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Infection and Drug Resistance 2020is an encapsulated Gram-negative, oxidase-negative, catalase-positive, aerobic, non-motile rod that belongs to the family. This bacterium was initially classified in... (Review)
Review
is an encapsulated Gram-negative, oxidase-negative, catalase-positive, aerobic, non-motile rod that belongs to the family. This bacterium was initially classified in the genus as , until the creation of the genus in 2001. is usually found in water environments and soil, and due to its ability to convert histidine to histamine, it has been associated with histamine poisoning in humans. is an emerging entity in human infections, with several reports of virulent infections in comorbid at-risk patients. Increasing reports are potentially due to better and more precise identification tools. The objective of this article is to provide a comprehensive review of reported cases of infections, the emergent virulence of described multiresistant strains, and an overview of currently used identification methods.
PubMed: 32346300
DOI: 10.2147/IDR.S191387 -
International Journal of Antimicrobial... Oct 2020There has been growing interest in fosfomycin for the treatment of bacterial prostatitis due to evidence suggesting that it achieves adequate prostatic concentrations... (Review)
Review
There has been growing interest in fosfomycin for the treatment of bacterial prostatitis due to evidence suggesting that it achieves adequate prostatic concentrations for antimicrobial effect, has activity against resistant micro-organisms, and has a low-toxicity profile. This review evaluated the current clinical evidence for fosfomycin in acute and chronic bacterial prostatitis to elucidate the clinical implications of fosfomycin in an era of increasing antimicrobial resistance. PubMed, Scopus, EMBASE, Web of Science, Google Scholar and ClinicalTrials.gov were searched for studies published in the English language from January 1984 to November 2019. The inclusion criteria were met if the study reported the use of fosfomycin (more than one dose) to treat bacterial prostatitis. Ten observational studies were identified that met the inclusion criteria. The evidence for the use of fosfomycin in acute bacterial prostatitis is sparse. The majority of the available evidence is for chronic bacterial prostatitis caused by Escherichia coli. Despite the implementation of variable dosing regimens, extended courses of fosfomycin appear to be safe and effective in achieving clinical and microbiological cure. In these studies, the use of fosfomycin was restricted to cases of treatment failure, intolerance to first-line therapy, or multi-resistant organisms. However, given the development of resistant organisms and the undesirable adverse effects of many first-line therapeutic options, fosfomycin has the potential to be considered as an effective first-line alternative for acute and chronic bacterial prostatitis in the future. Further studies, including randomized controlled trials, would be helpful to firmly establish its optimal dosing regimen, efficacy and place in therapy.
Topics: Anti-Bacterial Agents; Antimicrobial Stewardship; Bacterial Infections; Enterobacteriaceae; Enterococcus faecium; Escherichia coli; Fosfomycin; Humans; Male; Prostate; Prostatitis; Pseudomonas aeruginosa; Treatment Outcome
PubMed: 32721595
DOI: 10.1016/j.ijantimicag.2020.106106 -
Frontiers in Public Health 2021The genus was established in 2001. Species of and share many ecological, biochemical, clinical, and microbiological features. Given the shortcomings of available... (Review)
Review
The genus was established in 2001. Species of and share many ecological, biochemical, clinical, and microbiological features. Given the shortcomings of available technology for species identification in the clinical microbiology laboratory, are practically indistinguishable. Since the late 2000s there has been an increase in case reports of human infections. Therefore, several authors are postulating that spp. are rare and/or emerging pathogens. spp. are very similar to . The epidemiology and the clinical relevance of the human spp. infections is uncertain and further studies are required. The previous difficulties in the identification of spp. and the introduction of more precise identification techniques may explain the recent increase in the number of case reports. spp. might be rather underdiagnosed than rare or emerging pathogens.
Topics: Enterobacteriaceae Infections; Humans; Klebsiella
PubMed: 34409007
DOI: 10.3389/fpubh.2021.686789 -
Folia Microbiologica May 2017The genus Raoultella belongs to the family of Enterobacteriaceae. Raoultella spp. are Gram-negative, aerobic, non-motile rods. This genus can be distinguished from the... (Review)
Review
The genus Raoultella belongs to the family of Enterobacteriaceae. Raoultella spp. are Gram-negative, aerobic, non-motile rods. This genus can be distinguished from the genus Klebsiella, in that genus use histamine as the only source of carbon in the medium. Also, Raoultella grow at 4 °C and do not produce gas from lactose at 44.5 °C. Raoultella sp. is known to inhabit natural environments (water, soil, plants). The reservoir of Raoultella is the gastrointestinal tract and upper respiratory tract. Raoultella spp. are opportunistic bacteria, which usually cause infections of the biliary tract, pneumonia and bacteraemia in oncologic and with lower immunity patients. Raoultella planticola and Raoultella ornithinolytica are the most frequently encountered human pathogens among the genus Raoultella. In this review, the current knowledge on Raoultella infections is summarized.
Topics: Anti-Bacterial Agents; Bacteremia; Bacteriological Techniques; Cholecystitis; Drug Resistance, Bacterial; Enterobacteriaceae; Enterobacteriaceae Infections; Humans; Opportunistic Infections; Pneumonia, Bacterial
PubMed: 28063019
DOI: 10.1007/s12223-016-0490-7 -
Drug Resistance Updates : Reviews and... Sep 2023Carbapenems and tigecycline are crucial antimicrobials for the treatment of gram-negative bacteria infections. Recently, a novel resistance-nodulation-division (RND)...
Carbapenems and tigecycline are crucial antimicrobials for the treatment of gram-negative bacteria infections. Recently, a novel resistance-nodulation-division (RND) efflux pump gene cluster, tmexCD-toprJ, which confers resistance to tigecycline, has been discovered in animals and clinical isolates. It was reported that hospital sewage could act as a reservoir for gram-negative bacteria with high antimicrobial resistance genes. In this study, we analyzed 84 isolates of carbapenem-resistant gram-negative bacteria (CR-GNB) from hospital sewage, and identified five isolates of TMexCD-ToprJ-producing CR-GNB, including one Raoultella ornithinolytica isolate and four Pseudomonas spp. isolates. All these five isolates carried at least one carbapenem resistance gene and were resistant to multiple antibiotics. Multiple tmexCD-toprJ clusters were detected, including tmexC2D2-toprJ2, tmexC3D3-toprJ3, tmexC3.2D3.3-toprJ1b and tmexC3.2D3-toprJ1b. Among these clusters, the genetic construct of tmexC3.2D3-toprJ1b showed 2-fold higher minimum inhibitory concentration (MIC) of tigecycline than other three variants. In addition, it was found that the tmexCD-toprJ gene cluster was originated from Pseudomonas spp. and mainly located on Tn6855 variants inserted in the same umuC-like genes on chromosomes and plasmids. This unit co-localized with bla or bla on IncHI5-, Inc- and Inc-type plasmids in the five isolates of TMCR-GNB. The IncHI5- and Inc-type plasmids had the ability to conjugal transfer to E. coli J53 and P. aeruginosa PAO1, highlighting the potential risk of transfer of tmexCD-toprJ from Pseudomonas spp. to Enterobacterales. Importantly, genomic analysis showed that similar tmexCD-toprJ-harboring IncHI5 plasmids were also detected in human samples, suggesting transmission between environmental and human sectors. The emergence of TMCR-GNB from hospital sewage underscores the need for ongoing surveillance of antimicrobial resistance genes, particularly the novel resistance genes such as the tmexCD-toprJ gene clusters in the wastewater environment.
Topics: Humans; Carbapenems; Sewage; Tigecycline; Escherichia coli; Anti-Bacterial Agents; Gram-Negative Bacteria; Hospitals; Pseudomonas aeruginosa; Microbial Sensitivity Tests; beta-Lactamases
PubMed: 37480594
DOI: 10.1016/j.drup.2023.100989 -
Frontiers in Cellular and Infection... 2024spp. is a genus of bacteria that is known to be closely related to . It has been debated whether should be reclassified as a subgroup of . The aim of this study is to... (Comparative Study)
Comparative Study
PURPOSE
spp. is a genus of bacteria that is known to be closely related to . It has been debated whether should be reclassified as a subgroup of . The aim of this study is to compare clinical aspects of and , a species of that is known to be bacteriologically similar to spp.
METHODS
Using data collected at a tertiary care hospital in the United States, we identified 43 patients with infection and 1173 patients with infection. We compared patient demographics (age and sex), hospitalization status, isolation sites and antibiotic resistance profiles between the two species.
RESULTS
There was no significant difference in patient demographics between the two bacteria species. The proportions of intensive care unit (ICU) admission were higher among patients with infection (p=0.008). The most common site of isolation was urine for both species (39.5% of all patients with spp. vs. 59.3% for ). The second most common site of isolation was blood stream for spp. (23.3%) and respiratory tract for (10.8%). Except for the high proportion of resistant isolates of spp. for Trimethoprim/sulfamethoxazole, the antibiotic susceptibility profiles were similar between the two bacteria species. Both were susceptible to ciprofloxacin and meropenem.
CONCLUSION
While there are no significant differences in the patient demographics and antibiotic susceptibility profiles between spp. and , may cause more serious infection requiring ICU admissions. Also, may cause blood stream infection more frequently than .
Topics: Humans; Male; Klebsiella oxytoca; Female; Middle Aged; Aged; Enterobacteriaceae; Klebsiella Infections; Anti-Bacterial Agents; Enterobacteriaceae Infections; Microbial Sensitivity Tests; Adult; Tertiary Care Centers; Intensive Care Units; United States; Aged, 80 and over; Drug Resistance, Bacterial
PubMed: 38887491
DOI: 10.3389/fcimb.2024.1260212 -
Environmental Pollution (Barking, Essex... Aug 2022To date, carbapenem-resistant Enterobacteriaceae have been found predominantly in clinical settings worldwide. Raoultella belongs to the Enterobacteriaceae family which...
To date, carbapenem-resistant Enterobacteriaceae have been found predominantly in clinical settings worldwide. Raoultella belongs to the Enterobacteriaceae family which can cause hospital-acquired infections, and carbapenem-resistant Raoultella spp. (CRR) is sporadically reported in the environment. We investigated the distribution and underlying resistance mechanisms of CRR in a wastewater treatment plant (WWTP) from eastern China between January 2018 and February 2019. A total of 17 CRR were isolated from 324 environmental samples, including Raoultella ornithinolytica (n = 15) and Raoultella planticola (n = 2). The detection of CRR was more frequent in the water inlet compared to anaerobic tank, aerobic tank, sludge thickener, activated sludge, mud cake storage area, and water outlet, and CRR was detected in mud cake stacking area. All CRR were resistant to imipenem, meropenem, ampicillin, piperacillin-tazobactam, cefotaxime, ceftazidime, trimethoprim-sulfamethoxazole and fosfomycin. Four different carbapenemase genes were identified, including bla (n = 13), bla (n = 8), bla (n = 1), bla (n = 1). Interestingly, isolated R. ornithinolytica from the WWTP were closely related to those reported from human samples in China. Plasmid analysis indicated that IncFII(Yp), IncP6, and IncU mediated bla spread, IncX3 and IncN2 mediated bla spread in the environment. The core structure of the Tn3-ISKpn27-bla-ISKpn6, ISAba125-bla-ble-trpF-dsbD were identified. The study provides evidence that Raoultella spp. may spread alarming carbapenem resistance in the environment and, therefore, the continuous surveillance for carbapenem resistance in the WWTP should be conducted, especially sludge.
Topics: Humans; Anti-Bacterial Agents; Bacterial Proteins; beta-Lactamases; Carbapenems; Enterobacteriaceae; Microbial Sensitivity Tests; Plasmids; Sewage; Water
PubMed: 35537555
DOI: 10.1016/j.envpol.2022.119437 -
European Journal of Case Reports in... 2021is a bacterium that belongs to the Enterobacteriaceae family. The most frequently reported infections are gastrointestinal and hepatobiliary. Urinary tract infections...
UNLABELLED
is a bacterium that belongs to the Enterobacteriaceae family. The most frequently reported infections are gastrointestinal and hepatobiliary. Urinary tract infections are very rarely reported and bloodstream infections are usually reported without an identified source. This bacterium is responsible for an increasing number of infections, especially in immunocompromised patients. The authors describe the first case ever reported of an immunocompromised patient due to non-Hodgkin lymphoma MALT type and corticotherapy, who developed urinary tract infection and subsequently bacteriemia due to this pathogen.
LEARNING POINTS
is a virulent pathogen causing community-acquired and hospital-acquired infection, especially in immunocompromised populations.Although most cases of infection are susceptible to standard antibiotic regimens, multi-drug resistant strains have been reported, which may pose a severe risk to the immunocompromised patient.Physicians should be aware that some treatments may increase immunosuppression, thus enabling infection by opportunistic agents such as .
PubMed: 34912750
DOI: 10.12890/2021_003023 -
Frontiers in Microbiology 2019Pyrethroids are broad-spectrum insecticides and presence of chiral carbon differentiates among various forms of pyrethroids. Microbial approaches have emerged as a... (Review)
Review
Pyrethroids are broad-spectrum insecticides and presence of chiral carbon differentiates among various forms of pyrethroids. Microbial approaches have emerged as a popular solution to counter pyrethroid toxicity to marine life and mammals. Bacterial and fungal strains can effectively degrade pyrethroids into non-toxic compounds. Different strains of bacteria and fungi such as spp., , sp., sp., sp., sp., sp., and spp., are used for the biodegradation of pyrethroids. Hydrolysis of ester bond by enzyme esterase/carboxyl esterase is the initial step in pyrethroid biodegradation. Esterase is found in bacteria, fungi, insect and mammalian liver microsome cells that indicates its hydrolysis ability in living cells. Biodegradation pattern and detected metabolites reveal microbial consumption of pyrethroids as carbon and nitrogen source. In this review, we aim to explore pyrethroid degrading strains, enzymes and metabolites produced by microbial strains. This review paper covers in-depth knowledge of pyrethroids and recommends possible solutions to minimize their environmental toxicity.
PubMed: 31428072
DOI: 10.3389/fmicb.2019.01778 -
Acta Microbiologica Et Immunologica... Dec 2023Aim of this study was to explore molecular characteristics and resistance mechanisms of carbapenem-resistant Raoultella ornithinolytica (CR-ROR) isolated from patients...
Aim of this study was to explore molecular characteristics and resistance mechanisms of carbapenem-resistant Raoultella ornithinolytica (CR-ROR) isolated from patients in a hospital in China. Three CR-ROR strains were collected and bacterial identification was done by Matrix-Assisted Laser Desorption/Ionization Time of Flight Mass Spectrometry (MALDI-TOF-MS) Vitek-MS and by digital DDH analysis. VITEK 2 compact system and Kirby-Bauer (K-B) disk diffusion were used for antimicrobial susceptibility testing. Whole genome sequencing was carried out using the Illumina platform NovaSeq sequencer. Abricate software was used for the prediction of antibiotic resistance genes of three CR-ROR strains. The phylogenetic tree was constructed through genome SNPs to investigate the genetic relationship of three CR-ROR strains. Three CR-ROR (WF1357, WF2441, and WF3367) strains were collected in this study. Two strains were isolated from neurosurgery (WF1357 and WF2441), and one was isolated from pulmonology department (WF3367). All strains harboured multiple antibiotic resistance genes. Two strains (WF1357, WF2441) carried the blaNDM-1 gene, one of the strains (WF3367) carried the blaKPC-2 gene. Three CR-RORs were resistant to different antimicrobial agents including carbapenems. The three CR-ROR strains collected in this study and 51 CR-ROR strain genomes downloaded from NCBI, were divided into six evolutionary groups (A-F). In this study, three CR-ROR strains were found to have a higher level of resistance to antibacterial agents and carried multiple antibiotic resistance genes. The CR-ROR strains carrying multiple antibacterial resistant genes require the stringent monitoring to avoid the spread of multidrug-resistant bacterial strains.
Topics: Humans; Carbapenems; Phylogeny; beta-Lactamases; Enterobacteriaceae; Anti-Bacterial Agents; Microbial Sensitivity Tests; Klebsiella pneumoniae
PubMed: 38063919
DOI: 10.1556/030.2023.02123