Vigilancia de la resistencia bacteriana en unidades de salud de Hermosillo y Ciudad Obregón, Sonora, México

The objective of this study was to analyze the antibiotic resistance percentages of bacteria collected from health units (HU) in Hermosillo and Ciudad Obregón, Sonora, Mexico. Eight HU from Hermosillo and three HU from Ciudad Obregón, nine belong to the public sector and two to the private sector. Overall, 15,653 results of identification and drug resistance from clinical bacterial isolates were analyzed for a one-year period (2019-2020). Subsequently, a comparative study was carried out for six health units in Hermosillo, for 2014-2015 and 2019-2020 periods. Differences between populations and time periods were assessed through the Chi square test, for differences among populations and time periods. Altogether, for the 2019-2020 period the most frequently isolated microorganisms were Escherichia coli (32.9 %), Klebsiella pneumoniae (8.4 %), Pseudomonas aeruginosa (7.6 %) and Staphylococcus aureus (6.6 %). Different resistance percentages to widely used drugs such as cephalosporins, quinolones and carbapenems were detected. A significant decrease in resistance percentages was observed, in six HU in Hermosillo, for most of the antibiotics tested in 2020, compared to 2015. Significative differences were found in antibiotic resistance between clinical isolates from Hermosillo and Ciudad Obregón, two cities that are separated by only 252 km (156 miles).El objetivo del presente trabajo fue analizar los porcentajes de resistencia a los antibióticos, de bacterias colectadas de unidades de salud (US) en Hermosillo y Ciudad Obregón, Sonora, México. Participaron ocho US de Hermosillo y tres de Ciudad Obregón, nueve pertenecen al sector público y dos al sector privado. Se analizaron los resultados de identificación y drogorresistencia de 15,653 aislamientos en un periodo de un año (2019-2020). Posteriormente, se compararon seis unidades de salud de Hermosillo, para los periodos 2014-2015 y 2019-2020. Las diferencias , entre poblaciones y periodos de tiempo, se obtuvieron mediante chi quadrada. Durante el periodo 2019-2020, los microorganismos más frecuentemente aislados fueron Escherichia coli (32.9 %), Klebsiella pneumoniae (8.4 %), Pseudomonas aeruginosa (7.6 %) y Staphylococcus aureus (6.6 %). Se detectaron diferencias en la resistencia a fármacos ampliamente utilizados como cefalosporinas, quinolonas y carbapenémicos, entre las instituciones de Hermosillo y Ciudad Obregón. En seis unidades de salud de Hermosillo, se observó una disminución en los porcentajes de resistencia para la mayoría de los antibióticos ensayados en 2020, respecto a 2015. Se encontraron diferencias significativas en la resistencia a los antibióticos entre los aislamientos clínicos de Hermosillo y Ciudad Obregón, dos ciudades separadas por sólo 252 km

Antibiotic resistance of ESKAPE group-microorganisms in health institutions from Hermosillo and Ciudad Obregón, Sonora, México

IntroductionEnterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter spp. are microorganisms referred as the ESKAPE group pathogens. These microorganisms have generated great concern in health institutions around the world since most of them have resistance to multiple antibiotics and cause most infections associated with healthcare, as well as community infections. The aim of this study was the analysis of antibiotic resistance in microorganisms of the ESKAPE group, recovered from clinical samples in 11 health institutions from Hermosillo and Ciudad Obregón in the State of Sonora, México, during the period from 2019 to 2020.MethodsA cross-sectional, descriptive, observational, and temporality epidemiological study was carried out. A comparative and statistical analysis of antibiotic resistance was carried out using the chi-square test, and small values were analyzed using Fisher’s exact test p ≤ 0.05.Results and discussionAll the ESKAPE group microorganisms showed significant differences in antibiotic resistance percentages between both cities. High resistance percentages for some antibiotics, like cephalosporins and ciprofloxacin were detected for Klebsiella pneumoniae and Acinetobacter baumannii

Bacterial Morphotypes as Important Trait for Uropathogenic <i>E. coli</i> Diagnostic; a Virulence-Phenotype-Phylogeny Study

Urinary tract infections (UTIs) belong to the most common pathologies in Mexico and are mainly caused by Uropathogenic Escherichia coli (UPEC). UPEC possesses a wide diversity of virulence factors that allow it to carry out its pathogenesis mechanism in the urinary tract (UT). The development of morphotypes in UT represents an important feature of UPEC because it is associated with complications in diagnosis of UTI. The aim of this study was to determine the presence of bacterial morphotypes, virulence genes, virulence phenotypes, antibiotic resistant, and phylogenetic groups in clinical isolates of UPEC obtained from women in Sonora, Mexico. Forty UPEC isolates were obtained, and urine morphotypes were observed in 65% of the urine samples from where E. coli was isolated. Phylogenetic group B2 was the most prevalent. The most frequent virulence genes were fimH (100%), fliCD (90%), and sfaD/focC (72%). Biofilm formation (100%) and motility (98%) were the most prevalent phenotypes. Clinical isolates showed high resistance to aminoglycosides and β-lactams antibiotics. These data suggest that the search for morphotypes in urine sediment must be incorporated in the urinalysis procedure and also that clinical isolates of UPEC in this study can cause upper, lower, and recurrent UTI

Uropathogenic <i>E. coli</i> and Hybrid Pathotypes in Mexican Women with Urinary Tract Infections: A Comprehensive Molecular and Phenotypic Overview

Uropathogenic Escherichia coli (UPEC) is the main cause of urinary tract infections (UTIs) and carries virulence and resistance factors often found in mobilizable genetic elements, such as plasmids or pathogenicity islands (PAIs). UPEC is part of the extraintestinal pathogenic E. coli (ExPEC), but hybrid strains possessing both diarrheagenic E. coli (DEC) and ExPEC traits, termed “hypervirulent”, present a significant health threat. This study assessed the prevalence of UPEC PAIs, ExPEC sequence types (ST), DEC genes, carbapenemase and extended-spectrum β-lactamase (ESBL) phenotypes, resistance genotypes, and plasmids in 40 clinical isolates of UPEC. Results showed that 72.5% of isolates had PAIs, mainly PAI IV536 (53%). ESBL phenotypes were found in 65% of β-lactam-resistant isolates, with 100% of carbapenem-resistant isolates producing carbapenemase. The predominant ESBL gene was blaCTX-M-2 (60%), and the most common resistance gene in fluoroquinolone and aminoglycoside-resistant isolates was aac(6′)Ib (93%). Plasmids were present in 57% of isolates, and 70% belonged to the ST131 clonal group. Molecular markers for DEC pathotypes were detected in 20 isolates, with 60% classified as hybrid pathotypes. These findings indicate significant pathogenic potential and the presence of hybrid pathotypes in E. coli UTI clinical isolates in the Mexican population

Association of Different ABO and Rh Blood Groups with the Erythroprotective Effect of Extracts from <i>Navicula incerta</i> and Their Anti-Inflammatory and Antiproliferative Properties

Previous studies have reported that different blood groups are associated with the risk of chronic degenerative diseases that mainly involve inflammation and neoplastic processes. We investigate the relationship between blood groups and the erythroprotective effect of extracts from Navicula incerta against oxidative damage as a proposal to develop drugs designed for people with a specific blood type related to chronic pathology. The study was carried out through the elucidation of the erythroprotective potential, anti-inflammatory and antiproliferative activity of Navicula incerta. Research suggests that the presence or absence of certain blood groups increases or decreases the abilities of certain phytochemicals to inhibit oxidative stress, which is related to the systemic inflammatory response involved in the development of different types of cancer. The pigment-rich extracts from Navicula incerta inhibit ROO•- induced oxidative stress in human erythrocytes on the A RhD+ve antigen without compromising the structure of the cell membrane. This result is very important, since the A antigen is related to the susceptibility of contracting prostate cancer. Similarly, it was possible to inhibit the proliferation of cervical (HeLa) and prostate (PC-3) carcinoma. The combinatorial analysis of different biological activities can help design phytochemicals as new candidates for preventive drugs treating the chronic degenerative diseases associated with a specific blood group