Antibiotic resistance profiles of Salmonella serotypes isolated from animals in Iran: a meta-analysis.

BACKGROUND: Salmonella infection (salmonellosis) is a zoonotic bacterial disease. Widespread use of antibiotics in livestock and poultry production for different purposes such as treatment and growth promotion has led to the emergence of antibiotic-resistant Salmonella, causing treatment of Salmonella infections more difficult with each passing year. AIMS: To determine the antibiotic resistance prevalence of Salmonella serotypes isolated from animals in different provinces of Iran. METHODS: To find eligible articles, we searched the international and national electronic databases using appropriate keywords in English and Persian. RESULTS: After applying predefined criteria, 54 articles reporting antibiotic resistance profiles of Salmonella serotypes were included. Salmonella isolates were mostly resistant against nalidixic acid (67%), tetracycline (66.9%), and streptomycin (49.6%), followed by trimethoprim/sulfamethoxazole (41.6%) and kanamycin (23.6%). The highest sensitivity was observed against imipenem, meropenem, and cefepime with 1.7%, 1.4%, and 1.9% of all isolates being resistant, respectively. CONCLUSION: Results revealed that the prevalence of resistant isolates to nalidixic acid, tetracycline and streptomycin is high and their use must be restricted. In addition, resistance to other antibiotics such as chloramphenicol, ampicillin, cephalothin, cefixime, and enrofloxacin is at an alarming level that calls for attention in the future infection control and antibiotic stewardship programs.

Molecular detection of carbapenem-resistant genes in clinical isolates of Klebsiella pneumoniae.

INTRODUCTION: The emergence of carbapenem-resistant Klebsiella pneumoniae (CRKP) poses a considerable threat to public health worldwide. The aim of this study was to determine the prevalence of CRKP isolated from clinical specimens by phenotypic and genotypic methods. METHODS: In total, 110 consecutive non-repetitive isolates of K. pneumoniae were analyzed. Minimal inhibitory concentrations (MICs) of imipenem were determined. The mechanism of resistance was evaluated by imipenem-EDTA combined disk test and modified Hodge test. PCR method was used for the detection of blaVIM, blaIMP, blaNDM-1, blaOXA-48 and KPC genes. RESULTS: Totally, 8 (7.3 %) isolates were resistant to imipenem, showing MIC ≥4 µg/mL. Based on imipenem-EDTA combined disk test, all imipenem-resistant isolates were metallo-beta-lactamase (MBL) positive. PCR confirmed that 6 (75%) isolates were blaNDM-1 positive. Other resistance genes (blaVIM, blaIMP, blaOXA-48 and KPC) were not detected. CONCLUSIONS: Based on this study, the prevalence of CRKP strains was not at a high level, however, continuous monitoring of antibiotic resistance should be performed to control dissemination of CRKP infections.

A systematic review and meta-analysis on the epidemiology of antibiotic resistance of Vibrio cholerae in Iran.

BACKGROUND: Cholera, an acute diarrheal disease caused by Vibrio cholerae (V. cholerae), is an endemic disease and a major public health problem in Iran. Antibiotic therapy can decrease duration of the disease, transmission of infection and contamination of the environment. Considering different pattern of V. cholerae antibiotic resistance around the world, the aim of the current systematic review and meta-analysis was to evaluate the prevalence of antibiotic resistance of V. cholerae in Iran. METHODS: A systematic review of the literature was performed using related keywords in the electronic national and international databases including SID, Irandoc, Iran Medex and Magiran as well as PubMed, Scopus, Google Scholar and ISI web of knowledge. Up to July 31, 2018, 27 eligible papers were included in our meta-analysis based on the defined inclusion criteria. RESULTS: V. cholerae O1 was the most prevalent strain isolated in Iran and exhibited a high resistance rate against numerous antibiotics including chloramphenicol (33.6%), oxytetracycline (40.2%), trimethoprim/sulphamethoxazole (86%), tetracycline (34.5%), furazolidone (69.8%), streptomycin (93.8%), polymyxin (80.7%), ampicillin (32.1%), nalidixic acid (88.9%), kanamycin (29%) and amoxicillin (30.5%). CONCLUSIONS: According to the meta-analysis results, antibiotic therapy with ciprofloxacin, doxycycline, erythromycin, gentamicin, azithromycin, cefixime and cefepime could be effective for the treatment of severe cases of cholera in Iran.

Antioxidant ameliorating effects against H2O2-induced cytotoxicity in primary endometrial cells.

Oxidative stress and a disrupted antioxidant system are involved in a variety of pregnancy complications. In the present study, the role of vitamin E (Vit E) and folate as radical scavengers on the GSH homeostasis in stress oxidative induced in rat endometrial cells was investigated. Primary endometrial stromal cell cultures treated with 50 and 200 µM of H2O2 and evaluated the cytoprotective effects of Vit E (5 µM) and folate (0.01 µM) in H2O2-treated cells for 24 h. Following the exposure of endometrial cells to H2O2 alone and in the presence of Vit E and/or folate, cell survival, glutathione peroxidase (GPx) and glutathione reductase activities and the level of reduced glutathione (GSH) were measured. Cell adhesions comprise of cell attachment and spreading on collagen were determined. Flow cytometric analysis using annexin V was used to measure apoptosis. H2O2 treatment showed a marked decrease in cell viability, GPx and GR activities and the level of GSH. Although Vit E or folate had some protective effect, combination therapy with Vit E and folate attenuated all the changes due to H2O2 toxicity. An increasing number of alive cells was showed in the cells exposed to H2O2 (50 µM) accompanied by co-treatment with Vit E and folic acid. The present findings indicate that co-administration of Vit E and folate before and during pregnancy may maintain a viable pregnancy and contribute to its clinical efficacy for the treatment of some idiopathic infertility.

Morphometrical analysis of the effect of nicotine administration on brain's prefrontal region in male rat / Análisis morfométrico del efecto de la administración de nicotina sobre la región prefrontal del cerebro en rata macho

Nicotine is the most important alkaloid compound in tobacco. One of the major effects of nicotine is stimulation of mesocorticolimbic system. Prefrontal cortex plays a pivotal role in personality and mental state. It is considered the main cause of addiction as it is located in mesocorticolimbic dopamine system. Twenty four male rats were divided into four groups based on nicotine administration dose (0, 0.5, 1 and 1.5 g/kg). After animals were anesthetized, their brains were fixed using transcardiac method. Tissue processing and Golgi staining were performed and the stained tissue sections were analyzed by optic microscope and Motic software. By increasing the dose, nicotine significantly decreased the number of neuronal processes. In the higher dose, nicotine caused a significant decrease and increase in the size of pericarions and dendritic spines, respectively (p<0.05). Nicotine administration can decrease the size of pericarion and number of dendritic spines in the prefrontal cortex.

La nicotina es el compuesto alcaloide más importante del tabaco. Uno de sus principales efectos es la estimulación del sistema mesocorticolímbico. La corteza prefrontal desempeña un papel fundamental en la personalidad y estado mental. Esta es considerada la principal causa de la adicción, ya que se encuentra en el sistema mesocorticolímbico dopaminérgico. Veinticuatro ratas macho fueron divididas en cuatro grupos basados en la dosis de administración de nicotina (0, 0,5, 1 y 1,5 g/kg). Luego fueron anestesiados y sus cerebros se fijaron mediante perfusión transcardíaca. Se realizó el procesamiento de tejidos y las secciones bajo tinción de Golgi fueron analizadas mediante microscopia óptica y el software Motic. Con el aumento de dosis, la nicotina redujo significativamente el número de procesos neuronales. En la dosis más alta, la nicotina causó una disminución y aumento significativo en el tamaño de pericarion y espinas dendríticas, respectivamente (p<0,05). La administración de nicotina puede disminuir el tamaño del pericarion y el número de espinas dendríticas en la corteza prefrontal.

Henoch-Schönlein purpura: simultaneous occurrence in two siblings.

Simultaneous occurrence of Henoch-Schönlein purpura (HSP) in family members is not well documented. We describe simultaneous onset of HSP in two sisters 1 day after the wearing of new synthetic slippers. Such an occurrence of the disease implies a common cause, however, in most patients the search for a causative agent is usually futile. There was no clear evidence of infection in our patients. The association of the appearance of the disease with the use of the slippers in our patients could indicate a possible, although unlikely, cause for their HSP.