Molecular characterization and antimicrobial susceptibility patterns of Clostridium difficile strains isolated from hospitals in south-east Scotland

2007 ◽  
Vol 56 (7) ◽  
pp. 921-929 ◽  
Author(s):  
Esvet Mutlu ◽  
Allison J. Wroe ◽  
Karla Sanchez-Hurtado ◽  
Jon S. Brazier ◽  
Ian R. Poxton
Keyword(s):  
Antibiotic Resistance ◽  
Clostridium Difficile ◽  
Restriction Analysis ◽  
Common Type ◽  
Resistance Pattern ◽  
Binary Toxin ◽  
Resistance Patterns ◽  
The Common ◽  
Antibiotic Resistance Patterns ◽  
Susceptibility Patterns

Clostridium difficile isolates (n=149) collected in south-east Scotland between August and October 2005 were typed by four different methods and their susceptibility to seven different antibiotics was determined. The aims were to define the types of strain occurring in this region and to determine whether there were any clonal relationships among them with respect to genotype and antibiotic resistance pattern. Ribotyping revealed that 001 was the most common type (n=113, 75.8 %), followed by ribotype 106 (12 isolates, 8.1 %). The majority of the isolates (96.6 %, n=144) were of toxinotype 0, with two toxinotype V isolates and single isolates of toxinotypes I, IV and XIII. PCR and restriction analysis of the fliC gene from 147 isolates gave two restriction patterns: 145 of pattern VII and two of pattern I. Binary toxin genes were detected in only three isolates: two isolates of ribotype 126, toxinotype V, and one isolate of ribotype 023, toxinotype IV. S-types showed more variation, with 64.5 % (n=40) of the common S-type (4939) and 21 % (n=13) of S-type 4741, with six other S-types (one to three isolates each). All ribotype 001 isolates were of the same S-type (4939), with three isolates of other ribotypes being this S-type. No resistance was found to metronidazole or vancomycin, with resistance to tetracycline only found in 4.3 % of the isolates. A high proportion of isolates were resistant to clindamycin (62.9 %), moxifloxacin, ceftriaxone (both 87.1 %) and erythromycin (94.8 %). Resistance to three antibiotics (erythromycin, clindamycin and ceftriaxone) was seen in 66 isolates, with erythromycin, ceftriaxone and moxifloxacin resistance seen in 96 isolates. Resistance to all four of these antibiotics was found in 62 isolates and resistance to five (the above plus tetracycline) in one isolate: a ribotype 001, toxinotype 0 strain. Whilst ribotype 001 was the most commonly encountered type, there was no evidence of clonal relationships when all other typing and antibiotic resistance patterns were taken into account.

Identification of Hemolysin encoding Genes and their Association with Antimicrobial Resistance Pattern among Clinical Isolates of Coagulase-Negative Staphylococci

2019 ◽  
Author(s):  
Mona Nasaj ◽  
Zahra Saeidi ◽  
Babak Asghari ◽  
Ghodratollah Roshanaei ◽  
Mohammad Arabestani
Keyword(s):  
Antibiotic Resistance ◽  
Meca Gene ◽  
Resistance Pattern ◽  
Opportunistic Pathogens ◽  
Significant Issue ◽  
Coagulase Negative Staphylococci ◽  
Factors Associated ◽  
Resistance Patterns ◽  
Antibiotic Resistance Patterns ◽  
Encoding Genes

Abstract Objection : Coagulase-negative staphylococci (CoNS) are considered opportunistic pathogens which capable of producing several toxins, enzymes and also resistance genes. The current study aimed to determine the occurrence of different hemolysins and patterns of antibiotic resistance among CoNS species. Results : The highest frequency of antibiotic resistance was observed against cefoxitin in 49 isolates (53.8%), and the lowest resistance was against novobiocin in 5 isolates (5.5%). None of the isolates were resistant to vancomycin. The prevalence of hla, hla_yidD, hld, and hlb genes were determined as 87.9%, 62.6%, 56%, and 47.3%, respectively. The hla/yidD and hld genes were detected in 69.4% of S. epidermidis and the hla gene in 94.6% of S. haemolyticus ; hlb gene was detected in 53.1% of the S. epidermidis isolates. mecA gene was identified in 50 (55%) of the CoNS isolates. In conclusion, the results of statistical analysis showed that the hld gene had a significant association with resistance to levofloxacin and erythromycin and the hlb with clindamycin resistance. The results of this study showed that there is a significant relationship between hemolysin encoding genes and antibiotic resistance patterns; therefore, detection of virulence factors associated with antibiotic resistance has become a significant issue of concern.

Antibiotic resistance patterns of Pseudomonas spp. isolated from faecal wastes in the environment and contaminated surface water

2020 ◽  
Vol 96 (2) ◽  
Author(s):  
Mathilde Camiade ◽  
Josselin Bodilis ◽  
Naouel Chaftar ◽  
Wassila Riah-Anglet ◽  
Johan Gardères ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Resistance Genes ◽  
Enteric Bacteria ◽  
Resistance Pattern ◽  
Pathogenic Species ◽  
Pseudomonas Species ◽  
Class 1 ◽  
Resistance Patterns ◽  
Faecal Bacteria ◽  
Antibiotic Resistance Patterns

ABSTRACT The Pseudomonas genus, which includes environmental and pathogenic species, is known to present antibiotic resistances, and can receive resistance genes from multi-resistant enteric bacteria released into the environment via faecal rejects. This study was aimed to investigate the resistome of Pseudomonas populations that have been in contact with these faecal bacteria. Thus, faecal discharges originating from human or cattle were sampled (from 12 points and two sampling campaigns) and 41 Pseudomonas species identified (316 isolates studied). The resistance phenotype to 25 antibiotics was determined in all isolates, and we propose a specific antibiotic resistance pattern for 14 species (from 2 to 9 resistances). None showed resistance to aminoglycosides, tetracycline, or polymyxins. Four species carried a very low number of resistances, with none to β-lactams. Interestingly, we observed the absence of the transcriptional activator soxR gene in these four species. No plasmid transfer was highlighted by conjugation assays, and a few class 1 but no class 2 integrons were detected in strains that may have received resistance genes from Enterobacteria. These results imply that the contribution of the Pseudomonas genus to the resistome of an ecosystem first depends on the structure of the Pseudomonas populations, as they may have very different resistance profiles.

scholarly journals Antibiotic Resistance Patterns and Virulence Determinants of Different SCCmec and Pulsotypes of Staphylococcus Aureus Isolated from a Major Hospital in Ilam, Iran

2017 ◽  
Vol 11 (1) ◽  
pp. 211-223 ◽  
Author(s):  
Mehdi Abbasi ◽  
Majid BaseriSalehi ◽  
Nima Bahador ◽  
Morovat Taherikalani
Keyword(s):  
Antibiotic Resistance ◽  
Antimicrobial Susceptibility ◽  
Public Hospital ◽  
Genetic Relatedness ◽  
Resistance Pattern ◽  
Virulence Determinants ◽  
Different Types ◽  
Resistance Patterns ◽  
Typing Methods ◽  
Antibiotic Resistance Patterns

Aims & Objectives:The aim of this studyisto evaluate genetic relatedness, antibiotic resistance pattern, and virulence characteristics of different types ofS. aureusisolated from air, surfaces, staff, and patients in a Public hospital in Ilam.Methods & Materials:A total of 88 of 140 staphylococci identified asS. aureusby 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 SCCmectyping 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 resistantS. aureuswereacc (6')/aph (2”)Iaandaph(3”)IIIa. The most common erythromycin resistant gene wasermC. Surprisingly, SCCmectypes 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.

Antibiogram of faecal Streptococci isolates for pollution source determination in the Ikpoba river, Benin City

2021 ◽  
Vol 29 (2) ◽  
pp. 21-34
Author(s):  
C.O Sekegor
Keyword(s):  
Antibiotic Resistance ◽  
Faecal Coliform ◽  
Animal Origin ◽  
Resistance Pattern ◽  
Faecal Pollution ◽  
Benin City ◽  
Resistance Patterns ◽  
Effluent Discharge ◽  
Antibiotic Resistance Patterns ◽  
Faecal Streptococci

Water samples from various sites of the Ikpoba River, Benin City, were bacteriologically analysed to determine bacterial indicators of faecal pollution and heterotrophic bacterial concentration. Sampling points 1 was the point of drainage discharge from the University of Benin Teaching Hospital, 2 was at the Bridge at Upper Mission Road, 3 was the point of effluent discharge from Oredo Local Government Area Abbatoir, 4 was at the Bridge along Benin-Agbor Road and 5 was the point of effluent discharge from Guinness Nigeria PLC. Faecal coliform count was generally high in all sample sites with the point of discharge of effluent from the Abbatoir showing the highest mean count of 1.51 × 107 cfu/ml; and the Bridge at Upper Mission Road had the lowest mean count of 1.20 × 107 cfu/ml. Faecal streptococci count was highest at the point of discharge of effluent from Guinness Nigeria PLC at 8.21 × 107 cfu/ml. while the Bridge at Upper Mission Road had the lowest faecal streptococcus count of 5.83 × 106 cfu/ml. Antibiotic Resistance Patterns of faecal streptococci isolates on day 1 were observed to be more susceptible to the battery of antibiotics than faecal streptococci isolates on days 2 and 3. The results of the ratio of faecal coliform to faecal streptococci and the antibiotic resistance pattern on faecal streptococci showed that faecal pollution of the Ikpoba River has both human and animal origin. There are undoubted risks to human health from surface water polluted with animal faeces, nevertheless, it is human faeces that represent a much greater risk and thus constant investigations should be carried out by environment monitoring agencies to evaluate the pollution status of the river and residents around the river should administer filtration techniques before domestic use. Keywords: faecal pollution, faecal streptococci, antibiotic resistance patterns

Antibiotic-resistance patterns of soil bacteria (Gram-negative rods) from the Krakatau Islands (Rakata) and West Java, Indonesia, in 1984

1988 ◽  
Vol 322 (1211) ◽  
pp. 317-326 ◽  
Keyword(s):  
Antibiotic Resistance ◽  
Soil Bacteria ◽  
Explosive Eruption ◽  
Mountain Areas ◽  
Gram Negative ◽  
Total Destruction ◽  
Resistance Patterns ◽  
The Common ◽  
Antibiotic Resistance Patterns ◽  
Different Altitudes

The explosive eruption of the Indonesian island of Krakatau (Krakatoa) in 1883 almost certainly led to the total destruction of the fauna, flora and microorganisms of the three remaining islands, Rakata (Rakata Besar), Sertung and Panjang (Rakata Kecil). The Ujung Kulon peninsula of Java, 100 km to the south, was much less affected by the volcanic activity. Soil bacteria (Gram-negative rods, GNR) from Rakata (the post-1883 remnant of Krakatau) and the Ujung Kulon peninsula of Java were examined for their antibiotic-resistance patterns. A total of 27 patterns (‘resistotypes’) was detected, based on resistance to the antibiotics ampicillin, chloramphenicol, sulphamethoxazole, trimethoprim, gentamicin, cephalothin and tetracycline. Nine resistotypes were common to Rakata and Java, eleven exclusive to Rakata, and seven exclusive to Java. Two of the common resistotypes (f and z) were widely distributed but most were limited in their distribution and detected at only one site. On both Java and Rakata different resistotypes were detected at different altitudes. Effective colonization of Rakata by GNR has occurred in the 101 years since its sterilization. Seeding of the upper slopes and summit of Rakata with biotypes from mountain areas in Java appears to have occurred. In addition, apparently independent evolution of GNR has occurred on Rakata. Overall, the GNR detected on the uninhabited and previously sterilized island of Rakata were resistant to as wide a range of antibiotics as were those from nearby Java.

Comparative analysis of Clostridium difficile clinical isolates belonging to different genetic lineages and time periods

2004 ◽  
Vol 53 (11) ◽  
pp. 1129-1136 ◽  
Author(s):  
Patrizia Spigaglia ◽  
Paola Mastrantonio
Keyword(s):  
Antibiotic Resistance ◽  
Clostridium Difficile ◽  
Severe Disease ◽  
Negative Regulator ◽  
Resistance Pattern ◽  
Binary Toxin ◽  
Genetic Lineages ◽  
Time Periods ◽  
Subinhibitory Concentrations

Recent studies have shown that Clostridium difficile strains with variant toxins and those with resistance to macrolide–lincosamide–streptogramin B (MLSB) are increasingly causing severe disease and outbreaks in hospital settings. Here, the pathogenicity locus (PaLoc), the acquisition of binary toxin, and the genotypic and phenotypic characteristics of antibiotic resistance of 74 C. difficile clinical strains isolated from symptomatic patients in Italy during different time periods were studied. These strains were found to belong to two different lineages, and those isolated before 1991 were genetically unrelated to the more recent strains. The majority of recent C. difficile strains showed variations in toxin genes and in the toxin negative regulator (tcdC) and had the binary toxin. In 62 % of them, variations in tcdC and the presence of the binary toxin were associated. Five classes of susceptibility/resistance pattern (EC-a to -e) for erythromycin and clindamycin were identified in all strains studied. Most of the recent isolates belonged to EC-d and EC-e and, although erythromycin-resistant in vitro, did not harbour the commonly associated ermB determinant. Interestingly, two strains of the EC-d class were resistant to clindamycin only after induction with subinhibitory concentrations of the antibiotic. A decrease in tetracycline and chloramphenicol MIC values was also observed in the recently isolated strains, associated with less frequent detection of the catD and tetM genes. Two tetM-positive strains were resistant in vitro only after induction with subinhibitory concentrations of the antibiotic. The acquisition of the binary toxin, the possible increase in toxin production due to a mutated negative regulator and a decrease in the fitness cost as a result of lower levels of antibiotic resistance or other mechanisms may have led to the successful establishment of these new phenotypes, with potentially serious clinical implications.

scholarly journals Antibiotic resistance patterns of bacteria isolated from indwelling Foley catheters following tube cystostomy in goats with obstructive urolithiasis

2017 ◽  
Vol 29 (3) ◽  
pp. 316-320 ◽  
Author(s):  
Munashe Chigerwe ◽  
Vengai Mavangira ◽  
Barbara A. Byrne ◽  
John A. Angelos
Keyword(s):  
Antibiotic Resistance ◽  
Susceptibility Testing ◽  
Bacterial Isolate ◽  
Foley Catheter ◽  
Urine Samples ◽  
Bacterial Isolates ◽  
Testing Resistance ◽  
Resistance Patterns ◽  
Antibiotic Resistance Patterns ◽  
Susceptibility Patterns

Tube cystostomy is a surgical method used for managing obstructive urolithiasis and involves placement of a Foley catheter into the urinary bladder. We identified and evaluated the antibiotic resistance patterns of bacteria isolated from indwelling Foley catheters following tube cystostomy in goats with obstructive urolithiasis. Urine samples collected over a 10-y period from catheter tips at the time of removal were submitted for bacteriologic culture and antibiotic susceptibility testing. Resistance patterns to antibiotics, trends in the resistance patterns over the study period, and the probability of a bacterial isolate being resistant as a function of the identity of the isolate and antibiotic tested were determined. A total of 103 urine samples from 103 male goats with obstructive urolithiasis managed surgically with tube cystostomy were included in the study. Aerococcus (36.9%) and Enterococcus (30.1%) were isolated most frequently. The susceptibility patterns of all bacteria isolated did not change over the study period ( p > 0.05). Proportions of isolates resistant to 1, 2, and ≥3 antibiotics were 36.9%, 18.5%, and 23.3%, respectively. Thus, 41.8% of bacterial isolates were resistant to 2 or more antibiotics tested. The probability of Aerococcus spp., Escherichia coli, and Pseudomonas aeruginosa isolates to be resistant to ampicillin, ceftiofur, erythromycin, penicillin, or tetracycline ranged from 0.59 to 0.76.

scholarly journals Prevalence of methicillin resistance and superantigenic toxins in Staphylococcus aureus strains isolated from patients with cancer

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Effat Abbasi Montazeri ◽  
Azar Dokht Khosravi ◽  
Saeedeh Khazaei ◽  
Ali Sabbagh
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Resistance ◽  
Cancer Patients ◽  
Methicillin Resistance ◽  
Resistance Pattern ◽  
Patients With Cancer ◽  
Resistance Patterns ◽  
Mrsa Strains ◽  
Southwest Iran ◽  
Antibiotic Resistance Patterns

Abstract Background This study aimed to determine the frequency of methicillin-resistant Staphylococcus aureus (MRSA), antibiotic resistance patterns, superantigenic toxins profile, and clonality of this pathogen in patients with cancer. Results In total, 79 (25.7%) isolates were confirmed as Staphylococcus species, from which 38 (48.1%) isolates were S. aureus, and 29 (76.3%) isolates were confirmed as MRSA. The highest resistance in MRSA strains was seen against ciprofloxacin (86.2%) and erythromycin (82.8%). Teicoplanin, and linezolid were the most effective antibiotics. From all MRSA isolates, 3 strains (10.3%) were resistant to vancomycin with minimum inhibitory concentration values of 128 μg/ml. The prevalence of superantigenic toxins genes was as follows: pvl (10.5%), tsst-1 (36.8%), etA (23.7%), and etB (23.7%). The t14870 spa type with frequency of 39.5% was the most prevalent clone type circulating in the cancer patients. Conclusions This study showed the circulating of spa t14870 as the most predominant MRSA clone in cancer patients of southwest Iran. Also, a diverse antibiotic resistance pattern and toxin profiles were seen among MRSA isolates.

scholarly journals Antibiotic Resistance Pattern of Staphylococcus Aureus Isolated From Pediatrics With Ocular Infections: A 6-Year Hospital-Based Study in China

2021 ◽  
Vol 9 ◽  
Author(s):  
Xiao-Yu Zheng ◽  
Bonnie Nga Kwan Choy ◽  
Ming-Ming Zhou ◽  
Zheng-Yan Zhao
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Resistance ◽  
Resistance Rate ◽  
Resistance Pattern ◽  
Ocular Infection ◽  
Ocular Infections ◽  
Resistance Patterns ◽  
Mrsa Infection ◽  
Resistance Rates ◽  
Antibiotic Resistance Patterns

Staphylococcus aureus (S. aureus) is an important pathogen of ocular infections in pediatrics. The study aimed to identify the prevalence and resistance pattern of S. aureus, especially methicillin-resistant S. aureus (MRSA), in Chinese children with ocular infections. All patients with S. aureus infections were reviewed at a tertiary children's hospital during 2015–2020, and those with ocular infections were investigated for susceptibility results. Of 1,668 S. aureus strains, there were 177 unique isolates from ocular infection. Among them, 45 (25.4%) were MRSA and 132 (74.6%) were methicillin-sensitive S. aureus (MSSA). The proportion of MRSA did not change over time. Most of the strains were obtained from the neonate ward and ophthalmology department (n = 88, 49.7%, and n = 85, 48.0%, respectively), while eye secretion and pus were the main specimen types (n = 128, 72.3%, and n = 37, 20.9%, respectively). MRSA was significantly resistant against penicillin class (97.8%), erythromycin (71.1%), clindamycin (71.1%), and tetracycline (32.1%), with a high multidrug resistance (MDR) rate of 71.1%. However, MRSA was highly sensitive to levofloxacin. Resistance rates against erythromycin and ciprofloxacin as well as MDR percentage all increased among MSSA in children above 1 year of age, ophthalmology department, and outpatient population and decreased in eye secretion specimen. The mean resistance percentage remained stable for MRSA and MSSA during the study period. The survey of ocular S. aureus pathogens in pediatrics and their antibiotic resistance patterns helps in clinical treatment. MRSA with many strains demonstrating MDR is highly prevalent in children with ocular infections in Southeast China. Levofloxacin is an effective topical antibiotic for ocular MRSA infection, while erythromycin has a high resistance rate. The antibiotic resistance patterns of MRSA and MSSA differs and varies by different stratifications. A cautious use of antibiotics should be considered.

scholarly journals Antibiotic resistance pattern of Staphylococcus aureus infections in children

2019 ◽  
Vol 6 (2) ◽  
pp. 727
Author(s):  
Senthil Kumar K. ◽  
Ajith Brabhu Kumar C.
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Resistance ◽  
Significant Proportion ◽  
Resistance Pattern ◽  
Resistant Bacteria ◽  
P Value ◽  
Aureus Infection ◽  
Resistance Patterns ◽  
Antibiotic Resistance Patterns ◽  
Hospital Acquired

Background: Methicillin resistant Staphylococcus aureus (MRSA) is endemic in India and is a dangerous pathogen for hospital acquired infections. Analysing antibiotic susceptibility pattern of Staphylococcus helps us to overcome the therapeutic difficulties created by the rising anti-microbial resistant bacteria and guide us in choosing appropriate antibiotics. Hence, this study was conducted.Methods: Children with confirmed S. aureus infection between the age group of 0-12 years were classified into MSSA and MRSA subgroups. Isolates were identified as S. aureus using standard microbiological methodologies at diagnostic bacteriology laboratory, in the Microbiology department. Basic demographic variables and antibiotic resistance patterns were compared between MRSA and MSSA subgroups.Results: Majority of S. aureus were isolated from pus followed by blood culture. Prevalence of community acquired MRSA in present study (80%, with 95% CI from 68.56% to 91.44%) was significantly higher when compared to another studies (p value=0.004). Resistance to gentamicin and ciprofloxacin among the MRSA isolates was more than that in methicillin sensitive S. aureus (MSSA) (P<0.001).Conclusions: It is prudent to include MRSA coverage in empirical antibiotic regimens in settings where a significant proportion of patients hospitalized for S. aureus infection have MRSA.

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