Comparative study on the effect of bacteriophage on MDR E.coli from Urinary tract infections

Abstract

Abstract Introduction/Objective Background: Urinary tract infections (UTIs) associated with urethral catheters are the most common infections during hospitalization. Hospitalization's most common infections are urethral catheter-related UTIs. Bacteriophages infect bacteria exclusively. Phage therapy, especially in Eastern Europe, was widely used before antibiotics. Due to the overuse of antibiotics and the development of resistant bacteria, this therapy approach is regaining popularity. Methods/Case Report Subjects and methods: 2223 UAE-based UTI patients (4–68 years old) were examined. The isolated bacteria were identified biochemically and tested for antimicrobial susceptibility using Mueller-Hinton agar disk diffusion (Kirby Bauer's). TSA (Liofilchem, Italy) kept isolates at 4 °C.for each examination. Tryptic Soy agar (TSA; Liofilchem, Italy) was used to grow one isolated colony overnight at 37 °C. This culture was transferred aseptically to 10 mL of fresh TSB medium and grown overnight at 37 °C to 0.8 optical density. 10 ml CaCl2 in 100 ml LB homogenized EMIRATE sewage water. Overnight homogenates with 9 E. coli isolates—24 hours of 37°C incubation. Samples were centrifuged at 12,000x g for five minutes—a 0.45 mm Millipore (France) filter produced phage lysate. TSA (Liofilchem, Italy) was used as a culture medium, and the centrifuged supernatant as phage suspension for the double-layer method. After 37 °C, plaques were examined. Single-plaque isolations followed. EOP was measured on double-layer agar for bacteria with a clear lysis zone (Adams, 1959). calculated EOP. Phages tested individually. EZ1 and EZ2 were negatively stained with Na-phosphotungstate for morphotype. Results (if a Case Study enter NA) Results: This study found presumptive E. coli colonies in 478 of 2223 (21.5%) samples by plating pre-enriched samples on MacConkey. E. coli B2 and B4 were sensitive to Ciprofloxacin, but most strains were resistant to antibiotics. E. coli B3 was Metronidazole-sensitive. Individual E. coli strains were susceptible to phage infection. Podoviruses were the two phages. 3 log decreased due to E. coli growth. Conclusion This study shows that a single dose of phage can reduce pathogenic MDR E.coli. Phages' high bacterial inactivation efficiency, safety, and prolonged survival, even in urine samples, allow depth studies, especially in vivo studies, to control urinary tract infection and overcome E.coli resistance.