Antimicrobial resistance profile of methicillin resistant staphylococcal aureus from skin and soft tissue isolates

OBJECTIVES: To evaluate resistance rates in methicillin resistant Staphylococcus aureus (MRSA) against clindamycin, cotrimoxazole, tetracycline, fusidic acid, rifampicin and chloramphenicol isolated from skin and soft tissue infections (SSTI). METHODS: Descriptive analysis of SSTI samples yielding MRSA in clinical laboratory of a tertiary care center; receiving specimens across Pakistan from January 2005 to June 2007. MICROBIOLOGICAL METHODS: MRSA were identified using standard microbiological techniques. Susceptibility testing was performed by disc diffusion according to Clinical Laboratory Standards Institute (CLSI) against fusidic acid, tetracycline, cotrimoxazole, clindamycin, rifampicin and chloramphenicol. Minimum inhibitory concentrations (MIC) of rifampicin were determined using agar dilution method according to CLSI. RESULTS: During the study period 501 MRSA were isolated from SSTI. Overall variable susceptibility pattern with high resistance rates to tetracycline (82%), clindamycin (79%), cotrimoxazole (59%), and rifampicin (50%) were observed. Resistance to chloramphenicol (10%) and fusidic acid (9%) was low. CONCLUSION: There is a strong need in resource limited countries to review the utility of conventional antibiotics for the management of MRSA SSTI as new agents are expensive and not available. High resistance rates were observed against cotrimoxazole, tetracycline and clindamycin. Resistance to fusidic acid, rifampicin and Chloramphenicol was low

Molecular detection, phylogenetic analysis and designing of siRNA against Potato Virus X

Background: As potato (Solanum tuberosum L.) is one of the most liked food crops for human diet so increasing its production is an important goal for scientists to achieve. In this molecular study, we characterized the Coat Protein (CP) gene of Potato Virus X (PVX). CP gene is virulence mediator and integral part of viral structural assembly.Methodology: We tissue cultured the PVX positive potato plants for viral RNA extraction. Total RNA was converted to cDNA for priming CP gene in PCR for amplification. To get the complete sequence of gene, we cloned CP gene into pTZ57R/T cloning vector. Upon double digestion of recombinant plasmid with EcoRI and HindIII restriction enzymes, 710 bp fragment was obtained which confirmed cloning. Recombinant plasmid was sequenced with M13 primers.Results: Derived consensus sequence of 710 bp was found to be exact cds of CP gene showing 95% similarity with referenced genome. Phylogenetic analysis suggested Indian isolate of PVX as the nearest one. Multiple siRNA were designed against mentioned and optimized computationally to provide base for further studies.Conclusion: Following facts may be established upon findings of this research; i) CP gene of Pakistani isolate of PVX has high homology with other PVX isolates found around the world, ii) in determining target for efficient siRNA mediated approach to silence PVX genome, this conserved nature can be proved very promising. Thus, to develop PVX-resistant potato crop in Pakistan through siRNA mediated strategy, CP gene could be the best target

Emergence of Carbapenem resistant Gram negative and vancomycin resistant Gram positive organisms in bacteremic isolates of febrile neutropenic patients: A descriptive study

<p>Abstract</p> <p>Background</p> <p>This study was conducted to evaluate drug resistance amongst bacteremic isolates of febrile neutropenic patients with particular emphasis on emergence of carbapenem resistant Gram negative bacteria and vancomycin resistant <it>Enterococcus </it>species.</p> <p>Methods</p> <p>A descriptive study was performed by reviewing the blood culture reports from febrile neutropenic patients during the two study periods i.e., 1999–00 and 2001–06. Blood cultures were performed using BACTEC 9240 automated system. Isolates were identified and antibiotic sensitivities were done using standard microbiological procedures.</p> <p>Results</p> <p>Seven twenty six febrile neutropenic patients were admitted during the study period. A total of 5840 blood cultures were received, off these 1048 (18%) were culture positive. Amongst these, 557 (53%) grew Gram positive bacteria, 442 (42%) grew Gram negative bacteria, 43 (4%) fungi and 6 (1%) anaerobes. Sixty (5.7%) out of 1048 positive blood cultures were polymicrobial. In the Gram negative bacteria, <it>Enterobacteriaceae </it>was the predominant group; <it>E. coli </it>was the most frequently isolated organism in both study periods. Amongst non- Enterobacteriaceae group, <it>Pseudomonas aeruginosa </it>was the commonest organism isolated during first study period followed by <it>Acinetobacter </it>spp. However, during the second period <it>Acinetobacter </it>species was the most frequent pathogen.</p> <p><it>Enterobacteriaceae </it>group showed higher statistically significant resistance in the second study period against ceftriaxone, quinolone and piperacillin/tazobactam, whilst no resistance observed against imipenem/meropenem. The susceptibility pattern of <it>Acinetobacter </it>species shifted from sensitive to highly resistant one with significant p values against ceftriaxone, quinolone, piperacillin/tazobactam and imipenem/meropenem. Amongst Gram positive bacteria, MRSA isolation rate remained static, vancomycin resistant <it>Enterococcus </it>species emerged in second study period while no <it>Staphylococcus </it>species resistant to vancomycin was noted.</p> <p>Conclusion</p> <p>This rising trend of highly resistant organisms stresses the increasing importance of continuous surveillance system and stewardship of antibiotics as strategies in the overall management of patients with febrile neutropenia.</p

Silver (Ag) doped graphitic carbon nitride (g-C3N4) photocatalyst for enhanced degradation of Ciprofloxacin (CIP) under visible light irradiation

Pharmaceutical industry wastewater is causing an increased risk of resistant pharmaceutical micropollutants (PMP) e.g. antibiotic resistant bacteria (super bug) in the ecosystem. Amongst variety of wastewater treatment approaches, Advanced oxidation processes (AOPs) employing photocatalysis provides a cost-effective and sustainable approach for fixation of PMP in an economical and efficient manner to counter the potential risks. Until today, tremendous efforts have been made to trig the performance of photocatalytic wastewater treatment, with the key focus on development of cost-effective, efficient and a moderately stable photocatalyst. Such attempts succeeded with different types of photocatalysts using different synthesis techniques. In recent years, graphitic carbon nitride (GCN) has emerged as one of the cost effective, moderately stable, nontoxic and efficient photocatalyst, and has been scarcely studied specifically for pharmaceutical micropollutants (PMPs) degradation. Hence, considering these factors alongside the facile synthesis and moderate optical absorption of GCN, an effort was made in the present work with effective customization of GCN i.e. silver (Ag) doping to extend light absorption in visible light range which may enhance the photocatalytic performance for Ciprofloxacin (CIP) degradation. The optimization of photocatalytic performance was executed with varied Ag dopant content to obtain an optimum sample with supreme photocatalytic activity for the maximum degradation of CIP, a common antibiotic. The best Ag-doped GCN sample (0.1 AGCN) exhibits a photocatalytic degradation efficiency of 84%, which is 2.15 times greater than pure GCN (39%). The obtained results showed that the strategy of Ag doping substantially enhances the photocatalytic performance, thus offering an efficient mean for developing visible light active photocatalyst for PMP removal and encouraging further research. The photocatalytic performance of the prepared samples was evaluated by degradation of CIP under visible light irradiation. Several characterization techniques were used to characterize and analyze the prepared samples, such as X-ray diffraction (XRD), Scanning electron microscopy (SEM), Raman spectroscopy, Fourier Transform Infrared (FTIR) spectroscopy, UV Visible absorption, and Photoluminescence (PL) spectroscopy