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Pathogenic leptospira isolates from the Caribbean Islands of Trinidad, Grenada and St. Vincent.

All known isolates of Leptospira interrogans obtained in Trinidad, Grenada and St. Vincent up to the end of 1979 are listed. There were 80 from Trinidad, 20 from Grenada and 2 from St. Vincent, representing at least 20 serotypes from 11 or more serogroups. Six of the serotypes were first reported from Trinidad. The leptospires were isolated from man, domestic animals and wildlife species.

Animals↗

[In vitro activity of Mercurius cyanatus complex against relevant pathogenic bacterial isolates].

The antimicrobial activity of mercurius cyanatus complex (Oligoplex) and its components Mercurius cyanatus D5, Echinacea angustifolia D1, Ailanthus glandulosa D3, Ammonium bromatum D3, Baptisia tinctoria D3, Euspongia officinalis D2, alcohol 5% (dilution: D1 = 1: 10, D2 = 1 : 100 etc.) was tested in vitro by serial dilution tests against 105 clinical isolates (grampositive/negative, aerobes and anaerobes with relevance for pharyngitis). The bactericidal activity was compared with that of vancomycin when appropriate. One component of the composition (Mercurius cyanatus) exerted a considerable bactericidal activity against S. pyogenes, S. agalactiae, S. pneumoniae, S. aureus, E. faecalis in serial dilutions of the clinical relevant concentration D5. However, growth of H. influenzae, Bacteriodes sp. and Actinobacillus actinomycetemcomitans was not inhibited by Mercurius cyanatus and any other component of the composition. The composition, however, exerted a bactericidal range similar to that of Mercurius cyanatus, but less efficient. Analysis of the bactericidal effect of Mercurius cyanatus and vancomycin revealed comparability for S. pyogenes, S. agalactiae, S. pneumoniae, S. aureus and E. faecalis for vancomycin concentrations of 0.063-2 mg/l, which are clinically relevant.

Anti-Bacterial Agents↗

The 96-kilodalton antigen as an integral membrane protein in pathogenic Entamoeba histolytica: potential differences in pathogenic and nonpathogenic isolates.

A surface antigen (EH-96) of Entamoeba histolytica was demonstrated to be a plasma membrane antigen by immunoprecipitation of metabolically 35S-labeled antigen from live trophozoites, Triton X-114 detergent extracts, and plasma membrane-enriched fractions prepared by concanavalin A membrane stabilization and differential centrifugation. In addition, the antigen was localized to the plasma membrane by electron microscopy with colloidal gold. Antigen from E. histolytica strains immunoprecipitated with specific immunoglobulin M (IgM) or IgG2b monoclonal antibody was identical by one-dimensional peptide mapping with N-chlorosuccinimide. Additionally, antigen from different axenically cultivated amebae was demonstrated to be identical by N-chlorosuccinimide peptide mapping, as were peptide maps of IgG and IgM monoclonal antibody-purified antigen. The 96-kilodalton (kDa) surface antigen was identified on four axenically cultivated pathogenic isolates and on three polyxenically cultivated pathogenic isolates (zymodeme II) of E. histolytica but was absent or present in lesser quantity on six nonpathogenic polyxenically cultivated isolates. The 96-kDa antigen was detected in liver abscess fluid from four patients with amebic abscesses by enzyme-linked immunosorbent assay (ELISA) and immunoprecipitation. Two-dimensional gel electrophoresis profiles of the 96-kDa antigen purified from abscess material or from polyxenically cultivated trophozoites demonstrated that the antigens were related to the 96-kDa antigen found in axenically cultivated organisms.

Animals↗

Microbiology of surgical site infections and associated antimicrobial use among Vietnamese orthopedic and neurosurgical patients.

OBJECTIVES: To determine the pathogens associated with surgical site infections (SSIs) and describe patterns of antimicrobial use and resistance in orthopedic and neurosurgical patients in a large university hospital in Vietnam. DESIGN: Prospective cohort study. SETTING: Cho Ray Hospital, Ho Chi Minh City, Vietnam. PATIENTS: All patients who had operations during a 5-week study period. RESULTS: Of 702 surgical patients, 80 (11.4%) developed an SSI. The incidence of SSI among orthopedic patients was 15.2% (48 of 315), and among neurosurgical patients it was 8.3% (32 of 387). Postoperative bacterial cultures of samples from the surgical sites were performed for 55 (68.8%) of the 80 patients with SSI; 68 wound swab specimens and 10 cerebrospinal fluid samples were cultured. Of these 78 cultures, 60 (76.9%) were positive for a pathogen, and 15 (25%) of those 60 cultures yielded multiple pathogens. The 3 most frequently isolated pathogens were Pseudomonas aeruginosa (29.5% of isolates), Staphylococcus aureus (11.5% of isolates), and Escherichia coli (10.3% of isolates). Ninety percent of S. aureus isolates were methicillin resistant, 91% of P. aeruginosa isolates were ceftazidime resistant, and 38% of E. coli isolates were cefotaxime resistant. All but 1 of the 702 patients received antimicrobial therapy after surgery, and the median duration of antimicrobial therapy was 11 days. Commonly used antimicrobials included aminopenicillins and second- and third-generation cephalosporins. Two or more agents were given to 634 (90%) of the patients, and most combination drug regimens (86%) included an aminoglycoside. CONCLUSIONS: Our data indicate that the incidence of SSI is high in our study population, that the main pathogens causing SSI are gram-negative bacteria and are often resistant to commonly used antimicrobials, that the use of broad-spectrum antimicrobials after surgery is widespread, and that implementation of interventions aimed at promoting appropriate and evidence-based use of antimicrobials are needed in Vietnam.

Adult↗

Clinical and microbiological features of Branhamella catarrhalis bronchopulmonary infections.

Branhamella catarrhalis bronchopulmonary infection was diagnosed in 101 patients with clinical lower respiratory tract infections by the presence of gram-negative intracellular diplococci in sputum and growth of more than 20 colonies of B catarrhalis in quantitative culture at a 10(-7) dilution. 94 patients had either chronic chest disease or were current or previous smokers, 59 had a cause of generalised immunosuppression, and 17 had a high risk of aspiration from the oropharynx. The pathogenicity of B catarrhalis was evident from purulence of sputum, fever, blood leucocytosis, and patchy pulmonary shadowing on chest radiographs. B catarrhalis infection contributed to 4 of 6 deaths. B catarrhalis was the only bacterial pathogen isolated from the sputum of 71 patients and it was isolated with other recognised bacterial pathogens from 30 patients. All 10 isolates of B catarrhalis tested were sensitive to oxytetracycline, all 82 tested were sensitive to cefuroxime, 93 of 96 were sensitive to erythromycin, and 85 of 95 to cotrimoxazole. Beta-lactamase was produced by 38 of 99 isolates of B catarrhalis.

Adult↗

Avian paramyxovirus type 1 from pigeons: isolate characterization and pathogenicity after chicken or embryo passage of selected isolates.

Nine pigeon paramyxovirus type 1 isolates from the United States and Canada were characterized and three of the isolates were pathotyped before and after passage in chickens and serial passage in chicken embryos. One isolate previously passaged in Madin Darby bovine kidney cells was also pathotyped after chicken and embryo passage. Hemagglutination (HA) titers of all isolates were low when tested by microtiter procedures and all were negative by rapid-plate HA. The HA titers were increased by a factor of 8 to 32 by Tween-ether treatment, and treated antigen had the same reactivity as untreated antigen in hemagglutination-inhibition (HI) tests. All isolates had a slow elution rate and an HA thermostability equal to or greater than 60 minutes. Mean death times in embryos were 99 hours or greater, except for one isolate with a mean death time of 81 hours, and intracerebral pathogenicity indices of all isolates were greater than 1. Antigenic differences among the pigeon isolates were identified by three different binding patterns in HI tests against a battery of five Newcastle disease virus (NDV) monoclonal antibodies. Pathogenicity enhancement by bird, embryo, or cell passage was limited to an intravenous pathogenicity index increase for one of three viruses passaged in embryonated eggs. Cloacal samples collected during chicken passage contained higher virus titers than did oral samples. The pigeon isolates reported here, like those of earlier reports, have properties that prevent characterization within a single NDV pathotype. Finally, there was no evidence that any of these isolates was highly virulent for chickens.

Animals↗