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1.
Protein J ; 42(2): 125-134, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36892743

RESUMO

Biological control to prevent fungal plant diseases offers an alternative approach to facilitate sustainable agriculture. Since the chitin in fungal cell walls is a target for biocontrol agents, chitinases are one of the important antifungal molecules. In this study, the aim was to investigate a new chitinase isolated from a fluvial soil bacterium and to show the antifungal activity of the characterized chitinase by comparing the three common methods. The bacterium with the highest chitinase activity was identified as Aeromonas sp. by 16 S rRNA sequence analysis. Following the determination of the optimum enzyme production time, the enzyme was partially purified, and the physicochemical parameters of the enzyme were investigated. In the antifungal studies, direct Aeromonas sp. BHC02 cells or partially purified chitinase were used. As a result, in the first method in which the Aeromonas sp. BHC02 cells were spread on the surface of petri dishes, no zone formation was observed around the test fungi spotted on the surface. However, zone formation was observed in the methods in which the antifungal activity was investigated using the partially purified chitinase enzyme. For example, in the second method, the enzyme was spread on the surface of PDA, and zone formation was observed only around Penicillum species among the test fungi spotted on the surface. In the third method, in which the necessary time was given for the formation of mycelium of the test fungi, it was observed that the growth of Fusarium solani, Alternaria alternata and Botrytis cinerea was inhibited by the partially purified chitinase. This study concludes that the results of the antifungal activities depend on the method used and all fungal chitins cannot be degraded with one strain's chitinase. Depending on the variety of chitin, some fungi can be more resistant.


Assuntos
Aeromonas , Antifúngicos , Quitinases , Antifúngicos/farmacologia , Antifúngicos/metabolismo , Bactérias/metabolismo , Quitina/farmacologia , Quitina/metabolismo , Quitinases/farmacologia , Quitinases/química , Quitinases/genética , Extratos Vegetais , Aeromonas/efeitos dos fármacos
2.
New Microbiol ; 43(4): 198-200, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33021318

RESUMO

The activity of azithromycin against enteritis-producing agents other than Campylobacter spp. was studied. The susceptibility to azithromycin, through gradient test, of 88 clinical isolates (51 Salmonella spp., 23 Aeromonas spp., 10 Shigella sonnei and 4 Yersinia enterocolitica) for one year was studied prospectively. The results were compared with the activity of ampicillin, trimethoprim-sulfamethoxazole and ciprofloxacin by microdilution. For azithromycin, the minimum inhibitory concentration (MIC) 50 and MIC90 were 4 and 12 mg/l, respectively. Six (6.8%) isolates were simultaneously resistant to ampicillin, trimethoprim- sulfamethoxazole and ciprofloxacin, and 3 (50%) of them presented a MIC >256 mg/l. Azithromycin may be a good empirical therapeutic option for the treatment of bacterial enteritis.


Assuntos
Aeromonas/efeitos dos fármacos , Antibacterianos/farmacologia , Azitromicina/farmacologia , Enterobacteriaceae/efeitos dos fármacos , Campylobacter , Gastroenterite/microbiologia , Humanos , Testes de Sensibilidade Microbiana
3.
Food Microbiol ; 91: 103492, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32539979

RESUMO

Herein, the effects of grape seed extract (GSE) on the microflora and biochemical changes of container cultured snakehead (Channa argus) fillets during 11 days of chilled storage were investigated. The sensory analysis, the total number of viable colonies, the total amount of volatile basic nitrogen, and k-value analysis revealed that GSE retarded the deterioration of snakehead fillets. The degradation of inosine 5'-monophosphate and the accumulation of inosine and hypoxanthine in the GSE group were slower than these in the control group. Moreover, GSE treatment effectively decreased the accumulation of putrescine, cadaverine, and histamine. Illumina-MiSeq high throughput sequencing results showed that GSE inhibited the growth of Aeromonas on snakehead fillets. Based on the microbial enumeration, sensory analysis, and k-value, GSE prolonged the shelf life of fillets for 3 days, suggesting its potential for snakehead fillets preservation.


Assuntos
Peixes/microbiologia , Conservantes de Alimentos/farmacologia , Extrato de Sementes de Uva/farmacologia , Microbiota/efeitos dos fármacos , Alimentos Marinhos/microbiologia , Aeromonas/efeitos dos fármacos , Aeromonas/crescimento & desenvolvimento , Aminas/análise , Animais , Aquicultura , Microbiologia de Alimentos , Armazenamento de Alimentos , Microbiota/genética , Peptídeos/análise , Alimentos Marinhos/análise
5.
Surg Infect (Larchmt) ; 21(2): 158-160, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31556841

RESUMO

Background: Infections with Aeromonas spp. are a recognized complication of leech therapy for circulatory complications in replanted digits. Ciprofloxacin is commonly used empirically for Aeromonas coverage in such cases. Evolving resistance patterns of Aeromonas should be considered in designing an antibiotic strategy. Methods: Three consecutive patients with complicated replantations had site cultures yielding Aeromonas isolates resistant to ciprofloxacin. These cultures were analyzed to identify effective antibiotic agents. Results: Each Aeromonas isolate, and each additional site organism, was sensitive to cefepime. Conclusion: Our routine antibiotic coverage for leech application has been changed to cefepime. Aeromonas sensitivities and resistances should be monitored to adapt to future changes in appropriate antibiotics.


Assuntos
Aeromonas/efeitos dos fármacos , Antibacterianos/farmacologia , Resistência Microbiana a Medicamentos/efeitos dos fármacos , Aplicação de Sanguessugas/métodos , Reimplante/métodos , Antibacterianos/uso terapêutico , Cefepima/farmacologia , Cefepima/uso terapêutico , Ciprofloxacina/farmacologia , Ciprofloxacina/uso terapêutico , Humanos , Aplicação de Sanguessugas/efeitos adversos , Testes de Sensibilidade Microbiana , Reimplante/efeitos adversos
6.
Food Sci Technol Int ; 25(2): 101-108, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30193534

RESUMO

The selection and use of natural compounds with antimicrobial activity against foodborne pathogens is of major importance. The present study evaluated the antimicrobial activity of commercial essential oils against multidrug-resistant Enterococcus spp. and Aeromonas spp. Cymbopogon flexuosus and Thymus vulgaris essential oils presented the highest inhibitory zones against both bacterial groups ( p < 0.05). Subsequent determination of the minimum inhibitory concentrations showed values between 0.47 and 1.9 mg/ml for Aeromonas spp. and from 1.9 to 15 mg/ml for Enterococcus spp. The antimicrobial effect of C. flexuosus and T. vulgaris essential oils was also assessed against biofilms. Bacteria in biofilm state were subjected to 30 min or 1 h of exposure to each essential oil and eradication ability estimated by colony counting. Both essential oils exhibited antimicrobial activity against preformed Aeromonas biofilms, but were unable to successfully eradicate biofilms produced by enterococci, in the conditions under investigation. Nonetheless, the presumptive use of essential oils in the food industry should be considered in further investigations.


Assuntos
Aeromonas/efeitos dos fármacos , Anti-Infecciosos/farmacologia , Biofilmes/efeitos dos fármacos , Resistência a Múltiplos Medicamentos/efeitos dos fármacos , Enterococcus/efeitos dos fármacos , Magnoliopsida/química , Óleos Voláteis/farmacologia , Cymbopogon , Microbiologia de Alimentos , Doenças Transmitidas por Alimentos/microbiologia , Humanos , Plâncton , Extratos Vegetais/farmacologia , Thymus (Planta)
7.
Food Microbiol ; 76: 52-61, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30166183

RESUMO

This study evaluated the antimicrobial effects of tea polyphenols (TP) on changes in microbiota composition and quality attributes in silver carp fillets stored at 4 °C. During storage, TP treatment was found to be effective in enhancing sensory quality, inhibiting microbial growth, and attenuating chemical quality deterioration. Meanwhile, the composition of microbiota of silver carp fillets was investigated using culture-dependent and culture-independent methods. Initially, compared to the control, TP obviously decreased the relative abundance of Aeromonas, which allowed Acinetobacter and Methylobacterium to become the dominant microbiota in TP treated fillets on day 0. The controls, 0.5% TP-treated fillets, and 1% TP-treated fillets were rejected by sensory panelists on days 8, 12, and 12, respectively. At the time of sensory rejection, Aeromonas, followed by Acinetobacter and Pseudomonas, became the main spoilers in the control on day 8. However, TP treatment inhibited the growth of Aeromonas and Acinetobacter significantly. Consequently, Aeromonas followed by Pseudomonas and Shewanella became the predominant microbiota in all TP-treated fillets on day 12. Therefore, TP improved the quality of fillets during chilled storage, which was mainly due to their modulating effects on microbiota that resulted in the change in pattern and process of spoilage in fillets.


Assuntos
Anti-Infecciosos/farmacologia , Carpas/microbiologia , Microbiota/efeitos dos fármacos , Polifenóis/farmacologia , Chá/química , Acinetobacter/efeitos dos fármacos , Acinetobacter/crescimento & desenvolvimento , Acinetobacter/isolamento & purificação , Aeromonas/efeitos dos fármacos , Aeromonas/crescimento & desenvolvimento , Aeromonas/isolamento & purificação , Animais , Técnicas Bacteriológicas/métodos , Microbiologia de Alimentos , Conservação de Alimentos/métodos , Conservantes de Alimentos/química , Conservantes de Alimentos/farmacologia , Sequenciamento de Nucleotídeos em Larga Escala/métodos , Polifenóis/química , Pseudomonas/efeitos dos fármacos , Pseudomonas/crescimento & desenvolvimento , Pseudomonas/isolamento & purificação , Alimentos Marinhos/microbiologia
8.
mBio ; 9(4)2018 07 24.
Artigo em Inglês | MEDLINE | ID: mdl-30042201

RESUMO

Fluoroquinolones (FQs) and ciprofloxacin (Cp) are important antimicrobials that pollute the environment in trace amounts. Although Cp has been recommended as prophylaxis for patients undergoing leech therapy to prevent infections by the leech gut symbiont Aeromonas, a puzzling rise in Cp-resistant (Cpr) Aeromonas infections has been reported. We report on the effects of subtherapeutic FQ concentrations on bacteria in an environmental reservoir, the medicinal leech, and describe the presence of multiple antibiotic resistance mutations and a gain-of-function resistance gene. We link the rise of CprAeromonas isolates to exposure of the leech microbiota to very low levels of Cp (0.01 to 0.04 µg/ml), <1/100 of the clinical resistance breakpoint for Aeromonas Using competition experiments and comparative genomics of 37 strains, we determined the mechanisms of resistance in clinical and leech-derived Aeromonas isolates, traced their origin, and determined that the presence of merely 0.01 µg/ml Cp provides a strong competitive advantage for Cpr strains. Deep-sequencing the Cpr-conferring region of gyrA enabled tracing of the mutation-harboring Aeromonas population in archived gut samples, and an increase in the frequency of the Cpr-conferring mutation in 2011 coincides with the initial reports of CprAeromonas infections in patients receiving leech therapy.IMPORTANCE The role of subtherapeutic antimicrobial contamination in selecting for resistant strains has received increasing attention and is an important clinical matter. This study describes the relationship of resistant bacteria from the medicinal leech, Hirudo verbana, with patient infections following leech therapy. While our results highlight the need for alternative antibiotic therapies, the rise of Cpr bacteria demonstrates the importance of restricting the exposure of animals to antibiotics approved for veterinary use. The shift to a more resistant community and the dispersion of Cpr-conferring mechanisms via mobile elements occurred in a natural setting due to the presence of very low levels of fluoroquinolones, revealing the challenges of controlling the spread of antibiotic-resistant bacteria and highlighting the importance of a holistic approach in the management of antibiotic use.


Assuntos
Aeromonas/efeitos dos fármacos , Farmacorresistência Bacteriana Múltipla , Hirudo medicinalis/microbiologia , Aplicação de Sanguessugas/efeitos adversos , Aeromonas/genética , Animais , Antibacterianos/farmacologia , Ciprofloxacina/farmacologia , DNA Girase/genética , Reservatórios de Doenças/microbiologia , Fluoroquinolonas/farmacologia , Microbioma Gastrointestinal/efeitos dos fármacos , Infecções por Bactérias Gram-Negativas/microbiologia , Infecções por Bactérias Gram-Negativas/prevenção & controle , Humanos , Testes de Sensibilidade Microbiana , Mutação
9.
Microb Pathog ; 113: 29-33, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29038058

RESUMO

The objective of this study was to identify and quantify the chemical constituents, as well as the antimicrobial, antibiofilm and synergistic activity with florfenicol of essential oils of Aloysia triphylla (EOAT) and Lippia alba (EOLA) against Aeromonas spp. The antimicrobial activity of EOAT and EOLA was verified by the minimum bactericidal concentration (MBC) and the action against biofilm forming and consolidated biofilm. The synergistic activity of EOAT and EOLA with florfenicol was performed by the checkerboard technique. The main components of EOAT were α-citral (39.91%), E-carveol (25.36%) and limonene (21.52%), while that of EOLA was linalool (81.64%). Aeromonas spp. isolates showed sensitivity to both essential oils with MBC between 195.3 and 3125.0 µL/mL. Two isolates were classified as non-producing, three as moderate and 16 as weak biofilm producers. The EOAT and EOLA interfered in the biofilm formation, from moderate to weak producers, but did not cause any interference in the consolidated biofilm. The EOAT and EOLA combined with florfenicol showed synergistic effect and reduced MBC. The EOAT and EOLA have potential for application as antimicrobial agents, as they interfere in the initial formation of biofilm and when combined with florfenicol, present a synergic effect with a reduction in the minimum dose of the antibiotic.


Assuntos
Aeromonas/efeitos dos fármacos , Antibacterianos/farmacologia , Biofilmes/efeitos dos fármacos , Lippia/química , Óleos Voláteis/farmacologia , Óleos de Plantas/farmacologia , Verbenaceae/química , Monoterpenos Acíclicos , Aeromonas/classificação , Biofilmes/crescimento & desenvolvimento , Monoterpenos Cicloexânicos , Cicloexenos/farmacologia , Combinação de Medicamentos , Sinergismo Farmacológico , Limoneno , Testes de Sensibilidade Microbiana , Monoterpenos/farmacologia , Compostos Fitoquímicos/farmacologia , Terpenos/farmacologia , Tianfenicol/análogos & derivados , Tianfenicol/farmacologia
10.
Cell Mol Biol (Noisy-le-grand) ; 62(10): 49-54, 2016 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-27609474

RESUMO

Disease episodes of fish caused by Aeromonas species are moved to the top list of limiting problems worldwide. The present study was planned to verify the in vitro antibacterial activities as well as the in vivo potential values of clove oil and ciprofloxacin against Aeromonas sobria in African catfish (Clarias gariepinus). The in vitro phenotypic virulence activities and the successful amplification of aerolysin and hemolysin genes in the precisely identified A. sobria strain were predictive for its virulence. In the in vivo assay, virulence of A. sobria strain was fully demonstrated based on constituent mRNA expression profile of tested virulence genes and typical septicemia associated with high mortalities of infected fish. Apparent lower mortality rates were correlated well with both decrescent bacterial burden and significant down-regulated transcripts of representative genes in the treated groups with clove oil, followed by ciprofloxacin as a prophylactic use for 15 days (P < 0.0001); however, the essential oil apart from ciprofloxacin significantly enhanced different hematological parameters (P < 0.05). In addition, administration of antibiotic may be considered as a pronounced stress factor in the fish even when it used in the prophylactic dose. In conclusion, medicinal plants-derived essential oils provide a virtually safer alternative to chemotherapeutics on fish, consumers and ecosystems.


Assuntos
Aeromonas/patogenicidade , Peixes-Gato/microbiologia , Óleo de Cravo/farmacologia , Regulação para Baixo/efeitos dos fármacos , Genes Bacterianos , Substâncias Protetoras/farmacologia , Transcrição Gênica/efeitos dos fármacos , Aeromonas/efeitos dos fármacos , Aeromonas/genética , Animais , Antibacterianos/farmacologia , Toxinas Bacterianas/genética , Toxinas Bacterianas/metabolismo , Óleo de Cravo/uso terapêutico , Doenças dos Peixes/sangue , Doenças dos Peixes/microbiologia , Regulação da Expressão Gênica/efeitos dos fármacos , Regulação Bacteriana da Expressão Gênica/efeitos dos fármacos , Infecções por Bactérias Gram-Negativas/sangue , Infecções por Bactérias Gram-Negativas/microbiologia , Testes de Sensibilidade Microbiana , Proteínas Citotóxicas Formadoras de Poros/genética , Proteínas Citotóxicas Formadoras de Poros/metabolismo , Substâncias Protetoras/uso terapêutico , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Virulência/efeitos dos fármacos , Virulência/genética
11.
Eur J Clin Microbiol Infect Dis ; 35(6): 1001-6, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27039338

RESUMO

While the use of medicinal leech therapy (MLT) in reconstructive and orthopaedic surgery is widely described, post-operative complications related to leeches remain a major concern. Aeromonas spp. strains are involved in the majority of reported cases. As surgical success rate is directly impacted, an adapted antibiotic prophylaxis should be instituted in order to minimize these complications. We assessed pharmaceutical process, microbiological control and related infections in order to provide data and choose the appropriate antibiotherapy for patients requiring MLT. We report a clinical and microbiological study over a 24-month period. Clinical data were collected from patients' database, and microbiological analysis both on leeches' tank water and crushed leeches were performed to characterize isolated strains and their susceptibility to antibiotics. A total of 595 leeches were used to treat 28 patients (12 in plastic surgery and 16 in orthopaedic surgery), and three documented cases of post-operative infections were reported. Aeromonas spp. isolates yielded from 62 % of analyzed batches (75 % of Aeromonas veronii). Eighteen Aeromonas spp. isolates yielded from 23 water samples and three crushed leeches. Isolates were similar in tank and crushed leeches. Strains were susceptible to fluoroquinolones, sulfamethoxazole/trimethoprim, aminosides, and third-generation cephalosporins but resistant to amoxicillin/clavulanic acid and second-generation cephalosporins. According to collected data, routine tank water microbiological analyses are mandatory in order to identify leeches' batches containing resistant strains and to discard them. In this context, the surgeon is able to select an appropriated antibiotic prophylaxis in order to avoid MLT associated serious post-operative complications.


Assuntos
Aeromonas , Infecções por Bactérias Gram-Negativas/etiologia , Sanguessugas , Aplicação de Sanguessugas/efeitos adversos , Complicações Pós-Operatórias , Aeromonas/efeitos dos fármacos , Animais , Antibacterianos/farmacologia , Antibacterianos/uso terapêutico , Antibioticoprofilaxia , Feminino , Infecções por Bactérias Gram-Negativas/prevenção & controle , Humanos , Aplicação de Sanguessugas/métodos , Masculino
12.
Environ Sci Technol ; 50(5): 2573-83, 2016 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-26840504

RESUMO

Elimination of pharmaceuticals in source-separated human urine is a promising approach to minimize the pharmaceuticals in the environment. Although the degradation kinetics of pharmaceuticals by UV/H2O2 and UV/peroxydisulfate (PDS) processes has been investigated in synthetic fresh and hydrolyzed urine, comprehensive evaluation of the advanced oxidation processes (AOPs), such as product identification and toxicity testing, has not yet been performed. This study identified the transformation products of two commonly used antibiotics, trimethoprim (TMP) and sulfamethoxazole (SMX), by UV/H2O2 and UV/PDS in synthetic urine matrices. The effects of reactive species, including •OH, SO4(•-), CO3(•-), and reactive nitrogen species, on product generation were investigated. Multiple isomeric transformation products of TMP and SMX were observed, especially in the reaction with hydroxyl radical. SO4(•-) and CO3(•-) reacted with pharmaceuticals by electron transfer, thus producing similar major products. The main reactive species deduced on the basis of product generation are in good agreement with kinetic simulation of the advanced oxidation processes. A strain identified as a polyphosphate-accumulating organism was used to investigate the antimicrobial activity of the pharmaceuticals and their products. No antimicrobial property was detected for the transformation products of either TMP or SMX. Acute toxicity employing luminescent bacterium Vibrio qinghaiensis indicated 20-40% higher inhibitory effect of TMP and SMX after treatment. Ecotoxicity was estimated by quantitative structure-activity relationship analysis using ECOSAR.


Assuntos
Peróxido de Hidrogênio/química , Sulfametoxazol/urina , Sulfatos/química , Trimetoprima/urina , Raios Ultravioleta , Aeromonas/efeitos dos fármacos , Anti-Infecciosos/farmacologia , Carbonatos/química , Radicais Livres/química , Humanos , Peróxido de Hidrogênio/farmacologia , Radical Hidroxila/química , Cinética , Testes de Sensibilidade Microbiana , Oxirredução , Fotólise/efeitos da radiação , Espécies Reativas de Nitrogênio/química , Soluções , Sulfametoxazol/farmacologia , Testes de Toxicidade Aguda , Vibrio/efeitos dos fármacos
13.
IET Nanobiotechnol ; 9(5): 252-8, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26435277

RESUMO

This study focuses on the green synthesis of noble metal nanoparticles (silver (Ag) and platinum (Pt)) and how the size and shape of the nanoparticles produced can be controlled through changes in the initial pH value of the precursor solution. The nanoparticles were characterised by ultra-violet-visible spectroscopy, transmission electron microscopy and X-ray diffraction. This simple and environmentally friendly method allows the synthesis of diverse nanostructures in the absence of a surfactant or polymer to direct nanoparticle growth, and without externally adding seed crystallites. The antibacterial effects of Ag nanoparticles and catalytic properties of Pt nanoparticles were explored for future promising biotechnological approaches in different fields.


Assuntos
Biotecnologia/métodos , Citrus sinensis/química , Nanopartículas Metálicas/química , Extratos Vegetais/metabolismo , Platina/química , Prata/química , Aeromonas/efeitos dos fármacos , Antibacterianos/química , Antibacterianos/metabolismo , Antibacterianos/farmacologia , Viabilidade Microbiana/efeitos dos fármacos , Extratos Vegetais/química , Platina/metabolismo , Platina/farmacologia , Prata/metabolismo , Prata/farmacologia
14.
An Acad Bras Cienc ; 87(1): 95-100, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25789790

RESUMO

In vitro and in vivo activity of the Lippia alba essential oil (EO) against Aeromonas sp. was evaluated. In the in vitro assay the minimum inhibitory concentration (MIC) and a minimum bactericidal concentration (MBC) of EO for Aeromonas cells were determined using the microdilution method. Twenty five strains of Aeromonas sp. isolated from infected fish obtained from local fish farms were used. MIC and MBC values were 2862 and 5998 µg mL-1 for L. alba EO and 0.5 and 1.2 µg mL-1 for gentamicin, respectively. In the in vivo assay silver catfish juveniles (Rhamdia quelen) (7.50 ± 1.85 g and 10.0 ± 1.0 cm) with typical injuries associated to Aeromonas infection were divided into four treatments (in triplicate n=10): untreated fish (negative control), 10 mg L-1 of gentamicin, and 20 or 50 µL L-1 of EO. Fish were maintained in aerated 20 L plastic boxes. After 10 days survival of silver catfish infected with Aermonas sp. and treated with essential oil (50 µL L-1) was greater than 90%.


Assuntos
Aeromonas/efeitos dos fármacos , Peixes-Gato/microbiologia , Doenças dos Peixes/tratamento farmacológico , Infecções por Bactérias Gram-Negativas/veterinária , Lippia/química , Óleos Voláteis/farmacologia , Óleos de Plantas/farmacologia , Animais , Doenças dos Peixes/microbiologia , Infecções por Bactérias Gram-Negativas/tratamento farmacológico , Testes de Sensibilidade Microbiana , Óleos Voláteis/uso terapêutico , Óleos de Plantas/uso terapêutico , Fatores de Tempo
15.
Int J Clin Pharm ; 36(5): 995-9, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25097067

RESUMO

BACKGROUND: Medicinal leech therapy is effective in establishing venous outflow in congested flaps and replants. However, its use is also associated with infections, especially from Aeromonas species. To prevent this nosocomial infection, levofloxacin has been established as prophylaxis during leech therapy in our hospital. OBJECTIVES: To study the implementation rate of a guideline, to study the effect of levofloxacin on possible Aeromonas infections, and to evaluate the financial impact of this preventive measure. SETTING: A retrospective analysis on all patients treated with Hirudo medicinalis between July 2007 and March 2011 was performed at the Ghent University Hospital, Belgium. METHOD: A list of patients treated with leeches was retrieved from the pharmacy database. Patient characteristics, date of start and stop of leech therapy were collected. Data on routine diagnostic cultures during leech therapy, date and type of clinical sample, while cultivated micro-organism with antibiotic susceptibility were obtained from the laboratory database. MAIN OUTCOME MEASURE: percentage implementation rate of a guideline, presence of Aeromonas infections, financial impact of levofloxacin prophylaxis. RESULTS: Fifty-one patients were treated with leeches. Forty-six (90.2 %) patients were treated according the guideline. Fourteen out of 51 patients (27.5 %) were suspected for postoperative wound infections. From them, 60 clinical samples were sent for microbiological analysis. These included exudates (26.7 %), peroperative samples (5.0 %), puncture fluid (1.7 %), blood cultures (3.3 %) or smears from burns (63.3 %). No Aeromonas species were cultivated. Comparison between period before and after implementation of levofloxacin prophylaxis revealed that levofloxacin prevents colonization or infection with Aeromonas species in relation to leech therapy. The direct cost for levofloxacin prophylaxis in the current study was 2,570 euro. Based on data obtained in a previous study, we presume that a minimum cost-saving of 20,500 euro was realised during the current study period by implementation of antimicrobial prophylaxis. CONCLUSIONS: This study demonstrates successful implementation of a guideline for levofloxacin prophylaxis during leech therapy. Following its introduction, no Aeromonas species related to the use of leeches were isolated as compared to 8.5 % in the baseline period.


Assuntos
Aeromonas/efeitos dos fármacos , Antibacterianos/farmacologia , Antibioticoprofilaxia , Infecções por Bactérias Gram-Negativas/prevenção & controle , Aplicação de Sanguessugas/efeitos adversos , Levofloxacino/farmacologia , Adolescente , Adulto , Antibacterianos/economia , Antibioticoprofilaxia/economia , Antibioticoprofilaxia/estatística & dados numéricos , Criança , Análise Custo-Benefício , Feminino , Infecções por Bactérias Gram-Negativas/economia , Fidelidade a Diretrizes/economia , Humanos , Levofloxacino/economia , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto Jovem
16.
Surg Infect (Larchmt) ; 15(6): 757-62, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24897173

RESUMO

BACKGROUND: Hirudotherapy is often used successfully in modern medicine, especially in plastic and reconstructive surgery. However, Aeromonas infections are the most common complications of post-operative leech application. Hence, prophylactic antibiotic administration is recommended before and during leech therapy. It has been confirmed that patient safety and achieving the desired therapeutic effect depend mainly on the microbiologic purity of the animals used. The aims of this study were to find a safe and practical way to eradicate symbiotic Aeromonas spp. occuring in the intestine of Hirudo verbana. METHODS: Leeches were fed artificially with 1.5 mL of sterile defibrinated sheep blood supplemented with ciprofloxacin (CIP) or cefotaxime (CTX), at bacteriostatic concentrations of 0.2 mcg/mL or 1.5 mcg/mL, and bactericidal concentrations of 20 mcg/mL or 50 mcg/mL, respectively. Bacteria were isolated from the leech intestines before and after feeding at different time intervals: 1, 7, 14, 21, and 28 d. RESULTS: Biochemical identification of bacterial isolates from water samples and intestines of H. verbana using the API-NE20 test showed that A. veronii biovar sobria was predominant. Bacteria belonging to the genus Aeromonas were detected in all control leeches. The results showed that optimum eradication of bacteria from leech intestines was obtained using 20 mcg/mL of CIP and 50 mcg/mL of CTX, which decreased the number of Aeromonas spp. to undetectable levels for two weeks after feeding in all treated leeches. A statistically significant reduction in the number of bacterial colonies (p<0.0001) was observed in leeches treated with bacteriostatic concentrations of CIP or CTX; no bacterial growth was found on the plates after only seven days of feeding with antibiotics. All water samples in which the leeches were kept before treatment were contaminated with Aeromonas spp., whereas these samples were negative after antibiotic feeding of animals. CONCLUSIONS: All leeches were ready to take a blood meal after treatment, suggesting the possibility of using ciprofloxacin-treated or cefotaxime-treated leeches instead of chemoprophylaxis in patients undergoing hirudotherapy.


Assuntos
Aeromonas/efeitos dos fármacos , Antibacterianos/administração & dosagem , Infecções por Bactérias Gram-Negativas/prevenção & controle , Sanguessugas/microbiologia , Aplicação de Sanguessugas/efeitos adversos , Aeromonas/isolamento & purificação , Ração Animal , Animais , Dieta/métodos , Humanos , Intestinos/microbiologia
17.
J Sci Food Agric ; 93(4): 902-9, 2013 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-22903651

RESUMO

BACKGROUND: In this study, the antibacterial properties and active ingredient of plant extracts and its effect on the performance of crucian carp (Carassius auratus gibelio var. E'erqisi, Bloch) were assessed. RESULTS: The transmission electron microscopy and flow cytometric analysis showed that the antibacterial activity of plant extracts is due to the disruption of the cell membrane and the leakage of cytoplasmic contents. The UPLC-MS/MS analysis showed that the contents of gallic acid, (-)-epigallocatechin, (+)-catechin, (-)-epigallocatechin gallate, (-)-epicatechin gallate, aloe-emodin, rhein, emodin, chrysophanol, and physcion, were 5.27%, 3.30%, 1.08%, 19.32%, 5.46%, 0.23%, 0.56%, 1.28%, 0.75% and 0.39% in plant extracts, respectively. Results of feeding experiment showed that feeding crucian carp with 1.0% and 2.0% plant extracts significantly enhanced specific growth rate, serum total protein, lysozyme, catalase and superoxide dismutase activities, and decreased the feed conversion rate, malondialdehyde contents and the mortality rate (P < 0.05). CONCLUSION: It can be concluded that plant extracts added to fish feed can act as natural antimicrobial and immunostimulants to prevent pathogenic infection, enhance immune response, and promote growth of the fish.


Assuntos
Antibacterianos/farmacologia , Carpas , Doenças dos Peixes/prevenção & controle , Crescimento/efeitos dos fármacos , Extratos Vegetais/farmacologia , Rheum/química , Rhus/química , Adjuvantes Imunológicos/análise , Adjuvantes Imunológicos/farmacologia , Aeromonas/efeitos dos fármacos , Ração Animal , Animais , Proteínas Sanguíneas/metabolismo , Carpas/crescimento & desenvolvimento , Carpas/microbiologia , Catalase/metabolismo , Membrana Celular/efeitos dos fármacos , Citoplasma/efeitos dos fármacos , Metabolismo Energético/efeitos dos fármacos , Doenças dos Peixes/microbiologia , Imunidade/efeitos dos fármacos , Infecções/microbiologia , Malondialdeído/metabolismo , Muramidase/metabolismo , Extratos Vegetais/química , Tumores de Planta , Superóxido Dismutase/metabolismo
18.
ScientificWorldJournal ; 2012: 764563, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22927788

RESUMO

This study assessed the prevalence of antibiotic-resistant Aeromonas species isolated from Alice and Fort Beaufort wastewater treatment plant in the Eastern Cape Province of South Africa. Antibiotic susceptibility was determined using the disc diffusion method, and polymerase chain reaction (PCR) assay was employed for the detection of antibiotics resistance genes. Variable susceptibilities were observed against ciprofloxacin, chloramphenicol, nalidixic acid, gentamicin, minocycline, among others. Aeromonas isolates from both locations were 100% resistant to penicillin, oxacillin, ampicillin, and vancomycin. Higher phenotypic resistance was observed in isolates from Fort Beaufort compared to isolates from Alice. Class A pse1 ß-lactamase was detected in 20.8% of the isolates with a lower detection rate of 8.3% for bla(TEM) gene. Class 1 integron was present in 20.8% of Aeromonas isolates while class 2 integron and TetC gene were not detected in any isolate. The antibiotic resistance phenotypes observed in the isolates and the presence of ß-lactamases genes detected in some isolates are of clinical and public health concern as this has consequences for antimicrobial chemotherapy of infections associated with Aeromonas species. This study further supports wastewater as potential reservoirs of antibiotic resistance determinants in the environment.


Assuntos
Aeromonas/efeitos dos fármacos , Antibacterianos/farmacologia , Farmacorresistência Bacteriana Múltipla , Testes de Sensibilidade Microbiana/métodos , Águas Residuárias/microbiologia , Microbiologia da Água , Aeromonas/genética , Aeromonas/isolamento & purificação , Cloranfenicol/farmacologia , Ciprofloxacina/farmacologia , DNA Bacteriano/análise , DNA Bacteriano/genética , Genes Bacterianos , Genes MDR , Gentamicinas/farmacologia , Ácido Nalidíxico/farmacologia , Fenótipo , Reação em Cadeia da Polimerase , Prevalência , África do Sul , beta-Lactamases/genética
19.
Asian Pac J Trop Biomed ; 2(2): 85-7, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23569873

RESUMO

OBJECTIVE: To investigate a case of mass mortality of Garra rufa (G. rufa) from a fish hatchery farm in Slovakia. METHODS: Causative bacterial agent was swabbing out of affected fish skin area and subsequently identified using commercial test system. Antibiotic susceptibility was determined by the disk diffusion method. RESULTS: Infected G. rufa was characterized by abnormal swimming behaviour, bleeding of skin lesions and local haemorrhages. Despite of using recommended aquatic antibiotic treatment no improvement was achieved and Aeromonas sobria (A. sobria) was identified as a causative agent of fish mortality. Due to massive fish mortality, antibiotic susceptibility of pure isolated culture of A. sobria was evaluated employing eight antibiotics against human infections. A. sobria was resistant only against one antibiotic, namely ampicilin. CONCLUSIONS: These results indicate that A. sobria can act as a primary pathogen of G. rufa and may be a potential risk factor for immunodeficient or immunoincompetent patients during the ichthyotherapy.


Assuntos
Aeromonas/efeitos dos fármacos , Cyprinidae/microbiologia , Farmacorresistência Bacteriana , Doenças dos Peixes/tratamento farmacológico , Doenças dos Peixes/mortalidade , Aeromonas/patogenicidade , Ampicilina/farmacologia , Animais , Antibacterianos/farmacologia , Técnicas de Tipagem Bacteriana , Doenças dos Peixes/microbiologia , Pesqueiros , Testes de Sensibilidade Microbiana , Eslováquia
20.
Water Res ; 45(17): 5599-611, 2011 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-21907383

RESUMO

The taxonomic diversity and antibiotic resistance phenotypes of aeromonads were examined in samples from drinking and waste water treatment plants (surface, ground and disinfected water in a drinking water treatment plant, and raw and treated waste water) and tap water. Bacteria identification and intra-species variation were determined based on the analysis of the 16S rRNA, gyrB and cpn60 gene sequences. Resistance phenotypes were determined using the disc diffusion method. Aeromonas veronii prevailed in raw surface water, Aeromonas hydrophyla in ozonated water, and Aeromonas media and Aeromonas puntacta in waste water. No aeromonads were detected in ground water, after the chlorination tank or in tap water. Resistance to ceftazidime or meropenem was detected in isolates from the drinking water treatment plant and waste water isolates were intrinsically resistant to nalidixic acid. Most of the times, quinolone resistance was associated with the gyrA mutation in serine 83. The gene qnrS, but not the genes qnrA, B, C, D or qepA, was detected in both surface and waste water isolates. The gene aac(6')-ib-cr was detected in different waste water strains isolated in the presence of ciprofloxacin. Both quinolone resistance genes were detected only in the species A. media. This is the first study tracking antimicrobial resistance in aeromonads in drinking, tap and waste water and the importance of these bacteria as vectors of resistance in aquatic environments is discussed.


Assuntos
Aeromonas/genética , Água Potável/microbiologia , Resistência Microbiana a Medicamentos/genética , Variação Genética , Eliminação de Resíduos Líquidos , Microbiologia da Água , Purificação da Água , Aeromonas/efeitos dos fármacos , Aeromonas/isolamento & purificação , Resistência Microbiana a Medicamentos/efeitos dos fármacos , Genes Bacterianos/genética , Testes de Sensibilidade Microbiana , Dados de Sequência Molecular , Mutação/genética , Ácido Nalidíxico/farmacologia , Fenótipo , Filogenia , Quinolonas/farmacologia , RNA Ribossômico 16S/genética , Especificidade da Espécie
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