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Sóki J, Wybo I, Hajdú E, Toprak NU, Jeverica S, Stingu CS, Tierney D, Perry JD, Matuz M, Urbán E, Nagy E. A Europe-wide assessment of antibiotic resistance rates in Bacteroides and Parabacteroides isolates from intestinal microbiota of healthy subjects. Anaerobe 2020; 62:102182. [PMID: 32126280 DOI: 10.1016/j.anaerobe.2020.102182] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Revised: 02/25/2020] [Accepted: 02/26/2020] [Indexed: 01/10/2023]
Abstract
Here, we sought to assess the levels of antibiotic resistance among intestinal Bacteroides and Parabacteroides strains collected between 2014 and 2016 in Europe and also attempted to compare resistance levels between clinical and commensal isolates. Bacteroides and Parabacteroides isolates were recovered from faecal samples via the novel Bacteroides Chromogenic Agar (BCA) method. Antibiotic susceptibilities were determined by agar dilution for ten antibiotics. The values obtained were then statistically evaluated. Altogether 202 Bacteroides/Parabacteroides isolates (of which 24, 11.9%, were B. fragilis) were isolated from the faecal specimens of individuals taken from five European countries. The percentage values of isolates resistant to ampicillin, amoxicillin/clavulanate, cefoxitin, imipenem, clindamycin, moxifloxacin, metronidazole, tetracycline, tigecycline and chloramphenicol were 96.6, 4.5, 14.9, 2.0, 47.3, 11.4, 0, 66.2, 1.5 and 0%, respectively. These values are close to those reported in the previous European clinical Bacteroides antibiotic susceptibility survey except for amoxicillin/clavulanate and clindamycin, where the former was lower and the latter was higher in normal microbiota isolates. To account for these latter findings and to assess temporal effects we compared the data specific for Hungary for the same period (2014-2016), and we found differences in the resistance rates for cefoxitin, moxifloxacin and tetracycline.
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Affiliation(s)
- József Sóki
- Institute of Clinical Microbiology, Faculty of Medicine, University of Szeged, Szeged, Hungary.
| | - Ingrid Wybo
- Department of Microbiology and Infection Control, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Belgium
| | - Edit Hajdú
- Division of Infectious Diseases, First Department of Internal Medicine, Faculty of Medicine, University of Szeged, Szeged, Hungary
| | - Nurver Ulger Toprak
- Department of Microbiology, Marmara University Medical School, Istanbul, Turkey
| | - Samo Jeverica
- Institute of Microbiology and Immunology, University of Ljubljana, Ljubljana, Slovenia
| | - Catalina-Suzana Stingu
- Institute for Medical Microbiology and Epidemiology of Infectious Diseases, University Hospital of Leipzig, Leipzig, Germany
| | - Daniel Tierney
- Microbiology Department, Freeman Hospital, Newcastle Upon Tyne, UK
| | - John David Perry
- Microbiology Department, Freeman Hospital, Newcastle Upon Tyne, UK
| | - Mária Matuz
- Department of Clinical Pharmacy, Faculty of Pharmacy, University of Szeged, Szeged, Hungary
| | - Edit Urbán
- Institute of Clinical Microbiology, Faculty of Medicine, University of Szeged, Szeged, Hungary
| | - Elisabeth Nagy
- Institute of Clinical Microbiology, Faculty of Medicine, University of Szeged, Szeged, Hungary
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Kouhsari E, Mohammadzadeh N, Kashanizadeh MG, Saghafi MM, Hallajzadeh M, Fattahi A, Ahmadi A, Niknejad F, Ghafouri Z, Asadi A, Boujary Nasrabadi MR. Antimicrobial resistance, prevalence of resistance genes, and molecular characterization in intestinalBacteroides fragilisgroup isolates. APMIS 2019; 127:454-461. [DOI: 10.1111/apm.12943] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Accepted: 02/21/2019] [Indexed: 12/14/2022]
Affiliation(s)
- Ebrahim Kouhsari
- Department of Microbiology School of Medicine Iran University of Medical Sciences Tehran Iran
- Laboratory Sciences Research Center Golestan University of Medical Sciences Gorgan Iran
| | - Nima Mohammadzadeh
- Department of Microbiology School of Medicine Iran University of Medical Sciences Tehran Iran
| | | | - Mohammad Mehdi Saghafi
- Department of Clinical Pharmacology Firouz Abadi Hospital Iran University of Medical Sciences Tehran Iran
| | - Masoumeh Hallajzadeh
- Department of Microbiology School of Medicine Iran University of Medical Sciences Tehran Iran
| | - Azam Fattahi
- Center for Research and Training in Skin Disease and Leprosy Tehran University of Medical Sciences Tehran Iran
| | - Alireza Ahmadi
- Laboratory Sciences Research Center Golestan University of Medical Sciences Gorgan Iran
| | - Farhad Niknejad
- Laboratory Sciences Research Center Golestan University of Medical Sciences Gorgan Iran
| | - Zahra Ghafouri
- Department of Biochemistry, Biophysics and Genetics Faculty of Medicine Mazandaran University of Medical Sciences Sari Iran
| | - Arezoo Asadi
- Department of Microbiology School of Medicine Iran University of Medical Sciences Tehran Iran
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Sydenham TV, Jensen BH, Petersen AM, Krogfelt KA, Justesen US. Antimicrobial resistance in the Bacteroides fragilis group in faecal microbiota from healthy Danish children. Int J Antimicrob Agents 2017; 49:573-578. [DOI: 10.1016/j.ijantimicag.2017.01.011] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2016] [Revised: 01/02/2017] [Accepted: 01/06/2017] [Indexed: 10/19/2022]
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Fernandes MR, Ignacio A, Rodrigues VAA, Groppo FC, Cardoso AL, Avila-Campos MJ, Nakano V. Alterations of Intestinal Microbiome by Antibiotic Therapy in Hospitalized Children. Microb Drug Resist 2016; 23:56-62. [PMID: 27328205 DOI: 10.1089/mdr.2015.0320] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
The administration of antimicrobial agents leads to an ecological imbalance of the host-microorganisms relationship, and it causes a rapid and significant reduction in the microbial diversity. The aim of the current study was to evaluate the impact of antibiotic therapy on intestinal microbiota of children between 3 and 12 years of age. The fecal samples were collected from hospitalized children (n = 31) and from healthy untreated children (n = 30). The presence of bacteria and their quantities were assessed by culture-based methods and quantitative polymerase chain reaction (qPCR). By culture method, in the children receiving antibiotics, a low recovery of Bifidobacterium spp. (54.8%), Bacteroides spp./Parabacteroides spp. (54.8%), Clostridium spp. (35.5%), and Escherichia coli (74.2%) was observed compared with the children without antibiotic therapy (100%, 80%, 63.3%, and 86.6%, respectively). By qPCR, the children receiving antibiotics showed a lower copy number for all microorganisms, except to Lactobacillus spp. (p = 0.0092). In comparison to the nontreated children, the antibiotic-treated children showed a significantly lower copy number of Bifidobacterium spp. (p = 0.0002), Clostridium perfringens (p < 0.0001), E. coli (p = 0.0268), Methanobrevibacter smithii (p = 0.0444), and phylum Firmicutes (p = 0.0009). In conclusion, our results obtained through qualitative and quantitative analyses, demonstrate that antibiotic therapy affect the intestinal microbiome of children.
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Affiliation(s)
- Miriam R Fernandes
- 1 Anaerobe Laboratory, Department of Microbiology, Institute of Biomedical Sciences, University of São Paulo , São Paulo, Brazil
| | - Aline Ignacio
- 1 Anaerobe Laboratory, Department of Microbiology, Institute of Biomedical Sciences, University of São Paulo , São Paulo, Brazil
| | - Viviane A A Rodrigues
- 1 Anaerobe Laboratory, Department of Microbiology, Institute of Biomedical Sciences, University of São Paulo , São Paulo, Brazil
| | | | - Ary L Cardoso
- 3 Faculty of Medicine, Institute of Children, University of São Paulo , São Paulo, Brazil
| | - Mario J Avila-Campos
- 1 Anaerobe Laboratory, Department of Microbiology, Institute of Biomedical Sciences, University of São Paulo , São Paulo, Brazil
| | - Viviane Nakano
- 1 Anaerobe Laboratory, Department of Microbiology, Institute of Biomedical Sciences, University of São Paulo , São Paulo, Brazil
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Narimani T, Douraghi M, Owlia P, Rastegar A, Esghaei M, Nasr B, Talebi M. Heterogeneity in resistant fecal Bacteroides fragilis group collected from healthy people. Microb Pathog 2016; 95:1-6. [PMID: 26945562 DOI: 10.1016/j.micpath.2016.02.017] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2016] [Revised: 02/23/2016] [Accepted: 02/26/2016] [Indexed: 11/19/2022]
Abstract
Normal nonpathogenic flora would represent a constant lake of resistance genes potentially transferable to human pathogens. To assess the prevalence of resistance genes and genetic variability of Bacteroides fragilis group (BFG) from normal flora, 177 Bacteroides isolates obtained from the fecal samples of healthy individuals. These isolates were subjected to antibiotic susceptibility testing and pulsed field gel electrophoresis (PFGE). The isolates were further tested for the presence of ermF, tetQ and bft genes by PCR. Our results indicated the presence of different clonal strains (1 common type and 57 single types) among the resistant isolates. The resistance rate for the six antibiotics in this study was between 1% and 95%. Most of the isolates (99%) were susceptible to metronidazole. ermF and tetQ were detected in all erythromycin and tetracycline resistant isolates. None of the isolates were carried bft gene. These data suggest dissemination of heterogenic clonal groups in healthy persons and resistance to 5 high commonly used antibiotics.
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Affiliation(s)
- T Narimani
- Department of Microbiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - M Douraghi
- Department of Microbiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - P Owlia
- Molecular Microbiology Research Center(MMRC), Shahed University, Tehran, Iran
| | - A Rastegar
- Department of Microbiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - M Esghaei
- Department of Virology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - B Nasr
- Department of Microbiology, Isfahan University of Medical Sciences, Isfahan, Iran
| | - M Talebi
- Department of Microbiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
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Yehya M, Hamze M, Mallat H, Dabbousi F. Prevalence and antibiotic susceptibility of Bacteroides fragilis group isolated from stool samples in North Lebanon. Braz J Microbiol 2014; 44:807-12. [PMID: 24516449 PMCID: PMC3910193 DOI: 10.1590/s1517-83822013000300022] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2012] [Accepted: 09/10/2012] [Indexed: 11/22/2022] Open
Abstract
Fifty one strains of the Bacteroides fragilis group were isolated from 45 fecal samples. Classical phenotypic identification showed that 16 isolates were B. thetaiotaomicron, 12 B. uniformis, 9 B. eggerthii, 7 B. vulgatus, 3 B. caccae, 2 Parabacteroides distasonis with 1 identified B. ovatus and 1 B. fragilis. The 51 strains were tested for susceptibility against 16 antimicrobial agents and the MICs for metronidazole were determined. The tests showed that imipenem, meropenem and chloramphenicol were the most effective antibiotics (98%, 98% and 92.16% of susceptibility, respectively) followed by ticarcillin/clavulanic acid, piperacillin/tazobactam, rifampin (88.24% susceptibility), moxifloxacin 86.27% and tigecycline 84.31%. Ofloxacin and cefotaxime were the least effective antibiotics with 27.45% and 0% of activity respectively. Only six of the 51 isolated strains were resistant to metronidazole with MICs = 64 mg/L (1 strain) and > 256 mg/L (5 strains).
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Affiliation(s)
- Mariam Yehya
- Health and Environmental Microbiology Laboratory, AZM Centre for Research in Biotechnology and its Application, Doctoral School, Lebanese University, Tripoli, Lebanon
| | - Monzer Hamze
- Health and Environmental Microbiology Laboratory, AZM Centre for Research in Biotechnology and its Application, Doctoral School, Lebanese University, Tripoli, Lebanon. ; Faculty of Public Health, Section 3, Lebanese University, Tripoli, Lebanon
| | - Hassan Mallat
- Health and Environmental Microbiology Laboratory, AZM Centre for Research in Biotechnology and its Application, Doctoral School, Lebanese University, Tripoli, Lebanon. ; Faculty of Public Health, Section 3, Lebanese University, Tripoli, Lebanon
| | - Fouad Dabbousi
- Health and Environmental Microbiology Laboratory, AZM Centre for Research in Biotechnology and its Application, Doctoral School, Lebanese University, Tripoli, Lebanon. ; Faculty of Public Health, Section 3, Lebanese University, Tripoli, Lebanon
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Determination of Antibiotic Sensitivity of Bacteroid fragilis Isolated from Patients and Healthy Individuals in Imam Reza Center of Medical Teaching and Treatment-Tabriz. Jundishapur J Microbiol 2013. [DOI: 10.5812/jjm.7880] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
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8
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Comparison of E test and Disk Diffusion Test for Antibiotic Resistance Testing of Enterotoxigenic and Non- Enterotoxigenic Bacteroides fragilis Isolated From Stools. Jundishapur J Microbiol 2013. [DOI: 10.5812/jjm.9800] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
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Carvalho GCD, Marques LHDS, Gomes LI, Rabello A, Ribeiro LC, Scopel KKG, Tibiriçá SHC, Coimbra ES, Abramo C. Polymerase chain reaction for the evaluation of Schistosoma mansoni infection in two low endemicity areas of Minas Gerais, Brazil. Mem Inst Oswaldo Cruz 2012; 107:899-902. [DOI: 10.1590/s0074-02762012000700010] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2012] [Accepted: 08/08/2012] [Indexed: 11/22/2022] Open
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Bleich A, Hansen AK. Time to include the gut microbiota in the hygienic standardisation of laboratory rodents. Comp Immunol Microbiol Infect Dis 2012; 35:81-92. [PMID: 22257867 DOI: 10.1016/j.cimid.2011.12.006] [Citation(s) in RCA: 55] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2011] [Revised: 11/17/2011] [Accepted: 12/19/2011] [Indexed: 02/06/2023]
Abstract
The gut microbiota (GM) composition and its impact on animal experiments has become currently dramatically relevant in our days: (1) recent progress in metagenomic technologies, (2) the availability of large scale quantitative analyses to characterize even subtle phenotypes, (3) the limited diversity of laboratory rodent GM due to strict barriers at laboratory animal vendors, and (4) the availability of up to 300.000 different transgenic mouse strains from different sources displaying a huge variety in their GM composition. In this review the GM is described as a variable in animal experiments which need to be reduced for scientific as well as ethical reasons, and strategies how to implement this in routine diagnostic procedures are proposed. We conclude that we have both enough information available to state that the GM has an essential impact on animal models, as well as the methods available to start dealing with these impacts.
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Affiliation(s)
- André Bleich
- Institute for Laboratory Animal Science, Hannover Medical School, Hannover, Germany, Hannover, Germany.
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