Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 540
Filtrar
Más filtros

Intervalo de año de publicación
1.
Nucleic Acids Res ; 51(W1): W310-W318, 2023 07 05.
Artículo en Inglés | MEDLINE | ID: mdl-37166960

RESUMEN

Microbiome studies have become routine in biomedical, agricultural and environmental sciences with diverse aims, including diversity profiling, functional characterization, and translational applications. The resulting complex, often multi-omics datasets demand powerful, yet user-friendly bioinformatics tools to reveal key patterns, important biomarkers, and potential activities. Here we introduce MicrobiomeAnalyst 2.0 to support comprehensive statistics, visualization, functional interpretation, and integrative analysis of data outputs commonly generated from microbiome studies. Compared to the previous version, MicrobiomeAnalyst 2.0 features three new modules: (i) a Raw Data Processing module for amplicon data processing and taxonomy annotation that connects directly with the Marker Data Profiling module for downstream statistical analysis; (ii) a Microbiome Metabolomics Profiling module to help dissect associations between community compositions and metabolic activities through joint analysis of paired microbiome and metabolomics datasets; and (iii) a Statistical Meta-Analysis module to help identify consistent signatures by integrating datasets across multiple studies. Other important improvements include added support for multi-factor differential analysis and interactive visualizations for popular graphical outputs, updated methods for functional prediction and correlation analysis, and expanded taxon set libraries based on the latest literature. These new features are demonstrated using a multi-omics dataset from a recent type 1 diabetes study. MicrobiomeAnalyst 2.0 is freely available at microbiomeanalyst.ca.


Asunto(s)
Biología Computacional , Técnicas Microbiológicas , Microbiota , Biomarcadores , Biología Computacional/métodos , Metabolómica/métodos , Técnicas Microbiológicas/instrumentación , Técnicas Microbiológicas/métodos , Internet , Interfaz Usuario-Computador
2.
J Clin Microbiol ; 61(6): e0015423, 2023 06 20.
Artículo en Inglés | MEDLINE | ID: mdl-37154734

RESUMEN

Diagnosis of bone and joint infections (BJI) relies on microbiological culture which has a long turnaround time and is challenging for certain bacterial species. Rapid molecular methods may alleviate these obstacles. Here, we investigate the diagnostic performance of IS-pro, a broad-scope molecular technique that can detect and identify most bacteria to the species level. IS-pro additionally informs on the amount of human DNA present in a sample, as a measure of leukocyte levels. This test can be performed in 4 h with standard laboratory equipment. Residual material of 591 synovial fluid samples derived from native and prosthetic joints from patients suspected of joint infections that were sent for routine diagnostics was collected and subjected to the IS-pro test. Bacterial species identification as well as bacterial load and human DNA load outcomes of IS-pro were compared to those of culture. At sample level, percent positive agreement (PPA) between IS-pro and culture was 90.6% (95% CI 85.7- to 94%) and negative percent agreement (NPA) was 87.7% (95% CI 84.1 to 90.6%). At species level PPA was 80% (95% CI 74.3 to 84.7%). IS-pro yielded 83 extra bacterial detections over culture for which we found supporting evidence for true positivity in 40% of the extra detections. Missed detections by IS-pro were mostly related to common skin species in low abundance. Bacterial and human DNA signals measured by IS-pro were comparable to bacterial loads and leukocyte counts reported by routine diagnostics. We conclude that IS-pro showed an excellent performance for fast diagnostics of bacterial BJI.


Asunto(s)
Artritis Infecciosa , Técnicas Microbiológicas , Infecciones Relacionadas con Prótesis , Humanos , Artritis Infecciosa/diagnóstico , Artritis Infecciosa/microbiología , Bacterias/clasificación , Bacterias/genética , Bacterias/aislamiento & purificación , Infecciones Relacionadas con Prótesis/diagnóstico , Infecciones Relacionadas con Prótesis/microbiología , Prueba de Diagnóstico Rápido/instrumentación , Prueba de Diagnóstico Rápido/normas , Líquido Sinovial/citología , Líquido Sinovial/microbiología , Sensibilidad y Especificidad , ADN/genética , Técnicas Microbiológicas/instrumentación , Técnicas Microbiológicas/normas
3.
Proc Natl Acad Sci U S A ; 117(2): 895-901, 2020 01 14.
Artículo en Inglés | MEDLINE | ID: mdl-31882450

RESUMEN

Emerging and reemerging viruses are responsible for a number of recent epidemic outbreaks. A crucial step in predicting and controlling outbreaks is the timely and accurate characterization of emerging virus strains. We present a portable microfluidic platform containing carbon nanotube arrays with differential filtration porosity for the rapid enrichment and optical identification of viruses. Different emerging strains (or unknown viruses) can be enriched and identified in real time through a multivirus capture component in conjunction with surface-enhanced Raman spectroscopy. More importantly, after viral capture and detection on a chip, viruses remain viable and get purified in a microdevice that permits subsequent in-depth characterizations by various conventional methods. We validated this platform using different subtypes of avian influenza A viruses and human samples with respiratory infections. This technology successfully enriched rhinovirus, influenza virus, and parainfluenza viruses, and maintained the stoichiometric viral proportions when the samples contained more than one type of virus, thus emulating coinfection. Viral capture and detection took only a few minutes with a 70-fold enrichment enhancement; detection could be achieved with as little as 102 EID50/mL (50% egg infective dose per microliter), with a virus specificity of 90%. After enrichment using the device, we demonstrated by sequencing that the abundance of viral-specific reads significantly increased from 4.1 to 31.8% for parainfluenza and from 0.08 to 0.44% for influenza virus. This enrichment method coupled to Raman virus identification constitutes an innovative system that could be used to quickly track and monitor viral outbreaks in real time.


Asunto(s)
Técnicas Microbiológicas/métodos , Virología/métodos , Virosis/diagnóstico , Virus/aislamiento & purificación , Humanos , Virus de la Influenza A/aislamiento & purificación , Técnicas Microbiológicas/instrumentación , Microtecnología/métodos , Nanotubos de Carbono , Infecciones del Sistema Respiratorio/diagnóstico , Infecciones del Sistema Respiratorio/virología , Respirovirus/aislamiento & purificación , Rhinovirus/aislamiento & purificación , Sensibilidad y Especificidad , Dióxido de Silicio , Espectrometría Raman/métodos , Coloración y Etiquetado , Virión , Virología/instrumentación , Virosis/virología , Virus/genética
4.
BMC Microbiol ; 21(1): 202, 2021 07 02.
Artículo en Inglés | MEDLINE | ID: mdl-34215175

RESUMEN

BACKGROUND: Tissues are valuable specimens in diagnostic microbiology because they are often obtained by invasive methods, and effort should thus be taken to maximize microbiological yield. The objective of this study was to evaluate the added value of using tissue pre-processing (tissue homogenizer instrument gentleMACS Dissociator) in detecting microorganisms responsible for infections. METHODS: We included 104 randomly collected tissue samples, 41 (39.4 %) bones and 63 (60.6 %) soft tissues, many of those (42/104 (40.4 %)) were of periprosthetic origins. We compared the agreement between pre-processing tissues using tissue homogenizer with routine microbiology diagnostic procedure, and we calculated the performance of these methods when clinical infections were used as reference standard. RESULTS: There was no significant difference between the two methods (McNemar test, p = 0.3). Among the positive culture using both methods (n = 62), 61 (98.4 %) showed at least one similar microorganism. Exactly similar microorganisms were found in 42/62 (67.7 %) of the samples. From the included tissues, 55/ 104 (52.9 %) were deemed as infected. We found that the sensitivity of homogenized tissue procedure was lower (83.6 %) than when tissue was processed using tissue homogenizer (89.1 %). Sub-analysis on periprosthetic tissues and soft or bone tissues showed comparable results. CONCLUSIONS: The added value of GentleMACS Dissociator tissue homogenizer is limited in comparison to routine tissue processing.


Asunto(s)
Técnicas Microbiológicas/instrumentación , Técnicas Microbiológicas/métodos , Manejo de Especímenes/métodos , Infecciones Bacterianas/diagnóstico , Infecciones Bacterianas/microbiología , Humanos
5.
BMC Microbiol ; 21(1): 69, 2021 02 28.
Artículo en Inglés | MEDLINE | ID: mdl-33641676

RESUMEN

BACKGROUND: Hospital-acquired pneumonia (HAP) is a common problem in intensive care medicine and the patient outcome depends on the fast beginning of adequate antibiotic therapy. Until today pathogen identification is performed using conventional microbiological methods with turnaround times of at least 24 h for the first results. It was the aim of this study to investigate the potential of headspace analyses detecting bacterial species-specific patterns of volatile organic compounds (VOCs) for the rapid differentiation of HAP-relevant bacteria. METHODS: Eleven HAP-relevant bacteria (Acinetobacter baumanii, Acinetobacter pittii, Citrobacter freundii, Enterobacter cloacae, Escherichia coli, Klebsiella oxytoca, Klebsiella pneumoniae, Pseudomonas aeruginosa, Proteus mirabilis, Staphylococcus aureus, Serratia marcescens) were each grown for 6 hours in Lysogeny Broth and the headspace over the grown cultures was investigated using multi-capillary column-ion mobility spectrometry (MCC-IMS) to detect differences in the VOC composition between the bacteria in the panel. Peak areas with changing signal intensities were statistically analysed, including significance testing using one-way ANOVA or Kruskal-Wallis test (p < 0.05). RESULTS: 30 VOC signals (23 in the positive ion mode and 7 in the negative ion mode of the MCC-IMS) showed statistically significant differences in at least one of the investigated bacteria. The VOC patterns of the bacteria within the HAP panel differed substantially and allowed species differentiation. CONCLUSIONS: MCC-IMS headspace analyses allow differentiation of bacteria within HAP-relevant panel after 6 h of incubation in a complex fluid growth medium. The method has the potential to be developed towards a feasible point-of-care diagnostic tool for pathogen differentiation on HAP.


Asunto(s)
Bacterias/química , Neumonía Asociada a la Atención Médica/microbiología , Espectrometría de Movilidad Iónica , Técnicas Microbiológicas/métodos , Bacterias/aislamiento & purificación , Neumonía Asociada a la Atención Médica/diagnóstico , Humanos , Técnicas Microbiológicas/instrumentación , Especificidad de la Especie , Compuestos Orgánicos Volátiles/análisis
6.
Arch Microbiol ; 203(7): 4293-4301, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34109439

RESUMEN

Ultra-small (size < 2 nm) gold nanoclusters (AuNCs) are used as fluorescent probes which have excellent applications in bioimaging and sensing due to their emission in visible and NIR spectral region. Here, this property is exploited for understanding the quorum sensing phenomenon in bacteria which is regulated by signal molecules which are specific to various species. AuNCs are then functionalized with the signal molecules, Acyl Homoserine Lactones (AHL) of varying carbon chain length, C-6, C-8, and C-12 without 3rd C modification, to sense different strains of gram-negative bacteria i.e., Escherichia coli, Cronobacter sakazakii and Pseudomonas aeruginosa. In the concentration employed, selectivity to a limited extent is observed between the three Gram-negative bacteria tested. E. coli showed emission with all the AHL conjugates and P. aeruginosa did not interact with any of the three conjugates, whereas C. sakazakii showed specificity to C-8AHL. This is probably due to selectivity for cognate AHL molecules of appropriate concentrations.


Asunto(s)
Colorantes Fluorescentes , Oro , Bacterias Gramnegativas , Nanoestructuras , Percepción de Quorum , Acil-Butirolactonas/metabolismo , Escherichia coli/metabolismo , Colorantes Fluorescentes/química , Oro/química , Bacterias Gramnegativas/metabolismo , Técnicas Microbiológicas/instrumentación , Nanoestructuras/química , Percepción de Quorum/fisiología
8.
Clin Microbiol Rev ; 32(1)2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-30487165

RESUMEN

Matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) has been successfully applied in recent years for first-line identification of pathogens in clinical microbiology because it is simple to use, rapid, and accurate and has economic benefits in hospital management. The range of clinical applications of MALDI-TOF MS for bacterial isolates is increasing constantly, from species identification to the two most promising applications in the near future: detection of antimicrobial resistance and strain typing for epidemiological studies. The aim of this review is to outline the contribution of previous MALDI-TOF MS studies in relation to detection of antimicrobial resistance and to discuss potential future challenges in this field. Three main approaches are ready (or almost ready) for clinical use, including the detection of antibiotic modifications due to the enzymatic activity of bacteria, the detection of antimicrobial resistance by analysis of the peak patterns of bacteria or mass peak profiles, and the detection of resistance by semiquantification of bacterial growth in the presence of a given antibiotic. This review provides an expert guide for MALDI-TOF MS users to new approaches in the field of antimicrobial resistance detection, especially possible applications as a routine diagnostic tool in microbiology laboratories.


Asunto(s)
Fenómenos Fisiológicos Bacterianos , Farmacorresistencia Bacteriana/fisiología , Técnicas Microbiológicas/instrumentación , Espectrometría de Masa por Láser de Matriz Asistida de Ionización Desorción , Bacterias/química , Bacterias/metabolismo , Técnicas Microbiológicas/normas
9.
Clin Chem ; 66(9): 1190-1199, 2020 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-32870987

RESUMEN

BACKGROUND: Every clinical specimen is potentially infectious, but data regarding risk for contamination of the laboratory environment during routine testing are scarce. We assessed contamination during routine sample analysis in automated clinical chemistry and microbiology laboratories. METHODS: A fluorescent marker was applied to specimen container exteriors to assess the impact of gross contamination. Nonpathogenic MS2 virus was added to remnant blood, urine, and ESwab matrices as a biomarker of cross-contamination. Samples were processed and analyzed using Roche Cobas 8100 and ISE, c502, e602, and c702 modules (blood) and BD Kiestra total laboratory automation (blood, urine, ESwabs) over 3 experiments. Fluorescence transfer to laboratory surfaces and personnel was visualized using ultraviolet light. Surfaces were swabbed and assessed for MS2 cross-contamination by RT-PCR. Adherence to standard precautions by laboratory staff was assessed by observation. RESULTS: Fluorescence was observed on 49 of 165 (30%) laboratory surfaces and personnel and 21 of 93 (23%) total laboratory automation instruments. Fluorescence transferred most frequently to gloves (31/40), computer accessories (9/18), and specimen loading racks (12/12). None of 123 areas swabbed were positive for MS2. Improper personal protective equipment use occurred at a rate of 0.36 and 0.15 events per staff per hour in the chemistry and microbiology laboratories, respectively. Hand-washing compliance was observed for 61 of 132 (46%) staff members evaluated. CONCLUSIONS: Analysis of grossly contaminated specimens on automated chemistry and microbiology equipment elicits a low likelihood of instrument contamination. However, handling contaminated specimen containers can result in contamination of environmental laboratory surfaces, representing a source of risk that is heightened by low adherence to appropriate personal protective equipment.


Asunto(s)
Automatización de Laboratorios/instrumentación , Contaminación de Equipos , Fómites/virología , Técnicas de Laboratorio Clínico/instrumentación , Técnicas de Laboratorio Clínico/métodos , Fluorescencia , Colorantes Fluorescentes/química , Higiene de las Manos , Humanos , Laboratorios , Levivirus , Técnicas Microbiológicas/instrumentación , Técnicas Microbiológicas/métodos , Medición de Riesgo , Manejo de Especímenes
10.
Cell Microbiol ; 21(11): e13116, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31509644

RESUMEN

Salmonellae are important enteric pathogens that cause gastroenteritis and systemic illnesses. Macrophages are important components of both the innate and acquired immune system, acting as phagocytes with significant antimicrobial killing activities that present antigen to the adaptive immune system. Macrophages can also be cultured from a variety of sites as primary cells, and the study of the survival and interactions of Salmonellae with these cells is a very early model of infection and cellular microbiology. This review traces the history of discoveries made using Salmonellae infection of macrophages and addresses the possibility of future research in this area, in particular with regards to understanding the complexity of individual bacteria and macrophage cell variability and how such heterogeneity may alter the outcome of infection.


Asunto(s)
Macrófagos/microbiología , Infecciones por Salmonella/metabolismo , Salmonella/metabolismo , Inmunidad Adaptativa , Historia del Siglo XIX , Historia del Siglo XX , Inmunidad Innata , Macrófagos/inmunología , Técnicas Microbiológicas/instrumentación , Técnicas Microbiológicas/métodos , Microbiología/historia , Fagocitosis/inmunología , Salmonella/genética , Salmonella/inmunología , Salmonella/patogenicidad
12.
Microb Ecol ; 79(2): 443-458, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31432244

RESUMEN

Arcellinida (testate lobose amoebae) are widely used as bio-indicators of lacustrine environmental change. Too much obscuring organic material in a gridded wet Petri dish preparation makes it difficult to observe all specimens present and slows quantification as the organic material has to be carefully worked through with a dissection probe. Chemical deflocculation using soda ash (Na2CO3·H2O), potassium hydroxide (KOH), or sodium hexametaphosphate ((NaPO3)6) has previously been shown to disaggregate and reduce organic content in lake sediments, but to date, no attempt has been made to comparatively evaluate the efficiency of these deflocculants in disaggregating organic content and their impact on Arcellinida analysis in lacustrine sediments. Here, we assess the effectiveness of soda ash, potassium hydroxide, and sodium hexametaphosphate treatments on removing organic content and the impact of those digestions on Arcellinida preservation in 126 sample aliquots subdivided from three sediment samples (YK-20, YK-25, and YK-57) collected from three lakes near Yellowknife, Northwest Territories, Canada. Following treatment, cluster analysis and Bray-Curtis dissimilarity matrix (BCDM) were utilized to determine whether treatments resulted in dissolution-driven changes in Arcellinida assemblage composition. Observed Arcellinida tests in aliquots increased drastically after treatment of organic-rich samples (47.5-452.7% in organic-rich aliquots and by 14.8% in aliquots with less organic matter). The BCDM results revealed that treatment with 5% KOH resulted in the highest reduction in observed organic content without significantly affecting Arcellinida assemblage structure, while soda ash and sodium hexametaphosphate treatments resulted in marginal organic matter reduction and caused severe damage to the arcellinidan tests.


Asunto(s)
Floculación , Sedimentos Geológicos/parasitología , Lobosea/aislamiento & purificación , Técnicas Microbiológicas/instrumentación , Lagos/parasitología , Territorios del Noroeste , Parasitología/métodos
13.
J Appl Microbiol ; 129(4): 806-822, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32418295

RESUMEN

Rapid identification of pathogen and its resistance to antimicrobial drugs, and subsequent appropriate antimicrobial treatment are essential for correct patient outcomes. Conventional detection methods of bacterial resistance, such as disc diffusion, broth microdilution and automated instruments, are constantly widely used and primarily standardized. Nevertheless, the results cannot be obtained earlier than 48 h after receiving a sample, which may lead to prolonged use or overuse of broad-spectrum antibiotics. Hence, there is a drive to develop and introduce novel, faster, standardized, sensitive and specific methods with reliable results into routine microbiological laboratory practice. Recently developed matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) has been introduced in recent years into laboratory practice, and methods based on microfluidics and microdroplets might be introduced in the near future. This review is focused on the methods and instruments in use both currently and in the foreseeable future, applicable to determine antimicrobial efficacy in clinical microbiology laboratories.


Asunto(s)
Antibacterianos/farmacología , Bacterias/efectos de los fármacos , Técnicas Microbiológicas/instrumentación , Técnicas Microbiológicas/tendencias , Infecciones Bacterianas/diagnóstico , Infecciones Bacterianas/microbiología , Humanos
14.
Clin Chem ; 65(5): 634-643, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-30518664

RESUMEN

BACKGROUND: Historically, culture-based microbiology laboratory testing has relied on manual methods, and automated methods (such as those that have revolutionized clinical chemistry and hematology over the past several decades) were largely absent from the clinical microbiology laboratory. However, an increased demand for microbiology testing and standardization of sample-collection devices for microbiology culture, as well as a dwindling supply of microbiology technologists, has driven the adoption of automated methods for culture-based laboratory testing in clinical microbiology. CONTENT: We describe systems currently enabling total laboratory automation (TLA) for culture-based microbiology testing. We describe the general components of a microbiology automation system and the various functions of these instruments. We then introduce the 2 most widely used systems currently on the market: Becton Dickinson's Kiestra TLA and Copan's WASPLab. We discuss the impact of TLA on metrics such as turnaround time and recovery of microorganisms, providing a review of the current literature and perspectives from laboratory directors, managers, and technical staff. Finally, we provide an outlook for future advances in TLA for microbiology with a focus on artificial intelligence for automated culture interpretation. SUMMARY: TLA is playing an increasingly important role in clinical microbiology. Although challenges remain, TLA has great potential to affect laboratory efficiency, turnaround time, and the overall quality of culture-based microbiology testing.


Asunto(s)
Técnicas Microbiológicas/instrumentación , Automatización , Recuento de Colonia Microbiana , Eficiencia Organizacional , Humanos , Laboratorios/organización & administración , Pruebas de Sensibilidad Microbiana , Estudios de Tiempo y Movimiento
15.
Appl Environ Microbiol ; 85(17)2019 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-31253680

RESUMEN

Experimental infection of animals with aerosols containing pathogenic agents is essential for an understanding of the natural history and pathogenesis of infectious disease as well as evaluation of potential treatments. We evaluated whether the Aeroneb nebulizer, a vibrating mesh nebulizer, would serve as an alternative to the Collison nebulizer, the "gold standard" for generating infectious bioaerosols. While the Collison possesses desirable properties that have contributed to its longevity in infectious disease aerobiology, concerns have lingered about the liquid volume and concentration of the infectious agent required to cause disease and the damage that jet nebulization causes to the agent. Fluorescein salt was added to the nebulizer contents to assess pathogen loss during aerosolization. Relative to fluorescein salt, loss of influenza virus during aerosolization was worse with the Collison than with the Aeroneb. Four other viruses also had superior aerosol performance with the Aeroneb. The Aeroneb did not improve the aerosol performance for a vegetative bacterium, Francisella tularensis Environmental parameters collected during the aerosol challenges indicated that the Aeroneb generated a higher relative humidity in exposure chambers while not affecting other environmental parameters. The aerosol mass median aerodynamic diameter (MMAD) was generally larger and more disperse for aerosols generated by the Aeroneb than what is seen with the Collison, but ≥80% of particles were within the range that would reach the lower respiratory tract and alveolar regions. The improved aerosol performance and generated particle size range suggest that for viral pathogens, the Aeroneb is a suitable alternative to the Collison three-jet nebulizer for use in experimental infection of animals.IMPORTANCE Respiratory infection by pathogens via aerosol remains a major concern for both natural disease transmission as well as intentional release of biological weapons. Critical to understanding the disease course and pathogenesis of inhaled pathogens are studies in animal models conducted under tightly controlled experimental settings, including the inhaled dose. The route of administration, particle size, and dose can affect disease progression and outcome. Damage to or loss of pathogens during aerosolization could increase the dose required to cause disease and could stimulate innate immune responses, altering outcome. Aerosol generators that reduce pathogen loss would be ideal. This study compares two aerosol generators to determine which is superior for animal studies. Aerosol research methods and equipment need to be well characterized to optimize the development of animal models for respiratory pathogens, including bioterrorism agents. This information will be critical for pivotal efficacy studies in animals to evaluate potential vaccines or treatments against these agents.


Asunto(s)
Aerosoles/análisis , Técnicas Microbiológicas/métodos , Nebulizadores y Vaporizadores , Técnicas Microbiológicas/instrumentación , Tamaño de la Partícula
16.
Eur J Clin Microbiol Infect Dis ; 38(8): 1435-1441, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31065826

RESUMEN

The diagnosis of bloodstream infection requires the optimum combination of media in an automated blood culture system for maximum recovery of pathogens with the earliest time to detection. In a previous work, we showed that for patients admitted to the Emergency Department of our hospital, the combination of BACTEC lytic anaerobic and BACTEC aerobic vials was more efficient than BACTEC anaerobic and BACTEC aerobic vial. In this study, we extended the work including a broader patient population, representative of all hospital. A total of 8629 cultures were collected during the pre-lytic phase, from 01 July 2013 to 30 June 2014 and 7940 cultures during the post-lytic phase, ranged from 01 July 2015 to 30 June 2016. The number of positive blood cultures was higher during the post-lytic phase (19.74%) than in the pre-lytic phase (17.52%), particularly for Escherichia coli, Staphylococcus spp., Enterococcus spp., and anaerobes. We also observed a significant decreased of the time to detection, with the mean and median in the post-lytic phase of 17.68 and 13.05 h compared with 19.49 and 14.47 h in the pre-lytic phase. Whereas the time to detection was the same for organisms recovered in the aerobic Plus bottles for both time periods, time to detection for the anaerobic lytic bottles was significantly faster than with the anaerobic Plus bottles. This study carried out on a long time observation reported that a simple modification of composition of blood culture set could lead to better results in bloodstream infection detection.


Asunto(s)
Bacterias/aislamiento & purificación , Cultivo de Sangre/instrumentación , Técnicas Microbiológicas/instrumentación , Sepsis/diagnóstico , Aerobiosis , Anciano , Anciano de 80 o más Años , Anaerobiosis , Bacteriemia/diagnóstico , Bacteriemia/microbiología , Femenino , Fungemia/diagnóstico , Fungemia/microbiología , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Tiempo
17.
Anaerobe ; 55: 61-66, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30315963

RESUMEN

Clostridium difficile is a Gram-positive spore forming rod-shaped bacterium which causes mild to severe diarrhea. Spores play a key role in transmission of C. difficile in hospital environment. To investigate ability of spores to stay on fomites and to assess levels of contamination it is essential to prevent loss of spores collected for the analysis. Working with C. difficile spores we noticed a significant loss after vortexing of spore suspensions and investigated if it can be prevented by using a specific brand or type of microcentrifuge tubes. 7 types of microcentrifuge tubes from 3 manufacturers were tested. Spores of three types of C. difficile, NAP1/027, NAP4/014 and NAP7/078 (clinical isolates) were used. C. difficile was grown on Brucella Supplemented Agar for 9 days, spores were collected, washed and density of 3 suspensions was normalized to optical density (OD) 550 0.1 or 0.05. These suspensions (OD 0.1) were used in serial dilutions with 3 experimental conditions - pipetting, vortexing or vortexing in 3% albumin solution and in vortexing experiment when 150 µl were vortexed for 1 min at 1500 rpm per tube and loss of spores was measured by a decrease in dipicolinic acid (DPA) concentration measured by time-delayed terbium fluorescence. Inner surface of the tubes was visualized with microscopy to observe adhered spores. In serial dilution experiment, initial concentration of spores would be underestimated by up to 18X in case of vortexing for NAP1 strain and 9X for NAP4 strain. Presence of 3% albumin significantly decreases this effect but does not eliminate it completely. Comparison of 7 types of tubes shows that a single vortexing for 1 min of diluted spore suspension at concentrations of 1.8 × 107 spores per ml leads to a loss of up to 90% of spores in some tubes. Degree of spores' adhesion varied between brands and types of tubes and between tubes of the same type. In some brands there was a significant variability in adhesion between tubes from the same batch. Microscopy after vortexing shows a film of spores attached to the tube's wall. Adherence could be affected by the type of plastic, additives (plasticizers) used in manufacturing and quality of moulds (e.g."diamond polished"). To identify the most appropriate type of tubes for the experiment it is essential to test it beforehand as not every brand is suitable for this purpose. Using tubes with a high degree of adherence could significantly affect measurement of spores' concentration in serial dilutions, e.g. when quantifying spores production by a specific strain or when limits of detection are measured. Also, sensitivity of commercial tests for detection of C. difficile in clinical specimens can be decreased if an unsuitable type of plastic containers and tubes is used.


Asunto(s)
Centrifugación/instrumentación , Contención de Riesgos Biológicos , Seguridad de Equipos , Técnicas Microbiológicas/instrumentación , Carga Bacteriana , Esporas Bacterianas/aislamiento & purificación
18.
Clin Microbiol Rev ; 30(2): 449-479, 2017 04.
Artículo en Inglés | MEDLINE | ID: mdl-28122803

RESUMEN

In the last 25 years, chromogenic culture media have found widespread application in diagnostic clinical microbiology. In the last decade, the range of media available to clinical laboratories has expanded greatly, allowing specific detection of additional pathogens, including Pseudomonas aeruginosa, group B streptococci, Clostridium difficile, Campylobacter spp., and Yersinia enterocolitica. New media have also been developed to screen for pathogens with acquired antimicrobial resistance, including vancomycin-resistant enterococci, carbapenem-resistant Acinetobacter spp., and Enterobacteriaceae with extended-spectrum ß-lactamases and carbapenemases. This review seeks to explore the utility of chromogenic media in clinical microbiology, with particular attention given to media that have been commercialized in the last decade. The impact of laboratory automation and complementary technologies such as matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) is also assessed. Finally, the review also seeks to demarcate the role of chromogenic media in an era of molecular diagnostics.


Asunto(s)
Medios de Cultivo/normas , Técnicas Microbiológicas/métodos , Técnicas Microbiológicas/tendencias , Bacterias/aislamiento & purificación , Compuestos Cromogénicos , Humanos , Técnicas Microbiológicas/instrumentación , Técnicas Microbiológicas/normas
19.
Appl Environ Microbiol ; 84(9)2018 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-29500264

RESUMEN

Enhancements in swabbing technology to increase sample collection efficacy would benefit the food industry. Specifically, these enhancements would assist the food industry in implementing the FDA Food Safety Modernization Act (FSMA) requirements by improving environmental monitoring effectiveness. A sonicating swab device, an example of an enhanced swabbing technology, was demonstrated previously to remove biofilm from stainless steel more efficiently than a standard cotton swab. Within this study, the performance of the sonicating swab was compared to that of the standard cotton swab for the recovery of Listeria monocytogenes from inoculated surfaces (plastic cutting board, wood cutting board, vinyl floor tile, and quarry clay floor tile). Additionally, we demonstrate the sonicating swab performance for collection of a microbiological sample from used commercial plastic cutting boards (noninoculated) in comparison to cotton swabs, foam swabs, and sponges. The sonicating swab captured significantly (P ≤ 0.05) more L. monocytogenes than the cotton swab for both the quarry tile and wood cutting board, while no significant differences were observed for the plastic cutting board or the vinyl floor tile. The sonicating swab consistently recovered significantly (P ≤ 0.05) more bacteria from the used cutting boards than did the standard cotton swab or the 3M Enviro swab, and it recovered significantly (P ≤ 0.05) more bacteria than the sponge swab for a majority of the time (4 of 6 trials). The results of this study indicate that swab technology can still be improved and that the sonicating swab is a viable technological enhancement which aids microbiological sample collection.IMPORTANCE Swabbing of surface areas for microbial contamination has been the standard for the detection and enumeration of microorganisms for many years. Inadequate surface sampling can result in foodborne illness outbreaks due to biotransfer of harmful microorganisms from food contact surfaces to foods. Swab material type, surface characteristics, and swabbing method used are a few of the factors associated with swabbing that can result in the variability of bacterial cell recovery for detection and enumeration. A previous study highlighted a sonicating swab prototype and its ability to recover cells from a stainless steel surface more efficiently and reliably than a standard swab method (T. A. Branck, M. J. Hurley, G. N. Prata, C. A. Crivello, and P. J. Marek, Appl Environ Microbiol 83:e00109-17, 2017, https://doi.org/10.1128/AEM.00109-17). This study expands upon the capabilities of the sonicating swab technology to recover cells from multiple surface types with increased performance over traditional swabbing methods as a tool to further assist in the prevention of foodborne illness outbreaks.


Asunto(s)
Biopelículas , Listeria monocytogenes/aislamiento & purificación , Técnicas Microbiológicas/métodos , Sonicación/métodos , Manejo de Especímenes/métodos , Adhesión Bacteriana , Microbiología de Alimentos , Listeria monocytogenes/clasificación , Listeria monocytogenes/genética , Listeria monocytogenes/fisiología , Técnicas Microbiológicas/instrumentación
20.
Biotechnol Bioeng ; 115(9): 2194-2204, 2018 09.
Artículo en Inglés | MEDLINE | ID: mdl-29777597

RESUMEN

We demonstrate the integration of DNA amplification and detection functionalities developed on a lab-on-a-chip microdevice utilizing solid-phase polymerase chain reaction (SP-PCR) for point-of-need (PON) DNA analyses. First, the polycarbonate microdevice was fabricated by thermal bonding  to contain microchambers as reservoirs for performing SP-PCR. Next, the microchambers were subsequently modified with polyethyleneimine and glutaraldehyde for immobilizing amine-modified forward primers. During SP-PCR, the immobilized forward primers and freely diffusing fluorescence-labeled reverse primers cooperated to generate target amplicons, which remained covalently attached to the microchambers for the fluorescence detection. The SP-PCR microdevice was used for the direct identifications of two widely detected foodborne pathogens, namely Salmonella spp. and Staphylococcus aureus, and an alga causing harmful algal blooms annually in South Korea, Cochlodinium polykrikoides. The SP-PCR microdevice would be versatilely applied in PON testing as a universal platform for the fast identification of foodborne pathogens and environmentally threatening biogenic targets.


Asunto(s)
Dispositivos Laboratorio en un Chip , Técnicas Microbiológicas/métodos , Técnicas de Diagnóstico Molecular/métodos , Reacción en Cadena de la Polimerasa/métodos , Dinoflagelados/aislamiento & purificación , Técnicas Microbiológicas/instrumentación , Técnicas de Diagnóstico Molecular/instrumentación , Sistemas de Atención de Punto , Reacción en Cadena de la Polimerasa/instrumentación , Salmonella/aislamiento & purificación , Staphylococcus aureus/aislamiento & purificación , Factores de Tiempo
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA