Acinetobacter Baumannii and Pseudomonas Aeruginosa
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Identification of Glucose Non-Fermenting Gram Negative Rods
UK Standards for Microbiology Investigations Identification of Glucose Non-Fermenting Gram Negative Rods REVIEW UNDER Issued by the Standards Unit, Microbiology Services, PHE Bacteriology – Identification | ID 17 | Issue no: 2.2 | Issue date: 11.03.14 | Page: 1 of 24 © Crown copyright 2014 Identification of Glucose Non-Fermenting Gram Negative Rods Acknowledgments UK Standards for Microbiology Investigations (SMIs) are developed under the auspices of Public Health England (PHE) working in partnership with the National Health Service (NHS), Public Health Wales and with the professional organisations whose logos are displayed below and listed on the website http://www.hpa.org.uk/SMI/Partnerships. SMIs are developed, reviewed and revised by various working groups which are overseen by a steering committee (see http://www.hpa.org.uk/SMI/WorkingGroups). The contributions of many individuals in clinical, specialist and reference laboratories who have provided information and comments during the development of this document are acknowledged. We are grateful to the Medical Editors for editing the medical content. For further information please contact us at: Standards Unit Microbiology Services Public Health England 61 Colindale Avenue London NW9 5EQ E-mail: [email protected] Website: http://www.hpa.org.uk/SMI UK Standards for Microbiology Investigations are produced in association with: REVIEW UNDER Bacteriology – Identification | ID 17 | Issue no: 2.2 | Issue date: 11.03.14 | Page: 2 of 24 UK Standards for Microbiology Investigations | Issued by the Standards Unit, Public Health England Identification of Glucose Non-Fermenting Gram Negative Rods Contents ACKNOWLEDGMENTS .......................................................................................................... 2 AMENDMENT TABLE ............................................................................................................. 4 UK STANDARDS FOR MICROBIOLOGY INVESTIGATIONS: SCOPE AND PURPOSE ...... -
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. -
Antibiotic Resistant Organisms Prevention and Control Guidelines for Healthcare Facilities
Antibiotic Resistant Organisms Prevention and Control Guidelines for Healthcare Facilities Reference Document for use by Health Care Organizations for Internal Policy/Protocol Development Revised from Provincial Infection Control Network Antibiotic Resistant Organisms Prevention and Control Guidelines 2008 Provincial Infection Control Network 2013 PICNet Antibiotic Resistant Organism (ARO) Guidelines Table of Contents Revisions Working Group ................................................................................................................... 3 Acronyms .......................................................................................................................................... 4 1 Introduction ................................................................................................................................ 5 2 Purpose ....................................................................................................................................... 5 3 Scope .......................................................................................................................................... 5 4 Literature Search Strategy ............................................................................................................ 6 5 Methods ...................................................................................................................................... 6 6 Background ................................................................................................................................ -
Detecting Carbapenem-Resistant Acinetobacter Baumannii (CRAB) Carriage: Which Body Site Should Be Cultured?
Infection Control & Hospital Epidemiology (2020), 41, 965–967 doi:10.1017/ice.2020.197 Concise Communication Detecting carbapenem-resistant Acinetobacter baumannii (CRAB) carriage: Which body site should be cultured? Amir Nutman MD, MPH1,2 , Elizabeth Temkin DrPH1, Jonathan Lellouche PhD1, Debby Ben David MD1,2, David Schwartz PhD1 and Yehuda Carmeli MD, MPH1,2 1National Institute for Antibiotic Resistance and Infection Control, Ministry of Health, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel and 2Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel Abstract We compared the yield of culturing various body sites to detect carriage of carbapenem-resistant Acinetobacter baumannii (CRAB). Culturing the skin using a premoistened sponge, with overnight enrichment and plating on CHROMagar MDR Acinetobacter, had the highest yield: 92%. Skin is satisfactory as a single site for active surveillance of CRAB. (Received 8 January 2020; accepted 28 April 2020; electronically published 19 June 2020) Acinetobacter baumannii is a multidrug-resistant pathogen caus- The primary outcome was screening yield for each body site ing severe infections in hospitals and long-term care facilities. sampled. Because there is no gold standard for CRAB screening, Detecting carriers is a mainstay of controlling nosocomial spread a patient was defined as a CRAB carrier if a culture from any of of resistant organisms. Screening for carbapenem-resistant the sites sampled was positive. Acinetobacter baumannii (CRAB) has been recommended to control outbreaks, but no specific recommendations have been Specimen collection methods made regarding which body sites to culture.1 In 2007, we studied the yield of culturing the nose, throat, axilla, groin, rectum, open Buccal mucosa and rectal specimens were collected using swabs wounds, and tracheal aspirates, and no site or combination of (Amies agar gel transport swab; Copan Italia S.P.A., Brescia, sites had high enough sensitivity to be recommended for CRAB Italy). -
Table S4. Phylogenetic Distribution of Bacterial and Archaea Genomes in Groups A, B, C, D, and X
Table S4. Phylogenetic distribution of bacterial and archaea genomes in groups A, B, C, D, and X. Group A a: Total number of genomes in the taxon b: Number of group A genomes in the taxon c: Percentage of group A genomes in the taxon a b c cellular organisms 5007 2974 59.4 |__ Bacteria 4769 2935 61.5 | |__ Proteobacteria 1854 1570 84.7 | | |__ Gammaproteobacteria 711 631 88.7 | | | |__ Enterobacterales 112 97 86.6 | | | | |__ Enterobacteriaceae 41 32 78.0 | | | | | |__ unclassified Enterobacteriaceae 13 7 53.8 | | | | |__ Erwiniaceae 30 28 93.3 | | | | | |__ Erwinia 10 10 100.0 | | | | | |__ Buchnera 8 8 100.0 | | | | | | |__ Buchnera aphidicola 8 8 100.0 | | | | | |__ Pantoea 8 8 100.0 | | | | |__ Yersiniaceae 14 14 100.0 | | | | | |__ Serratia 8 8 100.0 | | | | |__ Morganellaceae 13 10 76.9 | | | | |__ Pectobacteriaceae 8 8 100.0 | | | |__ Alteromonadales 94 94 100.0 | | | | |__ Alteromonadaceae 34 34 100.0 | | | | | |__ Marinobacter 12 12 100.0 | | | | |__ Shewanellaceae 17 17 100.0 | | | | | |__ Shewanella 17 17 100.0 | | | | |__ Pseudoalteromonadaceae 16 16 100.0 | | | | | |__ Pseudoalteromonas 15 15 100.0 | | | | |__ Idiomarinaceae 9 9 100.0 | | | | | |__ Idiomarina 9 9 100.0 | | | | |__ Colwelliaceae 6 6 100.0 | | | |__ Pseudomonadales 81 81 100.0 | | | | |__ Moraxellaceae 41 41 100.0 | | | | | |__ Acinetobacter 25 25 100.0 | | | | | |__ Psychrobacter 8 8 100.0 | | | | | |__ Moraxella 6 6 100.0 | | | | |__ Pseudomonadaceae 40 40 100.0 | | | | | |__ Pseudomonas 38 38 100.0 | | | |__ Oceanospirillales 73 72 98.6 | | | | |__ Oceanospirillaceae -
Characterization of Environmental and Cultivable Antibiotic- Resistant Microbial Communities Associated with Wastewater Treatment
antibiotics Article Characterization of Environmental and Cultivable Antibiotic- Resistant Microbial Communities Associated with Wastewater Treatment Alicia Sorgen 1, James Johnson 2, Kevin Lambirth 2, Sandra M. Clinton 3 , Molly Redmond 1 , Anthony Fodor 2 and Cynthia Gibas 2,* 1 Department of Biological Sciences, University of North Carolina at Charlotte, Charlotte, NC 28223, USA; [email protected] (A.S.); [email protected] (M.R.) 2 Department of Bioinformatics and Genomics, University of North Carolina at Charlotte, Charlotte, NC 28223, USA; [email protected] (J.J.); [email protected] (K.L.); [email protected] (A.F.) 3 Department of Geography & Earth Sciences, University of North Carolina at Charlotte, Charlotte, NC 28223, USA; [email protected] * Correspondence: [email protected]; Tel.: +1-704-687-8378 Abstract: Bacterial resistance to antibiotics is a growing global concern, threatening human and environmental health, particularly among urban populations. Wastewater treatment plants (WWTPs) are thought to be “hotspots” for antibiotic resistance dissemination. The conditions of WWTPs, in conjunction with the persistence of commonly used antibiotics, may favor the selection and transfer of resistance genes among bacterial populations. WWTPs provide an important ecological niche to examine the spread of antibiotic resistance. We used heterotrophic plate count methods to identify Citation: Sorgen, A.; Johnson, J.; phenotypically resistant cultivable portions of these bacterial communities and characterized the Lambirth, K.; Clinton, -
Carbapenem-Resistant Acinetobacter Threat Level Urgent
CARBAPENEM-RESISTANT ACINETOBACTER THREAT LEVEL URGENT 8,500 700 $281M Estimated cases Estimated Estimated attributable in hospitalized deaths in 2017 healthcare costs in 2017 patients in 2017 Acinetobacter bacteria can survive a long time on surfaces. Nearly all carbapenem-resistant Acinetobacter infections happen in patients who recently received care in a healthcare facility. WHAT YOU NEED TO KNOW CASES OVER TIME ■ Carbapenem-resistant Acinetobacter cause pneumonia Continued infection control and appropriate antibiotic use and wound, bloodstream, and urinary tract infections. are important to maintain decreases in carbapenem-resistant These infections tend to occur in patients in intensive Acinetobacter infections. care units. ■ Carbapenem-resistant Acinetobacter can carry mobile genetic elements that are easily shared between bacteria. Some can make a carbapenemase enzyme, which makes carbapenem antibiotics ineffective and rapidly spreads resistance that destroys these important drugs. ■ Some Acinetobacter are resistant to nearly all antibiotics and few new drugs are in development. CARBAPENEM-RESISTANT ACINETOBACTER A THREAT IN HEALTHCARE TREATMENT OVER TIME Acinetobacter is a challenging threat to hospitalized Treatment options for infections caused by carbapenem- patients because it frequently contaminates healthcare resistant Acinetobacter baumannii are extremely limited. facility surfaces and shared medical equipment. If not There are few new drugs in development. addressed through infection control measures, including rigorous -
Acinetobacter Baumannii Biofilm Formation
Structural basis for Acinetobacter baumannii biofilm formation Natalia Pakharukovaa, Minna Tuittilaa, Sari Paavilainena, Henri Malmia, Olena Parilovaa, Susann Tenebergb, Stefan D. Knightc, and Anton V. Zavialova,1 aDepartment of Chemistry, University of Turku, Joint Biotechnology Laboratory, Arcanum, 20500 Turku, Finland; bInstitute of Biomedicine, Department of Medical Biochemistry and Cell Biology, The Sahlgrenska Academy, University of Gothenburg, 40530 Göteborg, Sweden; and cDepartment of Cell and Molecular Biology, Biomedical Centre, Uppsala University, 75124 Uppsala, Sweden Edited by Scott J. Hultgren, Washington University School of Medicine, St. Louis, MO, and approved April 11, 2018 (received for review January 19, 2018) Acinetobacter baumannii—a leading cause of nosocomial infec- donor sequence, this subunit is predicted to contain an additional tions—has a remarkable capacity to persist in hospital environ- domain (7). This implies that CsuE is located at the pilus tip. Since ments and medical devices due to its ability to form biofilms. many two-domain tip subunits in classical systems have been Biofilm formation is mediated by Csu pili, assembled via the “ar- shown to act as host cell binding adhesins (TDAs) (13–16), CsuE chaic” chaperone–usher pathway. The X-ray structure of the CsuC- could also play a role in bacterial attachment to biotic and abiotic CsuE chaperone–adhesin preassembly complex reveals the basis substrates. However, adhesion properties of Csu subunits are not for bacterial attachment to abiotic surfaces. CsuE exposes three known, and the mechanism of archaic pili-mediated biofilm for- hydrophobic finger-like loops at the tip of the pilus. Decreasing mation remains enigmatic. Here, we report the crystal structure of the hydrophobicity of these abolishes bacterial attachment, sug- the CsuE subunit complexed with the CsuC chaperone. -
Section 4. Guidance Document on Horizontal Gene Transfer Between Bacteria
306 - PART 2. DOCUMENTS ON MICRO-ORGANISMS Section 4. Guidance document on horizontal gene transfer between bacteria 1. Introduction Horizontal gene transfer (HGT) 1 refers to the stable transfer of genetic material from one organism to another without reproduction. The significance of horizontal gene transfer was first recognised when evidence was found for ‘infectious heredity’ of multiple antibiotic resistance to pathogens (Watanabe, 1963). The assumed importance of HGT has changed several times (Doolittle et al., 2003) but there is general agreement now that HGT is a major, if not the dominant, force in bacterial evolution. Massive gene exchanges in completely sequenced genomes were discovered by deviant composition, anomalous phylogenetic distribution, great similarity of genes from distantly related species, and incongruent phylogenetic trees (Ochman et al., 2000; Koonin et al., 2001; Jain et al., 2002; Doolittle et al., 2003; Kurland et al., 2003; Philippe and Douady, 2003). There is also much evidence now for HGT by mobile genetic elements (MGEs) being an ongoing process that plays a primary role in the ecological adaptation of prokaryotes. Well documented is the example of the dissemination of antibiotic resistance genes by HGT that allowed bacterial populations to rapidly adapt to a strong selective pressure by agronomically and medically used antibiotics (Tschäpe, 1994; Witte, 1998; Mazel and Davies, 1999). MGEs shape bacterial genomes, promote intra-species variability and distribute genes between distantly related bacterial genera. Horizontal gene transfer (HGT) between bacteria is driven by three major processes: transformation (the uptake of free DNA), transduction (gene transfer mediated by bacteriophages) and conjugation (gene transfer by means of plasmids or conjugative and integrated elements). -
Oregon Multidrug-Resistant Organism (MDRO) Toolkit
Ver. Oct 30, 2019 Oregon MDRO & C. difficile Toolkit OREGON MULTIDRUG-RESISTANT ORGANISM AND CLOSTRIDIOIDES DIFFICILE TOOLKIT Purpose Statement The purpose of this toolkit is to provide recommendations to Oregon healthcare facilities about strategies to prevent transmission of multidrug-resistant organisms (MDROs) and Clostridioides (formerly Clostridium) difficile during patient care. The toolkit recommendations provide general guidance and are not meant to replace facility-level policy or procedure. Local epidemiology as well as pertinent facility- or patient-level factors may affect the likelihood of MDRO transmission, and these factors should be taken into account when making decisions about transmission prevention strategies. The toolkit is intended to be a working document addressing high-impact organisms in Oregon hospitals. Given the continually evolving infection prevention and control landscape, including novel and emerging pathogens, this document will be updated as needed. Methods This toolkit was drafted by members of the Oregon Drug-Resistant Organism and Coordinated Regional Epidemiology (DROP-CRE) Network. To inform toolkit development, we convened a statewide Hospital Epidemiology Task Force to assist with two main objectives: 1) Optimize a practical approach to methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin- resistant enterococci (VRE) infection prevention and control; and 2) Establish statewide definitions for Gram-negative organisms in order to harmonize facility definitions, primarily for the purpose of uniform infection control practices. Over the course of 18 months, the Hospital Epidemiology Task Force reviewed existing drug- resistance definitions as published by collaboration of the European Centre for Disease Prevention and Control (eCDC) and the US Centers for Disease Control and Prevention (CDC).(1) In particular, the Task Force called attention to “possible extensively drug-resistant (XDR)” bacteria as those organisms harbor sufficiently broad drug resistance to substantially alter and limit treatment options. -
Insights Into the Pathogenicity of Burkholderia Pseudomallei
REVIEWS Melioidosis: insights into the pathogenicity of Burkholderia pseudomallei W. Joost Wiersinga*, Tom van der Poll*, Nicholas J. White‡§, Nicholas P. Day‡§ and Sharon J. Peacock‡§ Abstract | Burkholderia pseudomallei is a potential bioterror agent and the causative agent of melioidosis, a severe disease that is endemic in areas of Southeast Asia and Northern Australia. Infection is often associated with bacterial dissemination to distant sites, and there are many possible disease manifestations, with melioidosis septic shock being the most severe. Eradication of the organism following infection is difficult, with a slow fever-clearance time, the need for prolonged antibiotic therapy and a high rate of relapse if therapy is not completed. Mortality from melioidosis septic shock remains high despite appropriate antimicrobial therapy. Prevention of disease and a reduction in mortality and the rate of relapse are priority areas for future research efforts. Studying how the disease is acquired and the host–pathogen interactions involved will underpin these efforts; this review presents an overview of current knowledge in these areas, highlighting key topics for evaluation. Melioidosis is a serious disease caused by the aerobic, rifamycins, colistin and aminoglycosides), but is usually Gram-negative soil-dwelling bacillus Burkholderia pseu- susceptible to amoxicillin-clavulanate, chloramphenicol, domallei and is most common in Southeast Asia and doxycycline, trimethoprim-sulphamethoxazole, ureido- Northern Australia. Melioidosis is responsible for 20% of penicillins, ceftazidime and carbapenems2,4. Treatment all community-acquired septicaemias and 40% of sepsis- is required for 20 weeks and is divided into intravenous related mortality in northeast Thailand. Reported cases are and oral phases2,4. Initial intravenous therapy is given likely to represent ‘the tip of the iceberg’1,2, as confirmation for 10–14 days; ceftazidime or a carbapenem are the of disease depends on bacterial isolation, a technique that drugs of choice. -
Anaplasma Phagocytophilum Modifies Tick Cell Microrna Expression And
www.nature.com/scientificreports OPEN Anaplasma phagocytophilum modifes tick cell microRNA expression and upregulates isc- Received: 18 February 2019 Accepted: 12 June 2019 mir-79 to facilitate infection by Published: xx xx xxxx targeting the Roundabout protein 2 pathway Sara Artigas-Jerónimo1, Pilar Alberdi1, Margarita Villar Rayo 1, Alejandro Cabezas-Cruz2, Pedro J. Espinosa Prados 1, Lourdes Mateos-Hernández1,2 & José de la Fuente 1,3 The microRNAs (miRNAs) are a class of small noncoding RNAs that have important regulatory roles in multicellular organisms including innate and adaptive immune pathways to control bacterial, parasite and viral infections, and pathogens could modify host miRNA profle to facilitate infection and multiplication. Therefore, understanding the function of host miRNAs in response to pathogen infection is relevant to characterize host-pathogen molecular interactions and to provide new targets for efective new interventions for the control infectious diseases. The objective of this study was to characterize the dynamics and functional signifcance of the miRNA response of the tick vector Ixodes scapularis in response to Anaplasma phagocytophilum infection, the causative agent of human and animal granulocytic anaplasmosis. To address this objective, the composition of tick miRNAs, functional annotation, and expression profling was characterized using high throughout RNA sequencing in uninfected and A. phagocytophilum-infected I. scapularis ISE6 tick cells, a model for tick hemocytes involved in pathogen infection. The results provided new evidences on the role of tick miRNA during pathogen infection, and showed that A. phagocytophilum modifes I. scapularis tick cell miRNA profle and upregulates isc-mir-79 to facilitate infection by targeting the Roundabout protein 2 (Robo2) pathway.