Disc Diffusion Method Research Articles

Formulasi Sabun Cair Berbahan Baku Virgin Coconut Oil VCO dengan Penambahan Ekstrak Daun Pepaya Carica Papaya L. untuk Peningkatan Aktivitas Anti Bakteri Staphylococcus Epidermidis ATCC 12238

Acne is a chronic inflammatory disease caused by Staphylococcus epidermidis. Papaya leaves (Carica papaya L.) contain antibacterial substances, namely alkaloids carpaine, flavonoids, tocophenols. Of this study was to determine the physical quality of liquid soap, increasing antibacterial activity. Papaya leaves were extracted with 96% ethanol solvent, then evaporated with a water bath. Antibacterial activity test using the disc diffusion method in concentrations of 5%, 15% and 25% and liquid soap will be made F0 0%, F1 5%, F2 10%, and F3 25% against Staphylococcus epidermidis ATCC 12238. Amoxicillin tab as a positive control and distilled water as a negative control. Bacterial activity appears a clear zone around the disc paper. And see the physical quality test according to the requirements. The results of the bacterial test data are made in table form, and analyzed using the SPSS method Formula with the addition of papaya leaf extract can be made and according to the physical quality conditions of liquid soap. The results of the 25% concentration extract test are an inhibition zone of 20.8 mm, the highest liquid soap formula is an inhibition zone of 23.8 mm in inhibiting the growth of Staphylococcus epidermidis ATCC 12238. Liquid soap preparations and papaya leaf extract have antibacterial activity against Staphylococcus epidermidis ATCC 12238 bacteria and according to the physical quality requirements of liquid soap.

Chemical composition and antimicrobial investigation of the essential oil isolated from Montanoa bipinnatifida (Kunth) K. Koch leaves

Montanoa bipinnatifida is a perennial shrub belonging to family Asteraceae and geographically distributed in Mexico, Central America and Northern South America. This study aimed to investigate the chemical composition of the essential oil isolated from M. bipinnatifida leaves through GC-MS analysis accompanied by in-depth investigation of antimicrobial properties against wide arrays of microbial strains via agar diffusion method and disk diffusion method. The GC-MS analysis of the tested oil revealed presence of sixteen components (∼99.99%), predominated by germacrene D (37.22%), β-caryophyllene (30.73%), α-pinene (4.56%) and β-germacrene (4.48%). The undiluted oil exhibits varying levels of activity against different microbes. The leaf oil showed a significant inhibition against Proteus mirabilis, Staphylococcus aureus, Bacillus subtilis (both vegetative and spores), Mycobacterium phlei, and Candida albicans. However, its activity against Sarcina lutea, Escherichia coli, Klebsiella pneumoniae appears to be less pronounced. Thus, the leaf oil of M. bipinnatifida demonstrates broadspectrum antimicrobial activity and is recommended in the pharmaceutical industry to overcome the current problem related to the microbial resistance to antibiotics. Further experimental studies are warranted to investigate the underlying mechanism of action and the responsible individual components.

Presence of extended-spectrum beta-lactamase-producing Escherichia coli and carbapenem resistance in ready-to-eat stuffed mussels in Istanbul

AbstractFoodborne pathogens' transmission is essential in the spread of antibiotic resistance, and extended-spectrum beta-lactamase-producing Escherichia coli especially threatens public health. E. coli plays an essential role in the resistance to commonly used beta-lactam group antibiotics. Ready-to-eat (RTE) stuffed mussels are among many restaurants and street vendors, presenting potential health risks of food hygiene origin. 200 RTE stuffed mussels were collected from the Asian and European sides of Istanbul and analysed for the presence of E. coli. As a result of PCR analysis, E. coli was detected in 7 (3.5%) samples. An antibiotic susceptibility test was performed using the disc diffusion method to determine ESBL and carbapenem resistance. All isolates were resistant to ampicillin. The double-disk synergy test was performed as an ESBL phenotypic confirmation test, and no phenotypically ESBL-producing E. coli were detected. The blaTEM gene was detected in one isolate (14.2%) by mPCR, but blaCTX-M, blaSHV, and blaOXA genes were not observed. Meropenem and imipenem were used with the disk diffusion method for carbapenem resistance study, and no resistant isolate was found. Carbapenem resistance genes were investigated by monoplex PCR, and blaNDM-1, blaOXA-48, blaVIM, and blaIMP resistance genes were not detected. This is the first report on ESBL-producing E. coli in RTE stuffed mussels in Türkiye, which draws attention to a public health risk.

Presence of carbapenem resistance in hybrid Escherichia coli pathovars from ready-to-eat fresh-cut fruits in Accra, Ghana.

This study reports the presence of carbapenem-resistant Escherichia coli hybrid pathovars and its prevalence in 200 fresh-cut fruits from Accra. Standard culture methods were used to quantify microbial indicators and E. coli on fresh-cut fruits retailed in formal and informal outlets in Accra. The Kirby-Bauer disc diffusion method was used to determine the antibiotic resistance profile of E. coli, while multiplex PCR was employed to identify the virulence and carbapenem-resistance genes. Escherichia coli prevalence in cut fruits was 17%, with pawpaw, watermelon, and mixed fruit having higher prevalence than pineapple. Of the 34 E. coli isolates from fresh-cut fruits, 44% showed broad resistance to beta-lactam antibiotics, while 5.9% showed carbapenem resistance. The study identified virulence genes associated with all E. coli isolates, including stx1, stx2, escV, and ipaH, of which 97% were hybrid pathovars bearing genes for Shiga toxin-producing E. coli/enteropathogenic E. coli/enteroinvasive E. coli. The carbapenemase gene, blaIMP, was associated with both carbapenem-resistant E. coli phenotypes identified. Despite a low-carbapenem-resistance prevalence observed among E. coli isolates, hypervirulent hybrid strains of E. coli is present in fresh-cut fruits in the sampling area, posing a potential public health risk to fresh-cut fruit consumers.

Emergence of Virulent Extensively Drug-Resistant Vancomycin-Resistant Enterococci Among Diarrheic Pet Animals: A Possible Public Health Threat on the Move.

Background: Vancomycin-resistant enterococci (VRE) have become an increasing public health concern in the past few decades, being associated with serious multidrug-resistant (MDR) infections. This study was conducted to investigate the role of diarrheic pet animals as potential reservoirs for virulent extensively drug-resistant (XDR) VRE and their threat on human health. Materials and Methods: Rectal swabs were collected from 153 diarrheic pet animals (80 dogs and 73 cats). The collected swabs were cultured on CHROMagarTMVRE for the isolation of vancomycin-resistant Enterococcus faecalis and Enterococcus faecium, and then suspected colonies were identified as enterococci after Gram staining, conventional biochemical tests, and molecular techniques. VRE were basically identified using the disk diffusion method; however, molecular identification of vanA and vanB genes was carried out among confirmed VRE isolates. Moreover, three virulence genes (cytolysin A, cylA; enterococcal surface protein, esp; and hyaluronidase, hyl) were investigated in VRE isolates. Thereafter, VRE strains that harbored virulence genes were tested for antimicrobial susceptibility. Results: Eighteen out of 153 animals (11.8%) were positive for VRE, which were obtained from 15% and 8.2% of the examined dogs and cats, respectively. None of the obtained isolates carried the vanA gene, whereas the vanB gene was detected in E. faecalis (4/10) with a prevalence rate (40%). Of the obtained VRE isolates, five possessed esp and/or cylA, while all strains were negative for the hyl gene. Furthermore, four virulent VRE isolates exhibited an XDR pattern, and one isolate was MDR. Conclusion: Diarrheic pet animals could represent a potential zoonotic reservoir for virulent XDR vancomycin-resistant E. faecalis, which may have serious public health implications.

Assessment of the pattern of antibiotic resistance among microorganisms isolated from the culture medium prepared from hospitalized patients: A retrospective study.

Antibiotic resistance has become quite a challenge in the treatment of bacterial infections in the world. Therefore, the present study was conducted with the aim of investigating the pattern of antibiotic resistance among microorganisms isolated from the culture medium prepared from hospitalized patients. The type of study was cross-sectional descriptive. The antibiotic resistance pattern of positive samples collected from patients who got hospitalized in Shahid Faghihi hospital of Shiraz University of Medical Sciences between 2020 and 2021 using the disc diffusion method according to CLSI standards was measured. Then the data were entered into SPSS version 22 software and analyzed with appropriate statistical tests. Of all positive samples, 69.7% were Gram-negative and the rest were Gram-positive. The most frequent Gram-negative bacteria were Acinetobacter baumannii (31.4%), Escherichia coli (25.3), and Klebsiella pneumonia (21.2%), and the most frequent Gram-positive bacteria were Staphylococcus aureus (79%), Coagulase-negative staphylococci (15.4%), and Enterococcus (3.6%). The resistance rate of Acinetobacter baumannii, Klebsiella pneumonia, and Pseudomonas aeroginosa against ciprofloxacin was 91.4%, 74.3%, and 52.3%; the resistance rate against gentamicin was 90.5%, 54.3%, and 43.9%; the resistance rate against Piperacillin-Tazobactam was 85.6%, 65%, and 43.1%; the resistance rate against imipenem was 97.1%, 57.9%, and 65.4%; and the resistance rate against colostin was 1.9%, 0%, and 3.4%, respectively. The resistance rate of Staphylococcus aureus against cefoxotin and vancomycin was 42.7% and 2.8%, respectively. Finally, we concluded from this study that microorganisms isolated from patients have developed resistance to many commonly used antibiotics.

Phytochemical screening, antibacterial, antioxidant, and cytotoxic activities of Geranium pusillum leaves.

Traditional medicinal plants play an important role in primary health care worldwide. The phytochemical screening and activities of Geranium pusillum were investigated in this research. The dried plant leaves were extracted with ethanol, n-hexane, chloroform, dichloromethane, methanol, acetone, and aqueous solvents. These extracts were qualitatively analyzed, GC-MS, antimicrobial activities by using the disc diffusion method, antioxidant activity was determined by 2,2-diphenyl-1-picryl-hydrazyl-hydrate (DPPH) radical scavenging, and cytotoxic activity was analyzed by the hemolytic activity of human red blood cells. The results showed phytochemicals such as flavonoids, terpenoids, steroids, phenols, saponins, tannins, and cardiac glycosides were detected in plant leaves. The ethanol extract at a concentration of 10 mg/mL showed a maximum inhibition zone 17.5 ± 0.09, 15.6 ± 0.11, 14.2 ± 0.17, 18.4 ± 0.11, 16.6 ± 0.15, 12.5 ± 0.13, 15.9 ± 0.10, and 13.1 ± 0.11 mm, and at 15 mg/mL showed 24.5 ± 0.09, 27.2 ± 0.12, 26.3 ± 0.17, 28.4 ± 0.10, 27.9 ± 0.16, 22.5 ± 0.13, 27.1 ± 0.10, and 24.1 ± 0.16 mm against Escherichia coli, Pasturella multocida (gram-negative), Staphylococcus aureus, Bacillus subtilus (gram-positive), Rhizopus solani, Aspergillus flavus, Aspergillus niger, and Alternaria alternate (fungal strain), respectively, and dichloromethane showed a minimum inhibition zone as compared to other extracts against bacterial as well as fungal strains. Chloroform extract had maximum antioxidant activity (45.00 ± 0.08%) and minimum in dichloromethane (12.20 ± 0.04%). Cytotoxic activity was found maximum in acetone extract (19.83 ± 0.07%) and minimum in ethanol extract (4.72 ± 0.04%). It is concluded that phytochemicals like phenols, flavonoids, and others may be responsible for these activities, which is why this plant is used for traditional medicine. RESEARCH HIGHLIGHTS: Geranium pusillum has therapeutic properties that exhibit various biological activities beneficial for human health. G. pusillum has significant inhibitory effects against bacterial and fungal strains. Chloroform solvent extract indicates potential free radical scavenging abilities. Acetone extract exhibits notable effects on human red blood cells and demonstrates significant cytotoxic activity.

Synthesis, Characterization and Antimicrobial Activity of New 4-aminoantipyrine Derivatives Using Ultrasonic Mediation

تم استخدام تفاعل المباشر, ذو وعاء واحد، ثلاثي المكونات بين الألديهايدات الاروماتيه المعوضه, 2-نافثول و4- أمينو أنتيبيرين لتخليق سلسلة جديده من 4-(((2-hydroxynaphthalen-1-yl) (phenyl) methylene) amino)-1,5-dimethyl-2-phenyl-1,2-dihydro-3H-pyrazol-3-one (A1- A5) لقد أجريت هذا التفاعل بأستخدام كلوريد الزركونيل كمحفز فعال في حالة التشعيع بالموجات فوق الصوتية. في الحقيقة أن هذه المشتقات لديها قدره على العمل كمواد أساسية في تكوين مركبات جديده 4- (1H-naphtho [1,2-e] [1,3] oxazin-2(3H)-yl)-2-phenyl-1, 5-dimethyl-1,2-dihydro-3H-pyrazol-3-one(A6, A7 and A8). وبالمثل, تم استخدام MCRs التي أدت إلى تكوين مركب حلقي غير متجانس (1،3-نافثوكسازين( وتضمنت تفاعل 4- أمينو أنتي بييرين, و الفورمالديهايد و 2-نافثول بنسبة مول 1: 2: 1 لتكوين , 4-(1H-naphtho [1,2-e] [1,3] oxazin-2(3H)-yl)-2-phenyl-1-5 dimethyl-1,2-dihydro-3H-pyrazol-3-one (A9)1 يبدأ هذا التفاعل بأدخال نظام محفزZrOCl2-K2CO3 ويستمر من خلال التكثيف وتكوين الحلقه. ثم تحليل جميع المركبات المنتجه من خلال بيانات أطياف IR و H1 NMR و C13 NMR لتوضيح عمل هذه المركبات المميزه. باستخدام طريقة التخفيف الدقيق للمرق وطريقة نشر القرص، تم تقييم الأنشطة المضادة للبكتيريا (إيجابية الجرام وسالبة الجرام) والفطريات و مقارنة بالأدوية التقليدية (امبيسلين, سيبروفلوكساسين و اموكسيسلين). كان للمركبات المحضرة مجموعة واسعة من التأثير بقيم MIC من 200 600, و 1000ميكروغرام / مل ضد البكتيريا التي تم فحصها ، كما هو محدد بواسطة التحليل الميكروبيولوجي.

Uropathogens and their antibiotic susceptibility patterns among diabetic patients at st. john of god hospital, duayaw nkwanta, Ghana: a cross-sectional study.

Uropathogens are microorganisms that cause urinary tract infections (UTIs). Owing to higher blood glucose levels and compromised immune functions, treatment of uropathogens in diabetic patients is a challenge. This study aims to assess the prevalence of uropathogens and their antibiotic susceptibility among diabetic patients at St. John of God Hospital at Duayaw Nkwanta (SJGHDN) in the Ahafo region of Ghana. The cross-sectional study recruited 175 diabetic patients at SJGHDN between August and September 2023. Questionnaires were used to collect patients' background information. Fasting Blood Sugar (FBS) was assessed by using a glucometer. Urine samples were examined for the presence of uropathogens. A sterile inoculating loop with a calibrated volume of 2 µl was used for plating. Each colony equals 500 CFU/mL. Significant uropathogen was determined by multiplying the counted colonies by 500 to obtain CFU/mL. Positive uropathogen was defined as CFU ≥ 105/mL. Significant uropathogen was defined as ≥200 colonies per sample. The disc diffusion method was used to determine antibiotic susceptibility. Out of the 175 patients, 19.4% expressed various uropathogens with Escherichia coli being the predominant. Suboptimal glucose level was the most significant risk factor (p = 0.038). Glucosuria (p = 0.036), hazy urine (p = 0.028), positive leukocyte esterase (p = 0.001), and pus cells in urine sediment (p = 0.020) were significant indicators of uropathogen occurrence. Klebsiella pneumonia and Proteus mirabilis were resistant to ≥4 antibiotics. Amikacin, nitrofurantoin, levofloxacin, ciprofloxacin, and ceftriaxone demonstrated efficacy against the isolates. This study underscores the notable prevalence of uropathogens in diabetic patients and the alarming levels of antibiotic resistance observed. The results highlight the critical need for vigilant monitoring and customized treatment approaches, particularly for diabetic patients exhibiting risk factors such as elevated urine glucose levels, cloudy urine, and presence of leukocyte esterase and pus cells in urine sediment. The significant resistance to frequently used antibiotics like co-trimoxazole and tetracycline points to the necessity of routine susceptibility testing and the use of alternative antibiotics for effective treatment. These findings can assist healthcare providers in more effectively managing and preventing UTIs in diabetic populations.

Antimicrobial Activity of Euphorbia helioscopia L. Against Methicillin-Resistant Staphylococcus aureus (MRSA) In Vitro.

Antimicrobial resistance is currently one of the most significant threats to medical science, necessitating the exploration of new antimicrobial agents. Methicillin-resistant Staphylococcus aureus (MRSA) can lead to various severe conditions such as endocarditis, meningitis, abscesses, and sepsis, and conventional antibiotics such as beta-lactams are ineffective for treating these diseases. Therefore, it is imperative to search for novel chemical substances with antimicrobial effects against MRSA. This study aimed to investigate the bioactive chemical compound extracts isolated fromEuphorbia helioscopiaL. plant material against clinical samples of MRSA collected from the Hospital of Lithuanian University of Health Sciences Kaunas Clinics. Methodology: Bioactive compounds from the aboveground parts ofEuphorbia helioscopiaL. were isolated using methanol extraction of herbal material followed by lyophilization. The total phenolic compound concentration was determined using the Folin-Ciocalteu method.Antioxidant power was assessed through the ferric reducing antioxidant power (FRAP) assay, chemical composition was analyzed via high-performance liquid chromatography (HPLC), and antimicrobial activity against MRSA was evaluated using the disc diffusion method. The lyophilized extract of Euphorbia helioscopia L. exhibited antimicrobial activity against two out of five strains of MRSA. Seven phenolic compounds were identified, three of which were not previously reported as constituents of Euphorbia helioscopia L. More than a third of the isolated compounds were phenolic compounds. Conclusion: Euphorbia helioscopia L. exhibits antimicrobial properties effective against certain strains of MRSA.

Plant extract-mediated biosynthesis of sulphur nanoparticles and their antibacterial and plant growth-promoting activity

This study reports green synthesis of sulphur nanoparticles using sodium thiosulfate pentahydrate (Na2S2O35H2O) and Cannabis sativa leaf extracts. X-ray diffraction (XRD) pattern and scanning electron microscopy (SEM) was employed to examine the crystallinity of the particles and morphological characteristics, proved both spherical and rod-shaped morphology of the S NPs having porous nature. The FTIR spectra revealed the interaction of the synthesized SNPs with the biomolecules present in the leaf extract. UV–VIS spectral investigations confirmed the production of SNPs from C. sativa leaf extract and that these SNPs can be used for visible region photocatalysis for the removal of pollutants from wastewater. Energy dispersive X-ray (EDX) spectrum of the SNP shows a single peak around 2.4 keV, confirmed S NPs purity. TEM image revealed the formation of mainly nanorods having a width of ∼20–25 nm and a length of 50–100 nm. Furthermore, some spherical particles (∼20–30 nm) were also formed. HRTEM image of the rod-shaped particles clearly shows the crystal fringe spacing of 0.38 nm. Further, disc diffusion method (DDM) was used to check the antibacterial activity of S NPs against gram-positive S. aureus (MTCC737) 18 ± 0.12 mm and gram-negative bacteria against E. coli (MTCC443) 21.5 ± 0.12 mm, A. salmonicida (MTCC1522) 19.1 ± 0.12 mm, K. pneumoniae (MTCC3384) 17.8 ± 0.10 mm. Among all the strains of bacteria, E. coli (MTCC443) showed a maximum zone of inhibition of 21.5 ± 0.12 mm and its antibacterial activity is somewhat like streptomycin sulfate. These SNPs also promote growth of C. sativa in pot experiment, resulting in a 30 % increase in biomass, 90 cm in shoot length and 28 cm in root length and higher fresh and dry weight (50g and 20g, respectively) with 1.0 mg mL−1 NPs treatment. In addition, SEM-EDX confirmed the accumulation of nanomaterial in plant leaves. This environmentally friendly approach to SNP synthesis using C. sativa extracts demonstrates both potent antibacterial properties and plant growth-promoting effects, making it a promising solution for agriculture and biomedicine.

The in vitro Antimicrobial Effects of Hydrolysable and Condensed Tannin Extracts on Escherichia coli Isolated from Pathological Samples of Deceased Poultry

Abstract Colibacillosis, caused by avian pathogenic Escherichia coli (APEC), is one of the most prevalent and economically damaging bacterial diseases affecting poultry globally. Managing colibacillosis is difficult and frequently ineffective because APEC strains have developed widespread resistance to antibiotics, and the strict regulations and public concerns towards using antimicrobial agents in poultry further complicate the situation. This study aimed to evaluate the antibacterial properties of hydrolysable (sweet chestnut extract) and condensed (quebracho extract) tannins on Escherichia coli (E. coli) isolates from poultry, exploring their potential as antibiotic alternatives in managing colibacillosis. E. coli was isolated from the internal organs of deceased poultry across 18 farms, including layers, broilers, and broiler breeders. Each isolate was assessed for the presence of APEC strain predictors (virulence genes iutA, hlyF, iss, iroN, and ompT), antimicrobial resistance to 14 antibiotics using the disc diffusion method, and the presence of resistance genes for specific antibiotics (ampicillin, gentamicin, tetracycline, and quinolones). Out of 43 isolates, 27 (62.8%) were classified as APEC, 30 (69.8%) showed resistance to three or more antibiotic classes, and 32 (74.4%) carried at least one AMR gene. The minimum inhibitory concentrations (MICs) for the hydrolysable tannins from sweet chestnut extract (Castanea sativa Mill.) (SwCh) ranged from 0.5 to 3 mg/mL, while for the condensed tannins from quebracho extract (Schinopsis lorentzii) (Que), the MICs ranged from 1.5 to 4.5 mg/mL. The results indicate that both hydrolysable and condensed tannins possess significant in vitro antimicrobial activity against APEC, offering a potentially valuable alternative for controlling colibacillosis in the poultry industry.

Comparison of Dracocephalum Moldavica Essential Oil with Chlorhexidine on Cariogenic Bacteria.

Dental caries and periodontal disease are the most common oral problems. Chemical antibacterial agents often have side effects; thus, researchers have long been in search for organic and herbal products to prevent dental caries and periodontal disease. The present study has aimed to assess the effects of Dracocephalum moldavica essential oil on Streptococcus mutans, Streptococcus salivarius, Streptococcus sobrinus, and Lactobacillus acidophilus compared to Chlorhexidine (CHX). In this in vitro study, the plants were collected from Zanjan Province, Iran. Analysis of the essential oil was carried out by gas chromatography/mass chromatography. Micro-broth dilution and disc diffusion methods were used for assessment of the antimicrobial activity, and minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) were evaluated. The mean diameter of the growth inhibition zones in the well plate method for Dracocephalum moldavica showed that it had greater antimicrobial activity against Lactobacillus acidophilusthan others (p Value= 0.01). Furthermore, Dracocephalum moldavica had higher antimicrobial activity than CHX. The results of MIC and MBC showed that Dracocephalum moldavica had lower antibacterial activity than CHX. Dracocephalum moldavica essential oil demonstrated antibacterial properties against cariogenic bacteria. Given that other favorable properties of these essential oils are confirmed, they may be suitable for use as antibacterial agents in the formulation of oral healthcare products.

Prevalence of plasmid-mediated quinolone resistance genes in extended-spectrum beta-lactamase producing Klebsiella pneumoniae isolates in northern Iran

Plasmid-mediated quinolone resistance (PMQR) in extended-spectrum β-lactamase (ESBL)-producing Klebsiella pneumoniae (K. pneumoniae) contributes to treatment failures, extended hospital stays, and increased mortality percentages. We aimed to determine the prevalence of PMQR genes in ESBL-producing K. pneumoniae isolates from clinical samples in Babol, North of Iran region. This is the first study in this region to investigate this specific association. A total of 95 K. pneumoniae isolates were obtained from hospitalized patients with various clinical infections during March 2022 to February 2023. Disk diffusion and Combination disk method were performed to identification of antimicrobial resistance profiles and ESBL-producing strains. The presence of ESBL and PMQR genes among K. pneumoniae isolates was assessed using polymerase chain reaction (PCR) method. Of the isolates, 68 (71.57 %) were considered as ESBL-producers. The blaTEM, blaSHV and blaCTX-M genes were detected in 74.73 %, 57.89 %, and 41.05 % of K. pneumoniae isolates, respectively. Among the PMQR encoding genes, the highest and lowest frequency was associated to qepA (67.3 %) and qnrA (4.2 %), respectively. The frequency of qnrA, qnrB, qnrS, acc (6′)-Ib-cr, qepA, oqxA, and oqxB genes in 26 MDR-Kp isolates was 11.53 % (n; 3), 69.23 % (n; 18), 65.38 % (n; 17), 73.07 % (n; 19), 80.76 % (n; 21), 84.61 % (n; 22), and 76.92 % (n; 20), respectively. Our result revealed of the 68 ESBL gene-positive isolates, 60 (88.23 %) were positive for the PMQR gene. The co-occurrence of these genes within resistant isolates suggests potential linkage on mobile genetic elements such as plasmids. These findings highlight the significant burden of PMQR determinants in ESBL-producing K. pneumoniae and underscore the urgent need for effective control measures. Implementing robust antimicrobial stewardship programs and strengthening drug-resistance surveillance and control protocols are crucial to prevent the spread of resistant isolates.

Hypermucoviscous Klebsiella Pneumoniae Caused Community-Acquired Pneumonia in Gondar, Northwest Ethiopia.

The incidence of hypermucoviscous Klebsiella pneumoniae (hmvKp), which complicates community-acquired pneumonia, has been increasing recently. This study aimed to detect hypermucoviscous K. pneumoniae and determine its antimicrobial susceptibility pattern in adult patients with community-acquired pneumonia in Northwest Ethiopia. This cross-sectional study included 39 K. pneumoniae isolates identified by using Gram stain, culture, and biochemical tests from 312 adult patients with community-acquired pneumonia at the University of Gondar Comprehensive Specialized Referral Hospital from April to June 2021. The hypermucoviscous strains were identified by using the string test. Antimicrobial susceptibility testing was performed by using the Kirby-Bauer disk dif-fusion method. Data were entered by using EPI data version 4.6 and were analyzed by using SPSS version 20. A p-value ≤ 0.05 at a 95% confidence interval was considered statistically significant. Overall, 35.9% (n = 14) of the 39 K. pneumoniae isolates were hypermucoviscous phenotype. The mean age of the hmvKp group was lower than of the cKp group (36.93 ± 12.573 vs. 53.52 ± 19.556 years, p = 0.007). All hmvKp isolates were resistant to amoxicillin-clavulanic acid and trimethoprim-sulfamethoxazole. Azithromycin resistance in the hmvKp strains was significantly higher than in the cKp group (p = 0.012). This study demonstrates that the hmvKp phenotype causes community-acquired pneumonia and a full resistance to amoxicillin-clavulanic acid and trimethoprim-sulfamethoxazole. Antimicrobial resistance was higher in the hmvKp strain than in the classic strains. Further detection of resistance genes, capsular serotypes, hypermucoviscosity-related genes, and virulence genes is necessary.

Assessing β-Carboline Analogues As Antibiotic Agent Using In Vitro Studies

The mortality rate caused by bacterial diseases and bacterial antimicrobial resistance (AMR) is a significant concern in global public health. There is an urgent demand for new therapeutic agents that not only offer improved efficiency but also entail fewer secondary effects, addressing the challenges posed by the currently available drugs used in clinical practice. In this study, 40 analogues of β-carboline were subjected to solubility tests to determine their solubility. Among them, 22 analogues proved to be soluble and were subsequently tested for in vitro antibacterial activity using the agar disc diffusion method against S. aureus and E. coli to evaluate their effectiveness. The results of the in vitro antibacterial studies revealed that compounds 1h, 7d, and 1l displayed appreciable growth-inhibitory effects against E. coli, while compounds 1a, 1f, 1l, and 1j exhibited appreciable growth-inhibitory effects against S. aureus. Notably, compounds 1j and 1l displayed the highest growth-inhibitory potency against S. aureus and E. coli, respectively, out of the 22 compounds tested. Of all the analogues examined, 1l and 1j demonstrated the most substantial growth-inhibitory effects against E. coli and S. aureus, respectively, underscoring their potential as inhibitors.

"Characterization Of Acinetobacter Baumannii Resistance And Prevalence In Icu Settings: Insights From A Retrospective Study."

Purpose: This study aimed to determine the prevalence and antibiotic resistance patterns of Acinetobacter baumannii isolated from ICU patients at a tertiary care hospital. Understanding these patterns is crucial for informing infection control strategies and treatment protocols. Material and methods: A retrospective cross-sectional study was conducted at the Department of Microbiology, Government Medical College & New Civil Hospital, Surat. Clinical samples from ICUs were analyzed from January 2023 to December 2023. A total of 4,432 samples were processed for culture and sensitivity testing. Identification of A. baumannii was performed using Gram staining, motility tests, and biochemical tests. Antimicrobial susceptibility was assessed using the Kirby-Bauer disk diffusion method on Mueller-Hinton agar, with results interpreted according to CLSI guidelines. Results: Out of 4,432 samples, 650 showed significant bacterial growth. Acinetobacter baumannii was identified in 144 samples, accounting for 22% of all ICU culture-positive cases. The highest number of isolates was from the Medical ICU (MICU), representing 44% of total isolates. Over 95% of A. baumannii isolates were multidrugresistant (MDR). Resistance rates were highest for Ceftriaxone and Imipenem (92%), followed by Cefepime (90.2%). Colistin susceptibility was observed in all pan-drug-resistant isolates. Discussion: The high prevalence of A. baumannii in ICU-acquired infections and the observed multidrug resistance highlight a significant challenge in managing these infections. The resistance patterns are consistent with recent studies, confirming the persistent difficulty in treating A. baumannii infections with conventional antibiotics. The effectiveness of Colistin for pan-drug-resistant isolates underscores its continued relevance, despite concerns about potential side effects. Conclusion: The study reveals a high prevalence of multidrug-resistant A. baumannii in ICU settings, emphasizing the urgent need for effective infection control measures and antimicrobial stewardship. Continuous monitoring and stringent infection prevention practices are essential to combat the growing threat of A. baumannii in ICU environments

Characterization of Metronidazole, Clarithromycin and Amoxicillin Resistance Genes in Helicobacter pylori Isolated from Gastroenteritis Patients.

Helicobacter pylori (H. pylori)is a Gram-negative, microaerophilic, and spiral shape bacterium that resides inside the human stomach. The human stomach serves as its primary reservoir. Complaints about stomach complication due to H. pylori infections are reported in the majority of populations around the globe. Chronic gastritis and intestinal metaplasia of the gastric mucosa are major complications of a long-term H. pylori infections that can lead to gastric cancer in severe cases. This study aims to characterize H. pylori isolates from gastroenteritis patients and to determine the resistance of H. pylori to various antibiotics. In the current study, a total of (n = 80) gastric biopsy samples were randomly collected from gastroenteritis patients in brain-heart infusion broth. These were inoculated on Columbia blood agar supplemented with Helicobacter pylori selective supplement (DENT). After culturing, Microscopy and biochemical tests were performed. The susceptibility profile of H. pylori isolates was evaluated using the Kirby Bauer disk diffusion method. On the basis of the drug resistance profile, a total of (n = 20) isolates including (n = 10) from females and (n = 10) from males were selected for the detection and characterization of resistant genes. After confirmation of H. pylori using 16s rRNA, polymerase chain reaction (PCR) was done for the detection of resistance genes including Metronidazole resistance (rdxA gene), Clarithromycin resistance (23s rRNA gene) and Amoxicillin resistance (Penicillin-binding protein A1 (pbpA1) gene). In a total of (n = 80) samples, H. pylori was isolated from 72.5% (n = 58) samples. Among the positive patients, there were 62% (n = 36) of female positive patients while in males, its ratio was 38% (n = 22). It was more common in the age between 30-50 years 55.17% (n = 32). It has shown the highest resistance towards Metronidazole 90% (n = 52), and the lowest toward Levofloxacin 65% (n = 38). Metronidazole resistance gene (rdxA gene) was detected in (n = 13) isolates including (n = 9) isolates from females and (n = 4) from males. In the case of, the Clarithromycin resistance gene (23s rRNA) (n = 10) was positive for H. pylori including (n = 6) isolates from females and (n = 7) were positive for Amoxicillin (pbpA1 gene) including (n = 2) in female and (n = 5) from male patients. This study highlights the increasing incidence of H. pylori infections in both male and female patients. It also revealed the current status of antibiotic resistance and its resistance genes in patients facing gastrointestinal issues. Continuous surveillance of resistant clones will help in formulating strategies that can help in combating of resistant clone. It will also help clinician in proper prescription and management of H. pylori infections.

A first study of meat-borne enterococci from butcher shops: prevalence, virulence characteristics, antibiotic resistance and clonal relationship.

IntroductionEnterococcus, which used to be thought of as a harmless commensal living in the digestive tract, has now become a highly resistant and highly contagious pathogen that makes nosocomial infections much more common. This study examined enterococci species and their antibiotic resistance phenotypes and genotypes and virulence gene content in Turkish ground beef samples. Methodology A total of 100 ground beef samples were analyzed between May 2020 and May 2021. The isolated strains were identified via matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) and confirmed using polymerase chain reaction (PCR) after which they were divided into several species using PCR and tested for antibiotic resistance against 19 antimicrobial agents using the disc diffusion method. The genetic similarity analysis, pulsed-field gel electrophoresis (PFGE) was performed. Results A total of 93 isolates in ground beef were identified, comprised of E. faecalis 72.04%; E. hirae- 11.82%; E. casseliflavous- 7.52%; E. faecium- 5.3%; E. gallinarium- 3.23%. The virulence genes observed in Enterococcus species were distributed as follows: gelE 88.1%, ace 53.7%, efaA 40.8%, asaI 19.3%, esp 6.4%, and cylA 1.07%. A high antibiotic resistance was recorded for tetracycline (43.01%), followed by ampicilin (17.2%), and chloramphenicol (13.9%). 17.2% of Enterococcus isolates were multidrug-resistant. The study determined the high prevalence of antibiotic resistance genes, specifically for tet(L) 10 (10.7%), aac(6')Ie-aph(2")-la 3 (3.2%), and ermB 3 (3.2%). The presence of efflux pump genes were identified in 74.1% of Enterococcus isolates. Genetic characterization of 67 E. faecalis isolates by PFGE revealed 41 pulsed-field gel electrophoresis (PFGE) patterns that were grouped into 15 clusters, which presented more than one strain with 100% similarity. Conclusion Isolates obtained from several areas and butchers had comparable patterns of PFGE, suggesting that the presence of circulating E. faecalis poses a potential public health concern in diverse districts. To mitigate the health hazards associated with the contamination of enterococci from raw to cooked meats, it is necessary to enhance the disinfection of butcheries, promote excellent hand hygiene among butchers, and implement appropriate meat storage and handling methods to prevent bacterial development.

The potential effect of peel extracts of banana varieties: an in-vitro assessment

Background: Assamese cuisine is known for its use of kolakhar, a traditional ingredient; Rhizome, the skin and stem of bananas, can be used to make it. An ash filter from a banana tree is used to produce antacids. The word: kol” or “kola” is a local term for banana. In Assam, India, kolakhar is a common food additive and traditional ingredient. Method: Water is filtered through banana tree ashes to create this. The banana peel is burned after it has been dried. The ash is subsequently blended with water and left overnight. The mixture is filtered through a fine cloth once the ash has settled to the bottom of the container by the following morning. Several studies were carried out by evaluating the preparation of peel extract, Physicochemical parameters, antioxidant activity, etc. followed by some analytical methods to find the biologically active components, potential uses, and additional benefits of banana peels beyond what they currently serve as waste products. Finally, an antimicrobial study was performed by using the disc diffusion method. In this study, 4 different types of banana species investigated sought to determine the antioxidant capacity, antimicrobial activity, FT-IR, and UV to determine which one is better. Result: The physicochemical parameters, analytical technique, and assay provide an overview of the chemical characteristics, phytoconstituents, and food safety of kolakhar, which contribute to its unique properties in both traditional medicine and culinary applications. Conclusion: In conclusion, depending on the banana type used, banana peel extracts exhibit considerable promise as organic antioxidants and antibacterial agents. Therefore, considering all parameters, we obtained various potential effects from this study. The results are discussed with a graphical representation of the banana peel extract.