Microbiology Spectrum,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 5, 2025
ABSTRACT
Uncomplicated
bacteremic
urinary
tract
infections
(bUTIs)
are
common,
often
caused
by
Escherichia
coli
,
Klebsiella
pneumoniae
and
Enterococcus
faecalis
with
most
encounters
treated
empirically.
As
rates
of
antimicrobial
resistance
increase,
available
antibiotic
treatment
options
dwindling.
Novel
antibiotics
approved
for
treating
bUTIs
limited,
leading
to
a
resurgence
interest
in
older
antibiotics,
including
fosfomycin.
Here,
clinical
urine
samples
from
patients
military
personnel,
retirees,
their
dependents
diagnosed
hospital
located
Bethesda,
Maryland,
were
tested
susceptibility
fosfomycin
comparator
(levofloxacin,
nitrofurantoin,
trimethoprim-sulfamethoxazole
[TMS]).
A
total
1,353
nonduplicate
bacterial
isolates
tested,
605
non-ESBL
285
ESBL
E.
84
52
K.
.
Fosfomycin
similar
(95.9%
vs
96.1%)
(38.1%
36.5%).
demonstrated
high
activity
against
other
Enterobacterales
gram-positive
organisms
Enterobacter
Staphylococcus
aureus
Interestingly,
non-susceptible
susceptible
first-line
bUTI
options,
that
option
the
least
current
options.
Etest
sensitivity
compared
agar
dilution,
making
it
viable
AST
testing
method
especially
resource-limited
areas.
Overall,
we
has
common
etiologies
cause
bUTIs.
Further
efficacy
studies
investigating
use
non-
E
pathogens,
as
single
or
combination
therapy,
warranted.
IMPORTANCE
is
one
recommended
firstline
symptomatic,
uncomplicated
complicated
fact
although
both
CLSI
EUCAST
recognize
dilution
(AD)
reference
albeit
being
labor-intensive,
breakpoints
different,
only
EUCAST.
We
investigated
using
AD
performance
subset
Etest.
profiles
antibiotics.
found
at
higher
Importantly,
was
effective
producing
extended-spectrum
beta-lactamases
those
resistant
treatments.
Furthermore,
our
data
showed
94%
agreement
AD.
Pakistan Veterinary Journal,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Jan. 1, 2024
A
frequent
and
efficient
weapon
in
the
fight
against
infectious
diseases
is
antibiotics.Antimicrobial
resistance,
however,
has
emerged
as
a
major
concern
public
health
due
to
unintentional,
overuse,
improper
administration
of
antibiotics.In
current
study,
heterostructure
gold
(Au),
Hydroxyapatite
(HAP)
Cefuroxime
was
produced
using
an
environmentally
friendly
pulsed
laser
ablation
technique
improve
antibacterial
activity
Staphylococcus
(S.)
saprophyticus.X-ray
diffraction
(XRD),
Fourier
transforms
infrared
spectroscopy,
UV/Vis
spectrophotometry,
field
emission-scanning
electron
microscopy
(FE-SEM)
were
used
characterize
nanocomposite.The
susceptibility
S.
saprophyticus
Au-Hydroxyapatite-Cefuroxime
evaluated
terms
preventing
biofilm
development
urinary
catheter.This
study
confirmed
greater
antimicrobial
hetero
nanocomposite
Hydroxyapatite-Cefuroxime-AuNPs
than
alone
saprophyticus.The
nanoparticles
(NPs)-Cefuroxime-Gold
(AuNPs)
hybrid
developed
intelligent
drug
delivery
mechanism
prevent
proliferation
hinder
formation
bacterial
on
Foley
catheters.The
smart
shown
promising
result,
which
could
be
reliable
therapy
future
approach
for
succeeding
inhibition
during
tract
infection.
Journal of Applied and Natural Science,
Journal Year:
2024,
Volume and Issue:
16(2), P. 830 - 841
Published: June 19, 2024
Antibiotic
resistance
genes
when
found
on
plasmids
can
be
passed
to
other
strains
causing
spread
of
antibiotic
across
bacteria.
The
present
work
aimed
identify
virulence
and
Proteus
mirabilis
plasmids.
A
total
37
P.
were
isolated
from
420
urine
samples
patients
attending
different
hospitals
in
Mosul
City,
Iraq,
December
2022
April
2023
identified
using
biochemical
molecular
methods.
Their
towards
18
antibiotics
was
tested
their
plasmid
DNA
analysis
showed
that
21
contained
Four
groups
primers
used
for
PCR
experiments.
first
group
included
six
genetic
regions,
namely
(CITM,
DHAM,
ACCM,
EBCM,
FOXM,
MOXM1).
Results
85.71%
isolates
carried
FOXM
14.28%
MOXM
4.76%
CITM.
However,
DHAH,
EBCM
not
detected
second
zapA,
ireA
(siderophore
receptor),
hpmA
(hemolysin)
mrpA,
(fimbriae)
genes.
zapA
80.95%
plasmids,
followed
by
at
a
rate
76.19%,
14.28%,
mrpA
4.76%.
third
CTXG1,
CTXG2,
CTXG9,
CTXG8
CTXG25.
results
CTX9
the
highest
gene
detected,
CTXG1
71.42%,
while
CTXG8,
CTXG25
only
chromosome.
Finally,
pathogenic
PmIJ1
qnrD
52.38%
47.61%,
respectively.
are
increasingly
among
clinical
local
mirabilis,
serious
precautions
required.
Urinary
tract
infections
(UTIs)
are
a
prevalent
bacterial
infection
in
both
community
and
healthcare
settings.
They
account
for
approximately
40%
of
all
require
around
15%
antibiotic
prescriptions.
Although
antibiotics
have
traditionally
been
used
to
treat
UTIs
several
decades,
the
significant
increase
resistance
recent
years
has
made
many
previously
effective
treatments
ineffective.
Biofilm
on
medical
equipment
settings
creates
reservoir
pathogens
that
can
be
easily
transmitted
patients.
catheter
frequently
observed
hospitals
caused
by
microbes
form
biofilm
after
is
inserted
into
bladder.
Managing
biofilms
challenging
due
emergence
resistance.
Biofilms
enable
evade
host's
innate
immune
defences,
resulting
long-term
persistence.
The
incidence
sepsis
urinary
spread
bloodstream
increasing,
drug-resistant
may
even
more
prevalent.
While
availability
upcoming
tests
identify
cause
its
spectrum
critical,
it
alone
will
not
solve
problem;
innovative
treatment
approaches
also
needed.
This
review
analyses
main
characteristics
formation
drug
recurrent
uropathogen-induced
UTI.
importance
alternative
therapies
combat
biofilm-caused
UTI
emphasised.
AMB Express,
Journal Year:
2024,
Volume and Issue:
14(1)
Published: Feb. 8, 2024
Abstract
The
genus
Enterobacter
belongs
to
the
ESKAPE
group,
which
includes
Enterococcus
faecium
,
Staphylococcus
aureus
Klebsiella
pneumoniae
Acinetobacter
baumannii
Pseudomonas
aeruginosa
and
spp
.
This
group
is
characterized
by
development
of
resistance
various
antibiotics.
In
recent
years,
cloacae
(
E.
)
has
emerged
as
a
clinically
important
pathogen
responsible
for
wide
range
healthcare-associated
illnesses.
Identifying
species
can
be
challenging
due
their
similar
phenotypic
characteristics.
emergence
multidrug-resistant
also
significant
problem
in
healthcare
settings.
Therefore,
our
study
aimed
identify
differentiate
using
Matrix-assisted
laser
desorption
ionization–time
flight
mass
spectrometry
(MALDI-TOF
MS)
fast
precise
proteomic
analytical
technique.
We
tested
hospital-acquired
isolates
that
produce
Extended-spectrum
beta-lactamases
(ESBL)
against
commonly
used
antibiotics
treating
urinary
tract
infections
(UTIs).
total
189
from
2300
urine
samples
patients
with
UTIs
investigation.
employed
culturing
techniques,
well
BD
Phoenix™
automated
identification
system
(Becton,
Dickinson)
Analytical
Profile
Index
(API)
biochemical
isolates.
MALDI
Biotyper
(MBT)
device
peptide
fingerprinting
analysis
all
utilized
single
peak
intensities
Principal
Component
Analysis
(PCA)
created
MBT
Compass
software
discriminate
cluster
Additionally,
we
evaluated
sensitivity
ESBL-
Kirby
Bauer
method.
Out
isolates,
Phoenix
correctly
identified
180
(95.24%)
while
API
165
(87.30%)
However,
accurately
185
(98.95%)
score
2.00
or
higher.
PCA
positively
discriminated
into
one
prominent
peaks
were
noticed
between
4230
mass-to-charge
ratio
(m/z)
8500
m/z.
exhibited
higher
degree
ampicillin,
amoxicillin-clavulanate,
cephalothin,
cefuroxime,
cefoxitin.
Several
susceptible
carbapenems
(meropenem,
imipenem,
ertapenem);
however,
potential
future
should
taken
consideration.
conclusion,
MALDI-TOF
MS
powerful
technology
routinely
recognize
pathogens
clinical
samples.
growing
antimicrobial
this
bacterium
may
pose
risk
human
health.
Frontiers in Urology,
Journal Year:
2023,
Volume and Issue:
3
Published: July 26, 2023
The
advent
of
sensitive
enhanced
culture
(metaculturomic)
and
culture-independent
DNA-based
(metagenomic)
methods
has
revealed
a
rich
collection
microbial
species
that
inhabit
the
human
urinary
tract.
Known
as
microbiome,
this
community
microbes
consists
hundreds
distinct
range
across
entire
phylogenetic
spectrum.
This
new
knowledge
clashes
with
standard
clinical
microbiology
laboratory
methods,
established
more
than
60
years
ago,
focus
attention
on
relatively
small
subset
universally
acknowledged
uropathogens.
Increasing
reports
support
hypothesis
is
too
narrow.
Single
uropathogen
are
common
in
women
recurrent
tract
infection
(UTI),
although
wider
disruption
their
microbiome
likely.
Typical
“UTI”
symptoms
occur
patients
“no
growth”
reported
from
sometimes
antibiotics
improve
these
symptoms.
Metaculturomic
metagenomic
have
repeatedly
detected
fastidious,
slow
growing,
and/or
anaerobic
not
by
test
urine
samples
lower
Many
also
serious
non-urinary
infections,
providing
evidence
they
can
be
opportunistic
pathogens.
In
review,
we
present
set
poorly
understood,
emerging,
suspected
goal
to
stimulate
research
into
biology
life
commensals
transition
pathogens
Pathogens,
Journal Year:
2024,
Volume and Issue:
13(3), P. 235 - 235
Published: March 7, 2024
Enterococcus
faecalis
is
a
bacterial
pathogen
that
can
cause
opportunistic
infections.
Studies
indicate
initial
biofilm
formation
plays
crucial
regulatory
role
in
these
infections,
as
well
colonising
and
maintaining
the
gastrointestinal
tract
commensal
member
of
microbiome
most
land
animals.
It
has
long
been
thought
vegetation
endocarditis
resulting
from
attachment
to
endocardial
endothelium
requires
some
pre-existing
tissue
damage,
animal
models
experimental
endocarditis,
mechanical
valve
damage
typically
induced
by
cardiac
catheterisation
preceding
infection.
This
section
reviews
historical
contemporary
model
studies
demonstrate
ability
E.
colonise
undamaged
endovascular
endothelial
surface
directly
produce
robust
microcolony
biofilms
encapsulated
within
bacterially
derived
extracellular
matrix.
report
both
previous
current
demonstrating
resilient
capacity
The
article
also
considers
morphological
similarities
when
develop
on
different
host
sites,
such
colonises
epithelium
common
vertebrate
microbiome,
lurking
plain
sight
transmitting
systemic
These
phenotypes
may
enable
organism
survive
an
unrecognised
infection
asymptomatic
subjects,
providing
infectious
resource
for
subsequent
clinical
process
endocarditis.
Pathogens,
Journal Year:
2024,
Volume and Issue:
13(6), P. 522 - 522
Published: June 20, 2024
The
emergence
of
multidrug-resistant
bacteria
is
undoubtedly
one
the
most
serious
global
health
threats.
One
response
to
this
threat
that
has
been
gaining
momentum
over
past
decade
'phage
therapy'.
According
this,
lytic
bacteriophages
are
used
for
treatment
bacterial
infections,
either
alone
or
in
combination
with
antimicrobial
agents.
However,
ensure
efficacy
and
broad
applicability
phage
therapy,
several
challenges
must
be
overcome.
These
encompass
development
methods
strategies
host
range
manipulation
bypass
resistance
mechanisms
developed
by
pathogenic
bacteria,
as
case
since
advent
antibiotics.
As
our
knowledge
understanding
interactions
between
phages
their
hosts
evolves,
key
issue
define
each
application.
In
article,
we
discuss
factors
affect
how
determines
classification
into
different
categories
action.
For
group,
recent
representative
examples
provided,
together
suggestions
on
groups
can
combat
certain
types
infections.
available
methodologies
expansion,
through
sequential
adaptation
a
new
pathogen
genetic
engineering
techniques,
also
reviewed.
BMC Infectious Diseases,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: Jan. 29, 2024
Abstract
Background
Gram-negative
bacilli
are
the
most
common
etiological
agents
responsible
for
urinary
tract
infections.
The
prevalence
of
antibiotic
resistance
in
is
increasing
at
a
rapid
pace
globally,
which
constraining
available
choices
UTI
treatment.
objectives
this
study
to
identify
causal
organisms
infections
(UTIs),
and
determine
their
drug
patterns.
Materials
methods
This
was
cross-sectional
hospital-based
conducted
El-Amal
Hospital,
Bahri
Teaching
Al-Baraha
Khartoum
State,
from
March
October
2022.
Urine
samples
patients
suspected
have
were
collected,
with
confirmed
by
laboratory
investigations
yielded
culture
growth
enrolled.
Antibiotic
sensitivity
testing
PCR
bla
TEM
,
SHV
CTX-M
genes
done.
Results
included
50
out
229
(21.8%).
prominent
group
older
than
60
years
(40%);
majority
females
(70%).
Escherichia
coli
prevalent
isolated
organism
(50%),
followed
Klebsiella
oxytoca
(24%),
pneumoniae
(20%),
Pseudomonas
aeruginosa
(4%),
Citrobacter
freundii
(2%).
A
small
percentage
resistant
colistin
(17%).
However,
77%
amikacin,
97.6%
cefotaxime,
96.8%
ceftazidime,
ceftriaxone,
cefixime,
87.6%
ciprofloxacin,
88.4%
gentamycin,
62%
imipenem,
67.6%
meropenem,
norfloxacin,
95.6%
trimethoprim.
overall
gram-negative
81%.
gene
(100%),
(94%),
then
(84%).
Conclusion
species
commonly
uropathogens
study,
highly
antimicrobial
tested.
Resistance
very
uropathogens.
Frontiers in Cellular and Infection Microbiology,
Journal Year:
2024,
Volume and Issue:
14
Published: Sept. 24, 2024
Urinary
tract
infections
(UTIs)
are
the
second
most
common
infectious
disease,
predominantly
impacting
women
with
150
million
individuals
affected
globally.
It
increases
socio-economic
burden
of
society
and
is
mainly
caused
by
Escherichia
coli
,
Proteus
mirabilis
Klebsiella
pneumoniae
Enterobacter
spp.,
Staphylococcus
spp.
The
severity
infection
correlates
host
factors
varying
from
acute
to
chronic
infections.
Even
a
high
incidence
rate,
diagnosis
based
on
symptoms,
dipstick
analysis,
culture
which
time-consuming,
labour-intensive,
lacking
sensitivity
specificity.
During
this
period,
medical
professionals
prescribe
empirical
antibiotics,
may
increase
antimicrobial
resistance
rate.
Timely
precise
UTI
essential
for
addressing
antibiotic
improving
overall
quality
life.
In
response
these
challenges,
new
techniques
emerging.
review
provides
comprehensive
overview
global
UTIs,
associated
risk
factors,
implicated
organisms,
traditional
innovative
diagnostic
methods,
approaches
treatment
prevention.