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  • 1
    Online Resource
    Online Resource
    Medknow ; 2017
    In:  Asian Pacific Journal of Tropical Biomedicine Vol. 7, No. 8 ( 2017-08), p. 698-701
    In: Asian Pacific Journal of Tropical Biomedicine, Medknow, Vol. 7, No. 8 ( 2017-08), p. 698-701
    Type of Medium: Online Resource
    ISSN: 2221-1691
    Language: English
    Publisher: Medknow
    Publication Date: 2017
    detail.hit.zdb_id: 2648523-0
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  • 2
    In: Vitae, Universidad de Antioquia, Vol. 29, No. 2 ( 2022-05-27)
    Abstract: BACKGROUND: Methicillin resistance and biofilm-producing Staphylococci are emerging as multidrug-resistant strains narrowing the efficacy of antimicrobial therapy. Although vancomycin is used as the drug of choice to treat such isolates, different studies worldwide have documented the emergence of strains that are intermediately susceptible or resistant to this antibiotic. OBJECTIVE: The study aimed to determine the minimum inhibitory concentration of vancomycin to methicillin-resistant and biofilm-producing staphylococci isolated from different clinical specimens. METHODS: 375 staphylococci isolated from different clinical specimens over one year were included in the study. Biofilm formation was determined by the Tissue culture plate method (TCP), and ica genes were identified by Polymerase Chain Reaction (PCR). Antibiotic susceptibility and methicillin resistance were done following Clinical and Laboratory Standards Institute (CLSI) guidelines. The minimum inhibitory concentration (MIC) of vancomycin in all isolates was determined by the agar dilution method. RESULTS: Among 375 Staphylococci studied, 43% and 57% represented S. aureus and Coagulase-Negative Staphylococci (CNS), respectively. The rate of Methicillin-Resistant S. aureus (MRSA) and Methicillin-Resistant Coagulase Negative Staphylococci (MRCNS) were 81.4% and 66.8% respectively and determined by the disc diffusion method. The most potential antibiotics were tetracycline and chloramphenicol showing sensitivity to more than 90% isolates. The Minimum Inhibitory Concentration (MIC) value of oxacillin for staphylococci ranged from 0.125-32 μg/ml. Oxacillin agar diffusion method showed 51.6% and 79.9% isolates as MRSA and MRCNS, respectively, revealing a very high percentage of S. aureus and CNS isolates as methicillin-resistant. All isolates had susceptible vancomycin MICs that ranged from 0.125-2 μg/ml. Two S. aureus isolated from Central Venous Catheter (CVC) and catheter specimens were detected with intermediate susceptibility to vancomycin. Similarly, three CNS isolated from blood, CVC, and wound/pus (w/p) were intermediately susceptible to vancomycin. Strong biofilm formation was observed in 22.1% of clinical isolates, and the ica gene was detected among 22.9% of isolates. Only one S. aureus detected as a biofilm producer by the TCP method was found to have intermediate susceptibility to vancomycin. CONCLUSIONS: The increment in vancomycin MIC among methicillin-resistant and biofilm-producing staphylococci is alarming. Strict control measures to prevent methicillin-resistant isolates spread and routine surveillance for vancomycin-resistant isolates must be incorporated in hospitals to prevent antimicrobial treatment failure.
    Type of Medium: Online Resource
    ISSN: 2145-2660 , 0121-4004
    Language: Unknown
    Publisher: Universidad de Antioquia
    Publication Date: 2022
    detail.hit.zdb_id: 2519222-X
    SSG: 7,36
    SSG: 15,3
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  • 3
    In: Annals of Clinical Microbiology and Antimicrobials, Springer Science and Business Media LLC, Vol. 18, No. 1 ( 2019-12)
    Abstract: Urinary tract infection (UTI) is one of the frequently diagnosed infectious diseases which is caused mainly by Escherichia coli . E. coli confers resistance against the two major classes of antibiotics due to the production of extended spectrum β-lactamase enzymes (ESBL), biofilm, etc. Biofilm produced by uropathogenic E. coli (UPEC) protects from host immune system and prevent entry of antimicrobial compounds. The main objective of this cross-sectional study was to determine the correlation of biofilm production and antibiotic resistance as well as to characterize the pgaA and pgaC genes responsible for biofilm formation among uropathogenic ESBL producing E. coli. Methods A total of 1977 mid-stream urine samples were examined and cultured for bacterial strain identification. ESBL was detected by combined disc method following CLSI whereas biofilm formation was analyzed by semi-quantitative method. Furthermore, the pgaA and pgaC genes responsible for biofilm formation in UPEC were detected by multiplex PCR. All the statistical analyses were done via IBM SPSS Statistics 21 where Pearson’s correlation test were used to determine correlation (−1 ≥  r  ≤ 1). Results E. coli was the predominant causative agent, which accounted 159 (59.3%) of the Gram-negative bacteria, where 81 (50.9%) E. coli strains were found to be ESBL producers. In addition, 86 (54.1%) E. coli strains were found to be biofilm producers. Both the pgaA and pgaC genes were detected in 45 (93.7%) the UPEC isolates, which were both biofilm and ESBL producers. Moreover, there was a positive correlation between biofilm and ESBL production. Conclusion The analyses presented weak positive correlation between biofilm and ESBL production in which biofilm producing UPEC harbors both pgaA and pgaC genes responsible for biofilm formation.
    Type of Medium: Online Resource
    ISSN: 1476-0711
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2019
    detail.hit.zdb_id: 2097873-X
    SSG: 15,3
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  • 4
    In: Human Vaccines & Immunotherapeutics, Informa UK Limited, Vol. 17, No. 2 ( 2021-02-01), p. 418-419
    Type of Medium: Online Resource
    ISSN: 2164-5515 , 2164-554X
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2021
    detail.hit.zdb_id: 2664177-X
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  • 5
    In: Tuberculosis, Elsevier BV, Vol. 100 ( 2016-09), p. 1-4
    Type of Medium: Online Resource
    ISSN: 1472-9792
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2016
    detail.hit.zdb_id: 2058561-5
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  • 6
    Online Resource
    Online Resource
    MDPI AG ; 2021
    In:  Infectious Disease Reports Vol. 13, No. 4 ( 2021-12-07), p. 1043-1052
    In: Infectious Disease Reports, MDPI AG, Vol. 13, No. 4 ( 2021-12-07), p. 1043-1052
    Abstract: Resistance to antibiotics, biofilm formation and the presence of virulence factors play important roles in increased mortality associated with infection by staphylococci. The macrolide lincosamide streptogramin B (MLSB) family of antibiotics is commonly used to treat infections by methicillin-resistant isolates. Clinical failure of clindamycin therapy has been reported due to multiple mechanisms that confer resistance to MLSB. This study aims to find the incidence of different phenotypes of MLSB resistance and biofilm production among staphylococci. A total of 375 staphylococci were isolated from different clinical samples, received from two tertiary care hospitals in Nepal. Methicillin resistance was detected by cefoxitin disc diffusion method and inducible clindamycin resistance by D test, according to CLSI guidelines. Biofilm formation was detected by the tissue culture plate method and PCR was used to detect ica genes. Of the total staphylococci isolates, 161 (42.9%) were Staphylococcus aureus, with 131 (81.4%) methicillin-resistant strains, and 214 (57.1%) isolates were coagulase-negative staphylococci, with 143 (66.8%) methicillin-resistant strains. The overall prevalence of constitutive MLSB (cMLSB) and inducible MLSB (iMLSB) phenotypes was 77 (20.5%) and 87 (23.2%), respectively. Both iMLSB and cMLSB phenotypes predominated in methicillin-resistant isolates. The tissue culture plate method detected biofilm formation in 174 (46.4%) isolates and ica genes in 86 (22.9%) isolates. Among biofilm producing isolates, cMLSB and iMLSB phenotypes were 35 (20.1%) and 27 (15.5%), respectively. The cMLSB and iMLSB were 11 (12.8%) and 19 (22.1%), respectively, in isolates possessing ica genes. Clindamycin resistance in the form of cMLSB and iMLSB, especially among MRSA, emphasizes the need for routine D tests to be performed in the lab.
    Type of Medium: Online Resource
    ISSN: 2036-7449
    Language: English
    Publisher: MDPI AG
    Publication Date: 2021
    detail.hit.zdb_id: 2569856-4
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  • 7
    In: International Journal of Medical Science and Public Health, ScopeMed, Vol. 3, No. 11 ( 2014), p. 1421-
    Type of Medium: Online Resource
    ISSN: 2320-4664
    Language: Unknown
    Publisher: ScopeMed
    Publication Date: 2014
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  • 8
    In: BMC Research Notes, Springer Science and Business Media LLC, Vol. 12, No. 1 ( 2019-12)
    Abstract: The study was carried out to optimize the phenotypic method to characterize the sickle cell trait (SCT), sickle cell anemia (SCA), and β-thalassemia (β-TT) suspected sample from tharu community of South Western province-5, Nepal. SCT and SCA were further evaluated by genotypic method employing amplification refractory mutation system (ARMS PCR). Moreover, Glucose 6 phosphate dehydrogenase (G6PD) was estimated in those hemoglobinopathy to observe its prevalence. The accurate and reliable method can play an important role in reduction of morbidity and mortality rate. Results The 100 suspected cases were subjected to phenotypic method adopting cellulose acetate electrophoresis and genotypic method using ARMS PCR which portraits (5%) SCA positive test showing HBS/HBS, (38%) SCT positive trait HBA/HBS and (36%) cases normal HBA/HBA. β-TT (21%) cases were confirmed by electropherogram. G6PD deficiency was observed in (40%) of SCA, (18.4%) of SCT, (4.8%) of β-TT and (2.8%) in normal cases. Increased G6PD were developed only in SCT (5.3%) and β-TT (4.8%). The study highlighted sickle cell disorder (SCD) and β-TT as the most common hemoglobinopathy coexisting with G6PD deficiency. Though hemoglobinopathy sometime could be protective in malaria but G6PD deficiency can cause massive hemolysis which may exacerbate the condition.
    Type of Medium: Online Resource
    ISSN: 1756-0500
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2019
    detail.hit.zdb_id: 2413336-X
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  • 9
    Online Resource
    Online Resource
    Nepal Journals Online (JOL) ; 1970
    In:  Kathmandu University Journal of Science, Engineering and Technology Vol. 5, No. 1 ( 1970-01-01), p. 143-150
    In: Kathmandu University Journal of Science, Engineering and Technology, Nepal Journals Online (JOL), Vol. 5, No. 1 ( 1970-01-01), p. 143-150
    Abstract: Countries like Nepal and India have been using crude plants as medicine since Vedic period. A major part of the total population in developing countries still uses traditional folk medicine obtained from plant resources (Farnsworth 1994). With an estimation of WHO that as many as 80% of worlds population living in rural areas rely on herbal traditional medicines as their primary health care, the study on properties and uses of medicinal plants are getting growing interests. In recent years this interest to evaluate plants possessing antibacterial activity for various diseases is growing (Clark and Hufford, 1993). Based on local use of common diseases and Ethnobotanical knowledge, an attempt has been made to assess the antibacterial properties of selected medicinal plants.VIZ. Ocimum sanctum (Tulsi), Origanum majorana (Ram Tulsi), Cinnamomum zeylanicum (Dalchini), and Xanthoxylum armatum (Timur), for potential antibacterial activity against 10 medically important bacterial strains, namely Bacillus subtilis, Bacillus cereus, Bacillus thuringiensis, Staphylococcus aureus, Pseudomonas spp, Proteus spp, Salmonella Typhi, Escherichia coli, Shigella dysentriae, Klebsiella pneumoniae. The antibacterial activity of ethanol extracts was determined by agar well diffusion method. The plant extracts were more active against Gram-positive bacteria than against Gram-negative bacteria. The most susceptible bacteria were B. subtilis, followed by S. aureus, while the most resistant bacteria were E.coli, followed by Shigella dysenteriae, Klebsiella pneumoniae and Salmonella typhi. From the screening experiment, Origanum majorana showed the best antibacterial activity; hence this plant can be further subjected to isolation of the therapeutic antimicrobials and pharmacological evaluation. The largest zone of inhibition was obtained with Xanthoxylum armatum against Bacillus subtilis (23mm) and the minimum bactericidal concentration (MBC) value of 2.5 mg/l was obtained. Key words: Antibacterial property; Gram positive bacteria; Gram negative bacteria; zone of inhibition; minimum bactericidal concentration DOI: 10.3126/kuset.v5i1.2854 Kathmandu University Journal of Science, Engineering and Technology Vol.5, No.1, January 2009, pp 143-150
    Type of Medium: Online Resource
    ISSN: 1816-8752
    Language: Unknown
    Publisher: Nepal Journals Online (JOL)
    Publication Date: 1970
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