scholarly journals An epidemiologic study of antimicrobial resistance of Staphylococcus species isolated from equine samples submitted to a diagnostic laboratory

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Ronita Adams ◽  
Jackie Smith ◽  
Stephen Locke ◽  
Erica Phillips ◽  
Erdal Erol ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Epidemiologic Study ◽  
Diagnostic Laboratory

scholarly journals Routine laboratory surveillance of antimicrobial resistance in community-acquired urinary tract infections adequately informs prescribing policy in England

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Vicky Watts ◽  
Benjamin Brown ◽  
Maria Ahmed ◽  
André Charlett ◽  
Carolyn Chew-Graham ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Antimicrobial Resistance ◽  
Urinary Tract Infections ◽  
Laboratory Data ◽  
Routine Data ◽  
Sentinel Surveillance ◽  
Routine Laboratory ◽  
Diagnostic Laboratory ◽  
E Coli ◽  
Tract Infections

Abstract Objectives To assess whether resistance estimates obtained from sentinel surveillance for antimicrobial resistance (AMR) in community-acquired urinary tract infections (UTIs) differ from routinely collected laboratory community UTI data. Methods All patients aged ≥18 years presenting to four sentinel general practices with a suspected UTI, from 13 November 2017 to 12 February 2018, were asked to provide urine specimens for culture and susceptibility. Specimens were processed at the local diagnostic laboratory. Antibiotic susceptibility testing was conducted using automated methods. We calculated the proportion of Escherichia coli isolates that were non-susceptible (according to contemporaneous EUCAST guidelines) to trimethoprim, nitrofurantoin, cefalexin, ciprofloxacin and amoxicillin/clavulanic acid, overall and by age group and sex, and compared this with routine estimates. Results Sentinel practices submitted 740 eligible specimens. The specimen submission rate had increased by 28 specimens per 1000 population per year (95% CI 21–35). Uropathogens were isolated from 23% (169/740) of specimens; 67% were E. coli (113/169). Non-susceptibility of E. coli to trimethoprim was 28.2% (95% CI 20.2–37.7) on sentinel surveillance (33.4%; 95% CI 29.5–37.6 on routine data) and to nitrofurantoin was 0.9% (95% CI 0–5.7) (1.5%; 95% CI 0.7–3.0 on routine data). Conclusions Routine laboratory data resulted in a small overestimation in resistance (although the difference was not statistically significant) and our findings suggest that it provides an adequate estimate of non-susceptibility to key antimicrobials in community-acquired UTIs in England. This study does not support the need for ongoing local sentinel surveillance.

scholarly journals Antimicrobial susceptibility profiles of Staphylococcus intermedius isolates from clinical cases of canine pyoderma in South Africa

2013 ◽  
Vol 84 (1) ◽  
Author(s):  
Catherine A. Blunt ◽  
Moritz Van Vuuren ◽  
Jacqueline Picard
Keyword(s):  
Antimicrobial Resistance ◽  
Antimicrobial Susceptibility ◽  
Bacterial Resistance ◽  
Antimicrobial Agents ◽  
Temporal Trends ◽  
Companion Animals ◽  
Diagnostic Laboratory ◽  
Staphylococcus Intermedius ◽  
Susceptibility Profiles ◽  
Broth Dilution

Successful treatment of canine pyoderma has become compromised owing to the development of antimicrobial resistance with accompanying recurrence of infection. Canine skin samples submitted to a veterinary diagnostic laboratory for microbiological culture and sensitivity between January 2007 and June 2010, from which Staphylococcus intermedius was isolated, were selected for this investigation. Antimicrobial resistance of S. intermedius was most prevalent with reference to ampicillin followed by resistance to tetracycline and then potentiated sulphonamides. In general, antimicrobial resistance was low and very few methicillin-resistant isolates were detected. Temporal trends were not noted, except for ampicillin, with isolates becoming more susceptible, and potentiated sulphonamides (co-trimoxazole), with isolates becoming more resistant. In general, both the Kirby–Bauer disc diffusion and broth dilution minimum inhibitory concentration tests yielded similar results for the antimicrobial agents tested. The main difference was evident in the over-estimation of resistance by the Kirby–Bauer test for ampicillin, co-trimoxazole, penicillin and doxycycline. Knowledge of trends in bacterial resistance is important for veterinarians when presented with canine pyoderma. Analysis of antimicrobial susceptibility profiles of S. intermedius isolated from canine pyodermas will guide veterinarians’ use of the most appropriate agent and encourage prudent use of antimicrobials in companion animals.

scholarly journals Cultivation of bacterial pathogens and antimicrobial resistance in canine periapical tooth abscesses

2021 ◽  
Vol 19 (3) ◽  
pp. 513-524
Author(s):  
Natcha Chawnan ◽  
◽  
Kannika Na Lampang ◽  
Raktham Mektrirat ◽  
Nattakarn Awaiwanont ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Antimicrobial Susceptibility ◽  
Bacterial Pathogens ◽  
Bacterial Species ◽  
Resistance Rate ◽  
Chiang Mai ◽  
Diagnostic Laboratory ◽  
Dental Surgery ◽  
E Coli ◽  
Amoxicillin Clavulanate

This research aimed to assess the occurrence of bacterial pathogens and their antimicrobial resistance in dogs presenting with canine periapical tooth abscesses. Sample swabs were performed on 45 dogs who had undergone dental surgery between January 2019 and August 2020 at the Veterinary Teaching Hospital, Chiang Mai University. Samples were analyzed within 24 hours at Veterinary Diagnostic Laboratory, Chiang Mai University to identify any bacterial species and to investigate their potential antimicrobial susceptibility according to CLSI guidelines. A high proportion of gram-negative and facultative species were identified. Out of the 17 species obtained, Pseudomonas aeruginosa (34.6 %) was determined to be the predominant species followed by Escherichia coli (15.4%) and Klebsiella pneumoniae (11.5%), respectively. P. aeruginosa was highly resistant (100.0%) to ampicillin and clindamycin, while E. coli and K. pneumoniae were found to be highly resistant (100.0%) to clindamycin in terms of antimicrobial susceptibility. However, E. coli was more resistant to enrofloxacin, gentamicin, and norfloxacin than K. pneumoniae. When focusing on the resistance rates of all species, clindamycin exhibited the highest degree of resistance, followed by ampicillin and amoxicillin, respectively. Amoxicillin-clavulanate is an empirical antibiotic in our area that has exhibited a resistance rate of 48.7%. The outcomes of our study have suggested that fluoroquinolone and aminoglycoside could be used to treat canine periapical tooth abscesses. However, the renal effect of these drugs must be considered. Importantly, antibiotic selection must depend upon the results of bacterial culture and antimicrobial susceptibility tests in order to reduce any potential antimicrobial resistance issues.

Molecular mechanisms of antimicrobial resistance and phylogenetic relationships of Salmonella enterica isolates from febrile patients in Yangon, Myanmar

2019 ◽  
Vol 113 (10) ◽  
pp. 641-648 ◽  
Author(s):  
Khine Mar Oo ◽  
Tin Ohn Myat ◽  
Wah Win Htike ◽  
Ambarish Biswas ◽  
Rachel F Hannaway ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Antimicrobial Susceptibility ◽  
Phylogenetic Relationships ◽  
Salmonella Enterica ◽  
Enteric Fever ◽  
Genetic Basis ◽  
Molecular Mechanisms ◽  
Epidemiologic Study ◽  
Fluoroquinolone Resistance ◽  
Chromosomal Genes

Abstract Background Enteric fever is common in southeast Asia. However, there is little information on the circulating Salmonella enterica strains causing enteric fever in Myanmar. Methods We performed antimicrobial susceptibility testing and whole genome sequencing on S. enterica bloodstream isolates from febrile patients aged ≥12 y attending two hospitals in Yangon, Myanmar, from 5 October 2015 through 4 October 2016. We identified the serovar of S. enterica, determined antimicrobial susceptibility and the molecular mechanisms of resistance. We analysed phylogenetic relationships among Myanmar S. enterica isolates and those with isolates from neighbouring countries. Results Of 73 S. enterica isolated, 39 (53%) were serovar Typhi and 34 (47%) were Paratyphi A. All isolates were susceptible to ampicillin, chloramphenicol and trimethoprim-sulfamethoxazole but resistant to ciprofloxacin. We identified mutations in chromosomal genes gyrA, gyrB and parC as responsible for fluoroquinolone resistance. All S. enterica Typhi isolates were of 4.3.1 subclade (formerly known as H58) and formed two closely related genotypic clusters; both clusters were most closely related to isolates from India from 2012. All S. enterica Paratyphi A were lineage C, clade C4 and were closely related. Conclusion Our study describes currently circulating S. enterica serovars in Myanmar, the genetic basis of their antimicrobial resistance and provides a genotypic framework for epidemiologic study.

scholarly journals Temporal trends and predictors of antimicrobial resistance among Staphylococcus spp. isolated from canine specimens submitted to a diagnostic laboratory

PLoS ONE ◽  
2018 ◽  
Vol 13 (8) ◽  
pp. e0200719 ◽  
Author(s):  
Julia G. Conner ◽  
Jackie Smith ◽  
Erdal Erol ◽  
Stephan Locke ◽  
Erica Phillips ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Temporal Trends ◽  
Diagnostic Laboratory ◽  
Staphylococcus Spp

scholarly journals Laboratory systems as an antibacterial resistance containment tool in Africa

2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Iruka N. Okeke
Keyword(s):  
Antimicrobial Resistance ◽  
Susceptibility Testing ◽  
Laboratory Data ◽  
Resistance Management ◽  
Signs And Symptoms ◽  
World Health ◽  
Antimicrobial Use ◽  
Antibacterial Resistance ◽  
Diagnostic Laboratory ◽  
Control Programmes

Introduction: As crucial as clinical laboratories are to preventing, identifying and managing resistance problems, laboratory scientists are among the most overlooked stakeholders. This review outlines the contributions that diagnostic laboratory systems should make toward all five of the World Health Organization’s 2015 strategic objectives for antimicrobial resistance containment.Laboratory systems in resistance containment: Antimicrobial susceptibility testing and surveillance are central to antibacterial resistance management and control and need to be implemented more commonly and closer to sick patients. However, the scope of tests that promote judicious antimicrobial use extend beyond susceptibility testing. Laboratory tests for pathogens or their associated biomarkers confirm or rule out specific causes of signs and symptoms associated with infection. Laboratory systems also provide critical support to infection control programmes. All of these functions promote rational antimicrobial use and contain the spread of resistance. Routine laboratory data supports the development of vaccines and other technologies that could ease the pressure placed by antimicrobials. Laboratories are also a rich source of information for health professionals, policymakers and the general public about the urgency of the resistance problem and progress in containing it.Conclusion: Laboratory systems are integral to antimicrobial resistance containment and contributions from African laboratories to addressing resistance need to be enhanced.

Cutaneous Nontuberculous Mycobacterial Infections in Alberta, Canada: An Epidemiologic Study and Review

2018 ◽  
Vol 22 (5) ◽  
pp. 479-483 ◽  
Author(s):  
Megan A. Sander ◽  
Judith L. Isaac-Renton ◽  
Gregory J. Tyrrell
Keyword(s):  
Age Groups ◽  
Epidemiologic Study ◽  
Mycobacterium Abscessus ◽  
Mycobacterium Fortuitum ◽  
Diagnostic Laboratory ◽  
Mycobacterium Chelonae ◽  
Cutaneous Infections ◽  
Mycobacterium Avium Intracellulare ◽  
First Time

Background: Cutaneous infections caused by nontuberculous mycobacteria (NTM) occur infrequently. Nonetheless, the incidence of NTM infections is reported to be increasing. In Canada, cutaneous NTM infections have not been well described. Objectives: A database review from 2006 to 2016 was done to assess species frequency, incidence, and trends of the most common cutaneous NTMs in the province of Alberta, Canada. We also reviewed major diagnostic and epidemiologic aspects of NTM cutaneous infections with a focus on Mycobacterium marinum. Results: A database search identified 244 cases of NTM infections. Mycobacterium avium-intracellulare complex had the highest incidence, causing 64% of cases. Rapid growers ( Mycobacterium abscessus, Mycobacterium chelonae, Mycobacterium fortuitum) caused 23% and M marinum 13%. Information on infection site was available for 117 cases. There was no difference noted in sex distribution; however, differences in age groups between species were noted. Conclusions: The incidence of NTM cutaneous infections in Alberta, Canada, was reported for the first time and the incidence of M marinum was found to be similar to that reported in the worldwide literature. Patients’ age groups were different between species. Knowledge of the unique microbiological features of NTMs and the role of the diagnostic laboratory are important.

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