Searching efficient antibacterial agents and active metabolites of streptomycetes with relatively high-resistance to clinical isolates of bacteria

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Abstract

The aim of our work was to study the species profiles of microorganisms that complicate the course of trophic ulcers of the lower extremities, determination of the sensitivity spectrum of isolated strains to antibacterial drugs and the search for effective metabolites of streptomycetes relative to clinical isolates of microorganisms. During the research were examined 65 patients with chronic trophic ulcers and clinical material was collected by using sterile cotton swabs. A total of 113 strains of microorganisms were isolated. P. aeruginosa was the most common pathogen in 45 patients, amounted to in monoculture 12 cases (18.46%±4.81%). The second place of the terms for frequency were isolation among of contaminants of trophic wounds is S.aureus , isolated in 33 patients, which is 50,77%±6,2%, and in monoculture isolated – only 4 strains (6,15%±2,98%). The third place is occupied by S. epidermidis , isolated from 10 patients (15,38%±4,47%), in monoculture it was detected in one case (1,54%±1,53%). Klebsiella pneumoniae , which is 4,62%±2,6%, and Proteus vulgaris (1,54%±1,53%) were detected in 3 cases in the monoculture. Other microorganisms are isolated only in associations. The most common association of S.aureus and P.aeruginosa Streptococcus spp. P.aeruginosa (3,08%); Acinetobacter spp. S.aureus (3,08%); Klebsiella spp. and S. epidermidis (1,54%); E.coli Proteus spp . (1,54%); P.aeruginosa Acinetobacter spp. (1,54%); Acinetobacter spp. and S.epidermidis (1,54%); Cit robacter spp. and S. aureus (3,08%); Peptostreptococcus spp. and P.aeruginosa (3,08%); S.epider midis and Proteus spp . Klebsiella spp. and S. aureus Peptostreptococcus spp. and S. aureus (1,54%); Enterobacter spp., Candida albicans and S.aureus Enterococcus spp., Klebsiella pneumoniae and S. epidermidis actinomycetes. According to this technique, screening of 369 actin omycetes isolates isolated from the juniper sphere of high Juniperus excelsa Bieb was performed. Among the streptomycetes isolates tested, seven of them were detected with activity against the reference strain P. aeruginosa ATCC 9027. The active metabolites of these streptomycetes were tested for activity against P. aeruginosa clinical isolates. One strain of actinomycetes Je 1–79 was found to exhibit high inhibitory activity against all clinical isolates of pseudomonads. Active metabolites of Je 1–79 are promising to create a tool for topical use in patients with P. aeruginosa infected trophic ulcers.
寻找对临床分离菌具有较高耐药性的高效抗菌药物和活性代谢物
我们的工作目的是研究使下肢营养性溃疡过程复杂化的微生物种类概况,确定分离菌株对抗菌药物的敏感性谱,以及寻找链霉菌相对于临床分离微生物的有效代谢物。本研究对65例慢性营养性溃疡患者进行检查,并采用无菌棉签收集临床资料。共分离出113株微生物。45例患者中最常见的病原菌为铜绿假单胞菌(P. aeruginosa),其中单培养12例(18.46%±4.81%)。在营养性伤口污染物中,金黄色葡萄球菌的分离率排在第二位,33例患者中分离到金黄色葡萄球菌(50.77%±6.2%),而在单一培养中分离到金黄色葡萄球菌4株(6.15%±2.98%)。排在第三位的是表皮葡萄球菌(S. epidermidis),从10例患者中分离出(15.38%±4.47%),单培养中检出1例(1.54%±1.53%)。单培养检出肺炎克雷伯菌(4.62%±2.6%)和寻常变形杆菌(1.54%±1.53%)3例。其他微生物仅在社团中分离。金黄色葡萄球菌和铜绿假单胞菌最常见的关联是铜绿假单胞菌链球菌(3.08%);金黄色不动杆菌(3,08%);克雷伯氏菌和表皮葡萄球菌(1.54%);大肠杆菌变形杆菌(54%);铜绿假单胞菌不动杆菌(1.54%);不动杆菌和表皮葡萄球菌(1.54%);城市杆菌属和金黄色葡萄球菌(308%);胃链球菌和铜绿假单胞菌(308%);蜘蛛和变形蛛。克雷伯氏菌和金黄色葡萄球菌(1.54%);肠杆菌、白色念珠菌和金黄色葡萄球菌、肺炎克雷伯菌和表皮葡萄球菌放线菌。利用该技术对高杉木刺柏球中分离的369株肌动蛋白菌进行了筛选。其中7株链菌对参考菌株P. aeruginosa ATCC 9027有活性。对这些链菌的活性代谢物进行了对铜绿假单胞菌临床分离株的活性测定。一株放线菌je1 - 79对所有临床分离的假单胞菌均有较高的抑制活性。je1 - 79的活性代谢物有望为铜绿假单胞菌感染的营养性溃疡患者创造局部使用的工具。
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