Objective: This study aims to conduct an in-depth genomic analysis of a carbapenem-resistant Proteus mirabilis strain to uncover the distribution and mechanisms of its resistance genes.
Methods: The research primarily utilized whole-genome sequencing to analyze the genome of the Proteus mirabilis strain. Additionally, antibiotic susceptibility tests were conducted to evaluate the strain's sensitivity to various antibiotics, and related case information was collected to analyze the clinical distribution characteristics of the resistant strain.
Results: Study on bacterial strain WF3430 from a tetanus and pneumonia patient reveals resistance to multiple antibiotics due to extensive use. Whole-genome sequencing exposes a 4,045,480 bp chromosome carrying 29 antibiotic resistance genes. Two multidrug-resistant (MDR) gene regions, resembling Tn6577 and Tn6589, were identified (MDR Region 1: 64.83 Kb, MDR Region 2: 85.64 Kbp). These regions, consist of integrative and conjugative elements (ICE) structures, highlight the intricate multidrug resistance in clinical settings.
Conclusion: This study found that a CR-PMI strain exhibits a unique mechanism for acquiring antimicrobial resistance genes, such as bla, located on the chromosome instead of plasmids. According to the results, there is increasing complexity in the mechanisms of horizontal transmission of resistance, necessitating a comprehensive understanding and implementation of targeted control measures in both hospital and community settings.
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http://dx.doi.org/10.1186/s12866-024-03365-7 | DOI Listing |
Investig Clin Urol
March 2025
Department of Urology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.
Purpose: To compare encrustation resistance between silicon- and polytetrafluoroethylene (PTFE)-covered metallic ureteral stents (MUS) in an infection model and to determine the most effective material for reducing biofilm formation and encrustation.
Materials And Methods: A total of 52 MUS were prepared: 26 silicon-covered and 26 PTFE-covered stents. Each sample was immersed in artificial urine inoculated with in a biofilm reactor for 48 hours.
BMC Microbiol
March 2025
Kumasi Centre for Collaborative Research in Tropical Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Background: The isolation and culture of Mycobacterium ulcerans (Mu) as a primary diagnostic modality for Buruli ulcer (BU) disease are limiting due to their low sensitivity and slow-growing nature. M. ulcerans cultures can also be overgrown with other bacteria and fungi.
View Article and Find Full Text PDFAdv Healthc Mater
February 2025
Department of Urology, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Kidney stones are a common disorder associated with significant morbidity and often requires surgical intervention. Pathogenic bacteria are found in almost 40% of stones, where they form biofilms that are protected from systemic antibiotic treatments. Stone surgeries disperse biofilms resulting in up to 30% of patients developing postoperative urinary tract infections and 15% developing sepsis.
View Article and Find Full Text PDFNature
February 2025
Microbial Genomics Section, Translational and Functional Genomics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA.
Antimicrobial resistance is a public health threat associated with increased morbidity, mortality and financial burden in nursing homes and other healthcare settings. Residents of nursing homes are at increased risk of pathogen colonization and infection owing to antimicrobial-resistant bacteria and fungi. Nursing homes act as reservoirs, amplifiers and disseminators of antimicrobial resistance in healthcare networks and across geographical regions.
View Article and Find Full Text PDFPolymers (Basel)
February 2025
School of Pharmacy, Queen's University of Belfast, 97, Lisburn Road, Belfast BT9 7BL, UK.
Two significant clinical issues associated with the use of urinary catheters are catheter-associated urinary tract infection and encrustation. This study describes the design of novel hydrogels based on fatty acid-containing p(hydroxyethylmethacrylate, HEMA) and their resistance to both microbial adherence and encrustation. Incorporation of fatty acids increased the contact angle (surface hydrophobicity), decreased the ultimate tensile strength only after storage at pH 9 in artificial urine (AU) but not at lower pH values, decreased the Young's modulus and % elongation at break (both stored in deionised water, AU pH 6 and AU pH 9) and decreased equilibrium swelling (only when stored in deionised water or AU pH 6 but not AU pH 9).
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