scholarly journals Prevalence and Antimicrobial Susceptibility of Uropathogens Isolated from Ambulatorial and Nosocomial Infections at Nova Friburgo, Rio de Janeiro, Brazil.

Author(s):  
Sara Wilis Cussuol Gomes ◽  
Lorraine Herdy Heggendornn ◽  
Nayara De Almeida Silva ◽  
Renato Guimarães Varges ◽  
Helvécio Cardoso Corrêa Póvoa

Justificativa e Objetivos: Infecção do Trato Urinário (ITU) é a segunda infecção mais comum, geralmente causada por enterobactérias, principalmente Escherichia coli. Estes microrganismos tem apresentado resistência antimicrobiana para as principais drogas utilizadas para tratar ITU em diferentes partes do mundo. Entretanto, estudos prévios sobre a prevalência e susceptibilidade antimicrobiana regional não foram publicados. Este trabalho objetivou investigar a prevalência e susceptibilidade aos antimicrobianos apresentado por bactérias associadas a ITU de pacientes ambulatoriais ou nosocomiais atendidos ou internados em um hospital em Nova Friburgo, Rio de Janeiro, Brasil. Métodos: Um estudo retrospectivo avaliou a prevalência e a susceptibilidade antimicrobiana de urinoculturas positivas de pacientes ambulatoriais e nosocomiais entre Julho de 2010 a Junho de 2014. Resultados: Dos pacientes ambulatoriais, o microrganismo mais prevalente foi Escherichia coli (76.50%), seguido por Enterobacter sp. (12.02%), e Proteus sp. (5.46%). Nas ITUs nosocomiais, as bactérias mais prevalentes foram E. coli (65.96%), Proteus sp. (7.80%), e Pseudomonas sp. (7.09%). A maioria das urinoculturas positivas foi isolada de mulheres (89.13%). A susceptibilidade antimicrobiana revelou que a maioria de E. coli isolada de pacientes ambulatoriais foi mais resistente à ampicilina (45.00%), ácido nalidíxico (37.14%), nitrofurantoína (35.71%). Dos isolados nosocomiais, E. coli foi mais resistente à ampicilina (56.69%), cefalotina, trimetoprim/sulfametoxazol (43.01%) e ciprofloxacina (33.33%). Conclusão: A resistência antimicrobiana de E. coli foi observada na maioria das ITUs, independente na origem do paciente. Estes resultados contribuirão para melhorar a seleção da terapia antimicrobiana adequada tanto para ITU ambulatorial quanto hospitalar adquiridas em nossa comunidade.

2006 ◽  
Vol 58 (4) ◽  
pp. 556-561 ◽  
Author(s):  
V.C. Oliveira ◽  
J.M. D’Almeida ◽  
I.V. Abalem de Sá ◽  
J.R. Mandarino ◽  
C.A. Solari

Enterobactérias foram identificadas em adultos de Musca domestica (Linnaeus, 1758) (Diptera: Muscidae) e Chrysomya megacephala (Fabricius, 1754) (Diptera: Calliphoridae). Ambas as espécies foram capturadas no Jardim Zoológico da cidade do Rio de Janeiro e tiveram a superfície externa do corpo lavada e o sistema digestivo dissecado, para análise bacteriológica. Identificaram-se Escherichia coli, Citrobacter sp., Proteus mirabilis, Morganella sp., Klebsiella sp., Pseudomonas sp., Enterobacter sp. e Salmonella Agona. P. mirabilis foi o isolado bacteriano mais freqüente. Em duas amostragens (8%) de C. megacephala, isolou-se Salmonella Agona. As amostras de E. coli não foram enteropatogênicas. M. domestica e C. megacephala são potenciais veiculadoras de bactérias causadoras de enterites em humanos e animais.


2021 ◽  
Vol 9 (2) ◽  
pp. 326
Author(s):  
Frederick Adzitey ◽  
Nurul Huda ◽  
Amir Husni Mohd Shariff

Meat is an important food source that can provide a significant amount of protein for human development. The occurrence of bacteria that are resistant to antimicrobials in meat poses a public health risk. This study evaluated the occurrence and antimicrobial resistance of E. coli (Escherichia coli) isolated from raw meats, ready-to-eat (RTE) meats and their related samples in Ghana. E. coli was isolated using the USA-FDA Bacteriological Analytical Manual and phenotypic antimicrobial susceptibility test was performed by the disk diffusion method. Of the 200 examined meats and their related samples, 38% were positive for E. coli. Notably, E. coli was highest in raw beef (80%) and lowest in RTE pork (0%). The 45 E. coli isolates were resistant ≥ 50% to amoxicillin, trimethoprim and tetracycline. They were susceptible to azithromycin (87.1%), chloramphenicol (81.3%), imipenem (74.8%), gentamicin (72.0%) and ciprofloxacin (69.5%). A relatively high intermediate resistance of 33.0% was observed for ceftriaxone. E. coli from raw meats, RTE meats, hands of meat sellers and working tools showed some differences and similarities in their phenotypic antimicrobial resistance patterns. Half (51.1%) of the E. coli isolates exhibited multidrug resistance. The E. coli isolates showed twenty-two different resistant patterns, with a multiple antibiotic resistance index of 0.0 to 0.7. The resistant pattern amoxicillin (A, n = 6 isolates) and amoxicillin-trimethoprim (A-TM, n = 6 isolates) were the most common. This study documents that raw meats, RTE meats and their related samples in Ghana are potential sources of antimicrobial-resistant E. coli and pose a risk for the transfer of resistant bacteria to the food chain, environment and humans.


2018 ◽  
Vol 38 (11) ◽  
pp. 2150-2154 ◽  
Author(s):  
Ruben V. Horn ◽  
Windleyanne G.A. Bezerra ◽  
Elisângela S. Lopes ◽  
Régis S.C. Teixeira ◽  
Isaac N.G. Silva ◽  
...  

ABSTRACT: This study aimed to isolate Escherichia coli and Salmonella enterica from captured feral pigeons in Fortaleza, Brazil, and, in addition to evaluate the antimicrobial susceptibility profiles and diagnose diarrheagenic E. coli strains. Pigeons were captured in four public locations in Fortaleza with three techniques. Individual cloacal swab samples were collected and submitted to bacterial isolation, biochemical identification and antimicrobial susceptibility test. Disk diffusion technique was used with twelve antibiotics. E. coli strains were submitted to DNA extraction followed by PCR to diagnose five diarrheagenic pathotypes. A total of 124 birds were captured. One bird was positive for Salmonella enterica (0.81%) and 121 (97.58%) were positive for E. coli. Among these, 110 isolates were submitted to antimicrobial susceptibility test and 28.18% (31/110) presented resistance to at least one antibiotic. Resistance to azithromycin was the most frequent (21.82%), followed by tetracycline (10.91%) and sulfamethoxazole with trimethoprim (8.9%). Multidrug resistance, calculated as a resistance to at least 3 antimicrobial classes, was identified in 3.64% (4/110) of strains. The maximum number of antimicrobial classes to which one strain was resistant was seven. Results demonstrated nine different resistance profiles and the most frequent was tetracycline and sulfamethoxazole with trimethoprim (4 strains), followed by chloramphenicol, azithromycin, tetracycline and sulfamethoxazole with trimethoprim (3 strains). Amoxicillin with clavulanic acid and tobramycin presented lowest levels of antimicrobial resistance, to which none of the tested strains were resistant. A single strain was positive for the eltB gene, which is a diagnostic tool to identify the Enterotoxigenic E. coli (ETEC) pathotype. None of the other investigated genes (stx1, stx2, estA, eaeA, ipaH, aatA and aaiC) were identified. The single isolate of S. enterica was a rough strain of Salmonella enterica subsp. enterica, but serotype identification was not possible. However, this isolate presented resistance to amoxicillin, amoxicillin with clavulanic acid, tetracycline and sulfamethoxazole with trimethoprim. Therefore, captured feral pigeons of Fortaleza presented a low prevalence of S. enterica and diarrheagenic E. coli. Considering the investigated pathogens, our results suggest a good health status and a low public health risk. However, important antimicrobial resistance profiles were identified.


2010 ◽  
Vol 54 (7) ◽  
pp. 3043-3046 ◽  
Author(s):  
Stephen P. Hawser ◽  
Samuel K. Bouchillon ◽  
Daryl J. Hoban ◽  
Robert E. Badal ◽  
Rafael Cantón ◽  
...  

ABSTRACT From 2002 to 2008, there was a significant increase in extended-spectrum beta-lactamase (ESBL)-positive Escherichia coli isolates in European intra-abdominal infections, from 4.3% in 2002 to 11.8% in 2008 (P < 0.001), but not for ESBL-positive Klebsiella pneumoniae isolates (16.4% to 17.9% [P > 0.05]). Hospital-associated isolates were more common than community-associated isolates, at 14.0% versus 6.5%, respectively, for E. coli (P < 0.001) and 20.9% versus 5.3%, respectively, for K. pneumoniae (P < 0.01). Carbapenems were consistently the most active drugs tested.


2015 ◽  
Vol 45 (7) ◽  
pp. 1249-1255 ◽  
Author(s):  
Daiane Carvalho ◽  
Fabrine Finkler ◽  
Tiela Trapp Grassotti ◽  
Hiran Castagnino Kunert Filho ◽  
Francisco Esmaile de Sales Lima ◽  
...  

The study aimed to evaluate the antimicrobial susceptibility of 109 samples of Escherichia coli (E. coli) of environmental origin and to characterize these isolates according to the degree of pathogenicity in vivo, verifying a possible relationship between this variable and susceptibility to the active principles tested. The isolates were subjected to disc diffusion test to 14 antibiotics. From 16.5% to 90% of the samples were sensitive; 1 - 28.5% showed intermediate degree of susceptibility and between 9 to 78% of E. coli analyzed were resistant. The highest resistance percentages were seen in the class of quinolones and tetracyclines (&gt;75%), and for sensitivity in the class of amphenicols (68.8%). By inoculating 1- day - old chicks, the isolates were classified as highly pathogenic (2.7%), intermediate (10.1%), low (42.2%) and apathogenic (45%). It was observed a wide variation in the susceptibility profile of isolates in relation to antimicrobials. It was also found that most of the samples had pathogenic potential (55%), thus being considered as APEC (avian pathogenic E. coli). No relationship between pathogenicity and antimicrobial susceptibility (P≤0.05) was observed.


2019 ◽  
Vol 49 ◽  
Author(s):  
Ivana Jukić ◽  
Danijel Topić ◽  
El-Jesah Đulić ◽  
Amela Dedeić- Ljubović

Objectives/Aim: Urinary tract infections (UTI) are a serious public health problem and caused by many pathogens, most often by Escherichia coli and Klebsiella pneumoniae.Aim of this study was to show the frequency and antimicrobial susceptibility pattern of E. coli and K. pneumoniae in hospital isolates, following the GLASS methodology.Methods: This is a retrospective study that was conducted in the Laboratory for Urinary Infections OU Clinical Microbiology CCUS in the period from January till December 2018.A total of 13760 urine samples were processed, using standard laboratory methods, in which significant bacteriuria was detected in 3218 (23.4%) of specimens.Results: Out of the total number of positive samples, E. coli was isolated in 1166 (36.2%) and K. pneumoniae at 341 (10.6%) patients. The presence of E. coli and K. pneumoniae isolates is dominant in females (1103/73.2%) and age group 60 and older (812/54.7%). Out of the total E. coli isolates, the ESBL strain was presented with 79 (6.8%) and K. pneumoniae with 145 (42.5%). The proportion of carbapenemase (CPE) produced by K. pneumoniae isolates was 8 (2.4%). The ESBL strain distribution analysis on clinics showed the highest prevalence of both isolates at the Clinic for Nephrology: K. pneumoniae 26/17,9%; E. coli: 12/15.4%. Isolated E. coli showed the highest resistance to ampicillin 673/1166 (57,7%), trimethoprim-sulfamethoxazole 454/1166 (38.9%) and ciprofloxacin 253/970 (26.1%), while K. pneumoniae to ciprofloxacin and trimethoprim-sulfamethoxazole with 151/285 (53.0%) and 164/341 (48.1%), respectively.Conclusions: Our study has shown that the most common cause of urinary infections in hospital settings are E. coli and K. pneumoniae. Data analysis showed that the presence of ESBL isolates was significantly higher in K. pneumoniae than E. coli. CPE isolates of K. pneumoniae were also detected.


2011 ◽  
Vol 74 (8) ◽  
pp. 1245-1251 ◽  
Author(s):  
ANGELA COOK ◽  
RICHARD J. REID-SMITH ◽  
REBECCA J. IRWIN ◽  
SCOTT A. McEWEN ◽  
VIRGINIA YOUNG ◽  
...  

This study estimated the prevalence of Salmonella, Campylobacter, and Escherichia coli isolates in fresh retail grain-fed veal obtained in Ontario, Canada. The prevalence and antimicrobial resistance patterns were examined for points of public health significance. Veal samples (n = 528) were collected from February 2003 through May 2004. Twenty-one Salmonella isolates were recovered from 18 (4%) of 438 samples and underwent antimicrobial susceptibility testing. Resistance to one or more antimicrobials was found in 6 (29%) of 21 Salmonella isolates; 5 (24%) of 21 isolates were resistant to five or more antimicrobials. No resistance to antimicrobials of very high human health importance was observed. Ampicillin-chloramphenicol-streptomycin-sulfamethoxazole-tetracycline resistance was found in 5 (3%) of 21 Salmonella isolates. Campylobacter isolates were recovered from 5 (1%) of 438 samples; 6 isolates underwent antimicrobial susceptibility testing. Resistance to one or more antimicrobials was documented in 3 (50%) of 6 Campylobacter isolates. No Campylobacter isolates were resistant to five or more antimicrobials or category I antimicrobials. E. coli isolates were recovered from 387 (88%) of 438 samples; 1,258 isolates underwent antimicrobial susceptibility testing. Resistance to one or more antimicrobials was found in 678 (54%) of 1,258 E. coli isolates; 128 (10%) of 1,258 were resistant to five or more antimicrobials. Five (0.4%) and 7 (0.6%) of 1,258 E. coli isolates were resistant to ceftiofur and ceftriaxone, respectively, while 34 (3%) of 1,258 were resistant to nalidixic acid. Ciprofloxacin resistance was not detected. There were 101 different resistance patterns observed among E. coli isolates; resistance to tetracycline alone (12.7%, 161 of 1,258) was most frequently observed. This study provides baseline prevalence and antimicrobial resistance data and highlights potential public health concerns.


2021 ◽  
pp. 88-103
Author(s):  
Cristiane Mara Silva da Costa ◽  
Adriana Hamond Regua Mangia ◽  
Alice Gonçalves Martins Gonzalez ◽  
Bruno Gomes de Castro ◽  
Denis Yukio Otaka

Escherichia coli produtora da toxina Shiga (STEC) é um microrganismo agente de infecções de amplo espectro clínico incluindo desde quadros assintomáticos, casos diarreicos leves até doenças extra intestinais graves caracterizadas por anemia hemolítica microangiopática, trombocitopenia e insuficiência renal aguda. Além da produção de shigatoxinas, a expressão de intimina e a produção de enterohemolisinas são atributos de virulência também descritos no grupo patogênico. Ruminantes, especialmente bovinos, são reconhecidos como o principal reservatório das STEC e o manejo inadequado desses animais pode representar um risco de contágio e de disseminação desses patógenos. O estudo incluiu 301 isolados de E. coli obtidos de amostras fecais de bovinos, com e sem diarreia, de regiões agropecuárias brasileiras no Rio de Janeiro e em Rondônia. As amostras bacterianas foram caracterizadas quanto ao polimorfismo genético e a presença de marcadores genéticos codificadores de virulência e dos grupos antigênicos associados ao patotipo. Ensaios moleculares revelaram que 55,5% (167/301) das amostras de E. coli foram carreadoras do gene stx, 36,2% (109/301) e 21,3% (64/301) dos genes eae+ e ehxA+, respectivamente. Dentre as STEC, 24 foram isoladas do Rio de Janeiro (14,4%, 24/167) e 143 de Rondônia (85,6%, 143/167). 13 genótipos de virulência foram observados: stx1 /stx2 /eae/ehxA, stx1 /stx2 /eae, stx1 /stx2 /ehxA, stx1 /stx2 , stx1 / eae/ehxA, stx1 /ehxA, stx1 , stx2 /eae/ehxA, stx2 /eae, stx2 /ehxA, stx2 , eae/ehxA e ehxA). 3,6% (6/167) e 93,4% (156/167) das STEC foram carreadoras dos genes rfbO113 e rfbO157+, respectivamente, sendo 64,1% desses rfbO157+h7+ (100/156). A tipagem da região LEE revelou os subtipos eaeα (3/109), eaeβ (6/109), eaeγ (4/109), tirα (2/109), tirβ (3/109), tirγ (3/109), espAα (3/109), espAβ (0/109), espAγ (0/109), espBα (1/109), espBβ (9/109) e espBγ (0/109). A filogrupagem classificou as STEC nos grupos A (44,9%), B1 (47,3%), D (6,6%) e B2 (1,2%). A tipagem pelo RAPD- revelou uma ampla diversidade genética entre as STEC indicando constituir uma população bacteriana de origem não clonal. A elevada prevalência de STEC em bovinos clinicamente sadios confirma o seu papel como importantes reservatórios ambientais. A ampla circulação desses patógenos em animais de propriedades rurais, em especial, aquelas cujas condições de infraestrutura e boas práticas de manejo são insatisfatórias, representa um sério risco ambiental de concentração desses microrganismos, propiciando a exposição e a ocorrência de doenças e das demais manifestações clínicas relacionadas ao patógeno. O estudo é dividido em duas partes, sendo que o primeiro capítulo apresenta os aspectos introdutórios e metodológicos e por meio do segundo são mostrados os resultados, discussão e conclusões.


Medicina ◽  
2012 ◽  
Vol 48 (2) ◽  
pp. 13 ◽  
Author(s):  
Rasa Tamelienė ◽  
Eglė Barčaitė ◽  
Dalia Stonienė ◽  
Jūratė Buinauskienė ◽  
Eglė Markūnienė ◽  
...  

Escherichia coli is one of the leading causes of early-onset neonatal sepsis in many industrialized countries. However, there is a lack of studies on Escherichia coli colonization in women and neonates. The study aimed at determining the prevalence Escherichia coli among pregnant women and newborns, perinatal transmission, antimicrobial susceptibility, and risk factors for neonatal colonization. Material and Methods. In this prospective, cross-sectional study, 827 infants born to 808 mothers were enrolled. The study was carried out from October 1, 2006, to June 30, 2007. Women were screened for E. coli carriage at 35–37 weeks of gestation or on admission for premature rupture of membranes and delivery; neonates, within 15 minutes of their lives. Risk factors for colonization were collected by a questionnaire and were recorded during labor. Results. Maternal E. coli colonization rate was 19.9%; neonatal, 14.4%; and transmission rate, 21.4%. Less than one-fourth (22.7%) of neonatal E. coli strains were resistant to ampicillin. Logistic regression analysis revealed that anal sexual intercourse (OR, 3.91; 95% CI, 1.87–8.19), one sexual partner (OR, 2.01; 95% CI, 1.30–3.11), maternal vaginal Escherichia coli colonization (OR, 1.81; 95% CI, 1.12–2.93), maternal body mass index of ≤27 (OR, 1.77; 95% CI, 1.15–2.73), and maternal education lower than university level (OR, 1.70; 95% CI, 1.06–2.74) were associated with neonatal Escherichia coli colonization. Conclusions. The prevalence of maternal Escherichia coli colonization was higher in this study than other studies (19.9%). Neonatal Escherichia coli colonization was 14.4%. The resistance of Escherichia coli isolates to ampicillin was not high (22.7%). Improvement of maternal education and modification of mothers’ sexual habits need to be undertaken to prevent neonatal Escherichia coli colonization.


2019 ◽  
Vol 40 (1) ◽  
pp. 163 ◽  
Author(s):  
Leandro Parussolo ◽  
Ricardo Antônio Pilegi Sfaciotte ◽  
Karine Andrezza Dalmina ◽  
Fernanda Danielle Melo ◽  
Ubirajara Maciel Costa ◽  
...  

The serrano artisanal cheese is a typical product from South region of Brazil, which is produced by skilled cheesemakers using raw milk. The contamination of this food by Escherichia coli has a great impact on public health, since it could threat the consumers’ health. The study evaluated the presence of virulence genes, antimicrobial susceptibility profiles and bofilm-production ability of Escherichia coli isolates obtained from raw milk and artisanal cheese produced in Southern Brazil. A total of 117 isolates of E. coli were characterized by multiplex PCR to detect the following virulence genes: eae for enteropatogenic E. coli (EPEC), lt and st for enterotoxigenic E. coli (ETEC), stx for shiga toxin-producing E. coli (STEC), stx and eae for enterohemorrhagic E. coli (EHEC), ipaH for enteroinvasive E. coli (EIEC) and aggR for enteroaggregative E. coli (EAEC). In addition, antimicrobial susceptibility profile to 22 antimicrobial agents was also performed by disk diffusion method, and we searched for extended-spectrum beta-lactamases (ESBL) and/or carbapenemase- producing isolates. Isolates that were positive for ESBL and carbapenemase were further investigated for the presence of the genes: blaTEM, blaSHV, blaOXA, blaCTX-M, for ESBL and blaOXA-48 for carbapenemase. Further, isolates had their ability to form biofilms investigated by the red Congo agar method. Virulence genes of E. coli were identified in 21.37% of the tested isolates, which were classified as EPEC (the most prevalent pathotype) and ETEC or EAEC. Ten (8.55%) of the total studied E. coli isolates revealed a multidrug-resistant profile, since they were resistant to three or more antimicrobial classes; whereas four isolates (3.42%) were classified as ESBL-producers and showed the presence of blaTEM gene. None of the isolates exhibited carbapenemase activity nor did they carry carbapenemase genes. From the total of E. coli isolates, 79 (67.52%) were considered potential biofilm producers. These results address a serious public health issue, since artisanal cheeses pose a risk to consumers’ health, since may be sources of dissemination of diarrheogenic E. coli, that can cause from subclinical to severe and fatal infections in children and adults, and also emphasize the need to improve adaptations/adjustments in the manufacturing processes of these products.


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