عنوان المقالة:In terms of biofilm inhibitory concentration and minimal biofilm eradication concentrations, the role of microbial biofilm in upper versus lowers urinary tract infections In terms of biofilm inhibitory concentration and minimal biofilm eradication concentrations, the role of microbial biofilm in upper versus lowers urinary tract infections
Mushtak TS.Al-Ouqaili(1), Ziad H. Al-Dulaimi(2), & Rawaa AH. Al-Doori(3)
Abstract
This study has been undertaken for detection the most common microorganisms isolated from infected JJ stents and infected calculi in the upper urinary tract and their representative urine samples from lower urinary tract and their ability to produce biofilm quantitatively. Furthermore, depending on Biofilm inhibitory concentration (BIC) and Minimal biofilm inhibitory concentration (MBECs) in determining the biofilm antibiogram for biofilm producer study isolates to the selected antimicrobial agents. One hundred and thirty specimens obtained from Sixty five patients admitted to the Urology Department in Al-Ramadi Teaching Hospital during the period from April through December 2008. They include 94 specimens taken from 47indwelling double J ureteric stents in addition to renal stones and representative urine samples obtained from 18 patients with renal calculi. Quantitative biofilm formation assay and biofilm antimicrobial susceptibility test was achieved. Out of 47 upper ends of JJ stent, 19 (40.4%) were positive for culture. Out of 24 yield microorganisms, 19 (79.2%) were biofilm producer isolates. Out of 47 lower ends of JJ stent, 16 (34%) were positive for culture. Of these, 16 microorganisms were biofilm producer isolates. Also, five renal stones were positive for culture, and all the yielded bacterial isolates were biofilm producers. The biofilm cells were required 50-100 times the MIC values for ciprofloxacin in both of JJ stent and infection stones while with cefotaxime, the study sessile were needed 50-500 X, 50-100 X MICs value for JJ stents and infection stones respectively. Further, the biofilm producer isolates cells were required 10-100 times the MIC values for amikacin in both of two specimens. The study concluded that Klebsiella pneumonia and Candida albicans were the most common microorganisms isolated from infected JJ stent while Klebsiella pneumonia was the predominant in struvite stone followed by Proteus mirabilis. No significant difference observed between upper and lower urinary tract infections regarding biofilm formation. Further, with the increase in duration of insertion, double J stent will be more predisposing to microbial colonization. Furthermore, the biofilm producer study isolates were required the lower concentration of amikacin to remove bacterial biofilm from JJ stents and infection stones in comparison with ciprofloxacin and cefotaxime.
In terms of biofilm inhibitory concentration and minimal biofilm eradication concentrations, the role of microbial biofilm in upper versus lowers urinary tract infections
الأستاذ الدكتور مشتاق طالب صالح الندا | Dr. Mushtak T. S. Al-Neda | 6983