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Biomedical subjects

R I Walker

Publications and source records attributed to R I Walker.

At least 55 records · Page 3Linked to original sources
PubMed1985

Pathogenicity of aeromonas.

The ability of 15 Aeromonas sobria and 9 Aeromonas hydrophila isolates to cause subcutaneous lesions was tested. An inoculum of 10(11) colony forming units/l was injected subcutaneously into mice. Surviving animals developed a subcutaneous abscess and/or localised skin sloughing and loss of hair (alopecia). An abscess was induced by all nine A. hydrophila isolates and by three of the 15 A. sobria isolates. The induction of local epidermal sloughing and loss of hair followed challenge with either A. hydrophila or A. sobria and correlated with the organisms' lethality for mice and their cytotoxicity in the Y-I adrenal cell assay. Local epidermal sloughing was not induced by the media used for growing the organisms or by sonicated cells of the isolates. The ability to cause epidermal sloughing was lost by incubating viable cells at 45 degrees C for 35 minutes. These yet unreported in vivo features of Aeromonas sp. may be useful in studies of the pathogenicity of the species as well as for rapid assay of toxicity of strains.

Abscess↗
PubMed1985

Increasing independent mobility skills for a woman who was severely handicapped and nonambulatory.

In this study, a woman who was nonambulatory and severely handicapped was taught to get out of her wheelchair and cruise around a table. She was provided with instructional feedback, repeated practice, and appropriate social reinforcement to acquire the cruising skill. Repeated practice was provided when she was unable to perform the behavior independently. Data were collected on the following behavior clusters: Look (look forward, hold on to the chair, and slide forward); Put (put your feet down, stand up, and put your hands down); and Move (move your feet, move your hands, repeat, and sit down). The results of the multiple-baseline/withdrawal design indicated that instructional feedback, repeated practice, and appropriate social reinforcement were sufficient to teach the cruising skill. Future research was suggested in instructional feedback, repeated practice, and appropriate social reinforcement.

Activities of Daily Living↗
PubMed1985

Interaction between penicillin, clindamycin or metronidazole and gentamicin against species of clostridia and anaerobic and facultatively anaerobic gram-positive cocci.

Seven anaerobic and facultative Gram-positive cocci and 12 clostridial species were tested for in-vitro and in-vivo susceptibilities to penicillin, clindamycin, and metronidazole, used singly or in combination with gentamicin. The in-vitro tests consisted of determination of minimal inhibitory concentration (MIC), done without or with constant amounts of gentamicin. When used alone or in combination with penicillin or metronidazole, gentamicin had negligible effects on the bacteria. When used with clindamycin, gentamicin significantly reduced the MIC for one strain each of Peptococcus magnus and Clostridium difficile. The in-vivo tests were carried out in mice and consisted of studying the bacterial contents of abscesses induced by subcutaneous injection of bacterial suspensions. Synergy between gentamicin and penicillin, clindamycin or metronidazole was shown respectively in five, three and one strain. Consistency between in-vitro and in-vivo findings was present in the above mentioned strains only between gentamicin and clindamycin. The synergy between penicillin, clindamycin or metronidazole and gentamicin in Gram-positive anaerobic and facultative organisms may have clinical implications.

Animals↗
PubMed1985

Reversible expression of flagella in Campylobacter jejuni.

Campylobacter jejuni 81116 and A3249 undergo a bidirectional transition between flagellated (Fla+) and aflagellated (Fla-) phenotypes. When measured in culture medium, the Fla+----Fla- transition occurred at a rate of 3.1 X 10(-3) to 5.9 X 10(-3) per cell per generation, and the Fla- to Fla+ transition occurred at a rate of 4.0 X 10(-7) to 8.0 X 10(-7) per cell per generation. However, passage through a rabbit intestine markedly favored the Fla+ phenotype.

Adhesiveness↗
PubMed1985

The role of encapsulation in the pathogenesis of anaerobic gram-positive cocci.

The pathogenicity of 22 anaerobic and facultative Gram-positive cocci (AFGPC) was investigated by inoculating them into mice and determining their ability to cause subcutaneous abscesses. Only 11 heavily encapsulated isolates (greater than 50% of the cells were encapsulated) induced abscesses. However, when the other 11 isolates were injected with Bacteroides sp. or facultative and aerobic bacteria, abscesses were formed in 8 of the 11 combinations. The AFGPC recovered from the mixed infections contained many encapsulated cells. Encapsulation also occurred in cocci injected with capsular material or with Formalin-killed cells of Klebsiella pneumoniae or capsule-positive Bacteroides sp. After acquisition of capsules, these strains could induce abscesses on reinoculation in mice.

Abscess↗
PubMed1985

Possible association of mucous blanket integrity with postirradiation colonization resistance.

Radiation-induced infections can be associated with changes in colonization potential of the intestine. Since the mucous blanket, which overlays the epithelium, is a major mucosal structure and is heavily colonized by microorganisms, we examined the status of the mucus after radiation and evaluated susceptibility to intestinal challenge with bacteria. A downward shift (2.5 X 10(8) cells/g to 5.3 X 10(5)) of total facultatively anaerobic bacteria of the ileum of C3HeB/FeJ mice was detected by 3 days post exposure to 10 Gy 60Co. Numbers of flora returned to normal by 11 days after radiation. Scanning electron microscopy was used to show that the loss of bacteria could be associated with major disruptions of the continuity of the mucous blanket. The pathogen Pseudomonas aeruginosa adhered to mouse mucous films used in in vitro assays. When irradiated mice were challenged orally with 1 X 10(5) P. aeruginosa on days 1, 2, or 3 after irradiation, a progressive increase in susceptibility was seen, but no animals died before Day 4 postirradiation. Sensitivity to subcutaneous (sc) challenge with Pseudomonas also increased by Day 3 and was probably due largely to the profound neutropenia observed. Immunoglobulin G (Gamimmune), which protected burned mice infected with Pseudomonas, was ineffectual in treatment of 7 or 10 Gy irradiated mice challenged either orally or sc with the organism. The ileal mucosal barrier was compromised after radiation in ways which could facilitate epithelial colonization, an event which combined with other immunological and physiological decrements in this model can compromise the effectiveness of therapeutic modalities.

Animals↗
PubMed1984

Pathogenicity of piliated and encapsulated Bacteroides fragilis.

Of 20 isolates of the Bacteroides fragilis group, only three were encapsulated (C+) and these induced abscesses in mice. After coinoculation with live, formalized or capsular material from other bacteria seven other isolates formed abscesses. The Bacteroides recovered from these abscesses were C+; those that had been inoculated with Klebsiella had pili-like and bacteriophage-like structures. Once encapsulated, the Bacteroides isolates induced abscesses when injected alone.

Abscess↗
PubMed1984

Synergistic effect of bacteroides, Clostridium, Fusobacterium, anaerobic cocci, and aerobic bacteria on mortality and induction of subcutaneous abscesses in mice.

The potential for synergy between aerobic, facultative, and anaerobic bacteria was studied by subcutaneous inoculation of mixtures of these organisms into mice and observation of subsequent mortality and abscess formation. The anaerobic bacteria tested included 12 strains of gram-positive cocci and two strains each of Bacteroides species, Clostridium species, and Fusobacterium species. The facultative and aerobic bacteria included one strain each of Staphylococcus aureus, Pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae, and Proteus mirabilis. Mortality increased significantly when each aerobic organism was inoculated along with either of the Bacteroides species. A similar increase occurred when the anaerobic gram-positive cocci were inoculated along with P. aeruginosa (four of six combinations) or S. aureus (four of six). The rate of abscess induction increased significantly when 10 of the 12 strains of anaerobic gram-positive cocci were injected along with B. fragilis and when nine of these strains were inoculated along with Bacteroides asaccharolyticus . The results demonstrate synergistic potential between Bacteroides species and all aerobic bacteria tested, between Bacteroides species and most anaerobic gram-positive cocci, and between most anaerobic gram-positive cocci and P. aeruginosa or S. aureus.

Abscess↗
PubMed1984

Synergism between penicillin, clindamycin, or metronidazole and gentamicin against species of the Bacteroides melaninogenicus and Bacteroides fragilis groups.

Clinical isolates of the Bacteroides melaninogenicus and Bacteroides fragilis groups were tested for in vitro and in vivo susceptibility to penicillin, clindamycin, and metronidazole, used singly or in combination with gentamicin. The in vitro tests consisted of determinations of minimal inhibitory concentrations (MICs) carried out with or without constant amounts of gentamicin. When used alone, gentamicin had negligible effects on the bacteria but significantly reduced the MICs of penicillin, clindamycin, and metronidazole against 11, 10, and 3, of the 15 strains of the B. melaninogenicus group, respectively. The 15 strains of the B. fragilis group were all beta-lactamase producers and were highly resistant to penicillin or the combination of penicillin and gentamicin. However, gentamicin reduced the MICs of clindamycin and metronidazole against 1 and 7 strains of this group, respectively. The in vivo tests were carried out in mice and consisted of measurements of the effects of the antimicrobial agents on the sizes and bacterial content of abscesses induced by subcutaneous injection of bacterial suspensions. The results of the in vivo tests were generally consistent with those obtained in vitro with strains of the B. melaninogenicus group. Synergism between gentamicin and penicillin, clindamycin, or metronidazole was shown in 13, 10, and 3 strains of this group, respectively. In vivo synergism was not clearly demonstrated with the strains of the B. fragilis group, possibly because clindamycin and metronidazole used alone were highly efficacious. We suggest that the synergistic effect of gentamicin is due to its increased transport into the bacterial cell in the presence of penicillin and, possibly, other antimicrobial agents. The newly recognized in vitro and in vivo synergism between penicillin and other antimicrobial agents and an aminoglycoside in B. melaninogenicus may have clinical implications that deserve to be investigated.

Abscess↗
PubMed1984

Significance of encapsulated Bacteroides melaninogenicus and Bacteroides fragilis groups in mixed infections.

Organisms of the Bacteroides melaninogenicus and Bacteroides fragilis groups are often found mixed with facultatively anaerobic organisms in infections. The relative importance of these Bacteroides groups and facultative anaerobic pathogens in mixed infections was investigated in a subcutaneous abscess model in mice. This was determined by observing the effect of antimicrobial therapy directed against one or both organisms present in the abscess. Clindamycin or metronidazole was used for treatment of infections caused by Bacteroides species, and either gentamicin, penicillin, ampicillin, or oxacillin was used for treatment of infections caused by facultative flora. In almost all instances the aerobic counterparts in the infection were more important than the unencapsulated Bacteroides species. On the other hand, encapsulated B. melaninogenicus group organisms were found to be more important in abscess formation than were group A streptococci, Streptococcus pneumoniae, Klebsiella pneumoniae, Haemophilus influenzae, and Staphylococcus aureus. Encapsulated B. fragilis group organisms were found to be more important than or as important as Escherichia coli and group D streptococci and less important than S. aureus, group A streptococci, and K. pneumoniae in induction of subcutaneous abscesses. This study demonstrates that encapsulated Bacteroides species are a factor that should be considered in the treatment of mixed infections with antibiotics.

Abscess↗
PubMed1984

Pathogenicity of anaerobic gram-positive cocci.

The pathogenicity of 20 strains of facultative or anaerobic gram-positive cocci (AGPC) was investigated by injecting them alone or mixed with other flora into mice, utilizing the subcutaneous abscess model. Abscesses induced by a mixture of two organisms were uniformly larger than those induced by single organisms. The relationships among seven AGPC strains, eight aerobes, and two Bacteroides spp. were determined by treating the infected animals with antibiotics and observing the effect of therapy directed against one or both organisms present in the abscess. A total of 70 different combinations were tested. As judged by their responses to antimicrobial therapy, facultative cocci or AGPC were relatively more important than the other species in 6 combinations, equally important in 35 combinations, and less important in 29 combinations. The AGPC most often found to be equal to or more important than the other bacteria were Peptococcus magnus, Streptococcus constellatus, and Peptostreptococcus anaerobius. Proteus mirabilis, Escherichia coli, and Staphylococcus aureus were frequently found to be of more importance than the AGPC.

Abscess↗
PubMed1984

Recovery of aerobic and anaerobic bacteria from irradiated mice.

Anaerobic and aerobic bacteria were often found as mixed infections in 225 lethally irradiated mice. Of a total of 57 mice that were sacrificed, aerobic bacteria were recovered exclusively in 9 (27%) of the 34 culture-positive mice, anaerobic bacteria were recovered exclusively in 15 (44%), and mixed aerobic and anaerobic flora were recovered in 10 (29%). The predominant organisms were anaerobic cocci Escherichia coli, Proteus mirabilis, Staphylococcus spp., and Bacteroides spp.

Animals↗
PubMed1984

In vivo protection of penicillin-susceptible Bacteroides melaninogenicus from penicillin by facultative bacteria which produce beta-lactamase.

We investigated the possibility that beta-lactamase producing strains of Klebsiella pneumoniae and Staphylococcus aureus can protect organisms of the Bacteroides melaninogenicus group from penicillin. A mixed infection was induced in mice in the form of a subcutaneous abscess involving a penicillin-susceptible encapsulated B. melaninogenicus, and a beta-lactamase producing strain of either K. pneumoniae or S. aureus. The infected animals were treated for 7 days with single or combined antimicrobial therapy. The single agents used were penicillin, clavulanic acid, metronidazole, and gentamicin. The antimicrobial combinations were penicillin and clavulanic acid, penicillin and gentamicin, and metronidazole and gentamicin. Administration of a single agent was effective in treating abscesses caused by susceptible organisms. The only effective therapy for mixed infections was by combination therapy of penicillin and clavulanic acid or metronidazole and gentamicin. This study supports the hypothesis that beta-lactamase producing facultative bacteria may shield their anaerobic counterparts from penicillin therapy, thereby contributing to the persistence of the infection.

Abscess↗
PubMed1984

In vitro and in vivo pathologic effects of Vibrio parahaemolyticus on human epithelial cells.

The initial interaction and adherence of Vibrio parahemolyticus to epithelial tissue culture cells, human buccal epithelial cells, and the ileal mucosa of mice were studied. Using scanning electron microscopy, adherent bacteria were observed only on degenerating human embryonic intestinal, HeLa, and buccal cells; healthy normal cells were devoid of bacteria. Sheared V. parahaemolyticus, i.e., lacking flagella, did not adhere to either normal or degenerating tissue cells. Neither ultraviolet-inactivated organisms nor cell-free culture supernate affected the epithelial cells. Similar findings were observed on the mucosa of the ileum in mice inoculated with V. parahaemolyticus. It appears that V. parahaemolyticus possesses a cytotoxic factor which alters epithelial cells. This factor appears to be closely associated with viable organisms and may be a functional element in the adherence process of flagellated V. parahaemolyticus to mammalian epithelial cells.

Adhesiveness↗