Analysis of Bacterial Communities Associated with Potting Media A
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The Role of the Intensive Care Unit Environment in the Pathogenesis and Prevention of Ventilator-Associated Pneumonia
The Role of the Intensive Care Unit Environment in the Pathogenesis and Prevention of Ventilator-Associated Pneumonia Christopher J Crnich MD MSc, Nasia Safdar MD MSc, and Dennis G Maki MD Introduction Epidemiology and Pathogenesis Aerodigestive Colonization Direct Inoculation of the Lower Airway Importance of Endogenous Versus Exogenous Colonization Environmental Sources of Colonization Animate Environment Inanimate Environment The Need for a More Comprehensive Approach to the Prevention of VAP That Acknowledges the Important Role of the Hospital Environment Organizational Structure Interventions at the Interface Between the Health Care Worker and the Patient or Inanimate Environment Prevention of Infections Caused by Respiratory Devices Prevention of Infections Caused by Legionella Species Prevention of Infections Caused by Filamentous Fungi Summary Ventilator-associated pneumonia is preceded by lower-respiratory-tract colonization by pathogenic microorganisms that derive from endogenous or exogenous sources. Most ventilator-associated pneumonias are the result of exogenous nosocomial colonization, especially, pneumonias caused by resistant bacteria, such as methicillin-resistant Staphylococcus aureus and multi-resistant Acineto- bacter baumannii and Pseudomonas aeruginosa,orbyLegionella species or filamentous fungi, such as Aspergillus. Exogenous colonization originates from a very wide variety of animate and inani- mate sources in the intensive care unit environment. As a result, a strategic approach that combines measures to prevent cross-colonization with those that focus on oral hygiene and prevention of microaspiration of colonized oropharyngeal secretions should bring the greatest reduction in the risk of ventilator-associated pneumonia. This review examines strategies to prevent transmission of environmental pathogens to the vulnerable mechanically-ventilated patient. Key words: ventilator- associated pneumonia. [Respir Care 2005;50(6):813–836. -
Enhanced Isolation of Legionella Species from Composted Material
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector CMI Research Notes 1517 Acknowledgements enes, Citrobacter freundii and Serratia marcescens: a multicentre study from Korea. J Antimicrob Chemother 2007; 60: 868–871. 12. Tamang MD, Seol SY, Oh JY et al. Plasmid-mediated quinolone resis- We would like to express our sincere thanks to C. Newey tance determinants qnrA, qnrB, and qnrS among clinical isolates of Enterobacteriaceae in a Korean hospital. Antimicrob Agents Chemother for revising the English. 2008; 52: 4159–4162. 13. Pai H, Seo MR, Choi TY. Association of qnrB determinants and pro- duction of extended-spectrum b-lactamases or plasmid-mediated Funding AmpC b-lactamases in clinical isolates of Klebsiella pneumoniae. Anti- microb Agents Chemother 2007; 51: 366–368. 14. Carattoli A. Resistance plasmid families in Enterobacteriaceae. Antimic- This study was partially supported by the Ministry of Health rob Agents Chemother 2009; 53: 2227–2238. 15. Martinez-Martinez L, Cano ME, Rodriguez-Martinez JM, Calvo J, Pasc- and Consumer Affairs, Instituto de Salud Carlos III-Feder, ual A. Plasmid-mediated quinolone resistance. Expert Rev Anti-Infect Spanish Network for the Research in Infectious Diseases Ther 2008; 6: 685–711. (REIPI/RD06/0008/0013) and the European Union Seventh 16. Diestra K, Miro´ E, Marti C et al. Multiclonal epidemic of Klebsiella Framework Programme under grant agreement number pneumoniae isolates producing DHA-1 in a Spanish hospital. Clin Microbiol Infect 2011; 17: 1032–1036. 241476 (PAR project). 17. Huvet M, Toni T, Sheng X et al. The evolution of the phage shock protein (psp) response system: interplay between protein function, genomic organization and system function. -
APUTS) Reporting Terminology and Codes Microbiology (V1.0
AUSTRALIAN PATHOLOGY UNITS AND TERMINOLOGY (APUTS) Reporting Terminology and Codes Microbiology (v1.0) 1 12/02/2013 APUTS Report Information Model - Urine Microbiology Page 1 of 1 Specimen Type Specimen Macro Time Glucose Bilirubin Ketones Specific Gravity pH Chemistry Protein Urobilinogen Nitrites Haemoglobin Leucocyte Esterases White blood cell count Red blood cells Cells Epithelial cells Bacteria Microscopy Parasites Microorganisms Yeasts Casts Crystals Other elements Antibacterial Activity No growth Mixed growth Urine MCS No significant growth Klebsiella sp. Bacteria ESBL Klebsiella pneumoniae Identification Virus Fungi Growth of >10^8 org/L 10^7 to 10^8 organism/L of mixed Range or number Colony Count growth of 3 organisms 19090-0 Culture Organism 1 630-4 LOINC >10^8 organisms/L LOINC Significant growth e.g. Ampicillin 18864-9 LOINC Antibiotics Susceptibility Method Released/suppressed None Organism 2 Organism 3 Organism 4 None Consistent with UTI Probable contamination Growth unlikely to be significant Comment Please submit a repeat specimen for testing if clinically indicated Catheter comments Sterile pyuria Notification to infection control and public health departments PUTS Urine Microbiology Information Model v1.mmap - 12/02/2013 - Mindjet 12/02/2013 APUTS Report Terminology and Codes - Microbiology - Urine Page 1 of 3 RCPA Pathology Units and Terminology Standardisation Project - Terminology for Reporting Pathology: Microbiology : Urine Microbiology Report v1 LOINC LOINC LOINC LOINC LOINC LOINC LOINC Urine Microbiology Report -
Guidelines for Drinking-~Ater Quality I SECOND EDITION
Guidelines for drinking-~ater quality I SECOND EDITION Addendum Microbiological agents . in drinking water ~ . ~ ~tt-1\\ . ~ ~ !JR ~ World Health Organization Geneva The World Health Organ1zatwn was established m 1948 as a spec1ahzed agency of the Umted Nations servmg as the directing and coordmatmg authonty for mternauonal health matters and pubhc health. One of WHO's consututwnal functwns IS to provide objective and reliable mformat1on and advice m the field of human health, a responsibility that It fulhls in part through Its extensiVe programme of publications The Organization seeks through Its publicatwns to support natwnal health strategies and address the mostpressmg public health concerns of populations around the world. To respond to the needs of Member States at all levels of development, WHO publishes practical manuals, handbooks and trammg matenal for spec1hc categories of health workers; mternauonally applicable guidelines and standards; reviews and analyses of health polioes, programmes and research; and state-of-the-art consensus reports that offer technical advice and recommendations for deCision-makers. These books are closely ued to the Orgamzauon's pnonty activities, encompassing disease prevention and control, the development of equitable health systems based on primary health care, and health promotion for mdividuals and commumties. Progress towards better health for all also demands the global d1ssemmauon and exchange of mformauon that draws on the knowledge of all WHO's Member countnes and the collaboration of world leaders m pubhc health and the biomedical sciences. To ensure the widest possible availab1hty of authoritative mformation and guidance on health matters, WHO secures the broad mternational d1stnbuuon ohts publications and encourages theu translation and adaptation. -
Insertion Sequence-Excision Enhancer Removes Transposable Elements from Bacterial Genomes and Induces Various Genomic Deletions
ARTICLE Received 18 Aug 2010 | Accepted 1 Dec 2010 | Published 11 Jan 2011 DOI: 10.1038/ncomms1152 Insertion sequence-excision enhancer removes transposable elements from bacterial genomes and induces various genomic deletions Masahiro Kusumoto1, Tadasuke Ooka2, Yoshiaki Nishiya3, Yoshitoshi Ogura2,4, Takashi Saito5, Yasuhiko Sekine5, Taketoshi Iwata1, Masato Akiba1 & Tetsuya Hayashi2,4 Insertion sequences (ISs) are the simplest transposable elements and are widely distributed in bacteria. It has long been thought that IS excision rarely occurs in bacterial cells because most bacteria exhibit no end-joining activity to regenerate donor DNA after IS excision. Recently, however, we found that excision of IS629, an IS3 family member, occurs frequently in Escherichia coli O157. In this paper, we describe a protein IS-excision enhancer (IEE) that promotes IS629 excision from the O157 genome in an IS transposase-dependent manner. Various types of genomic deletions are also generated on IEE-mediated IS excision, and IEE promotes the excision of other IS3 family members and ISs from several other IS families. These data and the phylogeny of IEE homologues found in a broad range of bacteria suggest that IEE proteins have coevolved with IS elements and have pivotal roles in bacterial genome evolution by inducing IS removal and genomic deletion. 1 Safety Research Team, National Institute of Animal Health, 3-1-5 Kannondai, Tsukuba, Ibaraki 305-0856, Japan. 2 Division of Microbiology, Department of Infectious Diseases, Faculty of Medicine, University of Miyazaki, Miyazaki 889-1692, Japan. 3 Tsuruga Institute of Biotechnology, Toyobo Co., Ltd., Fukui 914-0047, Japan. 4 Division of Bioenvironmental Science, Frontier Science Research Center, University of Miyazaki, Miyazaki 889-1692, Japan. -
The Role of Lipids in Legionella-Host Interaction
International Journal of Molecular Sciences Review The Role of Lipids in Legionella-Host Interaction Bozena Kowalczyk, Elzbieta Chmiel and Marta Palusinska-Szysz * Department of Genetics and Microbiology, Institute of Biological Sciences, Faculty of Biology and Biotechnology, Maria Curie-Sklodowska University, Akademicka St. 19, 20-033 Lublin, Poland; [email protected] (B.K.); [email protected] (E.C.) * Correspondence: [email protected] Abstract: Legionella are Gram-stain-negative rods associated with water environments: either nat- ural or man-made systems. The inhalation of aerosols containing Legionella bacteria leads to the development of a severe pneumonia termed Legionnaires’ disease. To establish an infection, these bacteria adapt to growth in the hostile environment of the host through the unusual structures of macromolecules that build the cell surface. The outer membrane of the cell envelope is a lipid bilayer with an asymmetric composition mostly of phospholipids in the inner leaflet and lipopolysaccha- rides (LPS) in the outer leaflet. The major membrane-forming phospholipid of Legionella spp. is phosphatidylcholine (PC)—a typical eukaryotic glycerophospholipid. PC synthesis in Legionella cells occurs via two independent pathways: the N-methylation (Pmt) pathway and the Pcs pathway. The utilisation of exogenous choline by Legionella spp. leads to changes in the composition of lipids and proteins, which influences the physicochemical properties of the cell surface. This phenotypic plastic- ity of the Legionella cell envelope determines the mode of interaction with the macrophages, which results in a decrease in the production of proinflammatory cytokines and modulates the interaction with antimicrobial peptides and proteins. The surface-exposed O-chain of Legionella pneumophila sg1 LPS consisting of a homopolymer of 5-acetamidino-7-acetamido-8-O-acetyl-3,5,7,9-tetradeoxy-L- glycero-D-galacto-non-2-ulosonic acid is probably the first component in contact with the host cell that anchors the bacteria in the host membrane. -
Dioxygenases in Burkholderia Ambifaria and Yersinia Pestis That Hydroxylate the Outer Kdo Unit of Lipopolysaccharide
Dioxygenases in Burkholderia ambifaria and Yersinia pestis that hydroxylate the outer Kdo unit of lipopolysaccharide Hak Suk Chung and Christian R. H. Raetz1 Department of Biochemistry, Duke University Medical Center, P. O. Box 3711, Durham, NC 27710 Contributed by Christian R. H. Raetz, November 12, 2010 (sent for review September 1, 2010) Several Gram-negative pathogens, including Yersinia pestis, Bur- report the identification of a unique Kdo hydroxylase, designated kholderia cepacia, and Acinetobacter haemolyticus, synthesize an KdoO (Fig. 1A), that is present in Burkholderia ambifaria (Fig. 1B) isosteric analog of 3-deoxy-D-manno-oct-2-ulosonic acid (Kdo), and Yersinia pestis. BaKdoO and YpKdoO display 52% sequence known as D-glycero-D-talo-oct-2-ulosonic acid (Ko), in which the identity and 64% sequence similarity to each other (Fig. 1C). axial hydrogen atom at the Kdo 3-position is replaced with OH. Both enzymes hydroxylate the 3-position of the outer Kdo residue 2þ Here we report a unique Kdo 3-hydroxylase (KdoO) from Burkhol- of Kdo2-lipid A in a Fe /α-ketoglutarate/O2-dependent manner deria ambifaria and Yersinia pestis, encoded by the bamb_0774 (Fig. 1A). Although the biological function of Ko is not known, (BakdoO) and the y1812 (YpkdoO) genes, respectively. When Ko-Kdo-lipid A is less susceptible to mild acid hydrolysis than is expressed in heptosyl transferase-deficient Escherichia coli, these Kdo2-lipid A of Escherichia coli. Our discovery of a structural genes result in conversion of the outer Kdo unit of Kdo2-lipid A gene encoding an enzyme that generates Ko will enable genetic to Ko in an O2-dependent manner. -
Soil-Related Bacterial and Fungal Infections
J Am Board Fam Med: first published as 10.3122/jabfm.2012.05.110226 on 5 September 2012. Downloaded from CLINICAL REVIEW Soil-Related Bacterial and Fungal Infections Dennis J. Baumgardner, MD A variety of classic and emerging soil-related bacterial and fungal pathogens cause serious human dis- ease that frequently presents in primary care settings. Typically, the growth of these microorganisms is favored by particular soil characteristics and may involve complex life cycles including amoebae or ani- mal hosts. Specific evolved virulence factors or the ability to grow in diverse, sometimes harsh, mi- croenvironments may promote pathogenesis. Infection may occur by direct inoculation or ingestion, ingestion of contaminated food, or inhalation. This narrative review describes the usual presentations and environmental sources of soil-related infections. In addition to tetanus, anthrax, and botulism, soil bacteria may cause gastrointestinal, wound, skin, and respiratory tract diseases. The systemic fungi are largely acquired via inhalation from contaminated soil and near-soil environments. These fungal infec- tions are particularly life-threatening in those with compromised immune systems. Questions regarding soil exposure should be included in the history of any patient with syndromes consistent with tetanus, botulism or anthrax, traumatic wounds, recalcitrant skin lesions, gastroenteritis, and nonresponsive, overwhelming, or chronic pneumonia. (J Am Board Fam Med 2012;25:734–744.) Keywords: Bacterial Infections, Fungus Diseases, Intestinal Diseases, Mycoses, Respiratory Tract Diseases, Soil Microbiology copyright. Significant attention is given to food- and water- disease presentations such that these entities will be related infections. Questions regarding such expo- considered promptly during relevant patient eval- sures are routinely included in patient histories uations. -
Final Contaminant Candidate List 3 Microbes: Screening to PCCL
Final Contaminant Candidate List 3 Microbes: Screening to the PCCL Office of Water (4607M) EPA 815-R-09-0005 August 2009 www.epa.gov/safewater EPA-OGWDW Final CCL 3 Microbes: EPA 815-R-09-0005 Screening to the PCCL August 2009 Contents Abbreviations and Acronyms ......................................................................................................... 2 1.0 Background and Scope ....................................................................................................... 3 2.0 Recommendations for Screening a Universe of Drinking Water Contaminants to Produce a PCCL.............................................................................................................................. 3 3.0 Definition of Screening Criteria and Rationale for Their Application............................... 5 3.1 Application of Screening Criteria to the Microbial CCL Universe ..........................................8 4.0 Additional Screening Criteria Considered.......................................................................... 9 4.1 Organism Covered by Existing Regulations.............................................................................9 4.1.1 Organisms Covered by Fecal Indicator Monitoring ..............................................................................9 4.1.2 Organisms Covered by Treatment Technique .....................................................................................10 5.0 Data Sources Used for Screening the Microbial CCL 3 Universe ................................... 11 6.0 -
Regulatory Circuits Involved in Legionella Pneumophila Virulence : the Role of Hfq and the Cis-Encoded Srna Anti-Hfq Giulia Oliva
Regulatory circuits involved in Legionella pneumophila virulence : the role of Hfq and the cis-encoded sRNA Anti-hfq Giulia Oliva To cite this version: Giulia Oliva. Regulatory circuits involved in Legionella pneumophila virulence : the role of Hfq and the cis-encoded sRNA Anti-hfq. Bacteriology. Université Pierre et Marie Curie - Paris VI, 2016. English. NNT : 2016PA066562. tel-01544868 HAL Id: tel-01544868 https://tel.archives-ouvertes.fr/tel-01544868 Submitted on 22 Jun 2017 HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non, lished or not. The documents may come from émanant des établissements d’enseignement et de teaching and research institutions in France or recherche français ou étrangers, des laboratoires abroad, or from public or private research centers. publics ou privés. ! Université Pierre et Marie Curie Ecole doctorale Complexité du Vivant, ED515 Spécialité Microbiologie Présentée par Giulia Oliva Pour obtenir le grade de DOCTEUR DE L’UNIVERSITE PIERRE ET MARIE CURIE Sujet de la thèse : Réseaux de régulation impliqués dans la virulence de Legionella pneumophila: le rôle de Hfq et du petit ARN non–codant Anti-hfq! Présentée et soutenue publiquement le 14 Décembre 2016 Devant un jury composé de : M. Guennadi Sezonov Professeur, Université Paris VI Président Mme. Pascale Romby Directrice de Recherche, Université de Strasbourg Rapporteur M. Iñigo Lasa Professeur, Université de Pamplona Rapporteur Mme. Hayley Newton Chef de Laboratoire, Université de Melbourne Examinateur M. -
Ten New Species of Legionella DON J
INTERNATIONAL JOURNALOF SYSTEMATIC BACTERIOLOGY, Jan. 1985, p. 50-59 Vol. 35, No. 1 0020-7713/85/010050-10$02.00/0 Ten New Species of Legionella DON J. BRENNER,'" ARNOLD G. STEIGERWALT,l GEORGE W. GORMAN,' HAZEL W. WILKINSON,' WILLIAM F. BIBB,l MEREDETH HACKEL,2 RICHARD L. TYNDALL,3 JOYCE CAMPBELL,4 JAMES C. FEELEY,' W. LANIER THACKER,' PETER SKALIY,l WILLIAM T. MARTIN,' BONNIE J. BRAKE,' BARRY S. FIELDS,' HAROLD V. McEACHERN,~AND LINDA K. CORCORAN' Division of Bacterial Diseases, Center for Infectious Diseases, Centers for Disease Control, Atlanta, Georgia 30333'; Pathology Department, University Hospital, University of Michigan, Ann Arbor, Michigan 481 092; Environmental Sciences Division, Department of Zoology, University of Tennessee, Knoxville, Tennessee 379163; and Ofice of Public Health Laboratories and Epidemiology, Department of Social and Health Services, Seattle, Washington 981 044 Ten new Legionella species were characterized on the basis of biochemical reactions, antigens, cellular fatty acids, isoprenoid quinones, and deoxyribonucleic acid relatedness. Nine of the new species were isolated from the environment, and one, Legionella hackeliae, was isolated from a bronchial biopsy specimen obtained from a patient with pneumonia. The species all exhibited the following biochemical reactions typical of the legionellae: growth on buffered cysteine-yeast extract agar, but not on blood agar; growth requirement for cysteine; gram negative; nitrate negative; urease negative; nonfermentative; catalase positive; production of a brown pigment on tyrosine-containing yeast extract agar; liquefaction of gelatin; and motility. Legionella s4iritensis was weakly positive for hydrolysis of hippurate; the other species were hippurate negative. Legionella cherrii, Legionella steigerwaltii, and Legionella parisiensis exhibited bluish white autofluorescence. -
Pyrosequencing Demonstrated Complex Microbial Communities in a Membrane
M&E Papers in Press. Published online on March 18, 2011 doi:10.1264/jsme2.ME10205 1 2 3 Revised ME10205 4 5 6 Pyrosequencing Demonstrated Complex Microbial Communities in a Membrane 7 Filtration System for a Drinking Water Treatment Plant 8 1 1 1 1 9 SOONDONG KWON , EUNJEONG MOON , TAEK-SEUNG KIM , SEUNGKWAN HONG , and HEE- 1* 10 DEUNG PARK 11 12 1School of Civil, Environmental and Architectural Engineering,Proofs Korea University, Anam- 13 Dong, Seongbuk-Gu, Seoul 136-713, South Korea 14 15 (Received December 1, 2010 - Accepted ViewFebruary 17, 2011) 16 17 * Corresponding author. 18 E-mail: [email protected];Advance Tel: +82-2-3290-4861; Fax: +82-2-928-7656. 19 20 Running headline: Microbial Communities in a Filtration System 1 Copyright 2011 by the Japanese Society of Microbial Ecology / the Japanese Society of Soil Microbiology 1 Abstract 2 Microbial community composition in a pilot-scale microfiltration plant for drinking water 3 treatment was investigated using high-throughput pyrosequencing technology. Sequences of 4 16S rRNA gene fragments were recovered from raw water, membrane tank particulate matter, 5 and membrane biofilm, and used for taxonomic assignments, estimations of diversity, and the 6 identification of potential pathogens. Greater bacterial diversity was observed in each sample 7 (1,133 – 1,731 operational taxonomic units) than studies using conventional methods, 8 primarily due to the large number (8,164 – 22,275) of sequences available for analysis and 9 the identification of rare species. Betaproteobacteria predominated in the raw water (61.1%), 10 while Alphaproteobacteria were predominant in the membrane tank particulate matter 11 (42.4%) and membrane biofilm (32.8%).