scholarly journals The Occurrence of Antibiotic Resistant Bacteria Contamination in Sub-district Health-promoting Hospitals in Chiang Rai, Thailand

Author(s):  
Korakot Chansareewittaya ◽  
Sirikarnnapa Krajangcharoensakul

Objective: To determine the antibiotic susceptibility patterns (antibiogram profiles) of the bacterial agents usually involved in hospital-acquired infections found in 12 sub-district health-promoting hospitals (HPHs) in Chiang Rai, Thailand.Material and Methods: Swabs from 10 different sampling points in each sub-district HPH were aseptically collected. Standard microbiological methods were performed to define the bacterial species. Antibiotic susceptibility was determined by the disk diffusion method following the standard guidelines of the Clinical and Laboratory Standards Institute (2016).Results: The antibiogram profiles of the 153 isolated bacteria showed that 55.6% of the isolates were resistant to antibiotics. Single drug resistant, double drug resistant, and multi-drug resistant bacteria accounted for 18.3%, 18.3%, and 19.0%, respectively. The Pseudomonas aeruginosa isolate was susceptible to all tested antibiotics. MDR phenotypes were most common in coagulase-negative staphylococci (13.1%), followed by members of the family of Enterobacteriaceae (3.9%) and Staphylococcus aureus (0.7%).Conclusion: The MDR rates reported in this study are “worrying”. These results suggest that sub-district HPHs may become sources of HAIs caused by antibiotic-resistant bacteria which can be inevitably transmitted into the wider community. Antibiotic stewardship, antibiotic susceptibility surveillance and hygiene practices may be used to prevent and limit the spread of such bacteria from sub-district HPHs to the community.

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S716-S717
Author(s):  
Linsey M Donner ◽  
Xu Li ◽  
Daniel D Snow ◽  
Jodi L Sangster ◽  
Zachery R Staley ◽  
...  

Abstract Background Antibiotic resistance is a significant public health threat and widespread use of antibiotics in agriculture is increasing the concern about agricultural contributions to the dissemination of antibiotic resistant bacteria. Of concern is the level of exposure to antibiotics and antibiotic-resistant bacteria in the watershed. Consequently, adopting a One Health approach to measure antibiotic levels and identify antibiotic resistance gene (ARG) transfer at the human, animal and environmental interfaces is essential to better understand how antibiotic resistance is spread. Methods In this project, antibiotic levels were measured using passive organic chemical integrative samplers (POCIS) for 30-day periods from August – November 2018 from Elkhorn River and Shell Creek watersheds in Nebraska (Figure 1). In addition, whole genome sequences of bacterial isolates cultured from the watersheds were assessed to identify ARGs present on mobile genetic elements (MGE) that had >95% similarity to mobile ARG present in isolates recorded in the NCBI GenBank database was identified using ResFinder. Figure 1. Sampling locations within the two watersheds. Results The study demonstrated significant antibiotic levels present throughout the watershed, with five of them associated with human usage (Table 1). In addition, seasonally based drug-resistant bacterial species was associated with specific antibiotic levels in the watershed (Figure 2). Mobile ARGs were detected in 87.5% of isolates collected from the Elkhorn River and 80.0% within Shell Creek (Figure 3). Table 1. Pharmaceutical levels in the watershed Figure 2. Antibiotic levels and drug-resistant bacteria in the watershed Figure 3. Antibiotic resistance observed from each isolate at every sampling date and site. A colored bar denotes that resistance to that antibiotic was observed. Conclusion These results present evidence of transfer of highly mobile ARGs between environment, clinical, and animal-associated bacteria and highlight the need for a One Health perspective in assessing the spread of antibiotic resistance. The presence of significant levels of antibiotics persisting in this agricultural watershed points out the need for ongoing monitoring of compliance with the Food and Drug Administration (FDA) recommendation of veterinarian oversight of the use of antibiotics in the use of veterinary feed directive applications. Disclosures All Authors: No reported disclosures


2020 ◽  
Vol 13 (2) ◽  
pp. 266-274 ◽  
Author(s):  
Sharmin Akter ◽  
Abdullah Al Momen Sabuj ◽  
Zobayda Farzana Haque ◽  
Md. Tanvir Rahman ◽  
Md. Abdul Kafi ◽  
...  

Background and Aim: Houseflies (Musca domestica) are synanthropic insects which serve as biological or mechanical vectors for spreading multidrug-resistant bacteria responsible for many infectious diseases. This study aimed to detect antibiotic-resistant bacteria from houseflies, and to examine their resistance genes. Materials and Methods: A total of 140 houseflies were captured using sterile nylon net from seven places of Mymensingh city, Bangladesh. Immediately after collection, flies were transferred to a sterile zipper bag and brought to microbiology laboratory within 1 h. Three bacterial species were isolated from houseflies, based on cultural and molecular tests. After that, the isolates were subjected to antimicrobial susceptibility testing against commonly used antibiotics, by the disk diffusion method. Finally, the detection of antibiotic resistance genes tetA, tetB, mcr-3, mecA, and mecC was performed by a polymerase chain reaction. Results: The most common isolates were Staphylococcus aureus (78.6%), Salmonella spp., (66.4%), and Escherichia coli (51.4%). These species of bacteria were recovered from 78.3% of isolates from the Mymensingh Medical College Hospital areas. Most of the isolates of the three bacterial species were resistant to erythromycin, tetracycline, penicillin and amoxicillin and were sensitive to ciprofloxacin, ceftriaxone, chloramphenicol, gentamicin, and azithromycin. Five antibiotic resistance genes of three bacteria were detected: tetA, tetB, mcr-3, and mecA were found in 37%, 20%, 20%, and 14% isolates, respectively, and no isolates were positive for mecC gene. Conclusion: S. aureus, Salmonella spp., and E. coli with genetically-mediated multiple antibiotic resistance are carried in houseflies in the Mymensingh region. Flies may, therefore, represent an important means of transmission of these antibiotic-resistant bacteria, with consequent risks to human and animal health.


2020 ◽  
Author(s):  
Chalachew Yenew ◽  
Fitalew Tadele

Abstract BackgroundThe prevalence of antimicrobial-resistant pathogens, including foodborne antibiotic-resistant bacteria, is ever increasing. An increase in antimicrobial resistance results in treatment failure and outbreaks. Mass food serving institutions are at a high risk of outbreaks due to the probability of mass infection.ObjectiveThis study aims to determine the contamination of food handlers with antibiotic-resistant bacteria and its associated factors at Debre Tabor University cafeteria.MethodsA laboratory-based cross-sectional study was conducted by following standard microbiological methods to isolate and identify foodborne bacteria from the hands of food handlers. The Kirby-Bauer disc diffusion method was used for perform the resistance profiles of the foodborne bacteria that were identified from the hands of the food in March 2020. Thirty samples each from hand and food utensil swabs were collected. Besides, work experience, drug use characteristics, and educational status of the food handler’s data were collected by using an observational checklist and interview questions. Descriptive statistics, correlation, and linear regressions were used to analyze the data.ResultsThe result shows the contamination of food handlers with varying pathogenic microbial organisms. The food handlers were mostly contaminated with multiple antibiotics-resistance (MAR) of Escherichia coli 43% (95% CI: 41.2%, 46.9%), Salmonella 36.7% (95% CI:33.2%, 38.7%), and Shigella 20% (95% CI: 19.2%, 26.9%). The study identifies poor personnel hygiene, lack of food safety training, and lack of sufficient food safety knowledge of the food handlers.ConclusionsThe contamination of food handlers with antimicrobial-resistant microbes at the university cafeteria could indicate the likelihood of the occurrence of foodborne outbreaks. Hence, continuous awareness creation and strict supervision were preventing the contamination of the food and related consequences.


2020 ◽  
Vol 13 (10) ◽  
Author(s):  
Ying Ge ◽  
Li-Wei Xu ◽  
Jian-Bin Zhen ◽  
Cheng Chen ◽  
Miao Lv ◽  
...  

Background: Infections caused by metallo-β-lactamases (MβLs)-producing antibiotic-resistant bacteria pose a severe threat to public health. The synergistic use of current antibiotics in combination with MβL inhibitors is a promising therapeutic mode against these antibiotic-resistant bacteria. Objectives: The study aimed to probe the inhibition of MβLs and obtain the active component, P1, in the degradation product after imipenem was hydrolyzed by ImiS. Methods: The hydrolysis of two carbapenems with MβL ImiS was monitored by UV-Vis in real-time, and the degradation product from the leaving group produced after imipenem was hydrolyzed (but not for faropenem) was purified by HPLC to give one component, P1. Results: Kinetic assays revealed that P1 exhibited a broad-spectrum inhibition against VIM-2, NDM-1, ImiS, and L1, from three sub-classes of MβLs, with IC50 values of 8 - 32, 13.8 - 29.3, and 14.2 - 19.2 µM, using imipenem, cefazolin, and nitrocefin as substrates, respectively. Also, P1 showed synergistic antibacterial efficacy against drug-resistant Escherichia coli producing VIM-2, NDM-1, ImiS, and L1, in combination with antibiotics, restoring 16 to 32-fold and 32 to 128-fold efficacies of imipenem and cefazolin, respectively. Spectroscopic and Ellman's reagent analyses suggested that P1, a mercaptoethyl-form imidamide, is a mechanism-based inhibitor, while faropenem has no substrate inhibition, due to the lack of a leaving group. Conclusions: This work reveals that the hydrolysate of imipenem, a carbapenem with a good leaving group, can be used in screening for broad-spectrum inhibitors of MβLs.


2020 ◽  
Vol 64 (4) ◽  
pp. 507-525 ◽  
Author(s):  
Gülşen Altuğ ◽  
Mine Çardak ◽  
Pelin Saliha Çiftçi Türetken ◽  
Samet Kalkan ◽  
Sevan Gürün

Heavy metal and antibiotic-resistant bacteria have potential for environmental bioremediation applications. Resistant bacteria were investigated in sediment and seawater samples taken from the Aegean Sea, Turkey, between 2011 and 2013. Bioindicator bacteria in seawater samples were tested using the membrane filtration technique. The spread plate technique and VITEK® 2 Compact 30 micro identification system were used for heterotrophic aerobic bacteria in the samples. The minimum inhibition concentration method was used for heavy metal-resistant bacteria. Antibiotic-resistant bacteria were tested using the disk diffusion method. All bacteria isolated from sediment samples showed 100% resistance to rifampicin, sulfonamide, tetracycline and ampicillin. 98% of isolates were resistant against nitrofurantoin and oxytetracycline. Higher antibiotic and heavy metal resistance was recorded in bacteria isolated from sediment than seawater samples. The highest levels of bacterial metal resistance were recorded against copper (58.3%), zinc (33.8%), lead (32.1%), chromium (31%) and iron (25.2%). The results show that antibiotic and heavy metal resistance in bacteria from sediment and seawater can be observed as responses to environmental influences including pollution in marine areas.


Lab on a Chip ◽  
2015 ◽  
Vol 15 (13) ◽  
pp. 2799-2807 ◽  
Author(s):  
Justin D. Besant ◽  
Edward H. Sargent ◽  
Shana O. Kelley

Concentrating bacteria in nanoliter culture chambers enables rapid electrochemical antibiotic susceptibility testing on-chip.


2015 ◽  
Vol 77 (24) ◽  
Author(s):  
Nurhazlin Ab Rahman ◽  
Ahmed Jalal Khan Chowdhury ◽  
Zaima Azira Zainal Abidin

This study was undertaken to determine the presence of antibiotic resistant bacteria in sediment of coastal water of Pahang, Malaysia. A total of 125 bacteria were isolated from sediment samples of Tanjung Lumpur (A and B), Teluk Chempedak, Batu Hitam and Balok and tested against 10 different antibiotics by disc diffusion method. In Teluk Chempedak and Balok, the greatest frequencies of resistance in bacteria were found in Polymyxin B and Streptomycin but less common in Chloramphenicol. Meanwhile, high resistance of bacteria against the antibiotic in Tanjung Lumpur existed in Polymyxin B, Penicillin G and Ampicillin, whilst no resistance in bacteria was found in Chloramphenicol, Gentamycin and Erythromycin. Most of the bacteria from Batu Hitam exhibited high resistance to most of the antibiotics tested. Approximately, most of the isolates showed Multiple Antibiotic Resistance (MAR) index value higher than 0.2 (>0.2) which suggest there are high-risk of antibiotics contamination in the areas. Two isolates that showed resistance to most antibiotics were identified as Stenotrophomonas maltophilia and Brevundimonas vesicularis. Findings from this preliminary study revealed the presence of antibiotic resistance strain of bacteria which may indicate the occurrence of antibiotic contamination s at the coastal water of Pahang, Malaysia and this may pose a potential public health implications.


2016 ◽  
pp. 21-24
Author(s):  
Md Kamruzzaman Siddiqui ◽  
Nazma Khatoon ◽  
Pravas Chandra Roy

Antimicrobial resistance in both pathogenic and commensal bacteria is increasing steadily. Failure of antibiotic resistant bacteria containment is responsible for this expansion. Healthcare effluent acts as the store house of harmful infectious pathogens. Potential health risk includes spreading of diseases by these pathogens and wide dissemination of antimicrobial resistance genes. The present study was carried out to investigate the multiple-drug resistance among the bacterial strains that were isolated and identified from the effluents of Jessore Medical College Hospital & Jessore Queen’s hospital private limited. Identified bacteria were E. coli , Klebsiella spp., Enterobacter spp., Proteus vulgaris and Salmonella spp.. Occurrence of E. coli and Enterobacter spp. were found to have the highest percentages and present in majority of the samples. The identified organisms antibiotic resistant pattern were analyzed by agar disc diffusion method against 6 antibiotics. Results of antibiotic susceptibility test showed that all of the isolates were multi-drug resistant (e”4). From the study, we observed that 75% of the isolates were resistant to amoxicillin, followed by Ampicillin (64%), Chloramphenicol (31%), Gentamycin (29%), Nitrofurantoin (27%) and least resistant being Ciprofloxacin 23%. Among the isolates Salmonella spp. were showed highest rate of resistance against all the used antibiotics. The result denotes that, the identified bacteria have been well exposed to the tested antimicrobials and they have established mechanisms to avoid them. Therefore, proper waste water treatment plant should be established to diminish the risk of disseminating multiple drug resistant microorganisms for the safeguard of public health.Bangladesh J Microbiol, Volume 32, Number 1-2,June-Dec 2015, pp 21-24


Nanomaterials ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 205
Author(s):  
Jeong Choi ◽  
Hyon Jung ◽  
Yeon Baek ◽  
Bo Kim ◽  
Min Lee ◽  
...  

In this work, the antibacterial activity of silver nanoparticles (AgNPs) synthesized using Areca catechu extracts against three species of antibiotic-susceptible and three species of resistant bacteria was investigated. The effects of this plant were more promising when compared with other medicinal plants tested. The hydrothermal extract of Areca catechu was mixed with silver nitrate to synthesize AgNPs. The synthesized particle characteristics were analyzed by UV–Vis spectrophotometry, scanning electron microscopy (SEM), dynamic light scattering (DLS), and Fourier-transform infrared spectroscopy (FT-IR). Minimum inhibitory concentration and minimum bactericidal concentration tests were conducted to confirm antibacterial activity and the results showed that AgNPs synthesized using Areca catechu extracts effectively inhibited the growth of bacterial species. Moreover, the SEM images of the bacterial species treated with AgNPs synthesized with Areca catechu extracts showed that clusters of AgNPs were attached to the surface of the bacterial cell wall, which could induce destruction of the cell membranes. The results suggest that AgNPs synthesized with Areca catechu extracts have the potential to treat antibiotic-resistant bacteria known as the major cause of nosocomial infections.


2015 ◽  
Vol 12 (3) ◽  
Author(s):  
Megan Bollin ◽  
Ellen Jensen ◽  
David Mitchell

The purpose of this study was to investigate the possibility that antibiotic resistant bacteria could be isolated and identified in aquatic ecosystems in the lakes on the campus of Saint John’s University and the nearby Sauk and Watab Rivers. A total of 125 isolates were collected. Seventy-nine percent of the isolates were gram negative rods. Twenty-six isolates that were resistant to seven or more antibiotics were selected for further investigation. The 26 isolates were all gram negative and members of seven different genera with Flavobacterium and Acinetobacter being the most common. Resistance coefficients were calculated based on optical density values relative to cells grown without antibiotics. Multi-drug resistant, gram negative bacteria were shown to be common in aquatic environments in central Minnesota.


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