicola. This study examined 95 publicly available genomes representing at least 18 Gilliamella species isolated predominantly from the hindgut of corbiculate bees. Energy metabolism pathways were found to be highly conserved across not only the Gilliamella but also other members of the family Orbaceae. Evidence suggests Gilliamella are capable of fermentation of both fumarate and pyruvate. Fermentation of the former produces succinate. Fermentation of the latter can produce acetate, ethanol, formate, and both isoforms of lactate for all Gilliamella and acetoin for some G. apicola strains. According to genomic evidence examined, all Gilliamella are only capable of respiration under microoxic conditions, while higher oxygen conditions likely inhibits respiration. Evidence suggests that the glycolysis and pentose phosphate pathways are essential mechanisms for the metabolism of energy sources, with the TCA cycle playing little to no role in energy metabolism for all Gilliamella species. Uptake of energy sources, i.e. sugars and derivatives, likely relies predominantly on the phosphoenol-pyruvate-dependent phosphotransferase system. Differences in the utilized energy sources may confer fitness advantages associated with specific host species.

Gilliamella 是一种常见的细菌属,是冠状病毒蜜蜂的共生菌。对该菌属能量代谢的研究主要是通过体内和体外实验进行的,主要集中在Gilliamella apicola这一类型物种上。本研究考察了 95 个公开的基因组,代表了至少 18 个主要从疣蜂后肠分离出来的 Gilliamella 种类。研究发现,能量代谢途径不仅在 Gilliamella 家族中高度保守,在 Orbaceae 家族的其他成员中也是如此。有证据表明,吉氏蜂能够发酵富马酸和丙酮酸。前者发酵产生琥珀酸。后者发酵可产生乙酸盐、乙醇、甲酸盐以及所有吉利拉菌的两种乳酸盐异构体,某些 G. apicola 菌株还可产生乙酰辅酶。根据所研究的基因组证据,所有吉利安拉菌只能在微氧条件下进行呼吸作用,而高氧条件可能会抑制呼吸作用。有证据表明,糖酵解和磷酸戊糖途径是能量代谢的基本机制,而 TCA 循环在所有吉利拉菌物种的能量代谢中几乎不起作用。能量来源(即糖和衍生物)的吸收可能主要依赖于依赖磷酸烯醇-丙酮酸的磷酸转移酶系统。利用的能量来源不同,可能会带来与特定宿主物种相关的适应优势。
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引用次数: 0
Genomic analysis of Oceanotoga teriensis strain UFV_LIMV02, a multidrug-resistant thermophilic bacterium isolated from an offshore oil reservoir. Oceanotoga teriensis 菌株 UFV_LIMV02 的基因组分析,这是一种从近海油藏中分离出来的耐多药嗜热细菌。
Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000801.v3
Adriele Jéssica do Carmo Santos, Roberto Sousa Dias, Carlos Henrique Martins da Silva, Pedro Marcus Pereira Vidigal, Maíra Paula de Sousa, Cynthia Canedo da Silva, Sérgio Oliveira de Paula

Bacteria of the species Oceanotoga teriensis belong to the family Petrotogaceae, are Gram-negative bacilli, are moderately thermophilic and are included in the group of thiosulfate-reducing bacteria, being capable of significantly accelerating corrosion in metallic structures. However, no in-depth study on the genome, antibiotic resistance and mobile elements has been carried out so far. In this work, the isolation, phenotypic and genotypic characterization of the multi-resistant O. teriensis UFV_LIMV02 strain was carried out, from water samples from an offshore oil extraction platform in Rio de Janeiro (Brazil). We determined that the isolate has a genome of 2 812 778 bp in size, with 26 % GC content, organized into 34 contigs. Genomic annotation using Rapid Annotation using Subsystem Technology revealed the presence of genes related to resistance to antibiotics and heavy metals. By evaluating the antimicrobial resistance of the isolate using the disc diffusion technique, resistance was verified for the classes of antibiotics, beta-lactams, fluoroquinolones, aminoglycosides, sulfonamides, lincosamides and rifamycins, a total of 14 antibiotics. The search for genomic islands, prophages and defence systems against phage infection revealed the presence of five genomic islands in its genome, containing genes related to resistance to heavy metals and antibiotics, most of which are efflux pumps and several transposases. No prophage was found in its genome; however, nine different defence systems against phage infection were detected. When analysing the clustered regularly interspaced short palindromic repeat (CRISPR) systems, four CRISPR arrays, classified as types I-B and III-B, with 272 spacers, can provide the strain with immunity to different mobile genetic elements and bacteriophage infection. The results found in this study show that the isolate UFV_LIVM02 is an environmental bacterium, resistant to different classes of antibiotics, and that the proteins encoded by the predicted genomic islands may be associated with the development of greater resistance to antibiotics and heavy metals. They provide evidence that environmental bacteria found in offshore oil exploration residues may pose a risk for the spread of antibiotic resistance genes. More comprehensive studies on the microbial community present in oil waste are needed to assess the risks of horizontal gene transfer.

Oceanotoga teriensis 属于 Petrotogaceae 科,是革兰氏阴性杆菌,具有中等嗜热性,属于硫代硫酸盐还原菌,能够显著加速金属结构的腐蚀。但迄今为止,尚未对其基因组、抗生素耐药性和移动元素进行深入研究。在这项工作中,我们从里约热内卢(巴西)海上石油开采平台的水样中分离出了具有多重抗性的 O. teriensis UFV_LIMV02 菌株,并对其进行了表型和基因型鉴定。我们确定该分离株的基因组大小为 2 812 778 bp,GC 含量为 26%,分为 34 个等位组。利用子系统快速注释技术进行的基因组注释发现了与抗生素和重金属抗性有关的基因。通过使用碟片扩散技术评估分离物的抗菌性,验证了抗生素类、β-内酰胺类、氟喹诺酮类、氨基糖苷类、磺胺类、林可霉素类和利福霉素类共 14 种抗生素的耐药性。通过对基因组岛、噬菌体和噬菌体感染防御系统的搜索,发现其基因组中有五个基因组岛,包含与抗重金属和抗生素有关的基因,其中大部分是外排泵和几个转座酶。在其基因组中没有发现噬菌体,但却检测到九种不同的噬菌体感染防御系统。在分析簇状规则间隔短回文重复(CRISPR)系统时,发现有四个 CRISPR 阵列,分为 I-B 型和 III-B 型,共有 272 个间隔,可使菌株对不同的移动遗传因子和噬菌体感染产生免疫力。本研究发现的结果表明,分离物 UFV_LIVM02 是一种环境细菌,对不同种类的抗生素具有抗药性,预测的基因组岛编码的蛋白质可能与抗生素和重金属抗药性的增强有关。他们提供的证据表明,在近海石油勘探残留物中发现的环境细菌可能会带来抗生素抗性基因传播的风险。需要对石油废物中的微生物群落进行更全面的研究,以评估横向基因转移的风险。
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引用次数: 0
Identification of causative fungus from sterile abscess using metagenomics followed by in situ hybridization. 利用元基因组学和原位杂交鉴定无菌脓肿中的致病真菌。
Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000779.v3
Hiroya Oki, Ryotaro Niwa, Somboonthum Pranee, Daisuke Motooka, Yoshiyuki Onda, Jun Nakata, Hiroko Nakajima, Yoshihiro Oka, Haruo Sugiyama, Yuka Yoshii, Naoyuki Anzai, Shota Nakamura, Tetsuya Iida

Introduction. Invasive fungal infections require early diagnosis for treatment. Microscopic observation of biopsy and blood culture is the gold standard for the identification of the causative fungus, but it is difficult to identify the causative pathogen by a sterile abscess biopsy. Case Presentation. We present a case report of breakthrough invasive trichosporonosis in a 65-year-old Japanese male with acute myeloid leukaemia receiving antifungal prophylaxis. Blood cultures showed no fungal growth, and a liver biopsy and a removed spleen with abscess showed fragmented fungi, but no fungal identification was possible. This report demonstrates that retrospective analyses were able to identify the causative fungus. Conclusion. We narrowed down the candidate fungi by deep sequencing of the ITS1 region of fungal genome and confirmed that the fungus observed in the specimen was Trichosporon asahii by in situ hybridization using a DNA probe targeting 26S rRNA.

介绍。侵袭性真菌感染需要早期诊断以便治疗。活组织切片的显微镜观察和血液培养是确定致病真菌的金标准,但通过无菌脓肿活组织切片很难确定致病病原体。病例介绍。我们报告了一例突破性侵袭三孢子菌病病例,患者是一名 65 岁的日本男性,患有急性髓性白血病,正在接受抗真菌预防治疗。血液培养显示无真菌生长,肝脏活检和切除的脾脏及脓肿显示有零星真菌,但无法进行真菌鉴定。本报告表明,回顾性分析能够确定致病真菌。结论。我们通过对真菌基因组的 ITS1 区域进行深度测序,缩小了候选真菌的范围,并通过使用针对 26S rRNA 的 DNA 探针进行原位杂交,确认标本中观察到的真菌是旭三孢子菌。
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引用次数: 0
Fatal Clostridium septicum gas gangrene complicating ECMO: case report and review of literature. 致命的败血梭状芽孢杆菌气性坏疽并发 ECMO:病例报告和文献综述。
Pub Date : 2024-08-05 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000825.v3
Adrien Turban, Vincent Joussellin, Caroline Piau, Vincent Cattoir, Yoann Launey, Gabriel Eustache

Clostridium septicum gas gangrene is a severe and deadly infection caused by an anaerobic, spore-forming, Gram-positive bacillus. As previously described, two entities are observed: traumatic and spontaneous (or non-traumatic) forms. In this report, we aim to describe the case of a fulminant and ultimately fatal C. septicum myonecrosis occurring in a patient who was first admitted for refractory cardiac arrest and placed on veino-arterial extracorporeal membrane oxygenation (ECMO). Building upon prior studies that have documented cases of spontaneous gas gangrene caused by C. septicum, we provide an updated compilation, focusing on microbiological characteristics of C. septicum, along with the diagnostic and therapeutic challenges associated with spontaneous gas gangrene. Additionally, the specific clinical situation of our case illustrates the seriousness of this infectious complication that combined both spontaneous and traumatic gas gangrene risk factors. We thus, discuss the antibiotic coverage prior to the initiation of ECMO procedure.

败血梭状芽孢杆菌气性坏疽是一种由厌氧的革兰氏阳性芽孢杆菌引起的严重致命感染。如前所述,可观察到两种情况:创伤性和自发性(或非创伤性)。在本报告中,我们旨在描述一例因难治性心脏骤停而入院并接受静脉-动脉体外膜氧合(ECMO)治疗的患者,发生了严重的、最终致命的败血衣球菌性肌坏死。之前的研究记录了由败血衣原体引起的自发性气性坏疽病例,在此基础上,我们对这些病例进行了更新,重点介绍了败血衣原体的微生物学特征,以及与自发性气性坏疽相关的诊断和治疗难题。此外,我们病例的特殊临床情况也说明了这种感染性并发症的严重性,它同时具有自发性和创伤性气性坏疽的风险因素。因此,我们讨论了启动 ECMO 程序前的抗生素覆盖范围。
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引用次数: 0
Multifocal tuberculosis revealed by a sternal swelling in an immunocompetent child. 一名免疫功能正常儿童胸骨肿胀所显示的多灶性肺结核。
Pub Date : 2024-08-05 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000795.v3
Ghizlane Chehrastane, Elmostafa Benaissa, Abdelilah Radi, Amal El Hassani, Mostafa Elouennass

Tuberculosis (TB) is one of the most common pathogens of bacterial lung infections, especially in underdeveloped nations like Morocco, where the incidence of TB was 97 cases per 100 000 persons in 2019. Thanks to its national TB prevention and control plan, Morocco was able to achieve remarkable progress in the management of TB with an 80% reduction in the total number of patients diagnosed with TB between 1980 and 2018. The national plan also allowed us to reach and maintain a therapeutic rate above 86% since 2002. Sternal TB is a rare clinical condition accounting for 1% of all musculoskeletal TB cases. Due to its rarity and the lack of awareness of clinical presentations, the diagnosis of sternal TB can be quite complex. We describe the case of a 14-year-old Moroccan patient consulting in the Military Hospital Mohammed V-Rabat with central chest pain for 4 months which was not associated with breathing, physical exercise or eating. The patient also had a history of asthenia, fever and weight loss. A computed tomography scan of the chest showed a destructive lesion of the sternum. Afterward, a chirurgical biopsy was performed and enabled to confirm the microbiological diagnosis of TB with the realization of the real-time PCR. The antitubercular therapy was given to the patient who had complete resolution of symptoms. This condition should be included in the differential diagnosis of chronic chest pain that mimics costochondritis particularly in patients from endemic areas.

结核病(TB)是细菌性肺部感染最常见的病原体之一,尤其是在像摩洛哥这样的欠发达国家,2019 年的结核病发病率为每 10 万人 97 例。得益于国家结核病防控计划,摩洛哥得以在结核病管理方面取得显著进展,1980 年至 2018 年间,确诊的结核病患者总数减少了 80%。自 2002 年以来,该国家计划还使我们的治疗率达到并保持在 86% 以上。胸骨结核是一种罕见的临床病症,占所有肌肉骨骼结核病例的 1%。由于其罕见性和缺乏对临床表现的认识,胸骨结核的诊断可能相当复杂。我们描述了这样一个病例:一名 14 岁的摩洛哥患者在穆罕默德五世-拉巴特军事医院就诊,胸痛持续 4 个月,与呼吸、运动或进食无关。患者还有气喘、发烧和体重减轻的病史。胸部计算机断层扫描显示胸骨有破坏性病变。随后,进行了外科活检,并通过实时 PCR 确定了结核病的微生物学诊断。患者接受了抗结核治疗,症状完全缓解。这种情况应被纳入模仿肋软骨炎的慢性胸痛的鉴别诊断中,尤其是来自地方病流行地区的患者。
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引用次数: 0
Acanthamoeba castellanii alone is not a growth promoter for Hordeum vulgare. 仅靠蓖麻棘阿米巴菌并不能促进大麦的生长。
Pub Date : 2024-08-01 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000761.v3
Julia Sacharow, Stefan Ratering, Bellinda Schneider, Alessandra Österreicher Cunha-Dupont, Sylvia Schnell

Protists are important key players in the microbial loop and influence their environment by grazing, which leads to the return of nutrients into the soil and reduces pathogen pressure on plants. Specifically, protists on and around plant roots are important for plants' development and growth. For this study, the fourth most important crop in the world, Hordeum vulgare, was selected. Seeds of H. vulgare were inoculated with Acanthamoeba castellanii alone or with additional soil bacteria at the beginning and during the experiment. The germination of the seeds and the growth of the plants in pouches were monitored over 3 weeks. No differences were found in leaf growth, root growth, root and leaf nitrogen content or ammonia content of the liquid from the pouches. In contrast, the relative increase in root and leaf dry weight showed a small difference compared to the controls. The results of this experiment demonstrated that seed inoculation with A. castellanii alone or with additional unidentified soil bacteria did not have a major effect on the growth and development of barley. Nevertheless, small changes in plant development were detected, indicating that A. castellanii should be considered for further investigation of co-inoculations with plant growth-promoting bacteria and additional nutrients.

原生动物是微生物循环中的重要关键角色,它们通过吃草来影响周围环境,从而使养分回归土壤,减轻病原体对植物的压力。具体来说,植物根部和周围的原生动物对植物的发育和生长非常重要。本研究选择了世界第四大重要农作物--大麦(Hordeum vulgare)。在实验开始时和实验过程中,给 H. vulgare 的种子单独接种 Acanthamoeba castellanii 或额外接种土壤细菌。对种子的发芽和袋中植物的生长进行了 3 周的监测。在叶片生长、根部生长、根部和叶片含氮量或菌袋中液体的氨含量方面均未发现差异。相反,根和叶干重的相对增加与对照组相比差异很小。该实验的结果表明,仅在种子中接种 A. castellanii 或额外接种不明土壤细菌不会对大麦的生长和发育产生重大影响。尽管如此,还是检测到了植物生长发育的微小变化,这表明应考虑将蓖麻菌与促进植物生长的细菌和额外的养分共同接种,以进一步研究其作用。
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引用次数: 0
Exploration and characterization of a newly isolated bacterium, Enterobacter quasihormaechei strain BDIFST24001, capable of producing rhamnolipid biosurfactant for oil remediation. 探索一种新分离的细菌--Enterobacter quasihormaechei 菌株 BDIFST24001 的特性,该菌株能够生产用于石油修复的鼠李糖脂生物表面活性剂。
Pub Date : 2024-08-01 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000830.v4
Afsana Habib Jui, Mohammad Nazrul Islam Bhuiyan, Banasree Bhowmik, Nazia Khatun, Abhijit Chowdhury, Riyadh Hossen Bhuiyan, Md Alamgir Kabir, Md Mamunur Rashid, Md Habibur Rahman Bhuiyan, Sadia Afrin

Biosurfactants are naturally occurring compounds synthesized by micro-organisms that increasingly attract attention due to both their living area and application in various industries. In this study, we explore and characterize a novel bacterium, Enterobacter quasihormaechei strain BDIFST24001, isolated for its ability to produce rhamnolipid biosurfactants, with the aim of facilitating oil remediation processes. The isolation of this bacterium was carried out using Luria-Bertani (LB) broth media from environmental samples collected from oil-contaminated sites in Dhaka City. Screening tests, including the oil spreading method and drop collapse assay, were conducted to identify potential biosurfactant-producing strains, leading to the selection of E. quasihormaechei strain BDIFST24001 based on its favourable performance. Subsequent molecular identification revealed a high similarity of the strain's 16S rRNA gene to E. quasihormaechei, which was corroborated through phylogenetic analysis. Further analysis of the biosurfactant produced by this strain indicated its rhamnolipid nature, as confirmed by FT-IR spectroscopy. The rhamnolipids exhibited promising surface-active properties, including a significant reduction in surface tension and emulsification activity, as evidenced by surface tension measurements and emulsification index assays. Optimization studies revealed that the optimal conditions for rhamnolipid production by E. quasihormaechei strain BDIFST24001 were a temperature of 37 °C, pH 10.0 and salinity of 4 %. The rhamnolipids produced by this strain demonstrated effective oil remediation capabilities, as observed through controlled experiments using petrol oil. The rhamnolipids effectively reduced the surface tension of the oil-water interface, facilitating the dispersion and emulsification of the oil phase in water. Overall, our findings highlight the potential of E. quasihormaechei strain BDIFST24001 as a promising candidate for biosurfactant-mediated oil spill cleanup and environmental remediation efforts.

生物表面活性剂是由微生物合成的天然化合物,由于其生活领域和在各行各业的应用而日益受到关注。在本研究中,我们探索并鉴定了一种新型细菌--Enterobacter quasihormaechei 菌株 BDIFST24001--分离出的鼠李糖脂生物表面活性剂的能力,目的是促进石油修复过程。该细菌是利用卢里亚-伯塔尼(LB)肉汤培养基从达卡市石油污染场地采集的环境样本中分离出来的。为了确定潜在的生物表面活性剂生产菌株,进行了筛选测试,包括撒油法和液滴塌陷试验,最终根据 E. quasihormaechei 菌株 BDIFST24001 的良好表现选出了该菌株。随后的分子鉴定显示,该菌株的 16S rRNA 基因与 E. quasihormaechei 高度相似,并通过系统发育分析证实了这一点。对该菌株产生的生物表面活性剂的进一步分析表明,它具有鼠李糖脂的性质,这一点已通过傅立叶变换红外光谱法得到证实。鼠李糖脂表现出良好的表面活性特性,包括显著降低表面张力和乳化活性,表面张力测量和乳化指数测定证明了这一点。优化研究表明,鼠李糖脂生产的最佳条件是温度 37 °C、pH 值 10.0 和盐度 4 %。通过使用汽油油进行对照实验,观察到该菌株产生的鼠李糖脂具有有效的油污修复能力。鼠李糖脂能有效降低油水界面的表面张力,促进油相在水中的分散和乳化。总之,我们的研究结果凸显了类霍乱弧菌菌株 BDIFST24001 作为生物表面活性剂介导的溢油清理和环境修复工作的候选菌株的潜力。
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引用次数: 0
A study on viruses and bacteria with particular interest on Mycoplasma pneumoniae in children with exacerbation of asthma from a tertiary care hospital in Sri Lanka. 对斯里兰卡一家三级医院哮喘加重儿童中的病毒和细菌进行研究,尤其关注肺炎支原体。
Pub Date : 2024-07-30 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000778.v5
Lakmini Inoka Wijesooriya, Victoria Chalker, Priyantha Perera, N P Sunil-Chandra

Asthma is a significant public health concern, particularly in children with severe symptoms. Exacerbation of asthma (EOA) is life-threatening, and respiratory infections (RIs) play a crucial role. Though viruses play a significant role in EOA, patients are empirically treated with antibiotics, contributing to antibiotic resistance development. Although there are widely reported associations of EOA with viral or Mycoplasma pneumoniae infections, there are no published data for Sri Lanka. The present study aimed to identify the association of common respiratory viruses, typical respiratory bacterial pathogens and M. pneumoniae in children with EOA and relate them with the compatibility of antimicrobial use. A case-control study was conducted in the paediatric unit of North Colombo Teaching Hospital, Sri Lanka, involving two groups of children between 5 and 15 years of age. Group 1 is children with EOA and Group 2 is children with stable asthma (SA). Each group consisted of 100 children. Sputum/throat swabs were tested for common respiratory viruses using virus-specific fluorescein isothiocyanate-labelled monoclonal antibodies (MAbs), bacteria by routine culture, and M. pneumoniae by real-time polymerase chain reaction. Macrolide resistance in M. pneumoniae was detected using conventional PCR and sequencing specific genetic mutations in the 23S rRNA gene. M. pneumoniae was genotyped using nested multilocus sequence typing, which targeted eight housekeeping genes (ppa, pgm, gyrB, gmk, glyA, atpA, arcC and adk). There was no significant difference in age, gender, demographic or geographical location between the two groups. In children with EOA, antibiotics were used in 66 % (66/100) and macrolides in 42 % (42/100). Samples comprised 78 % (78/100) sputum and 22 % (22/100) throat swabs. Adenovirus was the most common virus identified, and it was significantly higher in children with EOA compared to those with SA. Still, the two groups had no significant difference in typical bacteria findings. M. pneumoniae was detected in one patient with EOA, but none was detected in the SA group. The M. pneumoniae was macrolide-sensitive and ST14 by multilocus sequence typing. This study showed that the empiric use of antibiotics in children with asthma might be better targeted with prior pathogen screening to inform appropriate treatment to minimize antibiotic resistance.

哮喘是一个重大的公共健康问题,尤其是症状严重的儿童。哮喘加重(EOA)会危及生命,而呼吸道感染(RIs)则起着至关重要的作用。虽然病毒在哮喘加重中起着重要作用,但患者通常会接受抗生素治疗,从而导致抗生素耐药性的产生。尽管有广泛报道称 EOA 与病毒或肺炎支原体感染有关,但在斯里兰卡却没有公开发表的数据。本研究旨在确定 EOA 患儿中常见呼吸道病毒、典型呼吸道细菌病原体和肺炎支原体的相关性,并将其与抗菌药物使用的相容性联系起来。斯里兰卡北科伦坡教学医院儿科开展了一项病例对照研究,涉及两组 5 至 15 岁的儿童。第一组是患有哮喘的儿童,第二组是患有稳定型哮喘(SA)的儿童。每组 100 名儿童。用病毒特异性异硫氰酸荧光素标记的单克隆抗体(MAbs)对痰/咽拭子进行常见呼吸道病毒检测,用常规培养法检测细菌,用实时聚合酶链反应法检测肺炎双球菌。肺炎双球菌对大环内酯类药物的耐药性是通过常规聚合酶链式反应和 23S rRNA 基因的特异性基因突变测序检测出来的。使用巢式多焦点序列分型法对肺炎双球菌进行基因分型,该方法针对八个看家基因(ppa、ppgm、gyrB、ghmk、glyA、atpA、arcC 和 adk)。两组患儿在年龄、性别、人口统计学或地理位置方面均无明显差异。在EOA患儿中,66%(66/100)使用了抗生素,42%(42/100)使用了大环内酯类药物。样本包括78%(78/100)的痰液和22%(22/100)的咽拭子。腺病毒是最常见的病毒,在EOA患儿中的感染率明显高于SA患儿。不过,两组患儿在典型细菌检测结果上没有明显差异。在一名 EOA 患者身上检测到了肺炎双球菌,但在 SA 组中却没有检测到肺炎双球菌。肺炎双球菌对大环内酯类药物敏感,多聚焦序列分型为 ST14。这项研究表明,在对哮喘患儿使用经验性抗生素时,如果事先进行病原体筛查,就能更好地确定适当的治疗方法,从而最大限度地减少抗生素耐药性。
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引用次数: 0
Phenotypic and genotypic characterization of extended-spectrum beta-lactamase-producing Enterobacteriaceae in a Moroccan hospital. 摩洛哥一家医院中产广谱β-内酰胺酶肠杆菌科细菌的表型和基因型特征。
Pub Date : 2024-07-17 eCollection Date: 2024-01-01 DOI: 10.1099/acmi.0.000822.v3
Yassine Eddair, Elmehdi Belouad, Elmostafa Benaissa, Tilila Abassor, Fatna Bsaibiss, Adil Maleb, Mostafa Elouennass

Extended-spectrum beta-lactamase-producing Enterobacteriaceae (ESBL-E) is a major public health problem in hospitals and in the community. The objective of this work was to describe the epidemiology of ESBL-E, to study their resistance profile and to determine the genes encoding the ESBL phenotype. This is a retrospective study conducted in the bacteriology laboratory of the Mohamed V Military Training Hospital in Rabat, and covering all isolates of Enterobacteriaceae from 1 January 2018 to 31 December 2020. The molecular study of ESBL genes involved a representative sample of all ESBL isolates. The overall prevalence of ESBLs in isolated Enterobacteriaceae (1402/10268) is 13.65 %. The urinary tract was the main site of isolation of ESBL (61 %). The bacterial species most concerned are Escherichia coli (41.9 %), Klebsiella pneumoniae (42.2 %) and Enterobacter cloacae (11.9 %). The study of antibiotic susceptibility showed a resistant profile marked mainly by 100 % resistance to first generation cephalosporins (1GC) and third generation cephalosporins (3GC), 55 % to piperacillin-tazobactam, 16 % to imipenem, and 87 % to fluoroquinolones. Molecular typing of ESBL strains showed a prevalence of CTX-M (95 %), SHV (50 %) and TEM (56 %). The CTX-M-1 and the CTX-M-9 groups were the most common (96.19 % and 7.62 % respectively), and CTX-M15 was found in 78.10 % of CTX-M-1 ESBL positive isolates. Most strains had more than two coexisting resistance genes. The prevalence rate of ESBL-E is critical, and preventive action at different levels (prescriber, biologist, hospital, patient, etc.) are necessary in order to limit their spread and to manage a better therapeutic strategy.

产广谱β-内酰胺酶肠杆菌科细菌(ESBL-E)是医院和社区的一个主要公共卫生问题。这项工作的目的是描述 ESBL-E 的流行病学,研究其耐药性特征,并确定编码 ESBL 表型的基因。这是一项在拉巴特穆罕默德五世军事训练医院细菌学实验室进行的回顾性研究,涵盖了 2018 年 1 月 1 日至 2020 年 12 月 31 日期间分离的所有肠杆菌科细菌。ESBL 基因的分子研究涉及所有 ESBL 分离物的代表性样本。ESBLs在分离出的肠杆菌科细菌(1402/10268)中的总体流行率为13.65%。泌尿道是分离出 ESBL 的主要部位(61%)。最常见的细菌是大肠埃希菌(41.9%)、肺炎克雷伯菌(42.2%)和泄殖腔肠杆菌(11.9%)。抗生素敏感性研究显示,耐药性特征主要表现为对第一代头孢菌素(1GC)和第三代头孢菌素(3GC)的耐药率为 100%,对哌拉西林-他唑巴坦的耐药率为 55%,对亚胺培南的耐药率为 16%,对氟喹诺酮类的耐药率为 87%。ESBL 菌株的分子分型显示,CTX-M(95%)、SHV(50%)和 TEM(56%)菌株很普遍。CTX-M-1 和 CTX-M-9 组最为常见(分别为 96.19 % 和 7.62 %),在 78.10 % 的 CTX-M-1 ESBL 阳性分离株中发现了 CTX-M15。大多数菌株都有两种以上的抗性基因共存。ESBL-E的流行率非常高,有必要在不同层面(处方医生、生物学家、医院、患者等)采取预防措施,以限制其传播并管理更好的治疗策略。
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引用次数: 0
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Access microbiology
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