Microbiology insights最新文献

{"title":"The Implication of Short-Chain Fatty Acids in Obesity and Diabetes.","authors":"Oumaima Anachad, Amine Taouil, Wafaa Taha, Faiza Bennis, Fatima Chegdani","doi":"10.1177/11786361231162720","DOIUrl":"10.1177/11786361231162720","url":null,"abstract":"<p><p>Evidence indicates that short-chain fatty acids (SCFAs) generated from the gut microbiota play crucial roles in host metabolism. They contribute to metabolic regulation and energy acquisition of the host by influencing the development of metabolic disorders. This review aims to synthesize recent advances from the literature to investigate the implication of SCFAs in the modulation of obesity and diabetes pathologies. For a better understanding of the relationships between SCFAs and host metabolism, we need to answer some questions: What is the biochemistry of SCFAs, and how they are generated by gut microbiota? What are the bacteria producing of SCFAs and from which routes? How SCFAs are absorbed and transported in the gut by different mechanisms and receptors? How SCFAs involved in obesity and diabetes pathologies?</p>","PeriodicalId":74187,"journal":{"name":"Microbiology insights","volume":"16 ","pages":"11786361231162720"},"PeriodicalIF":0.0,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/af/ff/10.1177_11786361231162720.PMC10041598.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9213803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Bacteria Contaminants in Different Zones and Point Sources of Sandy Beaches in Accra, Ghana.","authors":"Daniel Oduro,&nbsp;Stephanie Darko,&nbsp;Emmanuel Robert Blankson,&nbsp;Gloria Ivy Mensah","doi":"10.1177/11786361231195152","DOIUrl":"https://doi.org/10.1177/11786361231195152","url":null,"abstract":"<p><strong>Background: </strong>Bacteria are ubiquitous in the marine environment. Increasing concern for human health has led to growing interest in contamination on public beaches. The presence of pathogenic microorganisms originating from anthropogenic activities such as defecation and disposal of sewage on beaches are of special concern. In this study, presence of pathogenic bacteria and bacterial load in beach zones and point sources were investigated.</p><p><strong>Methods: </strong>Sand core samples from the subtidal zone, intertidal zone, supratidal zone and point sources from 5 beaches in Accra, Ghana, were collected and analysed. Total aerobic, coliform and <i>Escherichia</i> (<i>E. coli</i>) counts were determined for each zone in the respective beaches. Bacteria isolates were presumptively identified using biochemical tests and confirmed with MALDI-TOF MS.</p><p><strong>Results: </strong>Mean total aerobic count and total coliform counts ranged from 2.10 to 3.01 log CFU/g and 0.29 to 2.18 log CFU/g respectively while <i>E. coli</i> counts ranged from 0.12 to 1.71 log CFU/g for the beaches. Total aerobic count from point sources was 2.4-folds higher than the subtidal zone while total coliform counts were 5-folds higher in the point sources compared to the supratidal zone. Point sources had 10 times (<i>P</i> = .0016) more <i>E. coli</i> counts as compared to the subtidal zone. Isolates recovered (n = 35) belonged to 10 bacteria genera. These were <i>Bacillus</i> spp. (25.7%), <i>Acinetobacter</i> spp. (14.3%), <i>Aeromonas</i> spp. (14.3%), <i>Klebsiella pneumoniae</i> (14.3%), <i>Aerococcus viridans</i> (8.6%), <i>Staphylococcus</i> spp. (8.6%), <i>Shewanella profunda</i> (5.7%), <i>Rheinheimera soli</i> (2.9%), <i>Pseudomonas aeruginosa</i> (2.9%), and <i>Exiguobacterium aurantiacum</i> (2.9%).</p><p><strong>Conclusion: </strong>Point sources are major contributors to contamination on beaches. The presence of potentially pathogenic bacteria in beach sand could be a public health risk. Sensitization on cleanliness in the marine environment including beaches in Ghana is needed to enhance public health and safety.</p>","PeriodicalId":74187,"journal":{"name":"Microbiology insights","volume":"16 ","pages":"11786361231195152"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/74/e7/10.1177_11786361231195152.PMC10492474.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10276570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Genotypically Confirmed Vancomycin-Resistant <i>Staphylococcus aureus</i> With <i>vanB</i> Gene Among Clinical Isolates in Kathmandu.","authors":"Niranjan Nepal,&nbsp;Prakriti Mahara,&nbsp;Shishir Subedi,&nbsp;Komal Raj Rijal,&nbsp;Prakash Ghimire,&nbsp;Megha Raj Banjara,&nbsp;Upendra Thapa Shrestha","doi":"10.1177/11786361231183675","DOIUrl":"https://doi.org/10.1177/11786361231183675","url":null,"abstract":"<p><strong>Purpose: </strong>Methicillin-resistant <i>Staphylococcus aureus</i>, a common bacterial pathogen causes various infections. The acquisition of various antimicrobial-resistant genes in <i>S. aureus</i> has led to the transformation of this bacterium into a superbug. Vancomycin resistance among MRSA isolates is an emerging threat in empirical therapy of various infections. The study was hence aimed to find out the susceptibility status of <i>S. aureus</i> isolates toward vancomycin and detect <i>mecA, vanA</i>, and <i>vanB</i> genes among the isolates.</p><p><strong>Methods: </strong>A total of 1245 clinical samples from the participants attending a tertiary care hospital in Kathmandu were processed. <i>S. aureus</i> isolated from the samples were subjected to antibiotic susceptibility patterns using the modified Kirby-Bauer disk diffusion method. Agar dilution method was used to determine the minimum inhibitory concentration of vancomycin. The antibiotic-resistant genes such as <i>mecA, vanA</i>, and <i>vanB</i> among <i>S. aureus</i> isolates were screened by a conventional polymerase chain reaction.</p><p><strong>Results: </strong>Of 1245 samples, 80 <i>S. aureus</i> were identified. Out of which, 47.5% (38/80) were phenotypically confirmed MRSA isolates. <i>mec</i>A gene was detected in 84.2% (32/38) of MRSA isolates. 10.5% (4/38) were confirmed as vancomycin-intermediate <i>S. aureus</i> (VISA) by MIC determination. None of the isolates was positive for <i>the vanA</i> gene; however, 2 isolates were found to possess the <i>vanB</i> gene. The 2 isolates have vancomycin MIC breakpoints of 4 to 8 μg/mL.</p><p><strong>Conclusion: </strong>There might be a spreading of vancomycin resistance among <i>S. aureus</i>, creating serious public health problems. Therefore, measures to limit vancomycin resistance should be considered in healthcare facilities as immediately as possible.</p>","PeriodicalId":74187,"journal":{"name":"Microbiology insights","volume":"16 ","pages":"11786361231183675"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0d/c8/10.1177_11786361231183675.PMC10338656.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10302745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beta-Lactamase-Producing Gram-Negative Bacterial Isolates Among the Patients Attending a Tertiary Care Hospital, Kathmandu, Nepal.","authors":"Manita Pariyar,&nbsp;Sanjib Adhikari,&nbsp;Ramesh Sharma Regmi,&nbsp;Binod Dhungel,&nbsp;Megha Raj Banjara,&nbsp;Basista Prasad Rijal,&nbsp;Komal Raj Rijal,&nbsp;Prakash Ghimire","doi":"10.1177/11786361221150761","DOIUrl":"https://doi.org/10.1177/11786361221150761","url":null,"abstract":"<p><p>Over the times, carbapenems have been the choice of drug for treating multidrug-resistant (MDR) and extended spectrum beta-lactamase (ESBL)-producing organisms. The current study aimed at determining the occurrence of metallo beta-lactamase (MBL) and AmpC beta-lactamase (ABL) in gram negative bacteria isolated from clinical samples. A cross-sectional study was conducted amongst the patients visiting Manmohan Memorial Medical College and Teaching Hospital (MMTH), Kathmandu, Nepal from August 2017 to January 2018. A total of 4351 samples including urine, pus, wound swab, endotracheal tip, catheter tip, and blood were collected from the patients and processed by standard conventional microbiological methods. Antibiotic susceptibility testing (AST) of the isolates was performed by Kirby-Bauer disk diffusion method. Double disc synergy test was performed on carbapenem resistant organisms to detect production of MBL and inhibitor-based test was used for the detection of ABL production. Of the 4351 samples, 421 bacterial isolates belonging to 16 different genera were recovered, of which 303 (71.97%) were Gram negative bacilli (GNB). <i>E. coli</i> (189/303) and <i>S. aureus</i> (80/118) were the most prevalent among gram negatives and gram positives, respectively. Bacterial incidence was found significantly associated with gender, specimen type, and the department where the patients were enrolled. Colistin-sulfate and polymycin-B were the most effective drug against GNB, whereas imipenem against gram positives. Prevalence of MDR and methicillin-resistant <i>S. aureus</i> (MRSA) was 35.15% and 60%, respectively. The prevalence of MBL and ABL-producing isolate was 11(3.6%) and 13(4.3%), respectively. <i>Pseudomonas aeruginosa</i> (5/11) and <i>E. coli</i> (9/13) were the major MBL and ABL producers, respectively. MBL and ABL production was found to be significantly associated with the age of the patient and the specimen type. A regular antibiotic surveillance activity with screening for MBL and ABL-producing bacterial isolates in the hospital settings to curb the incidence and transmission of such difficult-to-treat pathogens.</p>","PeriodicalId":74187,"journal":{"name":"Microbiology insights","volume":"16 ","pages":"11786361221150761"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/49/3e/10.1177_11786361221150761.PMC9880579.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10583264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic Review and Meta-analysis on Extended-Spectrum β-lactamases Producing <i>Klebsiella pneumoniae</i> in Nepal.","authors":"Manita Shyaula,&nbsp;Christina Khadka,&nbsp;Prabin Dawadi,&nbsp;Megha Raj Banjara","doi":"10.1177/11786361221145179","DOIUrl":"https://doi.org/10.1177/11786361221145179","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review and meta-analysis aimed to assess the pool estimates of extended-spectrum β-lactamases producing <i>K. pneumoniae</i> (ESBL-KP) and study their drug resistance profile by evaluating the studies from Nepal.</p><p><strong>Methods: </strong>A literature search was carried out in PubMed, Google Scholar, and NepJOL to screen all articles on ESBL-KP published between 2011 and 2021 from Nepal. This review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Relevant data were extracted, and R language 4.2.0 software was used for statistical analysis.</p><p><strong>Results: </strong>The pooled prevalence of <i>K. pneumoniae</i> was 5%, while the pooled prevalence of ESBL and multidrug resistance (MDR) in <i>K. pneumoniae</i> were 23% and 55%, respectively. Imipenem was the drug of choice (in vitro) against ESBL-KP infection.</p><p><strong>Conclusion: </strong>Our analyses showed a high prevalence of ESBL-KP and their high resistance toward commonly used drugs. This study highlights the need for the development of new antibiotics for the management of ESBL-KP infections.</p>","PeriodicalId":74187,"journal":{"name":"Microbiology insights","volume":"16 ","pages":"11786361221145179"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/cf/10.1177_11786361221145179.PMC9841864.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10604633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Carriage of Antibiotic Resistant Bacteria and Associated Factors Among Food Handlers in Tamale Metropolis, Ghana: Implications for Food Safety.","authors":"Ezekiel Kofi Vicar,&nbsp;Desmond Baakibe Alo,&nbsp;Valentine Cheba Koyiri,&nbsp;Kwame Opare-Asamoah,&nbsp;Mauvina Obeng-Bempong,&nbsp;Gloria Ivy Mensah","doi":"10.1177/11786361221150695","DOIUrl":"https://doi.org/10.1177/11786361221150695","url":null,"abstract":"<p><strong>Background: </strong>Bacteria pathogens constitute a significant proportion of diarrhoea-causing food contaminants. Transmission of antibiotic resistant foodborne pathogens to humans is a major threat to food safety, especially in developing countries where quality hygiene and sanitation facilities are lacking. Factors related to antibiotic use, sanitation and hand hygiene have been associated with the spread of infectious diseases as well as antibiotic resistant bacteria. Proper food handling ensures that food is not contaminated with potential pathogenic bacteria. This study assessed the carriage of antibiotic resistant bacteria and associated factors.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among food handlers who sell ready to eat food in the Tamale metropolis of the Northern Region of Ghana. Food vending stations with huge customer base were randomly selected and the food handlers recruited using written informed consent. Structured questionnaires were used to collect participants sociodemographic details and information on sanitation, hand hygiene practice and antibiotic use. Sterile cotton swabs soaked in phosphate buffered saline was used to swab the palms of participating food handlers for bacteria isolation. All identified bacteria were tested for susceptibility to 12 antibiotics.</p><p><strong>Results: </strong>In all, 406 food handlers participated in this study, the mean (SD) age was 26.5 (2.64) years. Bacteria isolated were predominantly <i>Staphylococci</i> 60 (14.8%) and <i>Escherichia coli</i> 54 (13.3%). All the isolates were resistant to at least one antibiotic tested. The isolates showed high resistance to broad-spectrum antibiotics such as ampicillin (40.0%-75.0%), tetracycline (40.0%-80.0%), amoxiclav (20.0%-80.0%) and chloramphenicol (7.7%-50.0%). Logistic regression model revealed that the carriage of antibiotic resistant bacteria by food handlers was significantly associated with age, educational level, years on the job, training in food preparation, hygiene practice, water source, type of toilet facility used and antibiotic use.</p><p><strong>Conclusion: </strong>Street food handlers could be potential sources of food-borne transmission of antibiotic resistant bacteria.</p>","PeriodicalId":74187,"journal":{"name":"Microbiology insights","volume":"16 ","pages":"11786361221150695"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/dd/10.1177_11786361221150695.PMC9885032.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10647257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kerosene Biodegradation by Highly Efficient Indigenous Bacteria Isolated From Hydrocarbon-Contaminated Sites.","authors":"Gessesse Kebede Bekele,&nbsp;Solomon Abera Gebrie,&nbsp;Ebrahim M Abda,&nbsp;Gebiru Sinshaw,&nbsp;Simatsidk Haregu,&nbsp;Zemene Worku Negie,&nbsp;Mesfin Tafesse,&nbsp;Fasil Assefa","doi":"10.1177/11786361221150759","DOIUrl":"https://doi.org/10.1177/11786361221150759","url":null,"abstract":"<p><p>Kerosene is widely used in Ethiopia as a household fuel (for lighting and heating), as a solvent in paint and grease, and as a lubricant in glass cutting. It causes environmental pollution and escorts to loss of ecological functioning and health problems. Therefore, this research was designed to isolate, identify, and characterize indigenous kerosene-degrading bacteria that are effective in cleaning ecological units that have been contaminated by kerosene. Soil samples were collected from hydrocarbon-contaminated sites (flower farms, garages, and old-aged asphalt roads) and spread-plated on mineral salt medium (Bushnell Hass Mineral Salts Agar Medium: BHMS), which consists of kerosene as the only carbon source. Seven kerosene-degrading bacterial species were isolated, 2 from flower farms, 3 from garage areas, and 2 from asphalt areas. Three genera from hydrocarbon-contaminated sites were identified, including <i>Pseudomonas</i>, <i>Bacillus</i>, and <i>Acinetobacter</i> using biochemical characterization and the Biolog database. Growth studies in the presence of various concentrations of kerosene (1% and 3% v/v) showed that the bacterial isolates could metabolize kerosene as energy and biomass. Thereby, a gravimetric study was performed on bacterial strains that proliferated well on a BHMS medium with kerosene. Remarkably, bacterial isolates were able to degrade 5% kerosene from 57.2% to 91% in 15 days. Moreover, 2 of the most potent isolates, AUG2 and AUG1, resulted in 85% and 91% kerosene degradation, respectively, when allowed to grow on a medium containing kerosene. In addition, 16S rRNA gene analysis indicated that strain AAUG1 belonged to <i>Bacillus tequilensis</i>, whereas isolate AAUG showed the highest similarity to <i>Bacillus subtilis</i>. Therefore, these indigenous bacterial isolates have the potential to be applied for kerosene removal from hydrocarbon-contaminated sites and the development of remediation approaches.</p>","PeriodicalId":74187,"journal":{"name":"Microbiology insights","volume":"16 ","pages":"11786361221150759"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d7/1f/10.1177_11786361221150759.PMC9989413.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9140342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antibiotics Prescription, Dispensing Practices and Antibiotic Resistance Pattern in Common Pathogens in Nepal: A Narrative Review.","authors":"Kalpana Ghimire,&nbsp;Megha Raj Banjara,&nbsp;Bishnu Prasad Marasini,&nbsp;Pradip Gyanwali,&nbsp;Sudha Poudel,&nbsp;Elina Khatri,&nbsp;Meghnath Dhimal","doi":"10.1177/11786361231167239","DOIUrl":"https://doi.org/10.1177/11786361231167239","url":null,"abstract":"<p><p>Antimicrobial resistance (AMR) is increasing and it is a serious public health problem worldwide. Nepal is considered as one of the contributors for rising AMR due to the most prevalent irrational use of antibiotics. In this review, we have assessed the practices of antibiotic prescription and dispensing, and antibiotic resistance of commonly encountered bacteria in Nepal. There is exponential increase of therapeutic consumption of antibiotics either without clinician's prescription or irrational prescription. Almost half of the population in Nepal was found to purchase antibiotics easily from the nearby pharmacies without clinician's prescription. Irrational prescription is exceeded in remote areas which could be due to lack of access with health posts and hospitals. The third generation cephalosporins, which are considered as the last resort antibiotics were found to be relatively prescribed and dispensed higher as compared to other classes of antibiotics. Despite the existing limited functional surveillance system, antibiotic resistance among bacteria is increasing in Nepal because of irrational prescription, dispensing and consumption of antibiotics without prescription.</p>","PeriodicalId":74187,"journal":{"name":"Microbiology insights","volume":"16 ","pages":"11786361231167239"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/50/27/10.1177_11786361231167239.PMC10102948.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9317643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR)-Cas13a: Future Hope to Tackle Anti-Microbial Resistance.","authors":"Tarun Kumar Suvvari,&nbsp;Venkata Dinesh Kumar Kandula,&nbsp;Venkataramana Kandi,&nbsp;Vimal Thomas","doi":"10.1177/11786361231178623","DOIUrl":"https://doi.org/10.1177/11786361231178623","url":null,"abstract":"Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). Microbiology Insights Volume 16: 1 © The Author(s) 2023 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/1 7863612 1 78623","PeriodicalId":74187,"journal":{"name":"Microbiology insights","volume":"16 ","pages":"11786361231178623"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/18/0e/10.1177_11786361231178623.PMC10280507.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9711040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges & Solutions for Recent Advancements in Multi-Drugs Resistance Tuberculosis: A Review.","authors":"Pramod Yadav","doi":"10.1177/11786361231152438","DOIUrl":"https://doi.org/10.1177/11786361231152438","url":null,"abstract":"<p><p>In MDR-TB, mycobacterium is resistant to battlefront drugs like rifampicin and isoniazid. Now it's an urgent global challenge for treatment & diagnosis because more than 50% of drugs are resistant. Till today's information, 5 reasons are liable for MDR: (1) Errors of physicians/patients in therapy management, (2) Complexity and poor vascularization of granulomatous lesions, which obstruct drug distribution to some sites, leading to resistance development, (3) Intrinsic drug resistance of tubercle bacilli, (4) Formation of non-replicating, drug-tolerant bacilli inside the granulomas, (5) Development of mutations in Mtb genes, which are the foremost important molecular mechanisms of resistance. the most contribution of this work is a brief & clear explanation of things chargeable for resistant development, and recent diagnostic & treatment methods for MDR-TB. This study shall help researchers & scientists to develop replacement rapid diagnostic tools, drugs, and treatment protocols.</p>","PeriodicalId":74187,"journal":{"name":"Microbiology insights","volume":"16 ","pages":"11786361231152438"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/73/d4/10.1177_11786361231152438.PMC9893349.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10666410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}