دوره 30، شماره 141 - ( 4-1401 )                   جلد 30 شماره 141 صفحات 356-347 | برگشت به فهرست نسخه ها


XML English Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ohadian Moghadam S, Nowroozi M R, Nowroozi A, Yousefi Kashi A. Biofilm Formation, Antimicrobial Resistance and Biofilm-Related Genes among Uropathogens Isolated from Catheterized Uro-Oncology Patients. J Adv Med Biomed Res 2022; 30 (141) :347-356
URL: http://journal.zums.ac.ir/article-1-6514-fa.html
Biofilm Formation, Antimicrobial Resistance and Biofilm-Related Genes among Uropathogens Isolated from Catheterized Uro-Oncology Patients. Journal of Advances in Medical and Biomedical Research. 1401; 30 (141) :347-356

URL: http://journal.zums.ac.ir/article-1-6514-fa.html


چکیده:   (60114 مشاهده)

Background and Objective: Despite the critical importance of catheter as an indwelling medical device, its prolonged utilization in hospitalized patients may lead to infection. This study aimed to identify distribution of uropathogenic bacteria isolated from catheterized uro-oncology patients, their biofilm production, and antimicrobial resistance patterns to generally -used antibiotics.
Materials and Methods: The urine samples of catheterized urology cancer patients were collected for urinalysis and urine culture. Then capability of biofilm production was detected by Congo red agar method, tube method, and microtiter plate assay. Antimicrobial susceptibility test was also performed using the Kirby–Bauer disc diffusion method on Muller–Hinton agar. Subsequently, polymerase chain reaction (PCR) assays were used to detect the biofilm encoding genes.
Results: Of the 100 urinary catheter samples, 76 isolates were recovered from urinary catheters of 52 patients. Escherichia coli was established to be the most frequent pathogen isolated from the urine of patients followed by Pseudomonas and Staphylococcus. All of Pseudomonas aeruginosa and Methicillin-resistant Staphylococcus aureus (MRSA) isolates were found to be biofilm producers. All studied isolates were found resistant to ampicillin, amoxicillin, and cephalexin. All biofilm- producer MRSA and Pseudomonas isolates were found to harbor the virulence genes studied. Both imipenem and fosfomycin were the most effective antibiotics against isolated bacteria.
Conclusion: In our study virulent pathogens with highly- resistant profile and potential to form biofilm were isolated from uro-oncology patients. Therefore, the current study highlights the significance of antibiotic resistance which can lead to treatment failure.

متن کامل [PDF 598 kb]   (30667 دریافت)    
نوع مطالعه: مقاله پژوهشی | موضوع مقاله: Medical Biology
دریافت: 1400/2/2 | پذیرش: 1401/3/25 | انتشار: 1401/4/9

فهرست منابع
1. Guggenbichler JP, Assadian O, Boeswald M, Kramer A. Incidence and clinical implication of nosocomial infections associated with implantable biomaterials - catheters, ventilator-associated pneumonia, urinary tract infections. GMS Krankenhaushyg interdiszip. 2011;6(1):Doc18.
2. Parida S, Mishra SK. Urinary tract infections in the critical care unit: A brief review. Indian J Crit Care Med . 2013;17(6):370-4. [DOI:10.4103/0972-5229.123451] [PMID] [PMCID]
3. Gould CV, Umscheid CA, Agarwal RK, Kuntz G, Pegues DA. Guideline for prevention of catheter-associated urinary tract infections 2009. Infect Control Hospital Epidemiol. 2010;31(4):319-26. [DOI:10.1086/651091] [PMID]
4. Chant C, Smith OM, Marshall JC, Friedrich JO. Relationship of catheter-associated urinary tract infection to mortality and length of stay in critically ill patients: a systematic review and meta-analysis of observational studies. Crit Care Med. 2011;39(5):1167-73. [DOI:10.1097/CCM.0b013e31820a8581] [PMID]
5. Sabir N, Ikram A, Zaman G, et al. Bacterial biofilm-based catheter-associated urinary tract infections: Causative pathogens and antibiotic resistance. Am J Infect Control. 2017;45(10):1101-5. [DOI:10.1016/j.ajic.2017.05.009] [PMID]
6. Esposito S, Noviello S, Leone S. Catheter-associated urinary tract infections: epidemiology and prevention. Le Infezioni in Medicina. 2008;16(3):130-43.
7. Klevens RM, Edwards JR, Richards CL, et al. Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Rep. 2007;122(2):160-6. [DOI:10.1177/003335490712200205] [PMID] [PMCID]
8. Lebeaux D, Chauhan A, Rendueles O, Beloin C. From in vitro to in vivo Models of Bacterial Biofilm-Related Infections. Pathogens. 2013;2(2):288-356. [DOI:10.3390/pathogens2020288] [PMID] [PMCID]
9. Ohadian Moghadam S, Pourmand MR, Aminharati F. Biofilm formation and antimicrobial resistance in methicillin-resistant Staphylococcus aureus isolated from burn patients, Iran. J Infect Develop Count. 2014;8(12):1511-7. [DOI:10.3855/jidc.5514] [PMID]
10. Jacobsen SM, Stickler DJ, Mobley HL, Shirtliff ME. Complicated catheter-associated urinary tract infections due to Escherichia coli and Proteus mirabilis. Clin Microbiol Rev. 2008;21(1):26-59. [DOI:10.1128/CMR.00019-07] [PMID] [PMCID]
11. Høiby N, Bjarnsholt T, Givskov M, Molin S, Ciofu O. Antibiotic resistance of bacterial biofilms. Int J Antimicrob Agent. 2010;35(4):322-32. [DOI:10.1016/j.ijantimicag.2009.12.011] [PMID]
12. Hooton TM, Bradley SF, Cardenas DD, et al. Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Practice Guideline.2010;50(5):625-63. [DOI:10.1086/650482] [PMID]
13. Awoke N, Kassa T, Teshager L. Magnitude of biofilm formation and antimicrobial resistance pattern of bacteria isolated from urinary catheterized inpatients of Jimma university medical center, Southwest Ethiopia. Int J Microbiol. 2019;2019:5729568. [DOI:10.1155/2019/5729568] [PMID] [PMCID]
14. Donlan RM, Costerton JW. Biofilms: survival mechanisms of clinically relevant microorganisms. Clin Microbiol Rev. 2002;15(2):167-93. [DOI:10.1128/CMR.15.2.167-193.2002] [PMID] [PMCID]
15. Meunier A, Nerich V, Fagnoni-Legat C, et al. Enhanced emergence of antibiotic-resistant pathogenic bacteria after in vitro induction with cancer chemotherapy drugs. J Antimicrob Chemother. 2019;74(6):1572-7. [DOI:10.1093/jac/dkz070] [PMID]
16. Skov R, Smyth R, Clausen M, et al. Evaluation of a cefoxitin 30 microg disc on Iso-Sensitest agar for detection of methicillin-resistant Staphylococcus aureus. J Antimicrob Chemother. 2003;52(2):204-7. [DOI:10.1093/jac/dkg325] [PMID]
17. Ohadian Moghadam S, Pourmand MR, Douraghi M, Sabzi S, Ghaffari P. Utilization of PFGE as a powerful discriminative tool for the investigation of genetic diversity among MRSA strains. Iran J Public Health. 2017;46(3):351-6.
18. Stepanović S, Vuković D, Hola V, et al. Quantification of biofilm in microtiter plates: overview of testing conditions and practical recommendations for assessment of biofilm production by staphylococci. APMIS. 2007;115(8):891-9. [DOI:10.1111/j.1600-0463.2007.apm_630.x] [PMID]
19. Christensen GD, Simpson WA, Bisno AL, Beachey EH. Adherence of slime-producing strains of Staphylococcus epidermidis to smooth surfaces. Infect Immunity. 1982;37(1):318-26. [DOI:10.1128/iai.37.1.318-326.1982] [PMID] [PMCID]
20. Institute CaLS. Performance Standards for Antimicrobial Susceptibility Testing. Twenty-First International Supplement. M100-S21 CLSI: Wayne, PA. 2016.
21. Magiorakos AP, Srinivasan A, Carey RB, et al. Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. Clin Microbiol. 2012;18(3):268-81. [DOI:10.1111/j.1469-0691.2011.03570.x] [PMID]
22. Fattahi S, Kafil HS, Nahai MR, Asgharzadeh M, Nori R, Aghazadeh M. Relationship of biofilm formation and different virulence genes in uropathogenic Escherichia coli isolates from Northwest Iran. GMS Hygiene Infect Control. 2015;10:Doc11.
23. Soto SM. Importance of biofilms in urinary tract infections: New therapeutic approaches. Adv Biol. 2014; 2014;2014:543974. [DOI:10.1155/2014/543974]
24. Nicolle LE. Catheter-related urinary tract infection. Drug & Aging. 2005;22(8):627-39. [DOI:10.2165/00002512-200522080-00001] [PMID]
25. Niveditha S, Pramodhini S, Umadevi S, Kumar S, Stephen S. The isolation and the biofilm formation of uropathogens in the patients with catheter associated urinary tract infections (UTIs). J Clin Diagn Res. 2012;6(9):1478-82. [DOI:10.7860/JCDR/2012/4367.2537] [PMID] [PMCID]
26. Ponnusamy P, Natarajan V, Sevanan M. In vitro biofilm formation by uropathogenic Escherichia coli and their antimicrobial susceptibility pattern. Asian Pacific J Trop Med. 2012;5(3):210-3. [DOI:10.1016/S1995-7645(12)60026-1]
27. Stickler DJ. Bacterial biofilms in patients with indwelling urinary catheters. Nature Clin Pract Urol. 2008;5(11):598-608. [DOI:10.1038/ncpuro1231] [PMID]
28. Alves MJ, Barreira JCM, Carvalho I, et al. Propensity for biofilm formation by clinical isolates from urinary tract infections: developing a multifactorial predictive model to improve antibiotherapy. J Med Microbiol. 2014;63(Pt 3):471-7. [DOI:10.1099/jmm.0.071746-0] [PMID]
29. Kucheria R, Dasgupta P, Sacks SH, Khan MS, Sheerin NS. Urinary tract infections: new insights into a common problem. Postgraduate Med J. 2005;81(952):83-6. [DOI:10.1136/pgmj.2004.023036] [PMID] [PMCID]
30. Kirmusaoglu S, Yurdugül S, Metin A, Vehid S. The effect of urinary catheters on microbial biofilms and catheter associated urinary tract infections. Urol J. 2017;14(2):3028-34.
31. Weiner LM, Webb AK, Limbago B, et al. Antimicrobial-resistant pathogens associated with healthcare-associated infections: Summary of data reported to the national healthcare safety network at the centers for disease control and prevention, 2011-2014. Infect Control Hospital Epidemiol. 2016;37(11):1288-301. [DOI:10.1017/ice.2016.174] [PMID] [PMCID]
32. Ghanbarzadeh Corehtash Z, Khorshidi A, Firoozeh F, Akbari H, Mahmoudi Aznaveh A. Biofilm formation and virulence factors among Pseudomonas aeruginosa isolated from burn patients. Jundishapur J Microbiology. 2015;8(10):e22345. [DOI:10.5812/jjm.22345] [PMID] [PMCID]
33. Reid G, Habash M, Vachon D, Denstedt J, Riddell J, Beheshti M. Oral fluoroquinolone therapy results in drug adsorption on ureteral stents and prevention of biofilm formation. Int J Antimicrob Agents. 2001;17(4):317-9; [DOI:10.1016/S0924-8579(00)00353-8]
34. Delcaru C, Alexandru I, Podgoreanu P, et al. Microbial biofilms in urinary tract infections and prostatitis: Etiology, pathogenicity, and combating strategies. Pathogens (Basel, Switzerland). 2016;5(4). [DOI:10.3390/pathogens5040065] [PMID] [PMCID]
35. Neuner EA, Sekeres J, Hall GS, van Duin D. Experience with fosfomycin for treatment of urinary tract infections due to multidrug-resistant organisms. Antimicrob Agent Chemother. 2012;56(11):5744-8. [DOI:10.1128/AAC.00402-12] [PMID] [PMCID]

بازنشر اطلاعات
Creative Commons License این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است.

کلیه حقوق این وب سایت متعلق به Journal of Advances in Medical and Biomedical Research می باشد.

طراحی و برنامه نویسی : یکتاوب افزار شرق

© 2024 CC BY-NC 4.0 | Journal of Advances in Medical and Biomedical Research

Designed & Developed by : Yektaweb