Enterobacter Cloacae Transcriptional Activator (Rama) Gene
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Pneumonia Types
Pneumonia Jodi Grandominico , MD Assistant Professor of Clinical Medicine Department of Internal Medicine Division of General Medicine and Geriatrics The Ohio State University Wexner Medical Center Pneumonia types • CAP- limited or no contact with health care institutions or settings • HAP: hospital-acquired pneumonia – occurs 48 hours or more after admission • VAP: ventilator-associated pneumonia – develops more than 48 to 72 hours after endotracheal intubation • HCAP: healthcare-associated pneumonia – occurs in non-hospitalized patient with extensive healthcare contact 2005 IDSA/ATS HAP, VAP and HCAP Guidelines Am J Respir Crit Care Med 2005; 171:388–416 1 Objectives-CAP • Epidemiology • Review cases: ‒ Diagnostic techniques ‒ Risk stratification for site of care decisions ‒ Use of biomarkers ‒ Type and length of treatment • Prevention Pneumonia Sarah Tapyrik, MD Assistant Professor – Clinical Division of Pulmonary, Allergy, Critical Care and Sleep Medicine The Ohio State University Wexner Medical Center 2 Epidemiology American lung association epidemiology and statistics unit research and health education division. November 2015 3 Who is at Risk? • Children <5 yo • Immunosuppressed: • Adults >65 yo ‒ HIV • Comorbid conditions: ‒ Cancer ‒ CKD ‒ Splenectomy ‒ CHF • Cigarette Smokers ‒ DM • Alcoholics ‒ Chronic Liver Disease ‒ COPD Clinical Presentation • Fever • Elderly and • Chills Immunocompromised • Cough w/ purulent ‒ Confusion sputum ‒ Lethargy • Dyspnea ‒ Poor PO intake • Pleuritic pain ‒ Falls • Night sweats ‒ Decompensation of -
Carbapenem-Resistant Enterobacteriaceae (CRE)
Carbapenem-resistant Enterobacteriaceae (CRE) The Enterobacteriaceae include a large family of Gram-negative bacilli found in the human gastrointestinal tract. Commonly encountered species include Escherichia coli, Klebsiella spp. and Enterobacter spp. Carbapenem-resistant Enterobacteriaceae (CRE) are not susceptible to carbapenem antibiotics. They are broadly categorized based on the mechanism of their resistance as carbapenemase producers (CP-CRE) and non-carbapenemase producers. Carbapenems are broad-spectrum antibiotics typically used to treat severe health care-associated infections (HAIs) caused by highly drug-resistant bacteria. Currently available carbapenems include imipenem, meropenem, ertapenem and doripenem. Although related to the ß-lactam antibiotics, carbapenems retain antibacterial activity in the presence of most ß-lactamases, including extended-spectrum ß-lactamases (ESBLs) and extended-spectrum cephalosporinases (e.g., AmpC-type ß-lactamases). Loss of susceptibility to carbapenems is a serious problem because few safe treatment alternatives remain against such resistant bacteria. Infections caused by CRE occur most commonly among people with chronic medical conditions through use of invasive medical devices such as central venous and urinary catheters, frequent or prolonged stays in health care settings or extended courses of antibiotics. CP-CRE are most concerning and have spread rapidly across the nation and around the globe, perhaps because carbapenemases can be encoded on plasmids that are easily transferred within and among bacterial species. In December 2011, CRE bacterial isolates became reportable in Oregon. The CRE case definition has gone through major changes over the years, which is reflected in the big changes in case numbers from year to year. In 2013, the definition was non-susceptible (intermediate or resistant) to all carbapenems tested and resistant to any third generation cephalosporins tested. -
Infrastructure for a Phage Reference Database: Identification of Large-Scale Biases in The
bioRxiv preprint doi: https://doi.org/10.1101/2021.05.01.442102; this version posted May 1, 2021. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-NC 4.0 International license. 1 INfrastructure for a PHAge REference Database: Identification of large-scale biases in the 2 current collection of phage genomes 3 4 Ryan Cook1, Nathan Brown2, Tamsin Redgwell3, Branko Rihtman4, Megan Barnes2, Martha 5 Clokie2, Dov J. Stekel5, Jon Hobman5, Michael A. Jones1, Andrew Millard2* 6 7 1 School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington 8 Campus, College Road, Loughborough, Leicestershire, LE12 5RD, UK 9 2 Dept Genetics and Genome Biology, University of Leicester, University Road, Leicester, 10 Leicestershire, LE1 7RH, UK 11 3 COPSAC, Copenhagen Prospective Studies on Asthma in Childhood, Herlev and Gentofte 12 Hospital, University of Copenhagen, Copenhagen, Denmark 13 4 University of Warwick, School of Life Sciences, Coventry, UK 14 5 School of Biosciences, University of Nottingham, Sutton Bonington Campus, College Road, 15 Loughborough, Leicestershire, LE12 5RD, 16 17 Corresponding author: [email protected] bioRxiv preprint doi: https://doi.org/10.1101/2021.05.01.442102; this version posted May 1, 2021. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-NC 4.0 International license. -
Acinetobacter Baumannii Resistance: a Real Challenge for Clinicians
antibiotics Review Acinetobacter baumannii Resistance: A Real Challenge for Clinicians Rosalino Vázquez-López 1,* , Sandra Georgina Solano-Gálvez 2, Juan José Juárez Vignon-Whaley 1 , Jorge Andrés Abello Vaamonde 1 , Luis Andrés Padró Alonzo 1, Andrés Rivera Reséndiz 1, Mauricio Muleiro Álvarez 1, Eunice Nabil Vega López 3, Giorgio Franyuti-Kelly 3 , Diego Abelardo Álvarez-Hernández 1 , Valentina Moncaleano Guzmán 1, Jorge Ernesto Juárez Bañuelos 1, José Marcos Felix 4, Juan Antonio González Barrios 5 and Tomás Barrientos Fortes 6 1 Departamento de Microbiología del Centro de Investigación en Ciencias de la Salud (CICSA), FCS, Universidad Anáhuac México Norte, Huixquilucan 52786, Mexico; [email protected] (J.J.J.V.-W.); [email protected] (J.A.A.V.); [email protected] (L.A.P.A.); [email protected] (A.R.R.); [email protected] (M.M.Á.); [email protected] (D.A.Á.-H.); [email protected] (V.M.G.); [email protected] (J.E.J.B.) 2 Departamento de Microbiología y Parasitología, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de Mexico 04510, Mexico; [email protected] 3 Medical IMPACT, Infectious Diseases Department, Mexico City 53900, Mexico; [email protected] (E.N.V.L.); [email protected] (G.F.-K.) 4 Coordinación Ciclos Clínicos Medicina, FCS, Universidad Anáhuac México Norte, Huixquilucan 52786, Mexico; [email protected] 5 Laboratorio de Medicina Genómica, Hospital Regional “1º de Octubre”, ISSSTE, Av. Instituto Politécnico Nacional 1669, Lindavista, Gustavo A. Madero, Ciudad de Mexico 07300, Mexico; [email protected] 6 Dirección Sistema Universitario de Salud de la Universidad Anáhuac México (SUSA), Huixquilucan 52786, Mexico; [email protected] * Correspondence: [email protected] or [email protected]; Tel.: +52-56-270210 (ext. -
RAPID IDENTIFICATION of ENTEROBACTER SPP. ISLATED from HOSPITALS in BASRAH PROVINCE by AUTOMATED SYSTEM (VITEK®2 COMPACT) Prof.Yahya A
International Journal of Micro Biology, Genetics and Monocular Biology Research Vol.2, No.2, pp.9-20, June 2016 ___Published by European Centre for Research Training and Development UK (www.eajournals.org) RAPID IDENTIFICATION OF ENTEROBACTER SPP. ISLATED FROM HOSPITALS IN BASRAH PROVINCE BY AUTOMATED SYSTEM (VITEK®2 COMPACT) Prof.Yahya A. Abbas1 and Ghosoon Fadhel Radhi2 1Nassiriya Tech.Institute.Southern Tech.University 2Department of Biology, College of Science,University of Basrah,Iraq. ABSTRACT: Atotal of 676 samples were taken from various hospitals in Basrah province. These included clinical specimens(urine , blood , stool ,nasal swabs, throat swabs,ear swabs),Environmental swabs(beds,tables,ground)and milk powder of children.All isolates were subjected to the cultural,microscopical,biochemical examination and vitek2 compact used for identification of bacteria.Atotal of 153 bacterial isolates were diagnosed as Enterobacter(67 isolates E.aerogenes,65 isolates E.cloacae complex,11 isolates E.cloacae subsp cloacae ,4 isolates E.cloacae subsp dissolvens,4 isolates E.sakazakii,1 isolate E.hormaechei and 1 isolate E.asburiae) . KEYWORDS: Enterobacter, Vitek®2 Compact, Basrah Province INTRODUCTION Enterobacter belongs to domain bacteria, phylum proteobacteria, class gamma-prteobacteria, order enterobacteriales family enterobacteriaceae (Brenner etal., 2004). Enterobacter was first described by Hormaeche and Edwards(1960). Enterobacter are rod-shaped cells,motile by peritrichous flagella,some of which are encapsulated.All Enterobacter -
Carbapenem-Resistant Enterobcteriace Report
Laboratory-based surveillance for Carbapenem-resistant Enterobacterales (CRE) Center for Public Health Practice Oregon Public Health Division Published: August 2021 Figure1: CRE reported by Oregon laboratories, by year, 2010 – June 2021 180 160 140 120 100 80 60 40 20 0 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Year 1 About carbapenem-resistant Enterobacterales (CRE): For more information about CRE The carbapenems are broad-spectrum antibiotics frequently used to surveillance in Oregon including treat severe infections caused by Gram-negative bacteria. the specifics of our definition, see Carbapenem resistance in the Enterobacterales order emerged as a http://public.health.oregon.gov/Di public health concern over the past decade, as few treatment options seasesConditions/DiseasesAZ/P remain for some severely ill patients. ages/disease.aspx?did=108 CRE Resistance. Carbapenem resistance emerges through various mechanisms, including impaired membrane permeability and the production of carbapenemases (enzymes that break down the carbapenems). Carbapenemase-producing CRE (CP-CRE) are associated with rapid spread and require the most aggressive infection control response; however, all CRE call for certain infection control measures, including contact precautions, and should be considered a public health and infection prevention priority. CRE Infection. CRE can cause pneumonia, bloodstream infections, surgical site infections, urinary tract infections, and other conditions, frequently affecting hospitalized patients and persons with compromised immune systems. Infections with CRE often require the use of very expensive antibiotics that may have toxic side effects. While CP-CRE have spread rapidly throughout the United States, they are still not endemic in Oregon. We hope we can delay or prevent their spread through surveillance and infection control. -
Use of the Diagnostic Bacteriology Laboratory: a Practical Review for the Clinician
148 Postgrad Med J 2001;77:148–156 REVIEWS Postgrad Med J: first published as 10.1136/pmj.77.905.148 on 1 March 2001. Downloaded from Use of the diagnostic bacteriology laboratory: a practical review for the clinician W J Steinbach, A K Shetty Lucile Salter Packard Children’s Hospital at EVective utilisation and understanding of the Stanford, Stanford Box 1: Gram stain technique University School of clinical bacteriology laboratory can greatly aid Medicine, 725 Welch in the diagnosis of infectious diseases. Al- (1) Air dry specimen and fix with Road, Palo Alto, though described more than a century ago, the methanol or heat. California, USA 94304, Gram stain remains the most frequently used (2) Add crystal violet stain. USA rapid diagnostic test, and in conjunction with W J Steinbach various biochemical tests is the cornerstone of (3) Rinse with water to wash unbound A K Shetty the clinical laboratory. First described by Dan- dye, add mordant (for example, iodine: 12 potassium iodide). Correspondence to: ish pathologist Christian Gram in 1884 and Dr Steinbach later slightly modified, the Gram stain easily (4) After waiting 30–60 seconds, rinse with [email protected] divides bacteria into two groups, Gram positive water. Submitted 27 March 2000 and Gram negative, on the basis of their cell (5) Add decolorising solvent (ethanol or Accepted 5 June 2000 wall and cell membrane permeability to acetone) to remove unbound dye. Growth on artificial medium Obligate intracellular (6) Counterstain with safranin. Chlamydia Legionella Gram positive bacteria stain blue Coxiella Ehrlichia Rickettsia (retained crystal violet). -
Berita Biologi
BERITA BIOLOGI Vol. 18 No. 3 Desember 2019 Terakreditasi Berdasarkan Keputusan Direktur Jendral Penguatan Riset dan Pengembangan, Kemenristekdikti RI No. 21/E/KPT/2018 Tim Redaksi (Editorial Team) Andria Agusta (Pemimpin Redaksi, Editor in Chief) (Kimia Bahan Alam, Pusat Penelitian Biologi - LIPI) Kusumadewi Sri Yulita (Redaksi Pelaksana, Managing Editor) (Sistematika Molekuler Tumbuhan, Pusat Penelitian Biologi - LIPI) Gono Semiadi (Mammalogi, Pusat Penelitian Biologi - LIPI) Atit Kanti (Mikrobiologi, Pusat Penelitian Biologi - LIPI) Siti Sundari (Ekologi Lingkungan, Pusat Penelitian Biologi - LIPI) Arif Nurkanto (Mikrobiologi, Pusat Penelitian Biologi - LIPI) Kartika Dewi (Taksonomi Nematoda, Pusat Penelitian Biologi - LIPI) Dwi Setyo Rini (Biologi Molekuler Tumbuhan, Pusat Penelitian Biologi - LIPI) Desain dan Layout (Design and Layout) Liana Astuti Kesekretariatan (Secretary) Nira Ariasari, Budiarjo Alamat (Address) Pusat Penelitian Biologi-LIPI Kompleks Cibinong Science Center (CSC-LIPI) Jalan Raya Jakarta-Bogor KM 46, Cibinong 16911, Bogor-Indonesia Telepon (021) 8765066 - 8765067 Faksimili (021) 8765059 Email: [email protected] [email protected] [email protected] Keterangan foto cover depan: Jenis anggrek epifit di kaki gunung Liangpran. (Notes of cover picture): (The epiphytic orchids in the foothill of Mount Liangpran) sesuai dengan halaman 312 (as in page 312). P-ISSN 0126-1754 E-ISSN 2337-8751 Terakreditasi Peringkat 2 21/E/KPT/2018 Volume 18 Nomor 3, Desember 2019 Jurnal Ilmu-ilmu Hayati Pusat Penelitian Biologi - LIPI Ucapan terima kasih kepada Mitra Bebestari nomor ini 18(3) – Desember 2019 Prof. Dr. Mulyadi (Taksonomi Copepoda, Pusat Penelitian Biologi-LIPI) Prof. Dr. Tukirin Partomihardjo (Ekologi Hutan dan Biogeografi Pulau, Ketua Forum Pohon Langka Indonesia) Prof. Dr. Ir. Sulistiono, M.Sc. -
Infectious Organisms of Ophthalmic Importance
INFECTIOUS ORGANISMS OF OPHTHALMIC IMPORTANCE Diane VH Hendrix, DVM, DACVO University of Tennessee, College of Veterinary Medicine, Knoxville, TN 37996 OCULAR BACTERIOLOGY Bacteria are prokaryotic organisms consisting of a cell membrane, cytoplasm, RNA, DNA, often a cell wall, and sometimes specialized surface structures such as capsules or pili. Bacteria lack a nuclear membrane and mitotic apparatus. The DNA of most bacteria is organized into a single circular chromosome. Additionally, the bacterial cytoplasm may contain smaller molecules of DNA– plasmids –that carry information for drug resistance or code for toxins that can affect host cellular functions. Some physical characteristics of bacteria are variable. Mycoplasma lack a rigid cell wall, and some agents such as Borrelia and Leptospira have flexible, thin walls. Pili are short, hair-like extensions at the cell membrane of some bacteria that mediate adhesion to specific surfaces. While fimbriae or pili aid in initial colonization of the host, they may also increase susceptibility of bacteria to phagocytosis. Bacteria reproduce by asexual binary fission. The bacterial growth cycle in a rate-limiting, closed environment or culture typically consists of four phases: lag phase, logarithmic growth phase, stationary growth phase, and decline phase. Iron is essential; its availability affects bacterial growth and can influence the nature of a bacterial infection. The fact that the eye is iron-deficient may aid in its resistance to bacteria. Bacteria that are considered to be nonpathogenic or weakly pathogenic can cause infection in compromised hosts or present as co-infections. Some examples of opportunistic bacteria include Staphylococcus epidermidis, Bacillus spp., Corynebacterium spp., Escherichia coli, Klebsiella spp., Enterobacter spp., Serratia spp., and Pseudomonas spp. -
Microbiologically Contaminated and Over-Preserved Cosmetic Products According Rapex 2008–2014
cosmetics Article Microbiologically Contaminated and Over-Preserved Cosmetic Products According Rapex 2008–2014 Edlira Neza * and Marisanna Centini Department of Biotechnologies, Chemistry and Pharmacy, University of Siena, Via Aldo Moro 2, Siena 53100, Italy; [email protected] * Correspondence: [email protected]; Tel.: +355-685-038-408 Academic Editors: Lidia Sautebin and Immacolata Caputo Received: 25 December 2015; Accepted: 25 January 2016; Published: 30 January 2016 Abstract: We investigated the Rapid Alert System (RAPEX) database from January 2008 until week 26 of 2014 to give information to consumers about microbiologically contaminated cosmetics and over-preserved cosmetic products. Chemical risk was the leading cause of the recalls (87.47%). Sixty-two cosmetic products (11.76%) were recalled because they were contaminated with pathogenic or potentially pathogenic microorganisms. Pseudomonas aeruginosa was the most frequently found microorganism. Other microorganisms found were: Mesophilic aerobic microorganisms, Staphylococcus aureus, Candida albicans, Enterococcus spp., Enterobacter cloacae, Enterococcus faecium, Enterobacter gergoviae, Rhizobium radiobacter, Burkholderia cepacia, Serratia marcescens, Achromabacter xylosoxidans, Klebsiella oxytoca, Bacillus firmus, Pantoea agglomerans, Pseudomonas putida, Klebsiella pneumoniae and Citrobacter freundii. Nine cosmetic products were recalled because they contained methylisothiazolinone (0.025%–0.36%), benzalkonium chloride (1%), triclosan (0.4%) in concentrations higher than the limits allowed by European Regulation 1223/2009. Fifteen products were recalled for the presence of methyldibromo glutaronitrile, a preservative banned for use in cosmetics. Thirty-two hair treatment products were recalled because they contained high concentrations of formaldehyde (0.3%–25%). Keywords: microbiologically contaminated; over-preserved cosmetics; formaldehyde; RAPEX 1. Introduction The European Commission (EC) has an early warning system for safety management called the Rapid Alert System (RAPEX). -
A Dynamically Assembled Cell Wall Synthesis Machinery Buffers Cell Growth
A dynamically assembled cell wall synthesis machinery buffers cell growth Timothy K. Leea, Carolina Tropinia,b, Jen Hsina, Samantha M. Desmaraisa, Tristan S. Ursella, Enhao Gonga, Zemer Gitaic, Russell D. Mondsa,1,2, and Kerwyn Casey Huanga,b,d,1 aDepartment of Bioengineering and bBiophysics Program, Stanford University, Stanford, CA 94305; cDepartment of Molecular Biology, Princeton University, Princeton, NJ 08544; and dDepartment of Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA 94305 Edited by Carol A. Gross, University of California, San Francisco, CA, and approved January 15, 2014 (received for review July 30, 2013) Assembly of protein complexes is a key mechanism for achieving support for the hypothesis that coordination between MreB and spatial and temporal coordination in processes involving many the wall synthesis machinery is achieved through colocalization enzymes. Growth of rod-shaped bacteria is a well-studied example into large, moving, multienzyme complexes (4, 5). However, bio- requiring such coordination; expansion of the cell wall is thought chemical isolation of such a complex has remained elusive (6), to involve coordination of the activity of synthetic enzymes raising the possibility that this picture is incomplete, particularly with the cytoskeleton via a stable complex. Here, we use single- in E. coli, in which dynamic imaging of the PBPs has not yet molecule tracking to demonstrate that the bacterial actin homolog been achieved. MreB and the essential cell wall enzyme PBP2 move on timescales PBP2 is thought to be the major enzyme responsible for co- orders of magnitude apart, with drastically different characteristic valently cross-linking new glycan strands into the cell wall during motions. -
Carbapenem-Resistant Enterobacteriaceae a Microbiological Overview of (CRE) Carbapenem-Resistant Enterobacteriaceae
PREVENTION IN ACTION MY bugaboo Carbapenem-resistant Enterobacteriaceae A microbiological overview of (CRE) carbapenem-resistant Enterobacteriaceae. by Irena KennelEy, PhD, aPRN-BC, CIC This agar culture plate grew colonies of Enterobacter cloacae that were both characteristically rough and smooth in appearance. PHOTO COURTESY of CDC. GREETINGS, FELLOW INFECTION PREVENTIONISTS! THE SCIENCE OF infectious diseases involves hundreds of bac- (the “bug parade”). Too much information makes it difficult to teria, viruses, fungi, and protozoa. The amount of information tease out what is important and directly applicable to practice. available about microbial organisms poses a special problem This quarter’s My Bugaboo column will feature details on the CRE to infection preventionists. Obviously, the impact of microbial family of bacteria. The intention is to convey succinct information disease cannot be overstated. Traditionally the teaching of to busy infection preventionists for common etiologic agents of microbiology has been based mostly on memorization of facts healthcare-associated infections. 30 | SUMMER 2013 | Prevention MULTIDRUG-resistant GRAM-NEGative ROD ALert: After initial outbreaks in the northeastern U.S., CRE bacteria have THE CDC SAYS WE MUST ACT NOW! emerged in multiple species of Gram-negative rods worldwide. They Carbapenem-resistant Enterobacteriaceae (CRE) infections come have created significant clinical challenges for clinicians because they from bacteria normally found in a healthy person’s digestive tract. are not consistently identified by routine screening methods and are CRE bacteria have been associated with the use of medical devices highly drug-resistant, resulting in delays in effective treatment and a such as: intravenous catheters, ventilators, urinary catheters, and high rate of clinical failures.