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2010 | 62 | 1 |

Tytuł artykułu

Genetyczna charakterystyka szczepow Acinetobacter baumannii oraz Pseudomonas aeruginosa izolowanych od chorych z zapaleniem pluc hospitalizowanych w oddziale intensywnej terapii

Warianty tytułu

EN
The genetic description of Acinetobacter baumannii and Pseudomonas aeruginosa strains isolated from patients with hospital acquired pneumonia hospitalized in intensive care unit

Języki publikacji

PL

Abstrakty

PL
Przedmiot badań stanowiły 33 szczepy Acinetobacter baumannii oraz 31 szczepów Pseudomonas aeruginosa izolowanych z aspiratów tchawicznych, pobranych od 19 chorych, z potwierdzonym mikrobiologicznie szpitalnym zapaleniem płuc, hospitalizowanych w Oddziale Anestezjologii i Intensywnej Terapii Wojewódzkiego Szpitala Specjalistycznego im. L. Rydygiera w Krakowie. Izolaty genotypowano z wykorzystaniem metody RAPD-PCR, przy użyciu primerów 208, 272, ERIC-2 oraz PAL-2. Obserwowano zróżnicowanie w podobieństwie genetycznym analizowanych populacji szczepów niefermentujących pałeczek Gram-ujemnych.
EN
The aim of study was to recognize the epidemiology of hospital acquired pneumonia on the base of genotypes of Acinetobacer baumannii and Pseudomonas aeruginosa strains. Gram negative- non fermenting bacilli are the most frequent aetiologic agent of hospital acquired pneumonia among patients from Anesthesiology and Intensive Care Unit in the Rydygiers hospital in Cracow . In the following research RAPD- PCR method was applied and there 272, 208, ERIC- 2 and PAL- 2 primers were used. The investigation was conducted among 33 Acinetobacter baumannii and 31 Pseudomonas aeruginosa strains which were isolated from endotracheal aspirates (ETA). ETA were taken from 19 patients with microbiologically confirmed pneumonia. The result of our study shows that most A. baumannii strains came from hospital habitat. In the investigated group of A. baumannii strains, 31 belonged to 3 clonal groups and probably came from two bacteria subpopulations which were present in ICU from a long time. There were only two isolates which had got the posthospital origin. Moreover, the assay of genetic similarity between A. baumannii strains, isolated from individual patients, showed that only in two patients were observed strains with different genetic profiles. Isolates which came from 8 patients had got the same pattern of bands. There were many genetic differences between investigated P. aeruginosa strains. In the group of 31 isolates, which were investigated by using 208, 272, ERIC- 2 and PAL- 2 primers, recognized respectively 10, 10, 13 and 8 of genetic profiles. All isolates of P. aeruginosa probably came from a few subpopulations of hospital strain which has undergone evolutionary divergence phenomenon in time as a result of changing condition of hospital environment and application of antibiotics. The assay of genotype of P. aeruginosa strains which were repeatedly isolated from individual patients showed that only from two patients strains with 100% genetic homology were isolated.

Wydawca

-

Rocznik

Tom

62

Numer

1

Opis fizyczny

s.67-75,rys.,bibliogr.

Twórcy

autor
  • Zaklad Mikrobiologii Farmaceutycznej, Collegium Medicum, Uniwersytet Jagiellonski, ul.Medyczna 9, 30-688 Krakow
autor
autor
autor

Bibliografia

  • 1. Babcock HM, Zack JE, Garrison T i inni. Ventilator-associated pneumonia in a multi-hospital system: differences in microbiology by location. Infect Control Hosp Epidemiol 2003; 24: 853 -58.
  • 2. Bannister ВA., Begg NT, Gillespie SH. Choroby zakaźne. Wydawnictwo Medyczne Urban & Partner. Wydanie I. Wrocław 1998.
  • 3. Bartlett JG. Leczenie zakażeń układu oddechowego. Medycyna Praktyczna. Wydanie I. Kraków 2000.
  • 4. Campbell M, Mahenthiralingam E, Speert DP. Evaluation of random ampliefied polymorphic DNA typing of Pseudomonas aeruginosa. J Clin Microbiol 2000; 38: 4614 - 15.
  • 5. Pawińska A. Szpitalne zapalenie płuc. W: Zakażenia szpitalne. Red. Dzierżanowska D. Alfa- Medica Press. Wydanie II. Bielsko-Biała 2008, 376 - 92.
  • 6. Ewig S, Bauer T, Torres A. The pulmonary physician in critical care: Nosocomial pneumonia. Thorax 2002; 57: 366-71.
  • 7. Kollef MH. Antibiotic management of ventilator-associated pneumonia due to antibiotic-resistant gram-positive bacterial infection. Eur J Clin Microbiol Infect Dis 2005; 24: 794 - 803.
  • 8. Luna CM, Aruj PK. Nosocomial Acinetobacter pneumonia. Respirology 2007; 12: 787-91.
  • 9. Mahenthiralingam E, Campbell ME, Foster J i inni. Random amplified polymorphic DNA typing of Pseudomonas aeruginosa isolates recovered from patients with cystic fibrosis. J Clin Microbiol 1996; 34: 1129-35.
  • 10. Maragakis LL, Perl TM. Acinetobacter baumannii: epidemiology, antimicrobial resistance and treatment options. Clin Infect Dis 2008; 46: 1254 - 63.
  • 11. Mehta RM, Niederman MS. Nosocomial pneumonia in the intensive care unit: controversies and dilemmas. J Intensive Care Med 2003; 18: 175 - 88.
  • 12. Nazik H, Ongen B, Erturan Z, Salcioglu M. Genotype and antibiotic susceptibility patterns of Pseudomonas aeruginosa and Stenotrophomonas maltophilia isolated from cystic fibrosis patients. Jpn J Infect Dis 2007; 60: 82 - 6.
  • 13. American Thoracic Society. Infectious Diseases Society of America. Guidelines for the management of adults with hospital-acquired, ventilator-associated and healthcare-associated pneumonia. Am J Respir Crit Care Med, 2005; 171: 388 - 416.
  • 14. Richards MJ Edwards JR Culver DH i inni. Nosocomial infections in medical intensive care units in the United States. Crit Care Med 1999; 27: 887 - 92.
  • 15. Świechowski M, Gajdosz R. Szpitalne zapalenie płuc u pacjentów w oddziale intensywnej terapii. Zakażenia 2001; 3: 10 - 13.
  • 16. Valentine SC, Contreras D, Tan S i inni. Phenotypic and molecular characterization of Acinetobacter baumannii clinical isolates from nosocomial outbreaks in Los Angeles County, California. J Clin Microbiol 2008; 46: 2499 - 507.
  • 17. Vincent JL. Nosocomial infections in adult intensive-care units. Lancet 2003; 361: 2068 - 77.
  • 18. Wróblewska M, Rudnicka J, Marchel H, Łuczak M. Multidrug-resistant bacteria isolated from patients hospitalized in Intensive Care Units. Int J Antimicrob Agents 2006; 27: 285 - 9.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-article-f82d67fe-eb19-4e47-90c6-aa150048e309
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