BACKGROUND:Evidence exists of a link between chronic infection by Salmonella typhi(S.typhi) and the development of gallbladder cancer(GBC),but several studies from endemic regions contradict its role in the etiopathog...BACKGROUND:Evidence exists of a link between chronic infection by Salmonella typhi(S.typhi) and the development of gallbladder cancer(GBC),but several studies from endemic regions contradict its role in the etiopathogenesis of GBC.This study used various tools to assess the prevalence of S.typhi in patients with GBC and gallstone disease(GSD) in this region with a high incidence of GBC.METHODS:S.typhi was detected in tissue and bile by PCR and culture and in serum by the Widal test and indirect hemagglutination assay(IHA).PCR with two pairs of S.typhi specific primers(flagellin gene H1d and SOP E gene) could detect 0.6 ng of S.typhi DNA.Fifty-four patients with GBC(cases) were matched with 54 patients with GSD(controls).RESULTS:Of the 54 cases,24(44.44%) were positive on the Widal test and 12(22.22%) on IHA,compared to 13(24.07%) and 5(9.26%) respectively in the controls.Eighteen(33.33%) cases showed a positive result on PCR(tissue) and 2 on PCR(bile) vs.none in the controls.Bile culture revealed no Salmonella colonies in either cases or controls.Only 3 cases were positive for Salmonella on tissue culture compared to none in the controls.The sensitivity of PCR(tissue) relative to the Widal test,IHA,culture(bile and tissue) and PCR(bile) was 100% vs.66.67%,11.11%,and 11.11%,and the specificity was 83.33% vs.100%,100%,and 100%,respectively.CONCLUSIONS:S.typhi is significantly associated with GBC compared to GSD(33% vs.0%).PCR appears to be the most specific diagnostic tool,the gold standard for S.typhi in tissue samples.展开更多
Objective:To develop allenualed slrains of Salmonella enterica serorar Typhi(S.typhi) for the candidate vaccine by osmolar stress.Mothods:S.typhi SS3 and SS5 strains were isolated from asymptomatic typhoid carriers in...Objective:To develop allenualed slrains of Salmonella enterica serorar Typhi(S.typhi) for the candidate vaccine by osmolar stress.Mothods:S.typhi SS3 and SS5 strains were isolated from asymptomatic typhoid carriers in Mamakkal,Tamil Nadu.India.Both strains were grown in LB(Luria Bertani) medium supplemented with various concentration of NaCl(0.1- 0.7M) respectively.The effecl of osmolar stress was determined at molecular level by PCR using MCR 06 and MCR07 primers corresponding to ompR with chromosomal DNA of S.typhi SS3 and SS5 strains.Attenuation by osmolar stress results in deletion mutation of the.S.typhi slrains was determined by agglutination assays,precipitation method.SDS PAGE analysis and by animal models.Results:The 799 bp amplified ompR gene product from wild type S.typhi SS3 and SS5 illustrate the presence of virulent gene.Interestingly,there was only a 282 bp amplified product from S.typhi SS3 and SS5 grown in the presence of 0.5.0.6 and 0.7 M NaCl.This illustrates the occurrence of deletion mutation in ompR gene al high concentration of NaCl.Furthermore,both the wildtype and mutant S.typhi outer membrane SDS-PAGF.profile reveals the differences in the expression of ompF.ompC and ompA proteins.In mice,wild type and mutant strains lethal dose(LD_(50)) were determined.The mice died within 72 h when both the wild type strains were injected intraperitoneally with 3 log CFU-mL^(-1).When the mice were injected with the mutants in same dosage,no clinical symptoms were observed;whereas the serum antibodv litre was elicited within two weeks indicated that the mutants have the ability to induce protective humoral immune response.These results suggest that S.typhi SS3 and SS5 may bo used as good candidate strains for the development of live attenuated vaccine against salmonellosis.Conclusions:This study demonstrates that the S.typhi strains were allenualed and could be good vaccine candidates in future.展开更多
Objective: Infectious diseases such as typhoid fever lead to the formation of free radicals which can damage the body. Many medicinal plants have antioxidant molecules that neutralize free radicals. The present work e...Objective: Infectious diseases such as typhoid fever lead to the formation of free radicals which can damage the body. Many medicinal plants have antioxidant molecules that neutralize free radicals. The present work evaluated the antioxidant activity and histopathological effects of the dichloromethane fraction of Dichrocephala integrifolia in Salmonella typhi-infected rats.Methods: The S. typhi-infected rats concurrently received daily doses of D. integrifolia extract at doses of 25, 50 and 100 mg/kg body weight or ciprofloxacin(5 mg/kg body weight) for 15 days. Body temperature was measured daily during infection and treatment periods. At the end of treatment period, the animals were sacrificed and biological responses including hematological parameters, superoxide dismutase and catalase activities, and glutathione, malondialdehyde and nitric oxide concentrations were evaluated.Results: The elevated body temperature induced by infection was significantly decreased in animals treated with 25, 50 or 100 mg/kg of the extract. Platelet levels decreased slightly in infected rats, while treatment with the dichloromethane fraction of D. integrifolia significantly increased platelet levels;this response was greater than that elicited by ciprofloxacin. The doses of 50 and 100 mg/kg of the dichloromethane fraction of D. integrifolia notably decreased monocyte and neutrophil values. Activity of superoxide dismutase and catalase and levels of glutathione in the tissues of treated animals were increased significantly(P < 0.01), while malondialdehyde and nitric oxide levels were significantly decreased(P < 0.01), following treatment with the dichloromethane fraction of D. integrifolia.Conclusion: The results of this study show that the dichloromethane fraction of D. integrifolia has protective effects against a series of pathological conditions initiated by oxidation and tissue damage in the course of a S. typhi infection.展开更多
In this work bactericidal study of silver nanoparticles was taken up in combination with two standard antibiotics, ampicillin and gentamycin, for Salmonella Typhi. The antibacterial activities of antibiotics were incr...In this work bactericidal study of silver nanoparticles was taken up in combination with two standard antibiotics, ampicillin and gentamycin, for Salmonella Typhi. The antibacterial activities of antibiotics were increased in the presence of AgNPs against test strains. The higher enhancing effect was observed for ampicillin in comparison to gentamicin against test strains. Silver nanoparticles were synthesized elctrolytically using silver wire of 99% purity as anode and carbon rod wrapped with LDPE as cathode. Silver nitrate [of Merck] of 0.01N is used as an electrolyte. Here tea extract is added as capping and mild reducing agent. The polyphenols theaflavins and thearubigins, present in tea perform the role of stabilizing or capping agents due to their bulky and steric nature. A brown coloured colloidal solution of silver nanoparticles is obtained. The as-synthesized silver nanoparticles were characterized using XRD, TEM and UV-Vis spectroscopy.展开更多
Objective:To evaluate the prevalence of Sabmonella typhi(S.typhi) among subjects attending College of Education Health Clinic,Akwanga,Nasarawa state from the year.2005 to 2007 and to recommend some preventive measures...Objective:To evaluate the prevalence of Sabmonella typhi(S.typhi) among subjects attending College of Education Health Clinic,Akwanga,Nasarawa state from the year.2005 to 2007 and to recommend some preventive measures to the populace.Methods:Blood samples were tested for infection using the widal test.Results:Out of the 793 patients examined,579(73.0%) were positive with 174(30.05%),254(43.86%) and 151(26.07%) for the years 2005,2006 and 2007 respectively. The age range with the highest prevalence of infection for the period was 21-30 with 207(35.75%) followed by 31-40 year group with 133(22.97%).Chi-square analysis showed no significant difference in infection between males and females(P】0.05).Conclusions:The results of this study provide a useful guide in the formulation of S.typhi control measures in tertiary institutions in the State and also help to check the spread of the pathogen in the general population.展开更多
Objective:To evaluate the antibacterial activity of Ocimum sanctum(O.sanctum) leaf extract, alone,and in combination with chloramphenicol(C) and trimethoprim(Tm) against Salmonella enterica serovar Typhi(S.typhi).Meth...Objective:To evaluate the antibacterial activity of Ocimum sanctum(O.sanctum) leaf extract, alone,and in combination with chloramphenicol(C) and trimethoprim(Tm) against Salmonella enterica serovar Typhi(S.typhi).Methods:The antibacterial activity of ethanolic extract of tulsi, 0.sanctum,leaf(TLE:500μg) for 23 S.typhi isolates was determined following agar diffusion. The C(30μg) and Tm(5μg) activity alone and in combination with TLE(250μg) was determined by disk diffusion.The zone diameter of inhibition(ZDI) for the agents was recorded, and growth inhibitory indices(Glls) were calculated.Results:The S.typhi isolates(n=23),which were resistant to both C(ZDI 6 mm) and Tm(ZDI 6 mm),had TLE(500μg) ZDIs 16-24 mm.The ZDIs of C and Tm were increased up to 15-21 mm and 17-23 mm,respectively,when TLE(250μg) was added to the C and Tm discs.The Glls ranged 0.789-1.235 and 0.894-1.352,due to combined activity against S.typhi isolates,of C and TLE and Tm and TLE.respeclivelv.Conclusions:The data suggest that TLE,in combination with C and Tm,had synergistic activity for S.typhi isolates, and hence O.sanclum is potential in combating S.typhi drug resistance,as well promising in the development of non-antibiotic drug for S.typhi infection.展开更多
Objective:To investigate and compare the resistance and sensitivity of Salmonella typhi samples to commonly used antibiotics in three major divisions of Bangladesh and to evaluate the gradually developing resistance p...Objective:To investigate and compare the resistance and sensitivity of Salmonella typhi samples to commonly used antibiotics in three major divisions of Bangladesh and to evaluate the gradually developing resistance pattern.Methods:The antibiotic susceptibility of 70 clinical isolates collected from blood,sputum,urine and pus samples were identified by specific antisera and with standard biochemical tests.The patients were divided into 5 age groups.Susceptibility and resistance was also tested by KirbyBauer disc-diffusion method using 12 regularly used antibiotics.Results:Antibiotic susceptibility test demonstrated that 64.28%isolates of Salmonella typhi were multidrug resistant.Present study suggests that the clinical samples were mostly resistant against nalidixic acid with all age groups and in all three divisions with similar resistance pattern.Resistance is more common among adult people(30-40 years)and children(0-10 years).Salmonella typhi was mostly sensitive against gentamycin,chloramphenicol and ciprofloxacin.Conclusions:Although the population density of Dhaka region is markedly higher than Rajshahi and Chittagong regions,no significant difference in resistance pattern was found.The rate of multidrug resistance is a matter of concern.Physicians should reconsider before prescribing nalidixic acid and cefixime.Further molecular study is needed to reveal the genomic and proteomic basis of resistance.展开更多
Metal oxides can be used as a series of new and effective anti-bacterial agents. In this study, four concentrations of ZnO nanoparticles （0.2, 0.5, 0.7 and 1.0 tool/L） were synthesized using a low-temperature sol-ge...Metal oxides can be used as a series of new and effective anti-bacterial agents. In this study, four concentrations of ZnO nanoparticles （0.2, 0.5, 0.7 and 1.0 tool/L） were synthesized using a low-temperature sol-gel method annealed at 400 and 550 ℃. The products were characterized by X-ray diffraction （XRD）, transmission electron microscopy （TEM） and Fourier transform infrared spectroscopy （FTIR）. XRD results show the hexagonal wurtzite structure of the nanoparticles with the grain size in the range of 38-43 nm. TEM micrographs exhibit a polyhedral form of the synthesized nanoparticles. The antimicrobial activity of different concentrations of nanoparticles against Salmonella typhi PTCC 1609 was determined by disk diffusion and agar dilution method at five concentrations of 10, 5, 2.5, 1.25 and 0.625 mg/mL. Analysis shows that the prepared ZnO nanoparticles have a very effective antimicrobial activity against Salmonella typhi. This activity increases by reducing the size of nanoparticles and increasing their content in the bacterial growth medium.展开更多
Objective: To identify the region conferring stability to pBSSB2(a linear plasmid, pBSSB1, containing a kanamycin cassette), which is unique to Indonesian isolates of Salmonella enterica serovar Typhi. Methods: The op...Objective: To identify the region conferring stability to pBSSB2(a linear plasmid, pBSSB1, containing a kanamycin cassette), which is unique to Indonesian isolates of Salmonella enterica serovar Typhi. Methods: The open reading frame(ORF) 009 was identified as a toxin coding gene in the plasmid through introduction of translational termination codons in the ORF. Results: The stability function was located in a fragment that spanned nucleotides 5 766 to 6 828 in the linear plasmid genetic map. Ectopic expression of ORF009 in pBAD18 vector indicated ORF009 codes for a toxin. This fragment could stabilize plasmid pUC18 previously destabilized through mutation of the pcnB(plasmid copy number control) gene that codes for polyA polymerase. Majority of the cells expressing ORF009 were non-viable according to phase contrast microscopy. Conclusions: This study demonstrated that a linear plasmid fragment that carries a gene encoding a toxin possibly conferred stability to the parent plasmid. It was able to stabilize a multicopy plasmid of Escherichia coli.展开更多
Rationale:Salmonella(S.)typhi is a rare cause of osteomyelitis in immunocompetent adults.Extensive drug resistance(XDR)may lead to more complicated cases of S.typhi osteomyelitis.Patient concern:A 55-year-old female p...Rationale:Salmonella(S.)typhi is a rare cause of osteomyelitis in immunocompetent adults.Extensive drug resistance(XDR)may lead to more complicated cases of S.typhi osteomyelitis.Patient concern:A 55-year-old female presented with a persistent low-grade fever and a swelling on her lower left chest with a sinus discharging purulent fluid for the past 8 months.Her symptoms had been unresponsive to previous anti-microbial therapy.Diagnosis:Rib osteomyelitis caused by XDR S.typhi.Interventions:Surgical wound debridement,left 7th-9th rib resection and intravenous Ⅳ meropenem were done.Outcome:Fever resolved and left-sided swelling resected without recurrence.Lessons:The prevalence of XDR S.typhi is growing in South Asia and should be considered as the differential diagnosis of chronic osteomyelitis.展开更多
Background: Donated blood contaminated with S. Typhi can cause post-transfusion sepsis. This study aimed to determine the correlation between some risk factors of typhoid fever and seroprevalence of antibodies against...Background: Donated blood contaminated with S. Typhi can cause post-transfusion sepsis. This study aimed to determine the correlation between some risk factors of typhoid fever and seroprevalence of antibodies against S. Typhi among blood donors. Methodology: Following informed consent, socio-demographic and information on risk factors of typhoid infection was obtained using pre-structured questionnaires from 400 apparently healthy blood donors at the Tema General Hospital. Blood was also collected for serology and cultured for identification of pathogens by standard bacteriological method. Results: Blood culture did not reveal any S. Typhi isolate out of the tested 400 (348 males and 52 females) samples from apparently healthy blood donors. However, IgM and IgG antibody seroprevalence of 9.3% and 3.5% were detected. Age group of 17 - 24 years was the highest risk group, persons with a history of typhoid infection, and sources of drinking water were major risk factors for typhoid infection. It was also observed that prevalence of IgM was highest among new donors (62.2%), but lower in donors with a history of 1 to 3 blood donations (32.4%) and least among regular donors (>3 donations (5.4%)). In addition, typhoid prevention awareness and typhoid knowledge (knowledge about typhoid transmission) among the donors were poor (4.3% and 5.9% respectively). Conclusions: This study has shown an overall seroprevalence of 9% and 3.5% for IgM and IgG antibodies respectively among blood donors in the Tema area in Ghana. We advocate for the mandatory screening of donor units intended for transfusion for S. Typhi. Furthermore, there is an urgent need for the health education of all persons in Ghana on preventive measures and the spread of S. Typhi.展开更多
BACKGROUND Acute appendicitis is one of the most common acute abdominal emergencies around the world,which is always associated with infection.Infection with Salmonella typhi,an enteric pathogen,is a rare cause of acu...BACKGROUND Acute appendicitis is one of the most common acute abdominal emergencies around the world,which is always associated with infection.Infection with Salmonella typhi,an enteric pathogen,is a rare cause of acute appendicitis.We here report a patient with acute appendicitis associated with Samonella typhi infection,accompanied with spleen and kidney infarction,providing a rare example for a common surgical emergency.CASE SUMMARY A 25-year-old Pakistani man presented to the hospital with a 3-d history of fevers,vomiting,and abdominal pain.Computed tomography(CT)revealed a thickened intestinal wall of the ileocecal junction with multiple enlarged lymph nodes nearby.He was diagnosed with acute appendicitis and received laparoscopic appendectomy,which showed mild inflammation of the appendix.After the surgery,the patient presented again with a high fever(>39℃)and diarrhea.A CT angiography scan indicated spleen and kidney infarction.According to the blood culture,the diagnosis was finally clear to be Samonella typhi infection.The pyrexia and enteric symptoms were relieved after the application of intravenous levofloxacin.CONCLUSION This case,characterized by the combination of Salmonella typhi infection,acute appendicitis,and renal and splenic infraction,serves as a rare example for a common surgical emergency.展开更多
Salmonella typhi is a facultative intracellular pathogen that causes typhoid fever in humans. In the present study, the effect of Salmonella typhi infection on hematological indices and spleen histology in Wistar rats...Salmonella typhi is a facultative intracellular pathogen that causes typhoid fever in humans. In the present study, the effect of Salmonella typhi infection on hematological indices and spleen histology in Wistar rats was investigated and was followed by an evaluation of the ameliorative potential of the methanol leaf extract of Chromolaena odorata (MLECO) compared with ciprofloxacin treatment. The animals were divided into six groups: group 1 was normal control, group 2 was infected with Salmonella typhi without treatment (negative control), groups 3, 4 and 5 were Salmonella typhi infected and treated with 100 mg/kg, 200 mg/kg and 400 mg/kg of the extract respectively and group 6 was also Salmonella typhi infected and treated with 500 mg/70kg of ciprofloxacin. The animals were inoculated with a single infectious dose of Salmonella typhi bacteria and thereafter, treated with the extract and ciprofloxacin for a period of seventeen days, after the animals were confirmed infected. The rats were humanely sacrificed and blood samples taken for haematological investigations, and the spleen harvested and processed for histological examinations. Chromolaena odorata administration reversed the adverse hematotoxicity and histopathological changes in the spleen induced by?Salmonella typhi?infection.展开更多
Typhoid fever caused by the bacterium Salmonella enterica serovar Typhi (S. Typhi) causes an estimated 25 million illnesses and approximately 200,000 deaths annually mostly in developing countries. Although the manage...Typhoid fever caused by the bacterium Salmonella enterica serovar Typhi (S. Typhi) causes an estimated 25 million illnesses and approximately 200,000 deaths annually mostly in developing countries. Although the management of typhoid fever has been effectively through antibiotic treatment, S. Typhi is increasingly becoming resistant to the currently recommended drugs. This study utilized a quasi-experimental design focusing on archived samples to describe antimicrobial susceptibility patterns of S. Typhi and determine the genetic basis of resistance to the two most commonly used classes of antimicrobials. A total sample size of 287 isolates of S. Typhi isolates stored in -80°C freezer at the Centre for Microbiology Research was utilized. Isolates were subjected to anti-microbial susceptibility testing to commonly available antimicrobials using disk diffusion method, then analyzed for trends in resistance to fluoroquinolones and extended spectrum beta lactams. Among the 287 isolates 158 (55.5%) were found to be Multi Drug Resistant (MDR). This implied that these isolates were resistant to all first line classes of treatment such as ampicillin, chloramphenicol and sulfamethoxazole-trimethroprim. In addition to this, these isolates were also resistant to at least one of the currently recommended drugs of choice, either a β-lactam or a fluoroquinolone. This study observed resistances at 18.2% and 15.4% to fluoroquinolones and cephalosporins respectively. PCR results revealed presence of blaTEM, blaINT and blaCTX-M genes coding for resistance to β-lactams in 80% of the isolates that had combined resistance to β-lactams and fluoroquinolones. It is likely that recent heavy use of these classes of antimicrobials is driving resistances to these antimicrobials.展开更多
Antimicrobial resistance has become a major challenge to the treatment and prevention of infections resulted in high morbidity and mortality globally. The inappropriate or abuse of antibiotics in animal farming is a k...Antimicrobial resistance has become a major challenge to the treatment and prevention of infections resulted in high morbidity and mortality globally. The inappropriate or abuse of antibiotics in animal farming is a key factor and thus led to the emergence of bacteria resistance and subsequent transfer of resistance genes to humans through the food chain. This study was to determine the prevalence of Salmonella typhi (S. typhi) and Escherichia coli (E. coli) isolated from various meat and fish samples and their susceptibility patterns against five commonly used antibiotics in Ghana (Ciprofloxacin 5 μg, Amoxicillin-clavulanic acid 20/10 μg, Imipenem 10 μg, Tetracycline 30 μg and Ceftazidime 30 μg). A total of 105 meat and fish samples were obtained from Tema and Prampram markets and bacteria isolation was carried out using appropriate selective microbial culture media and various biochemical methods for identification. The susceptibility patterns were determined using the Kirby-Bauer disk diffusion method and the results were interpreted using the CLSI 2020 guidelines. The results revealed a total of 56 bacterial isolates comprising 14 E. coli (25%) and 42 S. typhi (75%) isolated from the meat and fish samples. The antibiogram study showed a high resistance rate (88.64%) of S. typhi isolates to amoxicillin-clavulanic acid and tetracycline (97.73%). A moderate susceptibility of the isolates was obtained with imipenem (53.27%). All the E. coli isolates were resistant to tetracycline (100%) and demonstrated 78.57% and 50% resistance to amoxicillin-clavulanic acid and ceftazidime respectively. A total of 78.57% of the E. coli isolates and 68.18% of S. typhi isolates showed multidrug resistance. The multiple antibiotic resistance (MAR) index for all the isolates ranged from 0.2 to 1.00 with two S. typhi isolates and one E. coli isolate having a MAR index of 1.00 signifying total resistance to all the 5 antibiotics tested. In conclusion, E. coli and S. typhi isolated from the meat samples exhibited high rate of resistance against the antibiotics tested and thus possesses a major health risk due to inappropriate use of antibiotics in animal and fish farming and possible transfer of resistant strains to humans.展开更多
<b>Background:</b> Typhoid fever is a major public health concern in developing countries. The upsurge in the occurrence of bacterial isolates that are resistant to nalidixic acid;with reduced susceptibili...<b>Background:</b> Typhoid fever is a major public health concern in developing countries. The upsurge in the occurrence of bacterial isolates that are resistant to nalidixic acid;with reduced susceptibility to ciprofloxacin in typhoidal <i>Salmonellae</i> constitutes a challenge to the clinician. <b>Methods:</b> In order to better understand the epidemiology of <i>Salmonella</i> infections in South India, <i>Salmonella typhi</i> isolates were screened from various healthcare centers. <i>Salmonella</i> isolates were identified by using standard phenotypic, serological, antibiotic susceptibility and molecular methods. <b>Results:</b> Among a total of 100 <i>S. typhi</i> isolates 9% were found to be multidrug resistant and 30% were nalidixic acid resistant. Isolates with reduced susceptibility to ciprofloxacin displays single base mutations in the gyrA gene. A very low rate of 1% resistance was found to ciprofloxacin. The only one isolate with ciprofloxacin MIC ≥ 4 μg/ml also showed single mutation in the QRDR of the gyrA gene in <i>S. typhi</i> (GenBank accession no. HQ176349-HQ176368). <b>Conclusions:</b> A very low rate of nalidixic acid resistance with reduced susceptibility to ciprofloxacin was observed in comparison to other endemic areas in isolates of <i>S. typhi</i> from Gulbarga, South India, with steadily increasing NAR <i>S. typhi</i> but decreasing MDR isolations over the study period. This is most likely due to an increased use of ciprofloxacin as a first line drug of choice over more traditional antimicrobial agents for the treatment of typhoid fever.展开更多
<b>Objective:</b> Almost all year round occurrence of typhoid fever remains a major public health issue in Bangladesh. In recent years, there has been a significant rise in the prevalence of multi-drug res...<b>Objective:</b> Almost all year round occurrence of typhoid fever remains a major public health issue in Bangladesh. In recent years, there has been a significant rise in the prevalence of multi-drug resistance <i>Salmonella typhi</i> in Dhaka city. The major objective of this study was to observe the prevalence of multi-drug and Extended drug-resistant patterns of typhoidal <i>Salmonella typhi</i> among the patients attending a tertiary medical center by conventional culture and serologic test. <b>Materials and Methods:</b> Blood was collected by syringe and equally divided between aerobic & anaerobic BacT Alert bottle, 10 mL for paediatrics. Post isolation <i>Salmonella</i> strains were identified and were tested for antibiotic resistance. <b>Results:</b> A total of 600 blood samples of typhoid suspected patients were tested, where 32.5% came out positive, which were identified as <i>Salmonella typhi</i>. These isolates were susceptible to carbapenem drugs but highly resistant to Fluoroquinolones and Aminoglycosides antibiotics. <b>Discussion:</b> It was seen that 73.23% of isolates among male patients were extensively drug-resistant (XDR) meaning that isolates were sensitive against only one or two antibiotics while in the female it was 58.46%. Isolates from Female patients showed higher multi-drug resistant (MDR) (26.15%) isolates resistance to multiple antibiotics in comparison to isolates from the male (16.54%). 87.19% of the strains showed high drug resistance (XDR and MDR). <b>Conclusion:</b> The emergence of XDR and MDR strains of <i>S. typhi</i> in recent years is becoming a significant threat. Although no PAN-Drug resistance (resistant against all tested drugs) was observed in the current study, a high level of XDR and MDR isolates are indicating that the scenario might take place sooner than later.展开更多
Typhoid fever is an important health issue in developing countries,and the pathogenicity of Salmonella enterica serovar Typhi(S.ser.Typhi)depends on the presence of different virulence factors.Therefore,this study aim...Typhoid fever is an important health issue in developing countries,and the pathogenicity of Salmonella enterica serovar Typhi(S.ser.Typhi)depends on the presence of different virulence factors.Therefore,this study aimed to investigate the spread of virulence genes among S.Typhi isolates from patients with typhoid fever in Baghdad,Iraq.Sixty S.Typhi isolates were collected from several hospitals in Baghdad and identified using VITEK-II and confirmed by polymerase chain reaction(PCR)to detect the 16S rRNA gene.After testing their susceptibility to different antimicrobials(via the disk diffusion method),we found the highest resistance rates(100%)were to ampicillin,piperacillin,cefotaxime,and ceftriaxone.The highest sensitivity rates(100%)were to ertapenem,imipenem,meropenem,and sulfamethoxazole/trimethoprim.The presence of genes encoding for virulence in S.Typhi isolates was tested by conventional PCR.The results showed that out of 60 isolates,59(98.3%),59(98.3%),58(96.7%),and 60(100%)were positive for viaB,staA,cdtB,and orfL genes,respectively.The sequencing of PCR products(viaB,staA,cdtB,and orfL genes)was carried out at the Macrogen Company(Seoul,Korea).The sequences were compared with nucleotide sequences in the BLAST GenBank database,and data obtained from the sequencing of these virulence genes were submitted to GenBank under different accession numbers.A phylogenetic analysis of the 16S rRNA gene sequence found a high similarity between local sequences and the closely related sequences of genes in GenBank.The presence of the viaB,staA,cdtB,and orfL virulence genes in nearly all of the isolates under examination suggests that they play an important role in the pathogenicity of local isolates.展开更多
During infectious disease episodes, pathogens express distinct subsets of virulence factors which allow them to adapt to different environments. Hence, genes that are expressed or upregulated in vivo are implicated in...During infectious disease episodes, pathogens express distinct subsets of virulence factors which allow them to adapt to different environments. Hence, genes that are expressed or upregulated in vivo are implicated in pathogenesis. We used in vivo induced antigen technology (IVIAT) to identify antigens which are expressed during infection with Salmonella enterica serovar Typhi. We identified 7 in vivo induced (IVI) antigens, which included BcfD (a fimbrial structural subunit), GrxC (a glutaredoxin 3), SapB (an ABC-type transport system), T3663 (an ABC-type uncharacterized transport system), T3816 (a putative rhodanese-related sulfurtransferase), T1497 (a probable TonB-dependent receptor) and T3689 (unknown function). Of the 7 identified antigens, 5 antigens had no cross-immunoreactivity in adsorbed control sera from healthy subjects. These 5 included BcfD, GrxC, SapB, T3663 and T3689. Antigens identified in this study are potential targets for drug and vaccine development and may be utilized as diagnostic agents.展开更多
Salmonella （S.） typhi is an important intracellular pathogen. Among the more than 2,300 closely-related Salmonella serovars bacteria recognized, S. typhi is the only one that is pathogenic exclusively for humans, in...Salmonella （S.） typhi is an important intracellular pathogen. Among the more than 2,300 closely-related Salmonella serovars bacteria recognized, S. typhi is the only one that is pathogenic exclusively for humans, in whom it causes typhoid or enteric fever. The pathogen has been around for many years and many studies have been done in an effort to combat it. Molecular and biologic features of S. typhi and host factors and immune responses involved in Salmonella invasion have been extensively studies. Vaccines that have been developed most notably are Vi polysaccharide and Ty21a. However, as the results show, there is still a long way to go. It is also shown that multi-drug resistance has occurred to the few available antibiotics. More and more studies have shown that Salmonella can be used as a vaccine vector carrying antigens of other pathogens. This has been promising in that the immune system can be elicited in response to both the Salmonella bacteria and the antigen of the pathogen in question. This review aims to highlight some of the milestones attained in the fight against the disease from the time S. typhi was seen as a pathogen causing typhoid fever to the use of Salmonella as a vaccine vector. Cellular ＆ Molecular Immunology.展开更多
文摘BACKGROUND:Evidence exists of a link between chronic infection by Salmonella typhi(S.typhi) and the development of gallbladder cancer(GBC),but several studies from endemic regions contradict its role in the etiopathogenesis of GBC.This study used various tools to assess the prevalence of S.typhi in patients with GBC and gallstone disease(GSD) in this region with a high incidence of GBC.METHODS:S.typhi was detected in tissue and bile by PCR and culture and in serum by the Widal test and indirect hemagglutination assay(IHA).PCR with two pairs of S.typhi specific primers(flagellin gene H1d and SOP E gene) could detect 0.6 ng of S.typhi DNA.Fifty-four patients with GBC(cases) were matched with 54 patients with GSD(controls).RESULTS:Of the 54 cases,24(44.44%) were positive on the Widal test and 12(22.22%) on IHA,compared to 13(24.07%) and 5(9.26%) respectively in the controls.Eighteen(33.33%) cases showed a positive result on PCR(tissue) and 2 on PCR(bile) vs.none in the controls.Bile culture revealed no Salmonella colonies in either cases or controls.Only 3 cases were positive for Salmonella on tissue culture compared to none in the controls.The sensitivity of PCR(tissue) relative to the Widal test,IHA,culture(bile and tissue) and PCR(bile) was 100% vs.66.67%,11.11%,and 11.11%,and the specificity was 83.33% vs.100%,100%,and 100%,respectively.CONCLUSIONS:S.typhi is significantly associated with GBC compared to GSD(33% vs.0%).PCR appears to be the most specific diagnostic tool,the gold standard for S.typhi in tissue samples.
文摘Objective:To develop allenualed slrains of Salmonella enterica serorar Typhi(S.typhi) for the candidate vaccine by osmolar stress.Mothods:S.typhi SS3 and SS5 strains were isolated from asymptomatic typhoid carriers in Mamakkal,Tamil Nadu.India.Both strains were grown in LB(Luria Bertani) medium supplemented with various concentration of NaCl(0.1- 0.7M) respectively.The effecl of osmolar stress was determined at molecular level by PCR using MCR 06 and MCR07 primers corresponding to ompR with chromosomal DNA of S.typhi SS3 and SS5 strains.Attenuation by osmolar stress results in deletion mutation of the.S.typhi slrains was determined by agglutination assays,precipitation method.SDS PAGE analysis and by animal models.Results:The 799 bp amplified ompR gene product from wild type S.typhi SS3 and SS5 illustrate the presence of virulent gene.Interestingly,there was only a 282 bp amplified product from S.typhi SS3 and SS5 grown in the presence of 0.5.0.6 and 0.7 M NaCl.This illustrates the occurrence of deletion mutation in ompR gene al high concentration of NaCl.Furthermore,both the wildtype and mutant S.typhi outer membrane SDS-PAGF.profile reveals the differences in the expression of ompF.ompC and ompA proteins.In mice,wild type and mutant strains lethal dose(LD_(50)) were determined.The mice died within 72 h when both the wild type strains were injected intraperitoneally with 3 log CFU-mL^(-1).When the mice were injected with the mutants in same dosage,no clinical symptoms were observed;whereas the serum antibodv litre was elicited within two weeks indicated that the mutants have the ability to induce protective humoral immune response.These results suggest that S.typhi SS3 and SS5 may bo used as good candidate strains for the development of live attenuated vaccine against salmonellosis.Conclusions:This study demonstrates that the S.typhi strains were allenualed and could be good vaccine candidates in future.
文摘Objective: Infectious diseases such as typhoid fever lead to the formation of free radicals which can damage the body. Many medicinal plants have antioxidant molecules that neutralize free radicals. The present work evaluated the antioxidant activity and histopathological effects of the dichloromethane fraction of Dichrocephala integrifolia in Salmonella typhi-infected rats.Methods: The S. typhi-infected rats concurrently received daily doses of D. integrifolia extract at doses of 25, 50 and 100 mg/kg body weight or ciprofloxacin(5 mg/kg body weight) for 15 days. Body temperature was measured daily during infection and treatment periods. At the end of treatment period, the animals were sacrificed and biological responses including hematological parameters, superoxide dismutase and catalase activities, and glutathione, malondialdehyde and nitric oxide concentrations were evaluated.Results: The elevated body temperature induced by infection was significantly decreased in animals treated with 25, 50 or 100 mg/kg of the extract. Platelet levels decreased slightly in infected rats, while treatment with the dichloromethane fraction of D. integrifolia significantly increased platelet levels;this response was greater than that elicited by ciprofloxacin. The doses of 50 and 100 mg/kg of the dichloromethane fraction of D. integrifolia notably decreased monocyte and neutrophil values. Activity of superoxide dismutase and catalase and levels of glutathione in the tissues of treated animals were increased significantly(P < 0.01), while malondialdehyde and nitric oxide levels were significantly decreased(P < 0.01), following treatment with the dichloromethane fraction of D. integrifolia.Conclusion: The results of this study show that the dichloromethane fraction of D. integrifolia has protective effects against a series of pathological conditions initiated by oxidation and tissue damage in the course of a S. typhi infection.
文摘In this work bactericidal study of silver nanoparticles was taken up in combination with two standard antibiotics, ampicillin and gentamycin, for Salmonella Typhi. The antibacterial activities of antibiotics were increased in the presence of AgNPs against test strains. The higher enhancing effect was observed for ampicillin in comparison to gentamicin against test strains. Silver nanoparticles were synthesized elctrolytically using silver wire of 99% purity as anode and carbon rod wrapped with LDPE as cathode. Silver nitrate [of Merck] of 0.01N is used as an electrolyte. Here tea extract is added as capping and mild reducing agent. The polyphenols theaflavins and thearubigins, present in tea perform the role of stabilizing or capping agents due to their bulky and steric nature. A brown coloured colloidal solution of silver nanoparticles is obtained. The as-synthesized silver nanoparticles were characterized using XRD, TEM and UV-Vis spectroscopy.
文摘Objective:To evaluate the prevalence of Sabmonella typhi(S.typhi) among subjects attending College of Education Health Clinic,Akwanga,Nasarawa state from the year.2005 to 2007 and to recommend some preventive measures to the populace.Methods:Blood samples were tested for infection using the widal test.Results:Out of the 793 patients examined,579(73.0%) were positive with 174(30.05%),254(43.86%) and 151(26.07%) for the years 2005,2006 and 2007 respectively. The age range with the highest prevalence of infection for the period was 21-30 with 207(35.75%) followed by 31-40 year group with 133(22.97%).Chi-square analysis showed no significant difference in infection between males and females(P】0.05).Conclusions:The results of this study provide a useful guide in the formulation of S.typhi control measures in tertiary institutions in the State and also help to check the spread of the pathogen in the general population.
文摘Objective:To evaluate the antibacterial activity of Ocimum sanctum(O.sanctum) leaf extract, alone,and in combination with chloramphenicol(C) and trimethoprim(Tm) against Salmonella enterica serovar Typhi(S.typhi).Methods:The antibacterial activity of ethanolic extract of tulsi, 0.sanctum,leaf(TLE:500μg) for 23 S.typhi isolates was determined following agar diffusion. The C(30μg) and Tm(5μg) activity alone and in combination with TLE(250μg) was determined by disk diffusion.The zone diameter of inhibition(ZDI) for the agents was recorded, and growth inhibitory indices(Glls) were calculated.Results:The S.typhi isolates(n=23),which were resistant to both C(ZDI 6 mm) and Tm(ZDI 6 mm),had TLE(500μg) ZDIs 16-24 mm.The ZDIs of C and Tm were increased up to 15-21 mm and 17-23 mm,respectively,when TLE(250μg) was added to the C and Tm discs.The Glls ranged 0.789-1.235 and 0.894-1.352,due to combined activity against S.typhi isolates,of C and TLE and Tm and TLE.respeclivelv.Conclusions:The data suggest that TLE,in combination with C and Tm,had synergistic activity for S.typhi isolates, and hence O.sanclum is potential in combating S.typhi drug resistance,as well promising in the development of non-antibiotic drug for S.typhi infection.
基金Supproted by Chittagong University Research Cell(Grant No.:Ref No.5301/Res/Dir/CU/2012)
文摘Objective:To investigate and compare the resistance and sensitivity of Salmonella typhi samples to commonly used antibiotics in three major divisions of Bangladesh and to evaluate the gradually developing resistance pattern.Methods:The antibiotic susceptibility of 70 clinical isolates collected from blood,sputum,urine and pus samples were identified by specific antisera and with standard biochemical tests.The patients were divided into 5 age groups.Susceptibility and resistance was also tested by KirbyBauer disc-diffusion method using 12 regularly used antibiotics.Results:Antibiotic susceptibility test demonstrated that 64.28%isolates of Salmonella typhi were multidrug resistant.Present study suggests that the clinical samples were mostly resistant against nalidixic acid with all age groups and in all three divisions with similar resistance pattern.Resistance is more common among adult people(30-40 years)and children(0-10 years).Salmonella typhi was mostly sensitive against gentamycin,chloramphenicol and ciprofloxacin.Conclusions:Although the population density of Dhaka region is markedly higher than Rajshahi and Chittagong regions,no significant difference in resistance pattern was found.The rate of multidrug resistance is a matter of concern.Physicians should reconsider before prescribing nalidixic acid and cefixime.Further molecular study is needed to reveal the genomic and proteomic basis of resistance.
文摘Metal oxides can be used as a series of new and effective anti-bacterial agents. In this study, four concentrations of ZnO nanoparticles （0.2, 0.5, 0.7 and 1.0 tool/L） were synthesized using a low-temperature sol-gel method annealed at 400 and 550 ℃. The products were characterized by X-ray diffraction （XRD）, transmission electron microscopy （TEM） and Fourier transform infrared spectroscopy （FTIR）. XRD results show the hexagonal wurtzite structure of the nanoparticles with the grain size in the range of 38-43 nm. TEM micrographs exhibit a polyhedral form of the synthesized nanoparticles. The antimicrobial activity of different concentrations of nanoparticles against Salmonella typhi PTCC 1609 was determined by disk diffusion and agar dilution method at five concentrations of 10, 5, 2.5, 1.25 and 0.625 mg/mL. Analysis shows that the prepared ZnO nanoparticles have a very effective antimicrobial activity against Salmonella typhi. This activity increases by reducing the size of nanoparticles and increasing their content in the bacterial growth medium.
文摘Objective: To identify the region conferring stability to pBSSB2(a linear plasmid, pBSSB1, containing a kanamycin cassette), which is unique to Indonesian isolates of Salmonella enterica serovar Typhi. Methods: The open reading frame(ORF) 009 was identified as a toxin coding gene in the plasmid through introduction of translational termination codons in the ORF. Results: The stability function was located in a fragment that spanned nucleotides 5 766 to 6 828 in the linear plasmid genetic map. Ectopic expression of ORF009 in pBAD18 vector indicated ORF009 codes for a toxin. This fragment could stabilize plasmid pUC18 previously destabilized through mutation of the pcnB(plasmid copy number control) gene that codes for polyA polymerase. Majority of the cells expressing ORF009 were non-viable according to phase contrast microscopy. Conclusions: This study demonstrated that a linear plasmid fragment that carries a gene encoding a toxin possibly conferred stability to the parent plasmid. It was able to stabilize a multicopy plasmid of Escherichia coli.
文摘Rationale:Salmonella(S.)typhi is a rare cause of osteomyelitis in immunocompetent adults.Extensive drug resistance(XDR)may lead to more complicated cases of S.typhi osteomyelitis.Patient concern:A 55-year-old female presented with a persistent low-grade fever and a swelling on her lower left chest with a sinus discharging purulent fluid for the past 8 months.Her symptoms had been unresponsive to previous anti-microbial therapy.Diagnosis:Rib osteomyelitis caused by XDR S.typhi.Interventions:Surgical wound debridement,left 7th-9th rib resection and intravenous Ⅳ meropenem were done.Outcome:Fever resolved and left-sided swelling resected without recurrence.Lessons:The prevalence of XDR S.typhi is growing in South Asia and should be considered as the differential diagnosis of chronic osteomyelitis.
文摘Background: Donated blood contaminated with S. Typhi can cause post-transfusion sepsis. This study aimed to determine the correlation between some risk factors of typhoid fever and seroprevalence of antibodies against S. Typhi among blood donors. Methodology: Following informed consent, socio-demographic and information on risk factors of typhoid infection was obtained using pre-structured questionnaires from 400 apparently healthy blood donors at the Tema General Hospital. Blood was also collected for serology and cultured for identification of pathogens by standard bacteriological method. Results: Blood culture did not reveal any S. Typhi isolate out of the tested 400 (348 males and 52 females) samples from apparently healthy blood donors. However, IgM and IgG antibody seroprevalence of 9.3% and 3.5% were detected. Age group of 17 - 24 years was the highest risk group, persons with a history of typhoid infection, and sources of drinking water were major risk factors for typhoid infection. It was also observed that prevalence of IgM was highest among new donors (62.2%), but lower in donors with a history of 1 to 3 blood donations (32.4%) and least among regular donors (>3 donations (5.4%)). In addition, typhoid prevention awareness and typhoid knowledge (knowledge about typhoid transmission) among the donors were poor (4.3% and 5.9% respectively). Conclusions: This study has shown an overall seroprevalence of 9% and 3.5% for IgM and IgG antibodies respectively among blood donors in the Tema area in Ghana. We advocate for the mandatory screening of donor units intended for transfusion for S. Typhi. Furthermore, there is an urgent need for the health education of all persons in Ghana on preventive measures and the spread of S. Typhi.
基金National Natural Science Foundation of China,No.81702586.
文摘BACKGROUND Acute appendicitis is one of the most common acute abdominal emergencies around the world,which is always associated with infection.Infection with Salmonella typhi,an enteric pathogen,is a rare cause of acute appendicitis.We here report a patient with acute appendicitis associated with Samonella typhi infection,accompanied with spleen and kidney infarction,providing a rare example for a common surgical emergency.CASE SUMMARY A 25-year-old Pakistani man presented to the hospital with a 3-d history of fevers,vomiting,and abdominal pain.Computed tomography(CT)revealed a thickened intestinal wall of the ileocecal junction with multiple enlarged lymph nodes nearby.He was diagnosed with acute appendicitis and received laparoscopic appendectomy,which showed mild inflammation of the appendix.After the surgery,the patient presented again with a high fever(>39℃)and diarrhea.A CT angiography scan indicated spleen and kidney infarction.According to the blood culture,the diagnosis was finally clear to be Samonella typhi infection.The pyrexia and enteric symptoms were relieved after the application of intravenous levofloxacin.CONCLUSION This case,characterized by the combination of Salmonella typhi infection,acute appendicitis,and renal and splenic infraction,serves as a rare example for a common surgical emergency.
文摘Salmonella typhi is a facultative intracellular pathogen that causes typhoid fever in humans. In the present study, the effect of Salmonella typhi infection on hematological indices and spleen histology in Wistar rats was investigated and was followed by an evaluation of the ameliorative potential of the methanol leaf extract of Chromolaena odorata (MLECO) compared with ciprofloxacin treatment. The animals were divided into six groups: group 1 was normal control, group 2 was infected with Salmonella typhi without treatment (negative control), groups 3, 4 and 5 were Salmonella typhi infected and treated with 100 mg/kg, 200 mg/kg and 400 mg/kg of the extract respectively and group 6 was also Salmonella typhi infected and treated with 500 mg/70kg of ciprofloxacin. The animals were inoculated with a single infectious dose of Salmonella typhi bacteria and thereafter, treated with the extract and ciprofloxacin for a period of seventeen days, after the animals were confirmed infected. The rats were humanely sacrificed and blood samples taken for haematological investigations, and the spleen harvested and processed for histological examinations. Chromolaena odorata administration reversed the adverse hematotoxicity and histopathological changes in the spleen induced by?Salmonella typhi?infection.
文摘Typhoid fever caused by the bacterium Salmonella enterica serovar Typhi (S. Typhi) causes an estimated 25 million illnesses and approximately 200,000 deaths annually mostly in developing countries. Although the management of typhoid fever has been effectively through antibiotic treatment, S. Typhi is increasingly becoming resistant to the currently recommended drugs. This study utilized a quasi-experimental design focusing on archived samples to describe antimicrobial susceptibility patterns of S. Typhi and determine the genetic basis of resistance to the two most commonly used classes of antimicrobials. A total sample size of 287 isolates of S. Typhi isolates stored in -80°C freezer at the Centre for Microbiology Research was utilized. Isolates were subjected to anti-microbial susceptibility testing to commonly available antimicrobials using disk diffusion method, then analyzed for trends in resistance to fluoroquinolones and extended spectrum beta lactams. Among the 287 isolates 158 (55.5%) were found to be Multi Drug Resistant (MDR). This implied that these isolates were resistant to all first line classes of treatment such as ampicillin, chloramphenicol and sulfamethoxazole-trimethroprim. In addition to this, these isolates were also resistant to at least one of the currently recommended drugs of choice, either a β-lactam or a fluoroquinolone. This study observed resistances at 18.2% and 15.4% to fluoroquinolones and cephalosporins respectively. PCR results revealed presence of blaTEM, blaINT and blaCTX-M genes coding for resistance to β-lactams in 80% of the isolates that had combined resistance to β-lactams and fluoroquinolones. It is likely that recent heavy use of these classes of antimicrobials is driving resistances to these antimicrobials.
文摘Antimicrobial resistance has become a major challenge to the treatment and prevention of infections resulted in high morbidity and mortality globally. The inappropriate or abuse of antibiotics in animal farming is a key factor and thus led to the emergence of bacteria resistance and subsequent transfer of resistance genes to humans through the food chain. This study was to determine the prevalence of Salmonella typhi (S. typhi) and Escherichia coli (E. coli) isolated from various meat and fish samples and their susceptibility patterns against five commonly used antibiotics in Ghana (Ciprofloxacin 5 μg, Amoxicillin-clavulanic acid 20/10 μg, Imipenem 10 μg, Tetracycline 30 μg and Ceftazidime 30 μg). A total of 105 meat and fish samples were obtained from Tema and Prampram markets and bacteria isolation was carried out using appropriate selective microbial culture media and various biochemical methods for identification. The susceptibility patterns were determined using the Kirby-Bauer disk diffusion method and the results were interpreted using the CLSI 2020 guidelines. The results revealed a total of 56 bacterial isolates comprising 14 E. coli (25%) and 42 S. typhi (75%) isolated from the meat and fish samples. The antibiogram study showed a high resistance rate (88.64%) of S. typhi isolates to amoxicillin-clavulanic acid and tetracycline (97.73%). A moderate susceptibility of the isolates was obtained with imipenem (53.27%). All the E. coli isolates were resistant to tetracycline (100%) and demonstrated 78.57% and 50% resistance to amoxicillin-clavulanic acid and ceftazidime respectively. A total of 78.57% of the E. coli isolates and 68.18% of S. typhi isolates showed multidrug resistance. The multiple antibiotic resistance (MAR) index for all the isolates ranged from 0.2 to 1.00 with two S. typhi isolates and one E. coli isolate having a MAR index of 1.00 signifying total resistance to all the 5 antibiotics tested. In conclusion, E. coli and S. typhi isolated from the meat samples exhibited high rate of resistance against the antibiotics tested and thus possesses a major health risk due to inappropriate use of antibiotics in animal and fish farming and possible transfer of resistant strains to humans.
文摘<b>Background:</b> Typhoid fever is a major public health concern in developing countries. The upsurge in the occurrence of bacterial isolates that are resistant to nalidixic acid;with reduced susceptibility to ciprofloxacin in typhoidal <i>Salmonellae</i> constitutes a challenge to the clinician. <b>Methods:</b> In order to better understand the epidemiology of <i>Salmonella</i> infections in South India, <i>Salmonella typhi</i> isolates were screened from various healthcare centers. <i>Salmonella</i> isolates were identified by using standard phenotypic, serological, antibiotic susceptibility and molecular methods. <b>Results:</b> Among a total of 100 <i>S. typhi</i> isolates 9% were found to be multidrug resistant and 30% were nalidixic acid resistant. Isolates with reduced susceptibility to ciprofloxacin displays single base mutations in the gyrA gene. A very low rate of 1% resistance was found to ciprofloxacin. The only one isolate with ciprofloxacin MIC ≥ 4 μg/ml also showed single mutation in the QRDR of the gyrA gene in <i>S. typhi</i> (GenBank accession no. HQ176349-HQ176368). <b>Conclusions:</b> A very low rate of nalidixic acid resistance with reduced susceptibility to ciprofloxacin was observed in comparison to other endemic areas in isolates of <i>S. typhi</i> from Gulbarga, South India, with steadily increasing NAR <i>S. typhi</i> but decreasing MDR isolations over the study period. This is most likely due to an increased use of ciprofloxacin as a first line drug of choice over more traditional antimicrobial agents for the treatment of typhoid fever.
文摘<b>Objective:</b> Almost all year round occurrence of typhoid fever remains a major public health issue in Bangladesh. In recent years, there has been a significant rise in the prevalence of multi-drug resistance <i>Salmonella typhi</i> in Dhaka city. The major objective of this study was to observe the prevalence of multi-drug and Extended drug-resistant patterns of typhoidal <i>Salmonella typhi</i> among the patients attending a tertiary medical center by conventional culture and serologic test. <b>Materials and Methods:</b> Blood was collected by syringe and equally divided between aerobic & anaerobic BacT Alert bottle, 10 mL for paediatrics. Post isolation <i>Salmonella</i> strains were identified and were tested for antibiotic resistance. <b>Results:</b> A total of 600 blood samples of typhoid suspected patients were tested, where 32.5% came out positive, which were identified as <i>Salmonella typhi</i>. These isolates were susceptible to carbapenem drugs but highly resistant to Fluoroquinolones and Aminoglycosides antibiotics. <b>Discussion:</b> It was seen that 73.23% of isolates among male patients were extensively drug-resistant (XDR) meaning that isolates were sensitive against only one or two antibiotics while in the female it was 58.46%. Isolates from Female patients showed higher multi-drug resistant (MDR) (26.15%) isolates resistance to multiple antibiotics in comparison to isolates from the male (16.54%). 87.19% of the strains showed high drug resistance (XDR and MDR). <b>Conclusion:</b> The emergence of XDR and MDR strains of <i>S. typhi</i> in recent years is becoming a significant threat. Although no PAN-Drug resistance (resistant against all tested drugs) was observed in the current study, a high level of XDR and MDR isolates are indicating that the scenario might take place sooner than later.
文摘Typhoid fever is an important health issue in developing countries,and the pathogenicity of Salmonella enterica serovar Typhi(S.ser.Typhi)depends on the presence of different virulence factors.Therefore,this study aimed to investigate the spread of virulence genes among S.Typhi isolates from patients with typhoid fever in Baghdad,Iraq.Sixty S.Typhi isolates were collected from several hospitals in Baghdad and identified using VITEK-II and confirmed by polymerase chain reaction(PCR)to detect the 16S rRNA gene.After testing their susceptibility to different antimicrobials(via the disk diffusion method),we found the highest resistance rates(100%)were to ampicillin,piperacillin,cefotaxime,and ceftriaxone.The highest sensitivity rates(100%)were to ertapenem,imipenem,meropenem,and sulfamethoxazole/trimethoprim.The presence of genes encoding for virulence in S.Typhi isolates was tested by conventional PCR.The results showed that out of 60 isolates,59(98.3%),59(98.3%),58(96.7%),and 60(100%)were positive for viaB,staA,cdtB,and orfL genes,respectively.The sequencing of PCR products(viaB,staA,cdtB,and orfL genes)was carried out at the Macrogen Company(Seoul,Korea).The sequences were compared with nucleotide sequences in the BLAST GenBank database,and data obtained from the sequencing of these virulence genes were submitted to GenBank under different accession numbers.A phylogenetic analysis of the 16S rRNA gene sequence found a high similarity between local sequences and the closely related sequences of genes in GenBank.The presence of the viaB,staA,cdtB,and orfL virulence genes in nearly all of the isolates under examination suggests that they play an important role in the pathogenicity of local isolates.
基金Supported by the National Natural Science Foundation of China (Grant No. 30500435)
文摘During infectious disease episodes, pathogens express distinct subsets of virulence factors which allow them to adapt to different environments. Hence, genes that are expressed or upregulated in vivo are implicated in pathogenesis. We used in vivo induced antigen technology (IVIAT) to identify antigens which are expressed during infection with Salmonella enterica serovar Typhi. We identified 7 in vivo induced (IVI) antigens, which included BcfD (a fimbrial structural subunit), GrxC (a glutaredoxin 3), SapB (an ABC-type transport system), T3663 (an ABC-type uncharacterized transport system), T3816 (a putative rhodanese-related sulfurtransferase), T1497 (a probable TonB-dependent receptor) and T3689 (unknown function). Of the 7 identified antigens, 5 antigens had no cross-immunoreactivity in adsorbed control sera from healthy subjects. These 5 included BcfD, GrxC, SapB, T3663 and T3689. Antigens identified in this study are potential targets for drug and vaccine development and may be utilized as diagnostic agents.
基金supported by grants from National Natural Science Foundation of China(30670098,30470087,and 30570070)the Major State Basic Research Development Program of China(“973”project 2005CB522901 and 2006CB504300)a grant from Hubei Province Science Technology Department(2006ABD007).
文摘Salmonella （S.） typhi is an important intracellular pathogen. Among the more than 2,300 closely-related Salmonella serovars bacteria recognized, S. typhi is the only one that is pathogenic exclusively for humans, in whom it causes typhoid or enteric fever. The pathogen has been around for many years and many studies have been done in an effort to combat it. Molecular and biologic features of S. typhi and host factors and immune responses involved in Salmonella invasion have been extensively studies. Vaccines that have been developed most notably are Vi polysaccharide and Ty21a. However, as the results show, there is still a long way to go. It is also shown that multi-drug resistance has occurred to the few available antibiotics. More and more studies have shown that Salmonella can be used as a vaccine vector carrying antigens of other pathogens. This has been promising in that the immune system can be elicited in response to both the Salmonella bacteria and the antigen of the pathogen in question. This review aims to highlight some of the milestones attained in the fight against the disease from the time S. typhi was seen as a pathogen causing typhoid fever to the use of Salmonella as a vaccine vector. Cellular ＆ Molecular Immunology.
