Antibiotic Resistance and R Factors in Gram-Negative Bacteria Isolated in a Hospital for Infectious Diseases: IV. Influence of Hospital Environment on the Incidence and Type of Resistance in Enteric Bacteria

1973 ◽  
Vol 5 (1) ◽  
pp. 49-54 ◽  
Author(s):  
Marianne Jonsson
Keyword(s):  
Antibiotic Resistance ◽  
Infectious Diseases ◽  
Enteric Bacteria ◽  
Hospital Environment ◽  
Gram Negative Bacteria ◽  
Gram Negative ◽  
R Factors

scholarly journals PATIENTS' MICROFLORA COMPARATIVE CHARACTERISTICS OF DIFFERENT DEPARTMENTS AT THE NATIONAL HOSPITAL OF PEDIATRICS IN HANOI, VIETNAM

2019 ◽  
pp. 43-48
Author(s):  
L.V. Kataeva ◽  
A.P. Rebeshchenko ◽  
T.F. Stepanova ◽  
O.V. Posoiuznykh ◽  
Le Thanh Hai ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Infectious Diseases ◽  
Hospital Environment ◽  
Clinical Samples ◽  
Gram Negative Bacteria ◽  
National Hospital ◽  
Statistical Research ◽  
Gram Positive ◽  
Gram Negative

We studied the microflora structure and resistance gathered from the biomaterial of patients and the environment objects of various departments at the National hospital of Pediatrics in Hanoi. 140 clinical samples of biomaterials from 74 patients treated in the intensive care unit, the infectious diseases and the gastroenterology departments were studied. A systematic approach including microbiological, epidemiological and statistical research methods was used in carrying out the study. Bacteria of the Enterobacteriaceae family (38.5 per cent) prevailed in the biomaterial of intensive care unit patients. Nonfermentative Gram-negative bacteria (46.5 per cent) occupied the leading positions in the infectious diseases department and Gram-positive bacteria (39.3 per cent) were in the gastroenterology department. Gram-positive flora (60.2 per cent in the intensive care unit and 50.7 per cent in the infectious diseases department) prevailed in the microflora structure gathered from hospital environment objects. We identified the prevalence of bacteria of the genus Enterobacteriaceae and non-fermentative Gram-negative bacteria with a wide spectrum of resistance in the departments of the National Hospital of Pediatrics.

CLINICAL AND LABORATORY PARALLELS AT PATHOLOGICAL AND BORDERLINE STATES ASSOCIATED WITH LIPOPOLYSACCHARIDES OF GRAM-NEGATIVE BACTERIA

2020 ◽  
Vol 65 (1) ◽  
pp. 29-36
Author(s):  
A. R. Mavzyutov ◽  
K. R. Bondarenko ◽  
G. A. Mavzyutova ◽  
L. R. Glazutdinova
Keyword(s):  
Antibiotic Resistance ◽  
Infectious Diseases ◽  
Clinical Laboratory ◽  
Practical Interest ◽  
Laboratory Diagnostics ◽  
Gram Negative Bacteria ◽  
Regulatory Activity ◽  
Gram Negative ◽  
Component Systems

The review systematizes data on the structure of lipopolysaccharides (LPS) and their role in physiological and systemic pathological processes. The analysis of literature and our own data is of scientific and practical interest for specialists in the field of clinical laboratory diagnostics, anesthesiologists, resuscitators, therapists, immunologists and obstetrician-gynecologists, including studies on the role of LPS in unique three-component systems - «mother-placenta-fetus». The prospects of using LPS as immunomodulatory, including for the treatment of infectious diseases, are justified. It is shown that along with their use for the correction of immunodeficiency or the development of new adjuvants and vaccines, it is possible to use their high regulatory activity even at the epigenetic level. The possibility of the prophylactic and therapeutic use of LPS in the context of an alternative solution to the problem of antibiotic resistance of bacteria is discussed.

Antibiotic Resistance as a Virulence Factor of Opportunistic Microorganisms

2021 ◽  
pp. 50-56
Author(s):  
NА Gordinskaya ◽  
EV Boriskina ◽  
DV Kryazhev
Keyword(s):  
Antibiotic Resistance ◽  
Infectious Diseases ◽  
Molecular Genetic ◽  
Multidrug Resistant ◽  
Gram Negative Bacteria ◽  
Coagulase Negative Staphylococci ◽  
Genetic Studies ◽  
Antibiotic Resistant ◽  
Gram Negative ◽  
Resistant Strains

Introduction: A large number of infectious processes are associated with opportunistic microorganisms. The phenotype of antibiotic resistance of such pathogens is multidrug-resistant strains with the presence of various β-lactamases. Our objective was to determine the phenotypic and genotypic features of antibiotic resistance of staphylococci, enterobacteria, and non-fermenting Gram-negative bacteria – the cause of infectious diseases in patients of various health facilities of Nizhny Novgorod. Material and methods: Using classical microbiological methods and molecular genetic studies, we analyzed 486 strains of microorganisms isolated from the upper respiratory tract, intestines, urine, and wound discharge of patients in 2019–2020. In all isolates, the phenotype of antibiotic resistance was determined by the disco-diffusion method (Bioanalyse, Turkey) and using the Multiscan FC spectrophotometer (ThermoScientific, Finland) with Microlatest tablets (PLIVA-Lachema, Czech Republic), along with molecular features of resistance mechanisms by PCR on the CFX96 device (BioRad, USA) using AmpliSens kits (Russia). Results and discussion: The results showed that the most prevalent causative agents of infectious diseases (40.7 %) were Gram-negative bacteria, of which Enterobacteriaceae and non-fermenting bacteria accounted for 27.1 % and 13.6 % of cases, respectively. Staphylococci were isolated in 37.6 % of patients: S. aureus and coagulase-negative staphylococci induced 13.4 % and 24.2 % of cases, respectively. The analysis of antibiotic resistance of the isolates showed a high level of antimicrobial resistance in all hospitals, regardless of the isolation locus. The phenotype of methicillin-resistant strains was found in 26.3 % and 37.9 % of S. aureus and coagulase-negative staphylococci, respectively; the mecA gene was found in 89.0 % of methicillin-resistant staphylococci. The highest number of antibiotic-resistant strains among Gram-negative microorganisms was observed in K. pneumoniae, A. baumannii, and P. aeruginosa. We established that 61.7 % of K. pneumoniae, 75.1 % of A. baumannii, and 58.2 % of P. aeruginosa were resistant to carbapenems. The results of molecular genetic studies confirmed the presence of serine carbapenemases KPC and OXA groups in all multidrug-resistant K. pneumoniae and A. baumannii; genes of the metallo-β-lactamase of VIM group were found in 40.9 % strains of P. aeruginosa. The production of numerous β-lactamases and the presence of determinants of antibiotic resistance in the genome determine the virulent properties of opportunistic microorganisms. Conclusion: The antibiotic resistance of opportunistic microorganisms is the cause of developing a chronic infectious process. Today, a wide spread of antibiotic-resistant infectious agents is a serious public health problem, which determines the need for constant microbiological monitoring and studies of molecular mechanisms of resistance to identify the most potent antibiotics and to determine the ways of eradication of multidrug-resistant strains.

scholarly journals Drug Resistance of Enteric Bacteria IX. Distribution of R Factors in Gram-negative Bacteria from Clinical Sources

1967 ◽  
Vol 93 (4) ◽  
pp. 1242-1245 ◽  
Author(s):  
Susumu Mitsuhashi ◽  
Hajime Hashimoto ◽  
Ryuki Egawa ◽  
Tokumitsu Tanaka ◽  
Yutaka Nagai
Keyword(s):  
Drug Resistance ◽  
Enteric Bacteria ◽  
Gram Negative Bacteria ◽  
Gram Negative ◽  
R Factors

scholarly journals Bacterial Colonization and Antibiotic Resistance in a Prospective Cohort of Newborn Infants During the First Year of Life

2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Sharon B. Meropol ◽  
Kurt C. Stange ◽  
Michael R. Jacobs ◽  
Judith K. Weiss ◽  
Saralee Bajaksouzian ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Bacterial Colonization ◽  
Newborn Infants ◽  
Enteric Bacteria ◽  
Community Dwelling ◽  
Resistant Organism ◽  
Gram Negative Bacteria ◽  
Gram Negative ◽  
Extended Spectrum Beta Lactamase ◽  
Household Members

Abstract Background Infants are virtually sterile at birth and frequently use antibiotics; our objective was to (1) characterize the longitudinal colonization with bacterial pathogens and associated antibiotic resistance in a cohort of community-dwelling infants in Northeast Ohio and (2) describe longitudinal concurrent antibiotic and daycare exposures. Methods For 35 newborns, nasopharyngeal swabs were cultured for Streptococcus pneumoniae, anterior nasal for Staphylococcus aureus, and perirectal for extended-spectrum beta-lactamase (ESBL)-producing Gram-negative enteric bacteria, at 3-month intervals for 12 months. Infant and household antibiotics and daycare exposure were assessed longitudinally. Results Thirteen infants received perinatal or nursery antibiotics. By 3 months, at least 22 were colonized with Gram-negative bacteria; 2 with S pneumoniae (type 19A, resistant; 15C, susceptible), 5 with methicillin-susceptible S aureus. By 12 months, at least 22 of 35 infants received antibiotics, 20 had household members with antibiotics, and 12 attended daycare; 7 more had household members with daycare exposure. The ESBL-producing organisms were not identified. At least 10 infants were colonized at some time with an antibiotic-resistant organism, 3 more with pathogens displaying intermediate resistance. Pathogen colonization and resistance were intermittent and inconsistent. Conclusions In a community-based cohort followed from birth, early antibiotic and daycare exposures are common, especially considering perinatal maternal exposures. Colonization patterns of Gram-negative bacteria, S pneumoniae, S aureus, and resistant pneumococci are strikingly dynamic. Further research can identify key areas for potential interventions to maximize clinical antibiotic outcomes while minimizing future resistance.

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