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Infection and reinfection of chickens with Salmonella typhimurium: bacteriology and immune responses.

Four-day-old chickens infected orally with a spectinomycin-resistant (Spcr) mutant of a highly invasive avian Salmonella typhimurium strain excreted salmonellae in the feces for at least 10 weeks. When these chickens were reinfected at this time with a nalidixic acid-resistant (Nalr) mutant of the same strain, they excreted this mutant in significantly smaller numbers (P less than 0.01) than did a previously uninfected control group. The Nalr mutant had a shorter survival rate in the tissues of the immunized chickens than in tissues of the control birds. The Spcr mutant stimulated strong IgG, IgA, and IgM responses in serum, small-intestinal contents, and bile. These were detected by enzyme-linked immunosorbent assay (ELISA) against antigens of crude whole bacterial cell protein sonicate, lipopolysaccharide, flagella, and outer-membrane proteins. There was some evidence of an anamnestic response with IgA in bile following reinfection with the Salmonella. The peak response of antibody-producing cells from the spleens of infected chickens, assayed by solid-phase ELISA, occurred at 3 weeks postinoculation. A strong delayed hypersensitivity reaction, detected by foot-pad swelling after inoculation with either whole-cell or outer-membrane proteins, was observed between 2 and 5 weeks after infection with the Spcr mutant. The data indicate that outer-membrane proteins are major immunogens for both humoral and cell-mediated arms of the immune system.

Animals↗

[Colibacillosis in poultry: etiology, pathology and therapy].

Colibacillosis is a secondary infection caused by inhalation, particularly in young broilers and poults. The severity of this septicaemic disease is due to a combination of factors as the virulence, exposure to aerogenic infection, the E. coli strains involved and the intensity of the predisposing alteration of the respiratory epithelium by viruses. Mycoplasmas and/or CO2, NH3 and dust in the atmosphere. Despite preventive vaccination against several predisposing viral infections and the successful eradication of M. gallisepticum in the Netherlands, colibacillosis continues to be an important disease in the broiler industry. Treatment is confronted with a number of serious problems: high costs when treating flocks with the correct (relatively high) dosage for a sufficiently long period, resistance to bacterial drugs and drug residues. Despite negligible resorption from the gastrointestinal tract, very satisfactory therapeutic results were obtained by oral treatment, even against in vitro resistant E. colli strains. To explain the mode of action it is suggested that well-absorbed metabolites or degradation products of spectinomycin block the adhesion of bacteria to tissue receptors.

Animals↗

Gonorrhea: diagnostic and therapeutic strategies in the era of resistance to antibiotics.

Culture procedures are the methods of choice for the diagnosis of gonorrhea, and they also allow for antibiotic susceptibility testing of isolated gonococcal strains. This is important because of the growing frequency in many countries of infections with antibiotic-resistant strains. The present report discusses the diagnosis, epidemiology, and various modes for treatment of infections with plasmid-mediated high-level penicillin- and high-level tetracyclin-resistant gonococcal strains, as well as infections with gonococcal strains with chromosomally mediated resistance to penicillin, spectinomycin, and other antibiotics, such as the quinolones. The importance of subjecting treated patients to tests of cure is stressed, as well as the need for continous surveillance studies and strategies for control.

Anti-Bacterial Agents↗

Microbiological study of urethritis in men attending a STD clinic.

A microbiological study of 275 male patients suffering from urethritis and 100 healthy male controls showed that Neisseria gonorrhoeae (130), Ureaplasma urealyticum (81), Staphylococcus aureus (38), and alpha and beta streptococci (34) were the common isolates. Specificity and sensitivity of the direct fluorescent antibody technique in the detection of N. gonorrhoeae in 130 urethral samples, were found to be 100 per cent. Penicillin (10 units/disc) resistance was found in 36.93 per cent of N. gonorrhoeae. Minimum inhibitory concentration of penicillin for 75 isolates of N. gonorrhoeae (including 5 beta lactamase producers) varied from 0.01-5 micrograms/ml with a 95 per cent confidence limit range of 0.26-0.61 microgram/ml. Most of the N. gonorrhoeae isolates tested were sensitive to norfloxacin and spectinomycin. Inclusion bodies of Chlamydia trachomatis were observed in 25 patients.

Adolescent↗

[Susceptibilities of Escherichia coli, Salmonella and Staphylococcus aureus isolated from animals to ofloxacin and commonly used antimicrobial agents].

Susceptibilities of Escherichia coli, Salmonella and Staphylococcus aureus isolated from chickens, pigs and cattle to ofloxacin (OFLX) and commonly used antimicrobial agents were investigated. 1. E. coli (28 isolates) demonstrated the highest level of susceptibility of OFLX (MIC 0.10-0.39 micrograms/ml for all the isolates) among all the test drugs. Commonly used antimicrobial agents to which these isolates responded with relatively high susceptibilities (MIC50 0.78-6.25 micrograms/ml) included oxolinic acid (OXA), ampicillin (ABPC), kanamycin (KM) and chloramphenicol (CP) with their MIC50 values in the increasing order as above. Drugs to which these isolates responded with moderate to weak susceptibilities (MIC50 25 approximately greater than 800 micrograms/ml) were doxycycline (DOXY), streptomycin (SM), spectinomycin (SPCM) and sulfadimethoxine (SDMX) in the increasing order of MIC50. E. coli isolates with resistances to all the test drugs other than OFLX and OXA amounted to 7.1-57.1% of the isolates examined and 20 isolates (71.4%) in total. 2. Susceptibilities to OFLX and 4 existing pyridonecarboxylic acid derivatives of E. coli (48 samples) isolated recently from diarrheal pigs were compared. When evaluated in terms of MIC50, the values of OFLX and norfloxacin were both 0.10 micrograms/ml. The values increased by differences of 0.39-3.13 micrograms/ml in an order of OXA, pipemidic acid and nalidixic acid. 3. Salmonella (28 isolates) demonstrated the highest level of susceptibility to OFLX (MIC 0.20-0.39 micrograms/ml for all the isolates) among all the test drugs. The drugs to which these isolates responded with relatively high to moderate susceptibilities (MIC50 0.78-12.5 micrograms/ml) included ABPC, OXA, DOXY, KM, CP and SM with their MIC50 values increasing in this order. The drugs to which the isolates responded with low susceptibilities (MIC50 above 100 micrograms/ml) were SPCM and SDMX. Of all the 28 Salmonella isolates tested, 7.1-32.1% were resistant to all the test drugs other than OFLX and OXA. These resistant isolates amounted to a total of 12 isolates (42.9%). 4. S. aureus (28 isolates) were highly susceptible to OFLX (MIC50 and MIC90 were both 0.78 micrograms/ml). Commonly used antimicrobial agents to which the isolates responded with high to relatively high susceptibilities (MIC50 0.10-6.25 micrograms/ml) were, in the increasing order of MIC50: DOXY, ABPC, tylosin, tiamulin, KM, OXA and CP. Drugs with moderate to low bacterial susceptibilities (MIC50 12.5-100 microns/ml) were SD, SDMX and SPCM. Isolates resistant to all the test drugs except OFLX and SDMX amounted to 3.6-50% of the 28 isolates examined and they totalled 20 isolates (71.4%).(ABSTRACT TRUNCATED AT 400 WORDS)

Ampicillin↗

High-level penicillin-resistant gonococcal infections in Port Elizabeth.

The prevalence of penicillin-resistant Neisseria gonorrhoeae in black men with acute urethritis at two clinics for sexually transmitted diseases in Port Elizabeth was assessed during the latter half of 1986. Gonococcal aetiology was confirmed in 80% of 290 patients. Penicillinase-production was detected in 4.3% culture-positive cases, while intermediate penicillin resistance was demonstrated in another 28 isolates (13.9%). At least two strains exhibited high-level penicillin resistance without producing beta-lactamase. All isolates tested were susceptible to tetracycline and spectinomycin. The emergence of penicillin-resistant gonococci throughout southern Africa will require new approaches to the treatment of acute urethritis in men.

Follow-Up Studies↗

Observations on sexually transmitted diseases in promiscuous males in Djibouti.

Observations are reported on 7 sexually transmitted diseases in a heterosexual population of 105 promiscuous males in Djibouti, East Africa. Neisseria gonorrhoeae was cultured from urethral swabs from 34 subjects. Six isolates were beta lactamase positive (18%). High levels of resistance to antimicrobials were noted with penicillin, spectinomycin and cotrimoxazole, while tetracyclines and erythromycin were unvariably effective. Six patients had Chlamydia urethritis, one of whom had concomitant gonococcal urethritis. Half of the sera reacted positive for antibodies to Chlamydia. A total of 31 subjects had a positive treponemal FTA-Abs test; of these, only 14 had a reactive RPR test. Nineteen individuals were positive for HBsAg. One subject had a western blot confirmed HIV-1 infection, while none had antibodies to HIV-2 or HTLV-I.

AIDS Serodiagnosis↗

[The frequency of detection of Mycoplasma meleagridis in breeding turkeys depending on the laying age].

Coating of air sacs was recorded from day-old chicks from parents with Mycoplasma (M.) meleagridis infection, with positive findings being obtained from 9.52% of all animals early in the laying period and from 34.09% up to the 8th laying week. M. meleagridis was isolated from palatine and cloacal swabs taken of laying hens and insemination cocks, with positive findings being 50-60% prior to the laying period (28th week of age), 100% at start of laying, and 80% in the 14th laying week. M. meleagridis was identified in 50% of all embryonated eggs as of the 1st laying week and in 100% as of the 4th week. M. meleagridis was cultured from 30.67% of all sperm samples tested, between the 30th and 46th week of production. Differences were found to exist between individual cocks, with 4 cocks being without M. meleagridis at all. There was usually agreement between positive M. meleagridis findings from sperm and cloacal swabs. M. meleagridis was eliminated from cock sperm by spectinomycin (0.6 mg/ml diluting medium), but M. iowae was not.

Age Factors↗

[In vitro antibiotic sensitivity of French strains of Mycoplasma bovis].

The in vitro activity of 15 antibiotics was tested with 30-90 Mycoplasma bovis representative strains of bovine lung pathology in France. The distribution of minimal inhibitory concentration (MIC) is homogeneous with low values for spectinomycin, lincomycin, tylosin, gentamicin and baytril, intermediate for chloramphenicol and neomycin, high for nalidixic acid, Flumequine and erythromycin. The MIC distribution is heterogeneous with intermediate values for spiramycin and tetracyclines, and high values for streptomycin. For the later antibiotics, the heterogeneity of the susceptibility suggests a mechanism of acquired resistance.

Anti-Bacterial Agents↗

Biochemical determinants of aminoglycoside resistance in Gr- microorganisms isolated from urocultures.

The investigation was focused on 60 strains of Gr- microorganisms isolated from urocultures and resistant to gentamicin and/or amikacin. Resistance evaluation by the method of Bauer--Kirby with respect to 7 aminoglycoside aminocyclitols (streptomycin, spectinomycin, kanamycin, gentamicin, tobramycin, sisomicin, netilmicin and amikacin) as well as determination of minimal inhibitory concentrations revealed that the most frequently occurring resistance phenotype was streptomycin kanamycin gentamicin sisomicin tobramycin (91.66% tested microorganisms). Approximately 50% of all tested organisms were found to be susceptible to netilmicin. Assays for aminoglycoside-modifying enzymes using 32P ATP and 14C ATP confirmed APH(3')(5")--I and AAD(2") as resistance determinants regarding 4,6-substituted deoxystreptamines. Acetyltransferase determination by the method of Shannon and Phillips and that by van de Klundert et al. most frequently assumes for the formation of AAC(3)-II and AAC(3)-I. Assays utilizing radioactive labels in amikacin-resistant strains determine the enzymes APH(3') and AAD(2")-II.

Aminoglycosides↗

Successful therapy of penicillinase-producing Neisseria gonorrhoeae pharyngeal infection during pregnancy.

The relative frequency of pharyngeal gonococcal infection may be increased in certain prenatal populations. Therapy of penicillin-sensitive strains of Neisseria gonorrhoeae is associated with acceptable cure rates using aqueous procaine penicillin with probenecid. Infection of the oropharynx of pregnant women with penicillinase-producing strains is more problematic. The antibiotics normally used for the therapy of uncomplicated penicillinase-producing N gonorrhoeae infections, spectinomycin or cefoxitin, are not effective in the therapy of pharyngeal infection. Reported is the first case of penicillinase-producing N gonorrhoeae oropharyngeal infection during pregnancy. The patient was successfully treated with trimethoprim/sulfamethoxazole, and no maternal or neonatal morbidity was noted.

Adult↗

In-vitro susceptibility of 400 isolates of Neisseria gonorrhoeae in Vancouver, 1982-84.

Consecutive isolates of Neisseria gonorrhoeae obtained at a sexually transmitted disease clinic in Vancouver between June 1982 and June 1984 were tested for in-vitro susceptibility to eight antimicrobial agents. Of the 400 isolates 6 (1.5%) were penicillinase-producing N. gonorrhoeae, and for 25 (6.2%) the minimum inhibitory concentrations (MICs) of penicillin were 1.0 to 4.0 micrograms/ml. Ceftriaxone sodium was the most active agent. The MICs were higher than those reported in a Canadian study in 1973-74, except for tetracycline hydrochloride. The patterns of susceptibility of the isolates to one antimicrobial agent correlated significantly with those to each other agent, although the relation was weakest for trimethoprim-sulfamethoxazole and spectinomycin. The results reinforce the need to evaluate local in-vitro susceptibility patterns, especially since the proportion of isolates with relative and absolute resistance to penicillin is increasing.

Anti-Bacterial Agents↗

Prevalence of penicillinase-producing Neisseria gonorrheae in Korea.

An almost two-fold increase in the monthly reported case rate for sexually transmitted disease (STD) in U.S. military members assigned in the Republic of Korea in April 1981 prompted an epidemiologic assessment of that population. Inasmuch as previously nonexistent treatment failures for Neisseria gonorrheae were also being reported, a demographic slice of 253 symptomatic military members was surveyed in June and July, 1981, for gonorrhea prevalence and the proportion of this that could be attributed to penicillinase-producing Neisseria gonorrheae (PPNG). Using standard and accepted methods, the gonorrhea prevalence rate in symptomatic military members was found to be 100% while the proportion that could be attributed to PPNG was 43%. In order to compare this to the contact population of local prostitutes, 116 asymptomatic women who presented to local STD clinics for routine, often legally-mandated examinations, were surveyed. The expected lower gonorrhea prevalence rate was 13.9% but the proportion attributed to PPNG was 27.6%. This data was similar to the sudden increase in PPNG experienced by U.S. military forces at Subic Bay in the Philippines in 1979 and reflected the slow but steady migration of this resistance throughout Asia. The long-accepted norm for gonorrhea treatment using penicillin was changed to spectinomycin in the U.S. military population and was being considered for implementation by the Korean official health community. Further organism resistance can be expected, and close monitoring is taking place.

Adolescent↗

[Profiles of resistance to aminosides of Pseudomonas aeruginosa].

Among all Gram-negative bacilli, Pseudomonas aeruginosa is one of the most resistant to aminoglycosides. Five hundred and seventeen P. aeruginosa strains were studied. Isolates came from three Paris hospitals. Reference strains were provided by P. Courvalin and A. Philippon. The following aminoglycosides were used: streptomycin (S), spectinomycin (Sp), kanamycin (K), neomycin (N), gentamicin (G), sisomicin (Ss), netilmicin (Nt), tobramycin (T), amikacin (A), habekacin (H). The in vitro activity of antibiotics was evaluated by the standardized disk agar diffusion test. Distribution of inhibition zone diameters among susceptible strains were represented by histograms. Resistance frequency to aminoglycosides was: G: 61.5%, Ss: 38.1%, T: 35.8%, Nt: 58.2%, A: 15.5%, Seven resistance patterns were identified: G: 3%, G Ss: 3%, G Nt: 8%, G Ss Nt: 7%, G Ss T: 5%, G Ss T Nt: 53%, G Ss T Nt A: 21%. Hypothesis about resistance mechanisms and interpretation of disk agar diffusion test are discussed.

Aminoglycosides↗

Norfloxacin in the treatment of gonorrhea due to penicillinase and non-penicillinase producing Neisseria gonorrheae: a review.

In 12 recent clinical studies, norfloxacin given in various dosage regimens was shown to be highly effective in treating 1,588 gonococcal infections in 1,486 patients. A single oral dose of norfloxacin 800 mg cured 99.2% of 783 patients with penicillinase producing strains of Neisseria gonorrheae (PPNG) and non-penicillinase producing N. gonorrheae (NPPNG) causing urethritis, cervicitis and anorectal infections. A single oral dose of 800 mg of norfloxacin was found to be an effective alternative to a 2 g intramuscular dose of spectinomycin and superior to a 2.5 g oral dose of thiamphenicol for the treatment of PPNG urethritis or cervicitis. Its efficacy in treatment of NPPNG infections was shown to be similar to that of a single oral dose of 3.5 g of ampicillin plus 1 g of probenecid. Mild and transient gastrointestinal and neurological adverse events occurred in 3.3% of patients treated with norfloxacin 800 mg. Norfloxacin 800 mg as a single dose is recommended as an effective and safe single-dose treatment of urethritis, cervicitis and anorectal infections caused by PPNG or NPPNG.

Adolescent↗

Minimal inhibitory concentrations of antimicrobial agents against Actinobacillus pleuropneumoniae.

Forty-five isolates of Actinobacillus pleuropneumoniae were tested for susceptibility to 12 antimicrobial agents using a microdilution method for the minimal inhibitory concentration determinations. These results confirmed the high prevalence of A. pleuropneumoniae strains resistant to antibiotics as reported earlier using the disc diffusion method (Kirby-Bauer method). While 36% of the isolates were resistant to the penicillins, 47% were resistant to chloramphenicol and 68% were resistant to tetracycline. Minimal inhibitory concentrations for the resistant isolates were approximately 32 times higher than those for the susceptible isolates to the above antibacterial agents. The isolates were in general weakly susceptible or resistant to spectinomycin, lincomycin, tiamulin and spiramycin whereas most of them were susceptible to gentamicin, trimethoprim and erythromycin. The susceptibility pattern was similar throughout the 1980 to 1984 period. The 14 serotype 5 isolates were more resistant to tetracycline but less resistant to chloramphenicol and the penicillins than the 28 serotype 1 isolates.

Actinobacillus↗

Changes in the susceptibility of Actinobacillus pleuropneumoniae to antimicrobial agents in Quebec (1981-1986).

An important reduction in the in vitro efficacy of spectinomycin and chloramphenicol was recorded between 1981 and 1986 against the causal agent of porcine pleuropneumonia Actinobacillus. Antimicrobial susceptibility tests were carried out by use of Kirby-Bauer disk diffusion technique on a total of 723 isolates of Actinobacillus pleuropneumoniae. Results did not agree with those of other reports in which a constant susceptibility to any of the antimicrobial agents tested was reported with serotype 2 isolates. The ability to acquire drug resistance may differ from one serotype to another.

Actinobacillus↗

[In vitro activity of minocycline against Chlamydia trachomatis clinical isolates and clinical efficacy of minocycline to C. trachomatis associated nongonococcal urethritis].

The in vitro activity of minocycline (MINO) against Chlamydia trachomatis and its efficacy in the treatment of C. trachomatis-associated nongonococcal urethritis were investigated. Six isolates of C. trachomatis were inhibited at 0.06 micrograms/ml of MINO and 5 isolates at 0.03 micrograms/ml. All cases received oral MINO twice daily for 7 or more days in doses of 100 mg. In 5 of 31 cases, 2 g of spectinomycin was intramuscularly administrated together with MINO only once. C. trachomatis was eliminated in all cases tested. Excellent results were obtained in 26 cases (84%); urethral discharge and polymorphonuclear cells (PMN) disappeared or decreased to normal levels (3 cells/hpf or less) in these cases. Ureaplasma urealyticum was isolated from 8 cases, 7 of which became free of ureaplasmal infection. MINO seemed to be less effective on the decrease of PMN in the urethral smear in cases infected coincidentally with C. trachomatis and U. urealyticum than in cases infected with C. trachomatis alone. No subjective side effects were observed in any of the 31 cases studied. In conclusion, MINO was a useful antimicrobial agent for the treatment of C. trachomatis- and U. urealyticum-associated nongonococcal urethritis.

Adult↗