• 제목/요약/키워드: resistant strains

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Febrile urinary tract infection in children: changes in epidemiology, etiology, and antibiotic resistance patterns over a decade

  • Suh, Woosuck;Kim, Bi Na;Kang, Hyun Mi;Yang, Eun Ae;Rhim, Jung-Woo;Lee, Kyung-Yil
    • Clinical and Experimental Pediatrics
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    • 제64권6호
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    • pp.293-300
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    • 2021
  • Background: Understanding the epidemiology and prevalence of febrile urinary tract infection (fUTI) in children is important for risk stratification and selecting appropriate urine sample collection candidates to aid in its diagnosis and treatment. Purpose: This study aimed to analyze the epidemiology, etiology, and changes in antibiotic susceptibility patterns of the first fUTI in children. Methods: This retrospective observational cohort study included children younger than 19 years of age who were diagnosed and treated for their first fUTI in 2006-2016. Electronic medical records were analyzed and radiologic images were evaluated. Results: A total of 359 patients (median age, 5.1 months; interquartile range, 3.0-10.5 months) fit the inclusion criteria; of them, 78.0% (n=280) were younger than 12 months old. The male to female ratio was 5.3:1 for patients aged 0-2 months, 2.1:1 for those 3-5 months, and 1.6:1 for those 6-11 months. Beyond 12 months of age, there was a female predominance. Escherichia coli was the leading cause (83.8%), followed by Enterococcus species (6.7%), and Klebsiella pneumoniae (3.6%). Significant yearly increases in the proportions of multidrug-resistant strains (P<0.001) and extended-spectrum beta-lactamase (ESBL) producers (P<0.001) were observed. In patients with vesicoureteral reflux (VUR), the overall recurrence rate was 53.6% (n=15). A significantly higher recurrence rate was observed when the fUTI was caused by an ESBL versus non-ESBL producer (75.0% vs. 30.0%, P=0.03). Conclusion: fUTI was most prevalent in children younger than 12 months of age and showed a female predominance in patients older than 12 months of age. The proportion of ESBL producers causing fUTI is increasing. Carbapenems, rather than noncarbapenems, should be considered for treating fUTI caused by ESBL-producing enteric gram-negative rods to reduce short-term recurrence rates in children with VUR.

Efficacy of Disinfectants against Health-Associated Multi-drug Resistant Clinical Isolates

  • An, Jeong-Lib;Kim, Sang-Ha;Yu, Young-Bin;Kim, Sunghyun;Lee, Moo-Sik;Kim, Young-Kwon
    • 대한의생명과학회지
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    • 제27권4호
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    • pp.264-269
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    • 2021
  • The purpose of this study was to evaluate the disinfecting efficacy of peracetic acid (PAA), sodium hypochlorite (NaOCl) and phenol, which are representative disinfectants in medical environments using four types of multi-drug resistance (MDR) clinical isolates with healthcare-associated infections (HAI). 26 antibiotic susceptibility tests were conducted for the four types of MDR clinical isolates in the same way as for clinical specimens. The minimum inhibitory concentration (MIC) and the minimum bactericidal concentration (MBC) of the disinfectants were determined by using in vitro liquid medium dilution method and inoculation of the plate medium. Both the MIC and MBC of phenol against MRSA and VRE were 3.1%, while those against KPC and MRPA were 6.2%. The MIC and MBC of peracetic acid (PAA) against MRSA, VRE, KPC, and MRPA were 0.18%. The MIC and MBC of sodium hypochlorite (NaOCl) against MRSA were 0.39% and 0.78%, respectively. Both values of MIC and MBC were 0.78% for VRE. In addition, KPC and MRPA showed 0.39% for MIC and 0.78% for MBC. For all MDR strains used in this study, sodium hypochlorite and peracetic acid showed significant sterilizing efficiency, while no clear correlation was identified between antibiotic resistance clinical isolated and ability of disinfection.

DNA microarray-based characterization and antimicrobial resistance phenotypes of clinical MRSA strains from animal hosts

  • Schmitt, Sarah;Stephan, Roger;Huebschke, Ella;Schaefle, Daniel;Merz, Axel;Johler, Sophia
    • Journal of Veterinary Science
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    • 제21권4호
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    • pp.54.1-54.11
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    • 2020
  • Background: Methicillin-resistant Staphylococcus aureus (MRSA) is a leading cause of severe infections in humans and animals worldwide. Studies elucidating the population structure, staphylococcal cassette chromosome mec types, resistance phenotypes, and virulence gene profiles of animal-associated MRSA are needed to understand spread and transmission. Objectives: The objective of this study was to determine 1) clonal complexes and spa types, 2) resistance phenotypes, and 3) virulence/resistance gene profiles of MRSA isolated from animals in Switzerland. Methods: We analyzed 31 presumptive MRSA isolates collected from clinical infections in horses, dogs, cattle, sheep, and pigs, which had tested positive in the Staphaurex Latex Agglutination Test. The isolates were characterized by spa typing and DNA microarray profiling. In addition, we performed antimicrobial susceptibility testing using the VITEK 2 Compact system. Results: Characterization of the 31 presumptive MRSA isolates revealed 3 methicillinresistant Staphylococcus pseudintermedius isolates, which were able to grow on MRSA2 Brilliance agar. Of the 28 MRSA isolates, the majority was assigned to CC398 (86%), but CC8 (11%) and CC1 (4%) were also detected. The predominant spa type was t011 (n = 23), followed by t009 (n = 2), t034 (n = 1), t008 (n = 1), and t127 (n = 1). Conclusions: The results of this study extend the current body of knowledge on the population structure, resistance phenotypes, and virulence and resistance gene profiles of MRSA from livestock and companion animals.

Pseudomonas putida FW에 의한 Aniline의 생물학적 분해 (Biodegradation of Aniline by Pseudomonas putida FW)

  • 박영금;오준석;반창일;윤성준;최명식
    • 한국미생물·생명공학회지
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    • 제16권5호
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    • pp.413-420
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    • 1988
  • Aniline을 유일한 탄소원으로 한 최소배지에서 성장할 수 있는 균주를 활성오니로부터 분리하여 여러가지 특성을 조사하였다. 이 균주는 분류학적인 주성에 의하여 P. Putida biotype A로 동정되었으며 aniline을 유일한 탄소원으로 하여 배양하였을 때 10-20mM의 농도에서 최적의 성장을 나타내었으며 배양하는 동안에 pH의 변화는 일어나지 않았다. 이균주를 10mM의 aniline을 유일한 탄소원으로 하여 48시간 배양한 후 UV scanning spectrum, TLC, NMR을 이용하여 분석한 결과 aniline의 생분해에 의한 대사물질이 생성되는 것으로 추정되었다. 또한 이 균주는 streptomycin, trimethoprim, tetracycline, sulfanilamide에 강한 저항성을 나타내었으며 plasmid를 1개 가지고 있는 것으로 나타났다. Mitomycin C curing을 통하여 얻어진 여러개의 변이균주의 성질을 조사하여 본 결과 이 균주의 plasmid DNA는 aniline의 분해에 관여하는 것으로 추정되었다.

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Detection and characterization of potential virulence determinants in Staphylococcus pseudintermedius and S. schleiferi strains isolated from canine otitis externa in Korea

  • Gi Yong Lee;Soo In Lee;Ji Heon Park;Sun Do Kim;Geun-Bae Kim;Soo-Jin Yang
    • Journal of Veterinary Science
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    • 제24권6호
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    • pp.85.1-85.13
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    • 2023
  • Background: A recent increase in the occurrence of canine skin and soft tissue infections, including otitis externa and pyoderma, caused by antimicrobial-resistant Staphylococcus pseudintermedius and S. schleiferi has become a significant public and veterinary health issues. Objective: We investigated the virulence potentials associated with the occurrence of canine otitis externa in S. pseudintermedius and S. schleiferi. Methods: In this study, the prevalence of genes encoding leukocidins, exfoliative toxins, and staphylococcal enterotoxins (SEs) was investigated using previously characterized S. pseudintermedius (n = 26) and S. schleiferi (n = 19) isolates derived from canine otitis externa. Susceptibility to cathelicidins (K9CATH and PMAP-36) and hydrogen peroxide (H2O2) was also examined in both staphylococcal species. Results: A high prevalence of genes encoding leukocidins (lukS/F-I, lukS1/F1-S, and lukS2/F2-S), exfoliative toxins (siet, expB, and sset), and SEs was identified in both S. pseudintermedius and S. schleiferi isolates. Notably, S. pseudintermedius isolates possessed higher number of SE genes, especially newer SE genes, than S. schleiferi isolates harboring egc clusters. Although no significant differences in susceptibility to K9CATH and H2O2 were observed between the two isolate groups, S. pseudintermedius isolates exhibited enhanced resistance to PMAP-36 compared to S. schleiferi isolates. Conclusions: These findings suggest that high a prevalence of various toxin genes together with enhanced resistance to cathelicidins may contribute to the pathogenicity of S. pseudintermedius and S. schleiferi in canine cutaneous infections.

Virulence gene profiles and antimicrobial susceptibility of Salmonella Brancaster from chicken

  • Evie Khoo ;Roseliza Roslee ;Zunita Zakaria;Nur Indah Ahmad
    • Journal of Veterinary Science
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    • 제24권6호
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    • pp.82.1-82.12
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    • 2023
  • Background: The current conventional serotyping based on antigen-antisera agglutination could not provide a better understanding of the potential pathogenicity of Salmonella enterica subsp. enterica serovar Brancaster. Surveillance data from Malaysian poultry farms indicated an increase in its presence over the years. Objective: This study aims to investigate the virulence determinants and antimicrobial resistance in S. Brancaster isolated from chickens in Malaysia. Methods: One hundred strains of archived S. Brancaster isolated from chicken cloacal swabs and raw chicken meat from 2017 to 2022 were studied. Two sets of multiplex polymerase chain reaction (PCR) were conducted to identify eight virulence genes associated with pathogenicity in Salmonella (invasion protein gene [invA], Salmonella invasion protein gene [sipB], Salmonella-induced filament gene [sifA], cytolethal-distending toxin B gene [cdtB], Salmonella iron transporter gene [sitC], Salmonella pathogenicity islands gene [spiA], Salmonella plasmid virulence gene [spvB], and inositol phosphate phosphatase gene [sopB]). Antimicrobial susceptibility assessment was conducted by disc diffusion method on nine selected antibiotics for the S. Brancaster isolates. S. Brancaster, with the phenotypic ACSSuT-resistance pattern (ampicillin, chloramphenicol, streptomycin, sulphonamides, and tetracycline), was subjected to PCR to detect the corresponding resistance gene(s). Results: Virulence genes detected in S. Brancaster in this study were invA, sitC, spiA, sipB, sopB, sifA, cdtB, and spvB. A total of 36 antibiogram patterns of S. Brancaster with a high level of multidrug resistance were observed, with ampicillin exhibiting the highest resistance. Over a third of the isolates displayed ACSSuT-resistance, and seven resistance genes (β-lactamase temoneira [blaTEM], florfenicol/chloramphenicol resistance gene [floR], streptomycin resistance gene [strA], aminoglycoside nucleotidyltransferase gene [ant(3")-Ia], sulfonamides resistance gene [sul-1, sul-2], and tetracycline resistance gene [tetA]) were detected. Conclusion: Multidrug-resistant S. Brancaster from chickens harbored an array of virulence-associated genes similar to other clinically significant and invasive non-typhoidal Salmonella serovars, placing it as another significant foodborne zoonosis.

Comparative antiplasmodial activity, cytotoxicity, and phytochemical contents of Warburgia ugandensis stem bark against Aspilia africana wild and in vitro regenerated tissues

  • Denis Okello;Jeremiah Gathirwa;Alice Wanyoko;Richard Komakech;Yuseong Chung;Roggers Gang;Francis Omujal;Youngmin Kang
    • Journal of Plant Biotechnology
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    • 제50권
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    • pp.97-107
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    • 2023
  • Malaria remains to be one of the most severe global public health concerns. Traditionally, Aspilia Africana and Warburgia ugandensis have been used to treat malaria in several African countries for millennia. In the current study, A. africana calli (AaC), A. africana in vitro roots (AaIR), A. africana wild leaf (AaWL), and W. ugandensis stem bark (WuSB) were dried and pulverized. Fourier transform near-infrared spectroscopy was used to analyze the powdered samples, while 80% ethanolic extracts of each sample were assayed for antiplasmodial activity (against Plasmodium falciparum strains DD2 (chloroquine-resistant) and 3D7 (chloroquine-sensitive)) and cytotoxicity. WuSB showed the highest antiplasmodial activity (IC50 = 1.57 ± 0.210 ㎍/ml and 8.92 ± 0.365 ㎍/ml against P. falciparum 3D7 and DD2, respectively) and selectivity indices (43.90 ± 7.914 and 7.543 ± 0.051 for P. falciparum 3D7 and DD2, respectively). The highest total polyphenolic contents (total phenolic and flavonoid contents of 367.9 ± 3.55 mg GAE/g and 203.9 ± 1.43 mg RUE/g, respectively) were recorded for WuSB and the lowest were recorded for AaC. The antiplasmodial activities of the tested plant tissues correlated positively with total polyphenolic content. The high selectivity indices of WuSB justify its traditional applications in treating malaria and present it as a good candidate for discovering new antimalarial compounds. We recommend elicitation treatment for AaIR, which showed moderate antiplasmodial activity against P. falciparum DD2, to increase its secondary metabolite production for optimal antimalarial activity.

Leuconostoc paramesenteroides 유기산 내성 변이균주의 내산성 특성 (The Acid-resistant Characteristic of Organic Acid Tolerance Mutant of Leuconostoc paramesenteroides)

  • 김영환;김희중;오균식;김선영;이시경;강상모
    • 한국식품과학회지
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    • 제40권4호
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    • pp.424-429
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    • 2008
  • 김치 starter로 개량된 유기산내성 변이균주 L. paramesenteroides P-200이 갖는 강한 내산성에 관한 생리적 성질을 규명하기 위하여 proton 투과도, ATPase 활성, glycolysis 활성, $Mg^{++}$ 해리도, 세포막의 지방산 조성을 야생균주 (LP-W)와 비교 분석하였다. Proton 투과도 설험 결과 150 mM KCl 수용액 및 3% NaCl 수용액에서 변이균주 P-200의 $t_{1/2}$ 최대값이 pH 4.0, 5.0 그리고 6.0에서 모두 야생균주 LP-W 보다 2내지 3분 정도 더 큰 값을 가지며 실제 proton 투과도 실험에서 proton의 평형을 이루는 시간이 LP-W 보다 약 50% 정도 더 길었다. ATPase 활성의 결과에서도 최대 활성은 P-200이 pH 5에서 0.7unit/mg을, LP-W가 pH 6에서 0.6unit/mg을 나타내어, 산성 환경에서 P-200이 LP-W보다 더욱 높은 활성을 유지하였다. 또한 전체 pH 4-7 범위에서 P-200이 야생균주 LP-W 보다 높은 활성을 보였다. 해당작용의 pH 의존성 결과에서는 최대 활성이 P-200은 pH 4에서 97%이었고, LP-W는 pH 5에서 96%이었다 그리고 pH 5를 제외하면 측정한 pH 3-7 범위에서 LP-W에 비하여 P-200이 높은 해당작용 활성을 보였다. $Mg^{++}$ 해리도에 있어서는 pH 4에서 2시간 경과 후 P-200이 LP-W 보다 약 1/3 정도 $Mg^{++}$이 유출되었다. 지방산조성의 경우, LP-W에서 내산성을 증가시키는 $C_{19:0\;cyclo}$은 0%이었으나 P-200의 경우는 11.4%로 크게 증가하였다. 따라서 이상 5가지 내산성특성을 조사한 것 중 지방산조성에서 가장 큰 차이를 보였는데, 무엇보다 $C_{19:0\;cyclo}$가 0%에서 11.4%로 크게 증가하여 이러한 지방산 조성의 변화가 P-200이 LP-W 보다 더 강한 내산성을 가질 수 있었던 것에 가장 크게 기여하였을 것으로 생각되었다.

폐하수중 합성세제분해균의 분리(分離) 및 합성세제 (ABS) 분해특성(分解特性) (Isolation of Synthetic Detergent Decomposing Microorganisms in Wastewater and Synthetic Detergent Decomposition Characterization of the Microorganisms)

  • 이홍재;허종수;조주식;한문규;최정호;이춘희
    • 한국환경농학회지
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    • 제12권2호
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    • pp.144-152
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    • 1993
  • 오염된 하천수, 토양 및 폐기물 침출수등의 미생물 분리원으로 부터 합성세제(ABS)를 유일 탄소원으로 이용할 수 있는 미생물들을 분리하여, 이중 합성세제(ABS) 분해능이 가장 우수한 한 종의 균을 분리하여 동정한 결과 P. fluorescens 또는 그 유연균으로 밝혀졌으며, 최적 생장온도는 $30^{\circ}C$였고 최적 생장 pH는 pH 7.0이었다. 분리균주의 탄화수소 자화능 및 중금속에 대한 내성을 조사한 결과 benzene, cyclohexane, xylene 및 catechol은 탄소원으로 이용할 수 있는 반면 phenol, toluene, salicylate, naphthalene은 탄소원으로 이용하지 못하였으며, 중금속중 zinc chloride, lead nitrate, copper sulfate에 대하여는 강한 내성을 나타내었으나 mercury chloride, silver nitrate에 대하여는 내성이 약했다. 분리균의 합성세제(ABS) 분해율을 조사한 결과 ABS 20${\mu}g$/ml의 농도에서 4일후 약 55%, 100${\mu}g$/ml 농도에서는 약 60% 각각 분해되었다. 합성세제 (ABS) 분해에 따른 benzene ring의 분해율을 조사한 결과 시간이 경과 할수록 합성세제(ABS) 분해에 비례하여 benzene ring도 분해되었다. ABS 농도 20${\mu}g$/ml 및 100${\mu}g$/ml에서 benzene ring은 각각 38% 및 45% 분해되었다. COD의 분해와 ABS 분해를 비교검토한 결과 COD는 배양 24시간까지 급격하게 분해 되었으나 그 이후부터 서서히 계속해서 분해되었으며 ABS는 처음부터 서서히 계속적으로 분해되었다. ABS를 첨가하지 않고 배양한 균과 ABS를 1,000${\mu}g$/ml 농도가 되게 첨가하여 배양한 균과의 균체내 아미노산조성을 비교한 결과 아미노산총량은 각각 104.9mg/g 및 115.0mg/g으로서 ABS를 첨가하여 배양한 분리균에서 9.4% 증가 되었으며, 균체내에 Glx(Glu + Gln) 및 proline이 각각 11.1%, 9.2%로 비교적 많이 함유하고 있었고, 특히 cysteine은 ABS를 첨가하지 않고 배양한 분리균에 비해 ABS를 첨가하여 배양한 균에서 약 2.4배 높게 나타났다. ABS를 첨가하지 않고 배양한 분리균은 산성 아미노산인 Asx(Asp + Asn)와 Glx(Glu + Gln)가 비교적 많이 생성된 반면, ABS를 첨가하여 배양한 분리균에서는 염기성 아미노산인 histidine, lysine 및 argnine이 비교적 많이 생성되었다.

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Biopolymer 생산성 Bacillus속 균주의 원형질체 형성과 재생 (Protoplast Formation and Regeneration of Bacillus strains producing biopolymer)

  • 임무현;김성호
    • Applied Biological Chemistry
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    • 제42권1호
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    • pp.20-28
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    • 1999
  • Biopolymer를 생산하는 Bacillus속의 균주개량의 목적으로 biopolymer를 생산하는 균주인 Bacillus subtilis K-1과 유당 이용능이 있는 Bacillus coagulans의 원형질체 형성과 재생에 관하여 조사하였다. 영양요구성과 항생제 내성의 marker가 부여된 두 변이주의 원형질체 형성조건에서 Bacillus subtilis mutant SM-2의 경우, 대수기 중기에 penicillin G(1.0 unit/ml)를 첨가한 다음 1.5시간 반응 후 삼투압 안정제로서 0.4 M sucrose와 $25\;{\mu}g/ml$의 lysozyme이 함유된 lysis fluid(LF, pH 7.0)내에서 $37^{\circ}$, 40분간 반응시켰을 때, 원형질체 형성율은 99.6%, 세포벽 재생율 2.4%였다. Bacillus coagulans mutant CM-12의 경우 대수기 중기에 penicillin G 0.3 unit/ml와 glycine 0.5%를 혼합첨가하고 1시간 반응시킨 후 삼투압 안정제로서 0.6 M lactose와 $300\;{\mu}g/ml$의 lysozyme이 함유된 LF(pH 7.0)내에서 $37^{\circ}$, 30분간 재생시켰을 때, 원형질체 형성율 90.8%, 세포벽 재생율 2.2%였다. 세포벽 재생효율을 높이기 위한 재생배지는 trypticase soy broth(TSB)에 0.4 M sucrose, 0.7% casamino acd, 1% PVP, 25 mM $CaCI_2$, 25 mM $MgCI_2$, 1.5% agar가 함유된 배지에 0.4% soft agar로서 중층 했을 때 Bacillus subtilis SM-2의 재생율은 5.1%, Bacillus coagulans CM-12의 재생율은 10.3%로 $2{\sim}4$배 가량 향상 되었다.

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