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PubMed1990

[An evaluation of the sensitivity to antiseptic preparations of clinical strains of microorganisms in the family Enterobacteriaceae].

Classical enterobacterial strains are sensitive to the working concentrations of pervomur, dioxydine, resorcinol, sodium sulfacyl, iodopyrone, chlorhexidine and boric acid, resistant to the action of cetyplyridinium chloride, rivanol, roccal and ethonium. In enterobacterial populations strains with acquired resistance to chloramine B, iodopyrone, chlorhexidine and resorcinol are present. Hospital strains of enterobacteria are characterized by higher, in comparison with extrahospital strains, resistance to ethonium, sodium sulfacyl, lodopyrone, chloramine B and resorcinol.

Abscess↗
PubMed1990

Plasmid--mediated drug resistance in enterobacteriaceae isolated at Gondar Hospital.

Thirteen randomly selected multiresistant strains of E. coli, Klebsiella species and providencia stuartii, isolated from Gondar Hospital patients, were investigated for the presence of transferable drug resistance. Resistance transfer occurred in 10 (77%) of the 13 strains. All the transferable resistances were found to be mediated by plasmids of the incompatibility groups H1, FII.J1 and C. The high frequency of the H1 plasmids observed in Klebisella strains, indicates multiresistant nosocomial Klebsiella infections in Gondar Hospital. Restricted use of antimicrobial agents and further studies of the problems of plasmid-mediated drug resistance are recommended.

Anti-Bacterial Agents↗
PubMed1985

Induction of germ-line anti-alpha 1-3 dextran antibody responses in mice by members of the Enterobacteriaceae family.

A large panel of enteric organisms was screened for agglutination with a panel of lambda monoclonal antibodies of different heavy chain isotypes specific for alpha 1-3 dextran (DEX). Two strains were initially isolated that were bound by most of the anti-DEX antibodies. One organism, Enterobacter cloacae strain MK7, which was characterized in detail, induced a typical lambda anti-DEX response in Igh-Ca mice that had a fine idiotope profile comparable with that induced by purified B1355S dextran containing alpha 1-3 glucosidic linkages (alpha 1-3-DEX). The determinant on the bacterial surface was shown by binding inhibition with nigerotriose to contain alpha 1-3 linkages. Hyperimmunization with these organisms of normal, athymic (nu/nu), or germ-free mice induced large amounts of IgM antibodies but very little IgG. This is the first description of an organism isolated from the normal gut flora of mice that can be shown directly to be bound by alpha 1-3-DEX antibodies and to induce the typical germ-line response of the DEX family of antibodies.

Agglutination Tests↗
PubMed1989

A statistical method to evaluate the reliability and reproducibility of a standardised technique for the conduct of antibiograms on two species of Enterobacteriaceae.

Antibiograms are only as reliable as is permitted by the quality of the specimen, the reliability or reproducibility of the method used and the ability of the clinician to interpret the results. Non-standardised methods may give erroneous results. Some of these procedural effects were investigated by means of statistical analysis of variance to determine the effect on the reliability of the test. To ensure reliable and reproducible test results with antibiograms, it is imperative that the type of sensitivity test medium as well as the density of the inoculum of the test organisms be standardised.

Analysis of Variance↗
PubMed1989

Antibiotic sensitivity of enterobacteriaceae by disc diffusion and rapid fermentation sensitivity test methods.

A total of 400 strains of Gram negative bacilli were examined both by conventional disc diffusion (DD) and by rapid fermentation sensitivity test (RFST) methods. Various strains which were examined included Esch. coli Kleb. aerogenes, Kleb. pneumoniae, Prot. vulgaris, Prot. mirabilis, Prot. morgani, Prot. rittgeri and Providencia. The antibiotics used were streptomycin, chloramphenicol, kanamycin, gentamycin and ampicillin. The correlation between the two methods was found to vary from 75 to 98 per cent. By RFST method the results are obtained within six hours. The limitations of this method are (i) it cannot be used for Pseudomonas aeruginosa as it does not ferment glucose, (ii) it cannot be used for antibiotics active only at acidic pH like tetracycline and (iii) partial or intermediate sensitivity cannot be tested by this method. On the other hand, it is a simple, inexpensive, rapid and reliable method feasible in small laboratories also. The results are not affected by the size of inoculum or quality of medium (agar) used. Thus, it is very helpful especially when immediate antibiotic sensitivity is required.

Diffusion↗
PubMed1989

[Interpretative reading and quality control of an antibiotic sensitivity test using an expert system. Application to the API ATB system and Enterobacteriaceae].

An expert system (cadi-yac), written in Turbo-Prolog and working on IBM PC and Bacanal + (a management software of microbiology laboratory) was used to recognize and correct the phenotype of antibiotic sensibility. The results were there of API ATB system. The knowledge was adapted from two references works. A routine use of the expert system give a correct recognition of enzymatic profile in more than 80% cases for the beta-lactams and more than 98% cases for the aminosides. The mistakes detected by cadi-yac, were often interpreted as deficiency of API system by humans experts. The expert system mistakes (1.5%) were due composites phenotypes.

Anti-Bacterial Agents↗
PubMed1986

[In vitro comparative study of piperacillin-aminoglycosides combinations against Enterococci and Enterobacteriaceae].

The hundred and ninety-two combinations were tested against 17 strains chosen from the results of MIC determination (disc method): 5 enterococci exhibiting low level resistance (r) or high level resistance (R) to streptomycin (S) and gentamicin (G): 2 strains Sr Gr, 2 strains SR Gr and 1 strain Sr GR; 12 enterobacteria chosen for their resistance phenotypes to beta-lactams and aminoglycosides and because they are the most frequent clinical isolates: 2 strains Amos Tics Ctns (group 1), 4 strains AmoR Tics CtnR (gr. II), 4 strains AmoR TicR Ctns (gr. III) and 2 strains AmoR TicR CtnR (gr. IV). MIC and MBC were assessed for the 17 strains (Mueller Hinton broth). Combinations were carried out by a checkerboard micromethod. FBC index was calculated for each combination. Against enterococci the 50 combinations were: piperacillin versus ampicillin + aminoglycosides (streptomycin, tobramycin, amikacin, gentamicin, netilmicin). Against enterobacteria piperacillin was combined with different aminoglycosides depending on their resistance phenotypes. These combinations were compared with ticarcillin or mezlocillin or cefotaxime + aminoglycosides (total number 142). The species studied produced different results: with the enterococci Gr synergistic effects (FBC = 0.62-0.75) were rare; additive and indifferent effects were predominant. With the GR strain some antagonistic effects were observed. With the enterobacteria, in groups I and II synergistic effects were frequent and almost equivalent regardless of the beta-lactam chosen. In groups III and IV (TicR) piperacillin MICs were greater than or equal to 128 mg/l and mezlocillin MICs greater than 512 mg/l; the synergistic effects were significant (FBC from 0.25 to 0.62). beta-lactam + amikacin or netilmicin, and especially piperacillin + amikacin, were found to have the most frequent synergistic effects upon the strains tested. Mezlocillin combinations cannot be used clinically; the use of piperacillin combinations requires further discussion. On the other hand, cefotaxime + aminoglycosides combinations are active against those TicR strains.

Aminoglycosides↗