scholarly journals Systematic whole-genome sequencing reveals an unexpected diversity among actinomycetoma pathogens and provides insights into their antibacterial susceptibilities

2022 ◽  
Author(s):  
Andrew Keith Watson ◽  
Bernhard Kepplinger ◽  
Sahar Mubarak Bakhiet ◽  
Nagwa Adam Mhmoud ◽  
Michael Goodfellow ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Clavulanic Acid ◽  
Full Range ◽  
Antibiotic Sensitivity ◽  
Taxonomic Diversity ◽  
Diagnostic Methods ◽  
Research Centre ◽  
Streptomyces Species ◽  
Histopathological Classification ◽  
Amoxicillin Clavulanic Acid

Mycetoma is a neglected tropical chronic granulomatous inflammatory disease of the skin and subcutaneous tissues. More than 70 species with a broad taxonomic diversity have been implicated as agents of mycetoma. Understanding the full range of causative organisms and their antibiotic sensitivity profiles are essential for the appropriate treatment of infections. The present study focuses on the analysis of full genome sequences and antibiotic resistance profiles of actinomycetoma strains from patients seen at the Mycetoma Research Centre in Sudan with a view to developing rapid diagnostic tests. Seventeen pathogenic isolates obtained by surgical biopsies were sequenced using MinION and Illumina methods, and their antibiotic resistance profiles determined. The results highlight an unexpected diversity of actinomycetoma causing pathogens, including three Streptomyces isolates assigned to species not previously associated with human actinomycetoma and one new Streptomyces species. Thus, current approaches for clinical and histopathological classification of mycetoma may need to be updated. The standard treatment for actinomycetoma is a combination of sulfamethoxazole/trimethoprim and amoxicillin/clavulanic acid. Most tested isolates were not susceptible to sulfamethoxazole/trimethoprim or to amoxicillin alone. However, the addition of the β-lactamase inhibitor clavulanic acid to amoxicillin increased susceptibility, particularly for Streptomyces somaliensis and Streptomyces sudanensis . Actinomadura madurae isolates appear to be particularly resistant under laboratory conditions, suggesting that alternative agents, such as amikacin, should be considered for more effective treatment. The results obtained will inform future diagnostic methods for the identification of actinomycetoma and treatment.

Occurrence of otitis media in children and assessment of treatment options

2015 ◽  
Vol 129 (8) ◽  
pp. 779-783 ◽  
Author(s):  
N N Nwokoye ◽  
L O Egwari ◽  
O O Olubi
Keyword(s):  
Clavulanic Acid ◽  
Otitis Media ◽  
Treatment Options ◽  
Acute Otitis Media ◽  
Antibiotic Sensitivity ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Antibiotic Sensitivity Test ◽  
Amoxicillin Clavulanic Acid ◽  
First Year Of Life

AbstractBackground:Otitis media is a more frequent occurrence in children, and the disease may progress from an acute to chronic state if appropriate and timely intervention is not initiated.Methods:A total of 212 children aged 6 months to 10 years were examined and treated for otitis media, in a 13-month hospital-based study.Results:Acute otitis media was diagnosed in 130 (61.3 per cent) of the patients. There were 82 (38.7 per cent) chronic suppurative otitis media cases. The incidence of acute otitis media and chronic suppurative otitis media in the first year of life was 54.6 per cent and 45.1 per cent respectively. Chronic suppurative otitis media patients were assigned to one of three treatment groups. Recovery occurred in 70.4 per cent of amoxicillin-treated patients, in 88.9 per cent of amoxicillin-clavulanic acid treated patients and in 96.4 per cent of culture and antibiotic sensitivity test patients. Relapses were seen only in the amoxicillin (five cases) and amoxicillin-clavulanic acid (two cases) groups.Conclusion:The success rate in patients treated with antibiotics makes this option mandatory for an established diagnosis.

scholarly journals STUDY OF ANTIBIOTIC-RESISTANCE AND SENSITIVITY PATTERN IN A TERTIARY CARE TEACHING HOSPITAL

2021 ◽  
Vol 9 (12) ◽  
pp. 161-168
Author(s):  
Sailajapriyadarsini Parlapalli ◽  
◽  
V.V Padmavathy ◽  
Gunapati Rama Mohan Reddy ◽  
◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Resistance ◽  
Clavulanic Acid ◽  
Body Fluid ◽  
Tertiary Care ◽  
Antibiotic Use ◽  
Study Data ◽  
Urine Samples ◽  
Sensitivity Pattern ◽  
Amoxicillin Clavulanic Acid

Introduction: Antibiotics are helpful in bacterial infection control and management. Irrational antibiotic use leads to resistance, which puts modern medicines achievements at risk. This study aims to know antibiotic resistance and sensitivity patterns and to assess possible factors that favor the development of antibiotic resistance. Methods: It is a retrospective observational study. Data collected from June 2019 to May 2020 from the culture & sensitivity records of various clinical isolates at the Microbiology department of SMC, Vijayawada, and analyzed by descriptive statistics. Results: Total samples collected 2905. Only746 samples showed significant growth. Most commonly, isolated organisms were from Pus and Body fluids Staphylococcus aureus (31.16%), Klebsiella (23.02%), from blood samples Staphylococcus aureus (44%,) Klebsiella (32%), from urine samples Escherichia coli (27.31%),Staphylococcus aureus (16.66%). Bacteria isolated from, Blood and Pus & body fluid samples showed more resistance to Amoxicillin + Clavulanic acid, 60% &58.60%, and urine samples showed more resistance to Norfloxacin69.44%. Conclusion: In this study, bacteria isolated from, blood, pus, and body fluid samples showed more resistance to Amoxicillin + Clavulanic acid, from urine samples showed more resistance to Norfloxacin. Parenterally used drugs like aminoglycosides and vancomycin have retained their sensitivity but bacteria also showed resistance to Imipenem, Vancomycin, new combinations like Cefoperazone + Sulbactam. A culture & sensitivity test and following antibiotic stewardship guidelines before prescribing antibiotics will give good results to prevent antibiotic resistance.

scholarly journals Testing the efficacy of Mueller Hinton agar over Nutrient agar for optimal antibiotic sensitivity testing response by selected clinical bacterial pathogens

2020 ◽  
Vol 5 (2) ◽  
pp. 061-074
Author(s):  
Otajevwo Dafinone Festus ◽  
Osawaru Osama Emmanuella
Keyword(s):  
Clavulanic Acid ◽  
Bacterial Pathogens ◽  
Antibiotic Sensitivity ◽  
Nutrient Agar ◽  
Diffusion Method ◽  
Sensitivity Testing ◽  
Mueller Hinton ◽  
Zones Of Inhibition ◽  
Mueller Hinton Agar ◽  
Amoxicillin Clavulanic Acid

The efficacy of Mueller Hinton agar over Nutrient agar in terms of antibiotic sensitivity testing for optimal antibiotic response by selected clinical bacterial pathogens was carried out in this study. Clinical bacterial pathogens used for the study were Pseudomonas aerµginosa, Enterococcus spp, Escherichia coli and Klebsiella pneumoniae. Standard and locally manufactured antibiotic discs used were by Abtek Biologicals Ltd, Liverpool and Maxicare Medical Laboratory, Nigeria respectively. Antibiotic sensitivity testing (AST) was by agar diffusion method. Pure cultures of each isolate were subcultured on sterile Mueller Hinton agar (MHA) and Nutrient agar (NA) media after which the standard and locally manufactured discs were aseptically impregnated on the media. All inoculated plates were incubated at 37oC for 24hrs aerobically after appropriate labeling. Zones of inhibition were measured by standard methods and recorded. On Nutrient agar, standard and locally produced ciprofloxacin, ofloxacin, gentamycin and amoxicillin/clavulanic acid discs did not produce zones of inhibition significantly different from each other at both 95% and 99% confidence intervals (P ˃ 0.05 and P ˃ 0.01). On Mueller Hinton agar, standard and locally manufactured ciprofloxacin, ofloxacin, gentamycin and amoxicillin/clavulanic acid discs produced zones of inhibition that were significantly different from each other at 95% confidence interval (P ˂ 0.05). Standard and local ciprofloxacin, ofloxacin, gentamycin and amoxicillin/clavulanic acid discs produced zones of inhibition on MHA and NA which were not significantly different (P ˃ 0.05 and P ˃ 0.01). Standard discs used recorded better zones of inhibition on MHA compared to the local discs. Standard and local discs zones of inhibition on MHA was however not significantly different from those recorded on NA (P ˃ 0.05). Standard discs therefore, did not produce better zones of inhibition over local discs on MHA and on NA. On the whole, the use of MHA for antibiotic sensitivity testing did not record greater (better) zones of inhibition than those recorded on NA except for standard ciprofloxacin, ofloxacin and gentamycin discs over the corresponding local discs on MHA only. Findings did not convincingly establish better performance of standard discs over local discs whether used on MHA or NA. Further studies in this direction is recommended.

scholarly journals Antibiotic Resistance in Haemophilus influenzae Decreased, except for β-Lactamase-Negative Amoxicillin-Resistant Isolates, in Parallel with Community Antibiotic Consumption in Spain from 1997 to 2007

2008 ◽  
Vol 52 (8) ◽  
pp. 2760-2766 ◽  
Author(s):  
Silvia García-Cobos ◽  
José Campos ◽  
Emilia Cercenado ◽  
Federico Román ◽  
Edurne Lázaro ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Haemophilus Influenzae ◽  
Clavulanic Acid ◽  
Antimicrobial Agents ◽  
Geographic Area ◽  
Antibiotic Consumption ◽  
Control Group ◽  
Promoter Regions ◽  
Geometric Means ◽  
Amoxicillin Clavulanic Acid

ABSTRACT The susceptibility to 14 antimicrobial agents and the mechanisms of aminopenicillin resistance were studied in 197 clinical isolates of Haemophilus influenzae—109 isolated in 2007 (study group) and 88 isolated in 1997 (control group). Community antibiotic consumption trends were also examined. H. influenzae strains were consecutively isolated from the same geographic area, mostly from respiratory specimens from children and adults. Overall, amoxicillin resistance decreased by 8.4% (from 38.6 to 30.2%). β-Lactamase production decreased by 15.6% (from 33 to 17.4%, P = 0.01), but amoxicillin resistance without β-lactamase production increased by 7.1% (from 5.7 to 12.8%). All β-lactamase-positive isolates were TEM-1, but five different promoter regions were identified, with Pdel being the most prevalent in both years, and Prpt being associated with the highest amoxicillin resistance. A new promoter consisting of a double repeat of 54 bp was detected. Community consumption of most antibiotics decreased, as did the geometric means of their MICs, but amoxicillin-clavulanic acid and azithromycin consumption increased by ca. 60%. For amoxicillin-clavulanic acid, a 14.2% increase in the population with an MIC of 2 to 4 μg/ml (P = 0.02) was observed; for azithromycin, a 21.2% increase in the population with an MIC of 2 to 8 μg/ml (P = 0.0005) was observed. In both periods, the most common gBLNAR (i.e., H. influenzae isolates with mutations in the ftsI gene as previously defined) patterns were IIc and IIb. Community consumption of trimethoprim-sulfamethoxazole decreased by 54%, while resistance decreased from 50 to 34.9% (P = 0.04). Antibiotic resistance in H. influenzae decreased in Spain from 1997 to 2007, but surveillance should be maintained since new forms of resistances may be developing.

scholarly journals Phenotypic Detection of Extended Spectrum Beta-lactamase Resistance of Escherichia coli from Patients Attending Selected Healthcare Facilities in Nasarawa State, Nigeria

2019 ◽  
pp. 1-10
Author(s):  
R. H. Abimiku ◽  
Y. B, Ngwai ◽  
I. H. Nkene ◽  
B. E. Bassey ◽  
P. A. Tsaku ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Clavulanic Acid ◽  
Age Groups ◽  
Beta Lactamase ◽  
Healthcare Facilities ◽  
Extended Spectrum Beta Lactamase ◽  
E Coli ◽  
Extended Spectrum ◽  
Microbiological Methods ◽  
Amoxicillin Clavulanic Acid

Aims: This study investigated the phenotypic detection of extended spectrum beta-lactamase resistance of diarrheagenic E. coli isolated from diarrheic patients attending some major health facilities in Nasarawa State, Nigeria. Place and Duration of Study: Department of Microbiology, Nasarawa State University, P.M.B 1022, Keffi, Nasarawa State, Nigeria; between December, 2017 to March, 2019. Methodology: A total of 207 confirmed E. coli isolates from loose stool samples of patients with suspected cases of diarrhea (69 from Federal Medical Centre Keffi [MCK] 69 from General Hospital Akwanga [GHA] and 69 from Dalhatu Araf Specialist Hospital Lafia [DASHL]) were included in this study. Results: E. coli was isolated and identified using standard microbiological methods. The antibiotic susceptibility testing for the isolates was carried out and interpreted in accordance with Clinical and Laboratory Standards Institute protocol. Phenotypic detection of ESBL production in isolates resistant to ciprofloxacin, cefotaxime and ceftazidime) was carried out using double disc synergy test. The occurrence of E. coli was 100% in all the hospitals. Age groups 0-5 and 6-10 years have the highest occurrence than age group 35 – >45 years. Isolates from DASHL were more resistant to amoxicillin/clavulanic acid (86.9%), Streptomycin (75.0%) and sulphamethoxazole/trimethoprim (68.1%), isolates from FMCK were more resistant to amoxicillin/clavulanic acid (84.1%), sulphamethoxazole/trimethoprim (69.6%), isolates from GHA were more resistant to amoxicillin/clavulanic acid (85.5%) and sulphamethoxazole/trimethoprim (73.0%). Multiple antibiotic resistance (MAR) was observed with the order of occurrence: FMCK (98.6%) > DASHL (92.8%) > GHA (89.9%). The most common MAR index of 0.2 in DASHL was 0.4 (20.3%); FMCK was 0.4 (15.9%) and GHA was 0.3 (17.4%). The order of occurrence of classes of antibiotic resistance in E. coli isolates in DASHL was MDR (84.0%) ˃ XDR(7.2%) > PDR and NMDR (4.3%); in FMCK was MDR (91.3%) ˃ XDR(4.3%) ˃ NMDR (2.9%) and PDR(1.4%); and in GHA was MDR (88.8%) ˃ NMDR(5.8%) > XDR and PDR(2.9%). Detection rate of ESBL was 53.6% (30/207), distributed in relation to the location as DASHL (60.0%), FMCK (50.0%) and GHA (52.6%). Conclusion: Most of the isolates from the study locations were antibiotic resistance. Further studies on molecular detection of ESBL, diversity and characterization of the E. coli into pathotypes are ongoing.

scholarly journals Sensitivity to Antibiotics of Staphylococcus Aureus Strains, Able to Biofilm Formation

2021 ◽  
Vol 6 (3) ◽  
pp. 226-231
Author(s):  
A. O. Vashchenko ◽  
◽  
Yu. S. Voronkova ◽  
A. I. Vinnikov ◽  
T. N. Shevchenko ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Resistance ◽  
Clavulanic Acid ◽  
Rapid Determination ◽  
Diffusion Method ◽  
Upper Respiratory Tract ◽  
Isolation And Identification ◽  
Methicillin Resistant ◽  
Opportunistic Bacteria ◽  
Amoxicillin Clavulanic Acid

The problem of respiratory diseases associated with staphylococcal carriers is considered to be one of the most acute in modern society due to its high prevalence and problems with treatment due to the high resistance of these bacteria to antibiotics. The purpose of the study was to determine the sensitivity of Staphylococcus aureus strains, able to form biofilm, isolated from the upper respiratory tract of human. Materials and methods. Bacteriological methods of isolation and identification of staphylococci, the method of rapid determination of the ability to form biofilm on a tablet and the disk-diffusion method of determining the susceptibility to antibiotics were used to perform the research. As a result of the conducted researches it was established that in the structure of pathogens of exacerbations of seasonal rhinitis S. aureus prevailed. It was isolated from 34 samples of biological material from the nose, which accounted for 69.4% of all examined cases of rhinitis. Staphylococcus spp. (6.1%) and Streptococcus spp. (24.5%) among the isolated strains of S. aureus, 27 (79.4%) had the ability to form a biofilm. A feature associated with antibiotic resistance is the ability of strains of microorganisms to form a biofilm, in which they acquire enhanced ability to survive under adverse environmental factors, including the use of drugs. Results and discussion. In our research we showed that more than 80% of film-forming strains were found to be susceptible to ciprofloxacin, amoxicillin / clavulanic acid and azithromycin. 4 (14.8%) are methicillin-resistant. Resistance to methicillin was detected simultaneously with resistance to ciprofloxacin (3 cases) and to azithromycin (2 cases), 1 strain was resistant to gentamicin and 2 – to tetracycline. 1 of the methicillin-resistant strains of S. aureus was multidrug-resistant (showed resistance to all studied antibiotics). Among non-biofilm strains, more than 80% of the strains were also sensitive to ciprofloxacin, amoxicillin / clavulanic acid and azithromycin. Sensitivity to tetracycline was low in both groups (42-63% sensitive). Conclusion. The prevalence of antibiotic resistance among clinical strains of opportunistic bacteria, unfortunately, shows an increasing trend. This requires constant monitoring of susceptibility to antimicrobial drugs in order to develop schemes of rational antibiotic therapy, taking into account the individualized approach to patients. In this sense, it is promising when studying the biological properties of clinical isolates to determine not only the resistance to antibiotics, but also their ability to form a biofilm

Antibiotic Molecules Efficacy in Pediatric Bacterial Infections

2018 ◽  
Vol 69 (4) ◽  
pp. 915-920
Author(s):  
Petronela Cristina Chiriac ◽  
Vladimir Poroch ◽  
Alina Mihaela Pascu ◽  
Mircea Daniel Hogea ◽  
Ileana Antohe ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Resistance ◽  
Streptococcus Pneumoniae ◽  
Klebsiella Pneumoniae ◽  
Clavulanic Acid ◽  
Bacterial Infections ◽  
Multidrug Resistant ◽  
Penicillin G ◽  
Acute Therapy ◽  
Amoxicillin Clavulanic Acid

The antibiotic resistance of microorganisms involved in pediatric infections represents a significant cause of healthcare-associated infections (HAIs), and is also a matter of management, requiring specific intervention. The aim of the study was to evaluate the efficacy of some antibiotic molecules on pathogens isolated from patients admitted in a pediatric hospital. We carried out a descriptive study on a group of 411 patients admitted to the Sf. MariaClinical Emergency Hospital for Children Iasi, between January 1st and March 31st, 2016. Bacterial infections were most prevalent in the age group of 0-1 year (54.98% of the total isolates). Most affected by multidrug-resistant bacterial infections services were: general pediatrics (24.08% of the total isolates), then the intensive care unit (19.95%), surgical wards (14.84%), and acute therapy (11.43%). The germs were isolated from pathological samples: most often pus (23.85%), hypo-pharyngeal aspiration (21.65%), conjunctival secretion (12.42%), and ear secretion (9.48%). Penicillin G and oxacillin were inefficient in 30.26% of the Staphylococcus aureus strains, while erythromycin in 18.42%. Antibiotic resistance of Streptococcus pneumoniae was observed for penicillin G in 7.14% of the strains, while for erythromycin in 13.09%. Klebsiella pneumoniae strains were resistant to amoxicillin + clavulanic acid in 35.85% of the cases, and to cefuroxime, ceftazidime, ceftriaxone, cefepime in 33.96%. Our study highlighted that Staphylococcus aureus was resistant to penicillin G and oxacillin in more than one-third of the isolates, Streptococcus pneumoniae was resistant to penicillin G and erythromycin, and Klebsiella pneumoniae to amoxicillin + clavulanic acid and 1st, 2nd and 3rd generation cephalosporins. Continuing antibioresistance monitoring is crucial in order to promote appropriate guidelines in antibiotic prescription, which could result in decreasing HAIs� rates.

scholarly journals Monitoring of antibiotic resistance in isolates of Actinobacillus pleuropneumoniaein the Czech Republic between 2001 and 2003

2012 ◽  
Vol 50 (No. 5) ◽  
pp. 181-185 ◽  
Author(s):  
K. Nedbalcova ◽  
P. Satran ◽  
Z. Jaglic ◽  
R. Ondriasova ◽  
Z. Kucerova
Keyword(s):  
Antibiotic Resistance ◽  
Czech Republic ◽  
Clavulanic Acid ◽  
Actinobacillus Pleuropneumoniae ◽  
Diffusion Method ◽  
Disc Diffusion ◽  
Disc Diffusion Method ◽  
High Increase ◽  
The Czech Republic ◽  
Amoxicillin Clavulanic Acid

During the period of 2001 and 2003 a total of 238 isolates of Actinobacillus pleuropneumoniae obtained from 26 pig herds in the Czech Republic (2001 – 73 isolates, 2002 – 110 isolates, 2003 – 55 isolates) were examined for antibiotic resistance by disc diffusion method. Resistance to erythromycin (95.5% to 98.6%), streptomycin (76.4% to 82.7%) and tiamulin (72.7%) was detected most frequently over the whole monitored period. High increase in percentage of resistant isolates to tetracycline (2001 – 11.0%, 2002 – 36.4%, 2003 – 81.8%), doxycycline (2001 – 9.6%, 2002 – 34.6%, 2003 – 61.8%), nalidixic acid (2001 – 2.7%, 2002 – 14.5%, 2003 – 45.5%), and norfloxacin (2001 – 0%, 2002 – 7.3%, 2003 – 34.6%) was found, while differences in resistance to cephalotine (2001 – 1.4%, 2002 – 7.3%, 2003 – 9.1%), cotrimoxazol (2001 – 4.1%, 2002 – 10.0%, 2003 – 7.3%), amoxicillin (2001 – 12.3%, 2002 – 12.7%, 2003 – 10.9%) and amoxicillin-clavulanic acid (2001 – 9.6%, 2002 – 9.1%, 2003 – 10.9%) were small. Prevalence of isolates resistant to sulfasomidine was detected decreasing (2001 – 43.8%, 2002 – 47.3% and 2003 – 29.1%).

Postreconstitution Stability of Amoxicillin–Clavulanic Acid Suspensions at Tropical Room Temperature

2019 ◽  
Vol 8 (4) ◽  
pp. 368-369
Author(s):  
Jamilu Maiwada ◽  
Mazlina Mohd Said
Keyword(s):  
Antibiotic Resistance ◽  
Treatment Failure ◽  
Clavulanic Acid ◽  
Room Temperature ◽  
Storage Conditions ◽  
Tropical Countries ◽  
Amoxicillin Clavulanic Acid

The storage conditions of reconstituted β-lactam suspensions are of concern, especially in tropical countries. Improper storage conditions after reconstitution lead to administration of a subtherapeutic dose of medication, which in turn leads to treatment failure and antibiotic resistance.

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