a 2005

Identification of lactic acid bacteria isolated from blood samples and their susceptibility to antibiotics

ŠEVČÍKOVÁ, Alena, Pavel ŠVEC, Marc VANCANNEYT, Jean SWINGS, Ivo SEDLÁČEK et. al.

Basic information

Original name

Identification of lactic acid bacteria isolated from blood samples and their susceptibility to antibiotics

Name in Czech

Identifikace laktobacilů izolovaných z hemokultur a jejich citlivost k antibiotikům

Name (in English)

Identification of lactic acid bacteria isolated from blood samples and their susceptibility to antibiotics

Authors

ŠEVČÍKOVÁ, Alena (203 Czech Republic), Pavel ŠVEC (203 Czech Republic), Marc VANCANNEYT (56 Belgium), Jean SWINGS (56 Belgium) and Ivo SEDLÁČEK (203 Czech Republic, guarantor)

Edition

15th European Congress of Clinical Microbiology and Infectious Disease. Clin Microbiol Infect, Suppl. 2. 2005

Other information

Language

Czech

Type of outcome

Konferenční abstrakt

Field of Study

10600 1.6 Biological sciences

Country of publisher

Denmark

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14310/05:00013114

Organization unit

Faculty of Science

Keywords in English

Lactic acid bacteria; identification; susceptibility
Změněno: 24/3/2010 13:40, doc. RNDr. Pavel Švec, Ph.D.

Abstract

V originále

Objectives: Since the 1980s members of lactococci, pediococci, leuconostocs and lactobacilli have rarely been indicated as opportunistic pathogens in humans. Generally, these taxa are part of the normal intestinal flora and occur in fermented foods and on plants. Due to their low virulence it is assumed that these bacteria are pathogenic only in immunocompromised hosts. Their sporadic occurrence in human clinical samples is often overlooked and/or they are misidentified. Methods: A total of 59 845 blood samples were isolated at the Department of Clinical Microbiology (Teaching Hospital, Brno, Czech Republic) during the 2000 – 2003. Biochemical identification was performed on selected LAB by API 50 CH kit and by conventional tests. (GTG)5- PCR fingerprinting and whole cell protein profile analysis by SDS-PAGE were performed to confirm the biochemical identification results. The MICs for antimicrobial agents (benzylpenicillin, ampicilin, cefotaxim, imipenem, erytromycin, clindamycin, gentamicin, ciprofloxacin, cotrimoxazol, metronidazol, vancomycin and teikoplanin) were determined by using the E-test MIC (Biodisk, Solna, Sweden). Results: A total of 59.845 investigated blood samples yielded 12.767 (21.3%) infected hemocultures of which 33 (0.25%) contained LAB. They were identified based on phenotypical testing as Lactobacillus plantarum (3 strains), Lactobacillus rhamnosus (7), Lactobacillus paracasei ssp. paracasei (2), Lactobacillus salivarius ssp. salivarius (1), Lactobacillus fermentum (1), Leuconostoc mesenteroides (9), Leuconostoc lactis (5) and Pediococcus pentosaceus (1). The (GTG)5- PCR fingerprinting and whole cell protein profile analysis confirmed above identifications and furthermore identified four strains which were biochemically classified at the genus level as Lactobacillus sakei ssp. carnosus, Lactobacillus curvatus, Leuconostoc pseudomesenteroides and Weissella confusa. All investigated strains (19) were resistant to vancomycin, teicoplanin and metronidazol and most of them to cotrimoxazol. Susceptibility to cefotaxim, imipenem, gentamicin and ciprofloxacin was variable. Conclusion: Lactobacillus rhamnosus and Leuconostoc mesenteroides were the most common LAB species isolated from blood samples. Although isolation of LAB from blood samples is rare, it is of clinical significance and it should be taken into account during treatment decision - especially when they are isolated in pure culture from sterile sites.

In English

Objectives: Since the 1980s members of lactococci, pediococci, leuconostocs and lactobacilli have rarely been indicated as opportunistic pathogens in humans. Generally, these taxa are part of the normal intestinal flora and occur in fermented foods and on plants. Due to their low virulence it is assumed that these bacteria are pathogenic only in immunocompromised hosts. Their sporadic occurrence in human clinical samples is often overlooked and/or they are misidentified. Methods: A total of 59 845 blood samples were isolated at the Department of Clinical Microbiology (Teaching Hospital, Brno, Czech Republic) during the 2000 – 2003. Biochemical identification was performed on selected LAB by API 50 CH kit and by conventional tests. (GTG)5- PCR fingerprinting and whole cell protein profile analysis by SDS-PAGE were performed to confirm the biochemical identification results. The MICs for antimicrobial agents (benzylpenicillin, ampicilin, cefotaxim, imipenem, erytromycin, clindamycin, gentamicin, ciprofloxacin, cotrimoxazol, metronidazol, vancomycin and teikoplanin) were determined by using the E-test MIC (Biodisk, Solna, Sweden). Results: A total of 59.845 investigated blood samples yielded 12.767 (21.3%) infected hemocultures of which 33 (0.25%) contained LAB. They were identified based on phenotypical testing as Lactobacillus plantarum (3 strains), Lactobacillus rhamnosus (7), Lactobacillus paracasei ssp. paracasei (2), Lactobacillus salivarius ssp. salivarius (1), Lactobacillus fermentum (1), Leuconostoc mesenteroides (9), Leuconostoc lactis (5) and Pediococcus pentosaceus (1). The (GTG)5- PCR fingerprinting and whole cell protein profile analysis confirmed above identifications and furthermore identified four strains which were biochemically classified at the genus level as Lactobacillus sakei ssp. carnosus, Lactobacillus curvatus, Leuconostoc pseudomesenteroides and Weissella confusa. All investigated strains (19) were resistant to vancomycin, teicoplanin and metronidazol and most of them to cotrimoxazol. Susceptibility to cefotaxim, imipenem, gentamicin and ciprofloxacin was variable. Conclusion: Lactobacillus rhamnosus and Leuconostoc mesenteroides were the most common LAB species isolated from blood samples. Although isolation of LAB from blood samples is rare, it is of clinical significance and it should be taken into account during treatment decision - especially when they are isolated in pure culture from sterile sites.

Links

GA301/02/1505, research and development project
Name: Molekulární diagnostika, epidemiologie a klasifikace klinicky významných grampozitivních koků
Investor: Czech Science Foundation, Molecular diagnostic, epidemiology and classification of pathogenic Gram positive cocci
MSM0021622416, plan (intention)
Name: Diverzita biotických společenstev a populací: kauzální analýza variability v prostoru a čase
Investor: Ministry of Education, Youth and Sports of the CR, Diversity of Biotic Communities and Populations: Causal Analysis of variation in space and time