Prosudba kliconoštva dermatofita u zdravih farmskih kunića i kunića kućnih ljubimaca.

The present study describes the occurrence of dermatophytes and their antifungal susceptibility in healthy rabbits kept on a farm or in a household as companion animals. Out of 614 animals examined, 146 samples (23.78%) were positive for dermatophytes by direct microscopic examination, and the dermatophytes were isolated from 112 samples (112/146, 76.71%). The four predominant species of dermatophytes isolated from healthy rabbits were Trichophyton mentagrophytes (37.5%), Microsporum gypseum (25%), Microsporum nanum (21.43%) and Microsporum canis (16.07%). The kits younger than 6 months of age showed a relatively higher occurrence rate, and male animals showed significantly higher occurrence than the females (P<0.05). Occurrence of dermatophytes in the studied rabbits was higher in summer and autumn than in spring and winter (P<0.05). Itraconazole (0.03-0.5 μg/mL), ketoconazole (0.06-0.5 μg/mL), miconazole at 0.03-0.5 μg/mL and 0.03-.25 μg/mL concentrations showed the lowest MIC values against T. mentagrophytes, M. canis, M. nanum and M. gypseum, respectively. However, fluconazole and griseofulvin showed the highest MIC value against the isolates, indicating antifungal resistance.U radu je opisan nalaz dermatofita i njihova osjetljivost na protugljivične lijekove u zdravih kunića držanih na farmi ili u domaćinstvu kao kućni ljubimci. Od 614 pretraženih životinja na dermatofite je bilo pozitivno 146 uzoraka (23,78%) izravnom mikroskopskom pretragom, a dermatofiti su bili izdvojeni iz 112 uzoraka (112/146, 76,71%). Dominantne vrste dermatofita izdvojene iz zdravih kunića bile su Trichophyton mentagrophytes (37,5%), Microsporum gypseum (25%), Microsporum nanum (21,43%) i Microsporum canis (16,07%). Stopa pojavnosti bila je relativno viša u mladunaca do 6 mjeseci, a u mužjaka je bila značajno viša nego u ženki (P<0,05). Dermatofiti su češće bili izdvojeni ljeti i u jesen nego u proljeće i zimi (P<0,05). Najmanja minimalna inhibicijska koncentracija (MIK) itrakonazola od 0,03-0,5 μg/mL dokazana je za T. mentagrophytes, ketokonazola od 0,06-0,5 μg/mL za M. canis, mikonazola od 0,03-0,5 μg/mL za M. nanum i od 0,03-0,25 μg/mL za M. gypseum. Flukonazol i grizeofulvin pokazivali su najvišu vrijednost MIK što govori o otpornosti izolata na te lijekove

A study to assess perceived stress, life events and prevalence of dissociative experiences in patients with anxiety disorders

Background: Anxiety disorders are characterized by a central theme of intense subjective distress and apprehension of impending danger. Dissociation has been frequently associated in such patients, where it acts as a defense mechanism that allows temporary relief. Previous studies have also shown that more number of life events and higher perceived stress are seen in patients of anxiety disorder, which may even act as predictors of developing the disease. Addressing these factors may contribute to improved understanding of underlying psychopathology and better treatment outcomes. Methods: This was a cross-sectional, 1 year time bound study. As per calculation from prevalence, 161 participants were selected as sample population with specific inclusion and exclusion criteria. Socio-demographic data was collected, appropriate scales were administered to assess the required parameters and statistical analysis was carried out thereafter. Results: We found that 21.74% patients had dissociative experience, 40.37% patients had perceived stress during last month, 53.4% had less/moderate stress and 39.1% patients had severe stress. Most frequently occurring life event was financial loss or problem. Statistically significant association was found between total life events score and socio-demographic variables. Mean dissociative experience scale score was positively correlated with total perceived stress scale score and total life event score. Total perceived stress scale score was also positively correlated with total life event score. Conclusions: Anxiety disorder patients had high levels of dissociation, perceived stress and life events, and these three parameters were also correlated with each other

Izdvajanje, molekularna obilježja i otpornost na antibiotike enterotoksigenih (ETEC) i nekrotoksigenih sojeva E. coli izdvojenih iz zdravih azijskih vodenih bivola.

The present study was undertaken to detect the prevalence, virulence gene profile and antibiotic resistance of Enterotoxigenic Escherichia coli (ETEC) and Necrotoxigenic E. coli (NTEC) in healthy water buffalo in West Bengal. Out of the 363 E. coli isolates from 165 faecal samples, 18 (4.95%) and 7 (1.9%) isolates were found to possess genes for ETEC (LT or STa or STb) and NTEC (cnf1 or cnf2), respectively in PCR. Among the 18 ETEC isolates, 13 (72.22%), 12 (66.67%), and 1 (5.56%) isolates were found to harbour STa, LT, and STb genes respectively. However, among the 7 NTEC isolates, 3 (42.85%) and 4 (57.14%) were detected to possess cnf1 and cnf2 genes, respectively. Further, among the five isolates possessing the EAST 1 gene, four were detected with the STa gene and one (1) with the LT gene. However, the majority of the F41 strains possessed ST genes, and F5 strains harboured both LT and ST. In addition, one out of three cnf1 NTEC isolates was detected to harbour the papC gene and all the four cnf2 NTEC isolates contained the cdt gene. The ETEC isolates belonged to 11 different serogroups (O11, O53, O71, O84, O88, O103, O112, O120, O128, O153, and O158), while, four NTEC isolates belonged to the OUT serogroup and the remaining 3 were disseminated among the O2, O4, and O6 serogroups. The RAPD of the ETEC isolates produced different electrophoretic profifi les. The antibiotic resistance of ETEC and NTEC isolates was observed most frequently to amikacin (56%), kanamycin (44%), gentamicin (40%), neomycin (36%). The study thus revealed water buffalo as a reservoir of multi drug resistant ETEC/NTEC for the first time in India.Istraživanje je provedeno s ciljem da se ustanovi prevalencija, geni za virulenciju i otpornost na antibiotike enterotoksigenih (ETEC) i nekrotoksigenih (NTEC) sojeva bakterije Escherichia coli izdvojene iz zdravih vodenih bivola iz Zapadnog Bengala. Od 363 izolata E. coli iz 165 uzoraka fecesa, 18 (4,95%) je posjedovalo neki od gena za ETEC (LT ili STa ili STb), a sedam (1,9%) izolata imalo je gene za NTEC (cnf1 ili cnf2) dokazane PCR-om. Od 18 izolata ETEC, 13 (72,22%) je imalo gen STa, 12 (66,67%) gen LT i jedan (5,56%) gen STb. Međutim, od sedam NTEC izolata, tri (42,85%) su imala gen cnfl , a četiri (57,14%) gen cnf2. Nadalje, od pet izolata koji su posjedovali gen EAST 1, četiri su imala gen Sta, a jedan gen LT. Većina sojeva F41 posjedovala je gen ST, a sojevi F5 i LT i ST gen. Nadalje, jedan od triju cnf1 NTEC izolata imao je i gen papC, a sva četiri izolata cnf2 NTEC sadržavala su gen cdt. Izolati ETEC pripadali su u 11 različitih seroloških skupina (O11, O53, O71, O84, O88, O103, O112, O120, O128, O153 i O158). Četiri izolata NTEC pripadala su serološkoj skupini OUT, a preostala tri skupinama O2, O4 i O6. RAPD izolata ETEC davao je različite elektroforetske profile. Izolati ETEC i NTEC najčešće su bili otporni na amikacin (56%), kanamicin (44%), gentamicin (40%) i neomicin (36%). Ovim istraživanjem prviput je u Indiji ustanovljeno da su vodeni bivoli rezervoar multiplo rezistentnih sojeva ETEC/NTEC

Comparative pharmacokinetics of ceftriaxone and tazobactam (8:1) between healthy and Escherichia coli induced diarrhoeic birds

Antibiotic-resistant Escherichia coli infection of poultry causes significant economic losses. Extended spectrum β lactamases (ESBL) producing E. coli was inoculated in a broiler, Rhode Island Red and Haringhata Black birds orally at 56×108 c.f.u. mL-1 for induction of diarrhoea. Pharmacokinetics of ceftriaxone-tazobactam combination (8:1) was studied following a single intramuscular injection at 28.125 mg kg-1 and the combination was administered twice daily to treat such infection. Plasma concentration of both ceftriaxone persisted up to 8 h in experimental birds and maintained an approximate ratio of 8:1 with tazobactam for a period of 2 h, 0.25 h and 0.75 h, respectively in a broiler, Rhode Island Red and Haringhata Black birds. The Kel was significantly lower in all experimental birds compared to healthy birds. Efficacy study was conducted in diarrhoeic birds by administration of ceftriaxone-tazobactam combination at 28.125 mg kg-1 body weight twice daily intramuscularly for three days which caused an increase in specific antibody titre in the broiler on 5th day and in Rhode Island Red birds 10th day. However, Haringhata black birds were inherently showed more resistance towards the infection. The combination of ceftriaxone and tazobactam in the ratio of 8:1 can be an effective treatment to combat ESBL producing E. coli infections

Prevalencija i otpornost na lijekove šiga-toksigenih (STEC), enteropatogenih (EPEC) i enterotoksigenih (ETEC) izolata bakterije Escherichia coli u slobodno držanih jakova s proljevom i bez proljeva u pokrajini West Kameng, Arunachal Pradesh, Indija.

Food producing animals are the major reservoirs of Shiga-toxin producing (STEC) and enteropathogenic Escherichia coli (EPEC). The yak (Poephagus grunniens) is a unique multipurpose bovid, reared by highlanders in the Himalayan region. A total of 67 STEC, 5 EPEC and 22 ETEC strains were isolated from 256 rectal swabs of free ranging yaks from the West Kameng district of Arunachal Pradesh, India. Among the STEC isolates, shiga toxin producing genes stx2 was predominant, followed by stx1. Of all the stx variants, stx1c, stx2d, stx2c, stx2e and stx2f were detected in 23, 11, 2 and 1 isolates, respectively. Further, genes such as eaeA, ehxA, saa, iha and toxB were detected in 16, 35, 28, 10 and 2 isolates, respectively. One of the EPEC isolates possessed a bfpA gene and was categorized as typical EPEC. Among the ETEC isolates, genes such as LT, STa, STb, F41 and K99 were detected in 14, 5, 13, 2 and 2 isolates, respectively. The majority of the STEC, EPEC and ETEC isolates exhibited multi-drug resistance. The study revealed the presence of multi-drug resistant diarrhoea genic E. coli in free ranging yaks from the West Kameng district of Arunachal Pradesh. Moreover, the presence of STEC/EPEC can be a potential public health risk for tribal highlanders residing in close proximity of the reservoir yaks.Životinje koje služe za proizvodnju hrane mogu biti rezervoar šiga-toksigenih (STEC) i enteropatogenih (EPEC) sojeva bakterije Escherichia coli. Jak (Poephagus grunniens) je jedinstveni multipari bovid kojeg uzgajaju gorštaci na Himalaji. Ukupno je bilo izdvojeno 67 STEC sojeva, 5 EPEC sojeva i 22 ETEC soja iz 256 rektalnih obrisaka slobodno držanih jakova na području West Kameng, Arunachal Pradesh, Indija. Među izolatima STEC prevladavao je gen stx2 za prizvodnju šiga-toksina, a slijedio ga je gen stx1. Od svih varijanata gena stx, stx1c bio je dokazan u 23 izolata, stx2d u 11 izolata, stx2c u dva izolata, a stx2e i stx2f u jednog izolata. Nadalje gen eaeA dokazan je u 16 izolata, gen ehxA u 35, gen saa u 28, gen iha u 10 te gen toxBu dva izolata. Jedan od izolata EPEC posjedovao je gen bfpA i svrstan je u tipične EPEC izolate. Gen LT dokazan je u 14 ETEC izolata, gen Sta u pet, gen STb u 13, gen F41 u dva i K99 također u dva izolata. Većina izolata STEC, EPEC i ETEC pokazivala je otpornost na više lijekova. Istraživanje je pokazalo da postoji višestruka otpornost bakterije E. coli izdvojene iz slobodno držanih jakova s proljevom na području West Kameng, Arunachal Pradesh. Povrh toga, prisutnost STEC/EPEC može predstavljati rizik za javno zdravstvo za gorštačka plemena koja dolaze u bliski dodir s jakovima

Prevalencija i otpornost na lijekove šiga-toksigenih (STEC), enteropatogenih (EPEC) i enterotoksigenih (ETEC) izolata bakterije Escherichia coli u slobodno držanih jakova s proljevom i bez proljeva u pokrajini West Kameng, Arunachal Pradesh, Indija.

Food producing animals are the major reservoirs of Shiga-toxin producing (STEC) and enteropathogenic Escherichia coli (EPEC). The yak (Poephagus grunniens) is a unique multipurpose bovid, reared by highlanders in the Himalayan region. A total of 67 STEC, 5 EPEC and 22 ETEC strains were isolated from 256 rectal swabs of free ranging yaks from the West Kameng district of Arunachal Pradesh, India. Among the STEC isolates, shiga toxin producing genes stx2 was predominant, followed by stx1. Of all the stx variants, stx1c, stx2d, stx2c, stx2e and stx2f were detected in 23, 11, 2 and 1 isolates, respectively. Further, genes such as eaeA, ehxA, saa, iha and toxB were detected in 16, 35, 28, 10 and 2 isolates, respectively. One of the EPEC isolates possessed a bfpA gene and was categorized as typical EPEC. Among the ETEC isolates, genes such as LT, STa, STb, F41 and K99 were detected in 14, 5, 13, 2 and 2 isolates, respectively. The majority of the STEC, EPEC and ETEC isolates exhibited multi-drug resistance. The study revealed the presence of multi-drug resistant diarrhoea genic E. coli in free ranging yaks from the West Kameng district of Arunachal Pradesh. Moreover, the presence of STEC/EPEC can be a potential public health risk for tribal highlanders residing in close proximity of the reservoir yaks.Životinje koje služe za proizvodnju hrane mogu biti rezervoar šiga-toksigenih (STEC) i enteropatogenih (EPEC) sojeva bakterije Escherichia coli. Jak (Poephagus grunniens) je jedinstveni multipari bovid kojeg uzgajaju gorštaci na Himalaji. Ukupno je bilo izdvojeno 67 STEC sojeva, 5 EPEC sojeva i 22 ETEC soja iz 256 rektalnih obrisaka slobodno držanih jakova na području West Kameng, Arunachal Pradesh, Indija. Među izolatima STEC prevladavao je gen stx2 za prizvodnju šiga-toksina, a slijedio ga je gen stx1. Od svih varijanata gena stx, stx1c bio je dokazan u 23 izolata, stx2d u 11 izolata, stx2c u dva izolata, a stx2e i stx2f u jednog izolata. Nadalje gen eaeA dokazan je u 16 izolata, gen ehxA u 35, gen saa u 28, gen iha u 10 te gen toxBu dva izolata. Jedan od izolata EPEC posjedovao je gen bfpA i svrstan je u tipične EPEC izolate. Gen LT dokazan je u 14 ETEC izolata, gen Sta u pet, gen STb u 13, gen F41 u dva i K99 također u dva izolata. Većina izolata STEC, EPEC i ETEC pokazivala je otpornost na više lijekova. Istraživanje je pokazalo da postoji višestruka otpornost bakterije E. coli izdvojene iz slobodno držanih jakova s proljevom na području West Kameng, Arunachal Pradesh. Povrh toga, prisutnost STEC/EPEC može predstavljati rizik za javno zdravstvo za gorštačka plemena koja dolaze u bliski dodir s jakovima

Izolati E. coli koji proizvode cefalosporinaze proširenog spektra izdvojeni iz kokoši pasmine kuroiler

The present study was undertaken to detect the incidence of extended-spectrum-cephalosporinase gene possessing-Escherichia coli, its co-resistance pattern against other antimicrobials, and the clonal relationship of the isolates in healthy kuroiler birds. A total of 80 cloacal swabs from kuroilers were collected randomly from West Bengal, India. The use of costly antimicrobials (cephalosporins) was not practiced by farmers. Escherichia coli was isolated and identified by standard biochemical tests and 16SrRNA-PCR. All the E. coli isolates, including controls, were subjected to PCR for detection of blaCTX-M, blaTEM, blaSHV, and blaCMY-2 genes. By comparing the RAPD-banding pattern, the phylogenetic relationship among the isolates was established. All the isolates were tested for phenotypical resistance against other antibiotics. In total, 60 isolates were identified as E. coli from the kuroilers studied (n = 80). Among them, 12 (20%) isolates possessed one of the studied extended-spectrum cephalosporinase genes. Among the studied genes, blaTEM and blaSHV were detected in 6 (10%) and 12 (20%) E. coli isolates, respectively. None of the E. coli isolates possessed blaCTX-M and blaCMY-2. In phylogenetic analysis, the strains isolated from same localities with similar genetic profile were grouped into the same cluster. Resistance of extended-spectrum cephalosporinase gene possessing E. coli isolates was observed most frequently against ampicillin/cloxacillin, co-trimoxazole, amoxyclav, piperacillin, ceftriaxone, and tetracycline. Kuroiler birds with no cephalosporin usage profile may act as a reservoir of extended-spectrum cephalosporinase gene possessing E. coli. This is the first systematic study in kuroilers, to raise the awareness of consumers regarding the possibility of transmission of antimicrobial resistant E. coli from them.Istraživanje je poduzeto da se odredi incidencija bakterije E. coli koja posjeduje gene za cefalosporinaze proširenog spektra, a istodobno je rezistentna na druge antimikrobne tvari, te klonski odnos izolata u zdravih kokoši pasmine kuroiler. Ukupno je bilo nasumce prikupljeno 80 obrisaka kloake spomenute pasmine u Zapadnom Bengalu u Indiji. Skupe antimikrobne tvari (cefalosporini) nisu bile rabljene za liječenje. Izolati E. coli bili su identificirani standardnim biokemijskim testovima i 16SrRNA-PCR-om. Svi izolati bili su lančanom reakcijom polimerazom (PCR) pretraženi na prisutnost gena blaCTX-M, blaTEM, blaSHV i blaCMY-2. Filogenetska srodnost izolata bila je određena RAPD-om. Otpornost svih izolata bila je fenotipski pretražena i na druge antibiotike. Ukupno je izdvojeno 60 izolata E. coli iz 80 kuroiler kokoši. Od toga je u 12 (20 %) bio dokazan jedan od istraživanih gena za cefalosporinaze proširenog spektra. Među istraživanim genima, blaTEM je bio dokazan u 6 (10 %) izolata, a blaSHV u 12 (20 %) izolata E. coli. Nijedan od izolata nije posjedovao blaCTX-M i blaCMY-2. Filogenetskom analizom ustanovljeno je da su izolati iz istih lokaliteta sa sličnim genetičkim profilom bili grupirani u istu skupinu. Posjedovanje gena za cefalosporinaze proširenog spektra bilo je najčešće dokazano za antibiotike ampicilin/kloksacilin, kotrimoksazol, amoksiklav, piperacilin, ceftriakson i tetraciklin. Perad pasmine kuroiler kojoj nikad nisu davani cefalosporini može biti rezervoar E. coli koja ima gene za cefalosporinaze proširenog spektra. To je prvo sustavno istraživanje u pasmine kuroiler od značenja za svjesnost konzumenata o mogućnosti prijenosa bakterije E. coli otporne na antimikrobne tvari

"If It Works in People, Why Not Animals?": A Qualitative Investigation of Antibiotic Use in Smallholder Livestock Settings in Rural West Bengal, India

Smallholder farms are the predominant livestock system in India. Animals are often kept in close contact with household members, and access to veterinary services is limited. However, limited research exists on how antibiotics are used in smallholder livestock in India. We investigated antibiotic supply, usage, and their drivers in smallholder livestock production systems, including crossover-use of human and veterinary antibiotics in two rural sites in West Bengal. Qualitative interviews were conducted with key informants (n = 9), livestock keepers (n = 37), and formal and informal antibiotic providers from veterinary and human health sectors (n = 26). Data were analysed thematically and interpreted following a One Health approach. Livestock keepers and providers used antibiotics predominantly for treating individual animals, and for disease prevention in poultry but not for growth promotion. All providers used (highest priority) critically important antimicrobials for human health and engaged in crossover-use of human antibiotic formulations in livestock. Inadequate access to veterinary drugs and services, and a perceived efficacy and ease of dosing of human antibiotics in animals drove crossover-use. Veterinary antibiotics were not used for human health due to their perceived adverse effects. Given the extent of usage of protected antibiotics and crossover-use, interventions at the community level should adopt a One Health approach that considers all antibiotic providers and livestock keepers and prioritizes the development of evidence-based guidelines to promote responsible use of antibiotics in animals

Agroclimatic zone-wise prevalence of biofilm forming methicillin resistant staphylococcus aureus in West Bengal

The present study envisages the prevalence of biofilm producing, methicillin resistant Staphylococcus aureus, isolated from cattle milk of different agro-climatic zones of an eastern state of India, West Bengal. The milk samples (n=168) were collected from three predominant agro- climatic zones of South Bengal, viz. new alluvial, coastal saline and red laterite. A total of 146 Staphylococcus aureus isolates were recovered, confirmed by biochemical tests and polymerase chain reaction (PCR). Through PCR of mecA gene, it was found that 45 strains were methicillin resistant, encompassing 28.57% new alluvial zone, 30.19% red laterite region and 29.16% coastal saline region. Determination of biofilm formation was done, both phenotypically by microtiter plate method and genotypically by PCR of icaA and icaD genes, specific for biofilm formation in Staphylococcus aureus. Phenotypic study revealed that 14 isolates were strong biofilm producers, 79 were moderate and the 47 were weak biofilm producers. PCR studies also showed that a total of 30 isolates were icaA positive and 25 isolates were icaD positive. Although no significant difference was found in the occurrence of icaA positive isolates, the possession of icaD by the Staphylococcus aureus isolates varied significantly according to different agro-climatic zones

Antimicrobial resistance pattern, clustering mechanisms and correlation matrix of drug-resistant Escherichia coli in black Bengal goats in West Bengal, India

A cross-sectional study covering four agro-climatic zones of West Bengal, India, was carried out to understand the risk-factors, antimicrobial resistance mechanism and clustering of the resistance characteristics of Escherichia coli isolated from healthy (170) and diarrhoeic (74) goats reared under intensive (52) and semi-intensive (192) farming practices. Of the 488 E. coli isolates, the majority, including the extended spectrum (n: 64, 13.11%) and AmpC β-lactamase (ACBL) (n: 86, 17.62%) producers, were resistant to tetracycline (25.2%), followed by enrofloxacin (24.5%), cefotaxime (21.5%) and amikacin (20.5%). Statistical modelling revealed that the isolates from diarrhoeic animals (p < 0.001) are likely to be more ACBL-positive than those from the healthy counterparts. Similarly, cefotaxime (p < 0.05) and enrofloxacin-resistance (p < 0.01) were significantly higher in diarrhoeic goats and in goats reared intensively. The isolates (n = 35) resistant to multiple drugs revealed the presence of β-lactamase [blaCTXM-1-(21), blaSHV-(7), blaTEM-(3), blaCMY-6-(1), blaCITM-(3)]; quinolone [qnrB-(10), qnrS-(7), aac(6’)-Ib-cr-(3)]; tetracycline [tetA-(19), tetB-(4)] and sulphonamide resistance determinants [sul1-(4)]; multiple plasmids, especially those belonging to the IncF and IncI1 replicon types; and active acrAB efflux pumps. Further, two isolates harbored the carbapenem resistance (blaNDM-5) gene and eight were strong biofilm producers. This first ever study conducted to unravel the status of AMR in goat farming reveals that not only the intensive farming practices but also certain clinical ailments such as diarrhoea can increase the shedding of the drug-resistant isolate. The emergence of multi-drug resistant (MDR) E. coli in goats, particularly those that are carbapenem resistant, is a cause for concern that indicates the spread of such pathogens even in the livestock sub-sector generally considered as naive