Indian Journal of Medical Microbiology最新文献

{"title":"From Histoplasmosis to Cryptococcosis: A diagnostic journey of pediatric scalp abscess","authors":"Diptanu Paul ,&nbsp;Amit Satpathy ,&nbsp;Pritinanda Mishra ,&nbsp;Punyatoya Kar ,&nbsp;Rumita Dey ,&nbsp;Pritika Gahlot ,&nbsp;Mukund Sable ,&nbsp;Madhuchhanda Das ,&nbsp;Vinaykumar Hallur","doi":"10.1016/j.ijmmb.2024.100753","DOIUrl":"10.1016/j.ijmmb.2024.100753","url":null,"abstract":"<div><div>A 3-year-old boy being treated for disseminated tuberculosis with antitubercular drugs and steroids developed scalp swelling. Needle aspirate revealed yeasts inside macrophages, initially diagnosed as Histoplasmosis but later confirmed as Cryptococcosis. Treatment with liposomal amphotericin B and fluconazole resulted in lesion resolution.</div><div>Here we report a rare instance of disseminated cryptococcosis with skin involvement, possibly the first documented pediatric case of cryptococcosis from Odisha.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"52 ","pages":"Article 100753"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of various matrix assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS)-based rapid identification methods—As a tool to augment diagnostic stewardship in blood culture laboratory, South India","authors":"Sonali Padhy ,&nbsp;Ketan Priyadarshi ,&nbsp;Sarumathi Dhandapani ,&nbsp;Apurba Sankar Sastry","doi":"10.1016/j.ijmmb.2024.100747","DOIUrl":"10.1016/j.ijmmb.2024.100747","url":null,"abstract":"<div><h3>Background</h3><div>Blood stream infection is a medical emergency associated with high morbidity and mortality. Prompt identification of bloodstream infection-causing microorganisms directly from positive blood culture will significantly enhance patient care by reducing the turnaround time of pathogen recognition.</div></div><div><h3>Methods</h3><div>A total of 256 freshly flagged positive blood culture bottles were subjected to Gram staining. Direct MALDI-TOF MS analysis was performed following sample preparation techniques such as lysis centrifugation, lysis filtration and VITEK® MS BC kit to directly identify microorganisms from positive blood cultures. Along with these short-term incubation methods of Choco spot and minute colony(8–10h) were also performed. All those positive bottles were identified by the routine (reference) laboratory method.</div></div><div><h3>Results</h3><div>177 isolates (69.14 %) were correctly identified by Lysis centrifugation, 163 isolates (63.67 %) were correctly identified by Lysis filtration, 206 isolates (80.47 %) were correctly identified by Choco spot,250 isolates (97.65 %) were correctly identified from minute colony (8–10h) of incubation. Of 162 isolates,115 isolates (70.99 %) were correctly identified by VITEK® MS Blood culture kit, (BioMérieux). VITEK® MS BC kit method revealed higher agreement with the kappa value of 0.697 than lysis centrifugation (0.672) followed by lysis filtration (0.611).</div></div><div><h3>Conclusions</h3><div>In house method of lysis centrifugation is found to be equivalent to VITEK® MS BC kit method and superior to lysis filtration method in correct direct identification of bacteria from positive blood cultures by MALDI-TOF MS analysis. As lysis centrifugation requires only 10 min of processing time as compared to overnight incubation, thus it offers a less expensive substitute for the VITEK® MS BC kit in the clinical laboratory. As a consequence of this study, we have implemented direct MALDI-TOF-based identification from positive BCs in our daily routine diagnostic management.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"52 ","pages":"Article 100747"},"PeriodicalIF":1.4,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Papulaspora equi keratitis in an infant","authors":"Harsimran Kaur ,&nbsp;Imola Jamir ,&nbsp;Sonam Yangzes ,&nbsp;Haseen Ahmad ,&nbsp;Sourav Agnihotri ,&nbsp;Sunita Gupta ,&nbsp;Anup Ghosh ,&nbsp;Shivaprakash M. Rudramurthy","doi":"10.1016/j.ijmmb.2024.100748","DOIUrl":"10.1016/j.ijmmb.2024.100748","url":null,"abstract":"","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"52 ","pages":"Article 100748"},"PeriodicalIF":1.4,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinico-microbiological profile of Burkholderia pseudomallei infections in a tertiary care hospital in South India","authors":"Priya Ramachandran ,&nbsp;K. Sandhya Bhat ,&nbsp;Sheela Devi Chandrakesan ,&nbsp;R.P. Swaminathan","doi":"10.1016/j.ijmmb.2024.100745","DOIUrl":"10.1016/j.ijmmb.2024.100745","url":null,"abstract":"<div><div>Melioidosis, caused by <em>Burkholderia pseudomallei</em>, is known for its diverse clinical presentations and high mortality rate. This brief communication reports the clinico-microbiological profile of twenty cases of melioidosis in a tertiary care hospital over three years. We have analyzed demographic data, clinical presentations, microbiological findings, and treatment outcomes to enhance the understanding and management of this under-recognized infection.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"52 ","pages":"Article 100745"},"PeriodicalIF":1.4,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Varicella zoster among sero-immune, vaccinated and unvaccinated health care workers in Mumbai","authors":"Sweta Shah,&nbsp;Tanu Singhal,&nbsp;Reshma Tejam,&nbsp;Priyanka Sakhare,&nbsp;Ganesh Madhu,&nbsp;Havovi Fouzdar","doi":"10.1016/j.ijmmb.2024.100743","DOIUrl":"10.1016/j.ijmmb.2024.100743","url":null,"abstract":"","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"52 ","pages":"Article 100743"},"PeriodicalIF":1.4,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of electric current in viability, biofilm formation and antibiotic resistance of Pseudomonas aeruginosa: A systematic review","authors":"Corinna Aimee Chavez-Manini,&nbsp;Sandra Alicia Reza-López,&nbsp;Carlos Arzate-Quintana,&nbsp;Celia María Quiñonez-Flores,&nbsp;María Alejandra Favila-Pérez,&nbsp;Javier Camarillo-Cisneros,&nbsp;Alva Rocío Castillo-González","doi":"10.1016/j.ijmmb.2024.100735","DOIUrl":"10.1016/j.ijmmb.2024.100735","url":null,"abstract":"<div><h3>Background</h3><div>The bactericidal effect of electric current has been studied in various microorganisms such as <em>Pseudomonas aeruginosa</em>. The objective of this review is to identify the experimental parameters with the greatest antibacterial effect in the shortest time.</div></div><div><h3>Methods</h3><div>Literature search was conducted in the databases PubMed, Science Direct, and Google Scholar. Only original articles published between 2014 and 2023 were included, where the effect of electric current on viability, biofilm formation, and/or antibiotic resistance in <em>P. aeruginosa</em> was analyzed. Quality control criteria considered included specifying control and experimental groups, replicates performed, experimental parameters, and study limitations.</div></div><div><h3>Results</h3><div>Ten studies were included, which involved the strains Xen5, Xen41, PAO1 persistent cells, and PA14. An average reduction of 3.5 log in biofilm formation was observed in the included studies. The electric current parameters that achieved the greatest effect were 500 μA DC with platinum electrodes for 4 days [5.2–5.5 log], 200 μA intermittent with titanium electrodes for 4 days [4.99 log], and 150 ± 60 μA with silver electrodes for 24 h [4 log]. Complete eradication of PAO1 persistent cells was achieved in 1 h with a treatment of 70 μA/cm2 DC followed by 1.5 μg/mL tobramycin for 1 h each.</div></div><div><h3>Conclusions</h3><div>The bactericidal effect of electric current is proportional to the exposure time and current intensity. The electrode material influences the effectiveness of the treatment, possibly because of redox reactions, while differences are observed in the effect on the cell membrane and gene expression when using metallic or carbon electrodes, suggesting differences in the mechanism of action.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"52 ","pages":"Article 100735"},"PeriodicalIF":1.4,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serratia marcescens outbreak in a neonatal intensive care unit associated with contaminated handwashing sinks","authors":"Qiaozhi Guo ,&nbsp;Xiaopeng Zhao ,&nbsp;Jingxiang Ma ,&nbsp;Yi Zhou ,&nbsp;Fei Gao ,&nbsp;Wei Huang ,&nbsp;Li Sun ,&nbsp;Sufei Zhu ,&nbsp;Lijuan Li ,&nbsp;Huimin Sun ,&nbsp;Wei Jia ,&nbsp;Huayan Zhang ,&nbsp;Danyang Zhao","doi":"10.1016/j.ijmmb.2024.100741","DOIUrl":"10.1016/j.ijmmb.2024.100741","url":null,"abstract":"<div><h3>Purpose</h3><div>This article describes the origin of a <em>S. marcescens</em> outbreak in a neonatal intensive care unit (NICU).</div></div><div><h3>Materials and methods</h3><div>A retrospective case-control study including 12 <em>S. marcescens</em>-positive and 22 <em>S. marcescens</em>-negative neonates in the NICU was performed to identify the source of the outbreak. <em>S. marcescens</em> isolates were collected during the outbreak and analyzed using whole-genome sequencing (WGS). IQ-Tree software, BEAST2 software package and SCOTTI software were used to construct a phylogenetic tree and a propagation path map.</div></div><div><h3>Results</h3><div>The index case occurred on February 21st and outbreak ended on March 9th, 2021, affecting a total of 12 neonates (2 with <em>S. marcescens</em> infection and 10 with <em>S. marcescens</em> colonization). Multivariate logistic regression identified that the distance of &lt;0.8 m between the bed unit and the sink (odds ratio [<em>OR</em>], 20.50; 95 % confidence interval [<em>CI</em>], 1.09–384.86), a large number of rotating nurses within a week (<em>OR</em> 2.58, 95 % <em>CI</em>, 1.09–6.11) and use of humidification water in the incubator (<em>OR</em> 189.70, 95 % <em>CI</em>, 2.76–13027.31) were significant increased risk factors for <em>S. marcescens infection or colonization</em> in the outbreak. WGS sifted out a predominant clone between contaminated handwashing sinks and patients, suggesting that cross-transmission was involved in the dissemination of <em>S. marcescens</em>.</div></div><div><h3>Conclusion</h3><div>Contaminated handwashing sinks can be a communication intermediary of <em>S. marcescens</em> infection or colonization of neonates in the NICU. A distance of &lt;0.8 m between the bed unit and the sink, and a large number of rotating nurses might play important roles in this outbreak. Attention should be paid to sinks contamination and contact transmission to prevent outbreaks.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"52 ","pages":"Article 100741"},"PeriodicalIF":1.4,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142377817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterization of clinical infection and drug resistance of group B streptococcus in Chengdu, China","authors":"Qin Wang ,&nbsp;Yuxia Huang ,&nbsp;Xiaoli Liu ,&nbsp;Lin Deng ,&nbsp;Jingruo Xia ,&nbsp;Feng Wen ,&nbsp;Chenggui Liu ,&nbsp;Xuan Zhu ,&nbsp;Jiajia Zhang","doi":"10.1016/j.ijmmb.2024.100742","DOIUrl":"10.1016/j.ijmmb.2024.100742","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the clinical infection characteristics and antibiotic resistance of Group B Streptococcus (<em>Streptococcus agalactiae</em>, GBS) in Chengdu, China, from 2019 to 2021, as well as to provide data to support rational clinical drug use.</div></div><div><h3>Methods</h3><div>This was a retrospective study to collect 203 culture-positive GBS strains isolated from January 2019 to December 2021 in Chengdu, China, all of which were identified by the VITEK 2 Compact automated microbial Bacterial identification instrument. Data were derived using WHONET 5.6 software. The sample type and ward distribution were counted. Pregnant women and newborns were screened from the original data and their pregnancy outcomes were calculated respectively.</div></div><div><h3>Results</h3><div>GBS strains were mainly concentrated in obstetrics and neonatology departments, accounting for 40.9 % and 33.5 %. The types of specimens were mainly vaginal secretions, amniotic fluid and sputum, accounting for 25.6 %, 26.1 % and 18.7 %, respectively. Chorioamnionitis, premature rupture of membranes and preterm delivery occurred mainly in pregnant women after infection, accounting for 44.4 %, 31.5 % and 24.1 %. Neonates, on the other hand, were mainly diagnosed with neonatal pneumonia, neonatal sepsis, respiratory failure and septic meningitis, accounting for 91.8 %, 61.2 %, 44.9 % and 16.3 % of all positive neonates. 840 pregnant women were screened for GBS colonization from 2019 to 2021, and a total of 108 GBS positive pregnant women were identified, with a GBS colonization rate of 12.9 %. A total of 9 neonates from 108 GBS positive pregnant women developed early-onset disease. The morbidity in neonates was 8.3 %. No strains resistant to penicillin and ampicillin were found, while the resistance rates of tetracycline and clindamycin were higher than 50 %, respectively 60.1 % and 53.2 %.</div></div><div><h3>Conclusion</h3><div>GBS infection mainly affected pregnant women and newborns in Chengdu, China, which can lead to adverse maternal and infant outcomes. Attention should be paid to strengthening general screening of GBS in perinatal urogenital secretions and the prevention strategy of IAP (intrapartum antibiotic prophylaxis). Antimicrobial therapy should be administered with appropriate antibiotics. Penicillin was still the first line drug for the treatment of GBS. These initiatives were important to reduce mother-to-child transmission and neonatal infections.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"52 ","pages":"Article 100742"},"PeriodicalIF":1.4,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Klebsiella pneumoniae infections and phage therapy","authors":"Alakh Narayan Singh,&nbsp;Aprajita Singh,&nbsp;Sudhir Kumar Singh,&nbsp;Gopal Nath","doi":"10.1016/j.ijmmb.2024.100736","DOIUrl":"10.1016/j.ijmmb.2024.100736","url":null,"abstract":"<div><h3>Objective</h3><div>Carbapenem-colistin-resistant <em>Klebsiella pneumoniae</em> has emerged as a serious global problem. <em>Klebsiella pneumoniae</em> is a major culprit in healthcare settings and is responsible for septicemia, urinary tract infections, pneumonia, meningitis, burn wound and surgical site infections, and liver abscesses even in younger and healthier population worldwide. The formation of biofilm prevents antibiotics from reaching the bacteria and exerting their effector mechanism. The non-availability of therapeutic alternatives (antibiotic therapy) further complicates the scenario. However, in the era of antibiotic resistance, bacteriophage therapy emerges as a ray of hope against antibiotic-resistant bacteria.</div></div><div><h3>Method</h3><div>The present review focuses on the therapeutic potential of bacteriophages as an antimicrobial agent with special reference to safety, specificity, efficacy, dosage, and dosage frequency against Pan-Drug Resistant (PDR) <em>K. pneumoniae,</em> both <em>in-vitro</em> and <em>in-vivo</em> (animals and human) studies.</div></div><div><h3>Result</h3><div>This review highlights the perspectives therapeutic potential of bacteriophages, their impact on the host immune system, combination therapy, and bacteriophage-encoded gene product endolysin, artificial lysins (Artilysins), polysaccharide depolymerase, and peptidoglycan hydrolases.</div></div><div><h3>Conclusion</h3><div>This review briefly describes the application of bacteriophage and its encoded gene products in clinical trials.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"52 ","pages":"Article 100736"},"PeriodicalIF":1.4,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vulvovaginal candidiasis in pregnant women attending a tertiary care centre in North-Eastern India","authors":"Mahuya Roy ,&nbsp;Tapan Majumdar ,&nbsp;Jayanta Ray","doi":"10.1016/j.ijmmb.2024.100738","DOIUrl":"10.1016/j.ijmmb.2024.100738","url":null,"abstract":"<div><h3>Background</h3><div><em>Candida</em> colonisation in vagina was found to be 20 %, rising to 30 % during pregnancy. According to studies, the prevalence of VVC during pregnancy is higher than healthy women. During pregnancy, candidal colonisation increases, both symptomatic and asymptomatic. However, the difference between strains causing symptomatic infection and those that cause asymptomatic infection is unknown.</div></div><div><h3>Objective</h3><div>This study aimed to compare the virulence factors of Candida VVC isolates from symptomatic and asymptomatic pregnant women.</div></div><div><h3>Methods</h3><div>The study included 120 pregnant women- 60 symptomatic and 60 asymptomatic, who presented to the Obstetrics and Gynaecology Outpatient Department with vaginitis symptoms. High vaginal swabs from the patient and used for gram stain, direct wet mount, pH detection and fungal culture in SDA with and without antibiotics. Germ tube tests, growth in CMA, and HiCrome <em>Candida</em> Differential Agar were used to identify yeast colonies grown in culture. The isolates were then examined for virulence factors like biofilm formation, phospholipase, coagulase, and hemolysin. Antifungal susceptibility was determined using E-test.</div></div><div><h3>Results</h3><div>The current study reveals a high prevalence of Vulvovaginal Candidiasis in pregnant women(35 %). Asymptomatic patients had lower proportion of VVC than symptomatic patients. Non albicans <em>Candida</em>(NAC) outnumbered <em>Candida albicans</em>. Although <em>Candida albicans</em> growth was predominant in asymptomatic patients. Virulence studies revealed that Candida spp. isolated from symptomatic patients expressed a higher proportion of virulence factors. Besides NAC has higher proportion of expressing virulence factors than <em>Candida albicans</em> and has higher propensity to cause infection especially in symptomatic pregnant women. Antifungal susceptibility testing shows Itraconazole to be most sensitive for VVC treatment but <em>Candida albicans</em> was most susceptible to fluconazole while NAC had the least.</div></div><div><h3>Conclusions</h3><div>The study emphasizes the importance of routine screening of symptomatic pregnant women for VVC, as syndromic treatment will increase antifungal resistance, particularly in NAC.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"52 ","pages":"Article 100738"},"PeriodicalIF":1.4,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}