Detection and Pathogenicity Features of Pseudomonas Aeruginosa in Patients with Skin Infection

Authors

  • Buthaina Alkheeqani Biology-College of Science
  • Ahmed Khassaf

DOI:

https://doi.org/10.32792/utq/utjsci/v11i2.1189

Keywords:

Nosocomial infection, Virulence factor, Antimicrobial resistance, Susceptibility, Biofilm

Abstract

Pseudomonas aeruginosa is a Gram-negative opportunistic pathogen often concerning studies in bacterial resistance and pathogenicity. Nosocomial infections from burns and surgical site infections are often caused by destruction of the  natural defenses of the skin, exposed matrix proteins and inflammatory factors being compromised making it easier for P. aeruginosa to colonize the area leading to infection. For this experiment, 113 wound and burn samples collected from hospitalized immunocompromised patients. 26 isolates tested positive for P. aeruginosa with associated virulence factors. Identification of bacteria   concluded   biochemical assays, antibiotics susceptibility, and the ability of biofilm formation and the presence of P.aeruginosa in different skin samples. The study showed 66.53% of the isolates were resistant to antibiotics including (AK, GN, IPM, LEV, CIP, ATM, PRL and TZP), while prevalence of sensitivity was to Meropenem (65.38%) and Cefepime (19.23%).

Biofilm formation assay showed all P.aeruginosa isolates formed biofilms at different levels (65.3%) weak (27%) moderate and (7.7%) strong biofilm formation. Following the study's conclusion, consider specific strategies for managing and shielding future generations against P.aeruginosa bacterial infections.

References

‎[1]‎ ‎ S.P .Diggle, M. Whiteley, Microbe ‎Profile:"Pseudomonas aeruginosa: opportunistic ‎pathogen and lab rat". Microbiology (Reading) ‎vol.166, p.30–33, 2020.‎

https://doi.org/10.1099/mic.0.000860‎

‎[2]‎ ‎ A. Sikora, F. Zahra, "Nosocomial Infections”. ‎StatPearls Publishing, 2023 ‎https://www.ncbi.nlm.nih.gov/books/NBK559312/‎

‎[3]‎ ‎ J. Botelho, F.Grosso, L. Peixe, "Antibiotic ‎resistance in Pseudomonas aeruginosa–‎Mechanisms, epidemiology and evolution". Drug ‎resistance updates vol. 44, 100640, 2019. ‎https://www.news-medical.net/life-‎sciences/Challenges-with-Sanger-Sequencing.aspx

‎[4]‎ ‎ A.K.H. Al-Buaiji, "Molecular study parC and ‎gyrA genes of multidrug resistant Pseudomonas ‎aeruginosa Isolated from Clinical Specimens", ‎M.S.C thesis Institute of Genetic Engineering and ‎Biotechnology for Post Graduate Studies/ ‎University of Baghdad,2019.‎

‎[5]‎ ‎ Z. Pang, R. Raudonis, B.R. Glick, T.J. Lin, Z. ‎Cheng, "Antibiotic resistance in Pseudomonas ‎aeruginosa: mechanisms and alternative therapeutic ‎strategies". Biotechnology Advances, vol. 37, ‎p.177–192, 2019. ‎https://doi.org/10.1016/j.biotechadv.2018.11.013‎

‎[6]‎ ‎ U. Verma, S. Kulshreshtha, and P.K. Khatri, " ‎MDR Pseudomonas aeruginosa in Nosocomial ‎Infection: Burden in ICU and Burn Units of a ‎Tertiary Care Hospital". Microbiol.App.Sci. vol. ‎‎2322-2322 .p. 2(2), 2018.‎

‎[7]‎ ‎ N. Sathe, P. Beech, L. Croft, C. Suphioglu, A. ‎Kapat, E. Athan, "Pseudomonas aeruginosa: ‎Infections and novel approaches to treatment ‎‎“Knowing the enemy” the threat of Pseudomonas ‎aeruginosa and exploring novel approaches to ‎treatment". Infectious Medicine, vol. 2, p. 178–194, ‎‎2023. https://doi.org/10.1016/j.imj.2023.05.003‎

‎[8]‎ ‎ M.R. Gonzalez, B. Fleuchot, L. Lauciello, P. ‎Jafari, L.A. Applegate, W. Raffoul, Y.A. Que, & K. ‎Perron, "Effect of Human Burn Wound Exudate on ‎Pseudomonas aeruginosa Virulence". mSphere, vol. ‎‎1 no. (2), e00111-15, 2016. ‎https://doi.org/10.1128/mSphere.00111-15‎

‎[9]‎ ‎ B.K. Chan, M. Sistrom, J.E. Wertz, K.E Kortright, ‎D. Narayan, P.E. Turner, "Phage selection restores ‎antibiotic sensitivity in MDR Pseudomonas ‎aeruginosa". Scientific reports, vol.6, p. 26717, ‎‎2019 Me, I., M, A., Am, A.-S., Bk, E., "Phenotypic ‎Characterization and Antibiotic Resistance Patterns ‎of Extended-Spectrum β-Lactamase- and AmpC β-‎Lactamase-Producing Gram-Negative Bacteria in a ‎Referral Hospital, Saudi Arabia". The Canadian ‎journal of infectious diseases & medical ‎microbiology ‎https://doi.org/10.1155/2019/6054694‎

‎[10]‎ ‎ D Kleef, R. Khwam, " Isolation of Bacterial ‎Causative agents for Diabetic Foot patients and ‎Antibiotic Susceptibility test against Bacterial ‎Isolates". UTJsci vol. 10, 2023. ‎https://doi.org/10.32792/utq/utjsci/v10i1(SI).1032‎

‎[11]‎ ‎ S. Qureshi, and M.S. Bronze, "Pseudomonas ‎aeruginosa Infections Clinical Presentation". ‎Medscape Registration, 2023. ‎https://emedicine.medscape.com/article/226748-‎clinical?form=fpf

‎[12]‎ ‎ A.P. Magiorakos, A. Srinivasan, RB. Carey, ‎‎"Multidrug-resistant, extensively drug-resistant and ‎pandrug-resistant bacteria: an international expert ‎proposal for interim standard definitions for ‎acquired resistance." Clin Microbiol Infect; vol. 18 ‎no. (3) p. 268–281, 2012. doi: 10.1111/j.1469-‎‎0691.2011.03570.x‎

‎[13]‎ ‎ J. Phan, S. Ranjbar, M. Kagawa, M. Gargus, A.L. ‎Hochbaum, K.L. Whiteson, "Thriving Under Stress: ‎Pseudomonas aeruginosa Outcompetes the ‎Background Polymicrobial Community Under ‎Treatment Conditions in a Novel Chronic Wound ‎Model". Frontiers in Cellular and Infection ‎Microbiology, vol.10, 2020.‎

‎[14]‎ ‎ P. Pachori, R. Gothalwal, & P. Gandhi, ‎‎"Emergence of antibiotic resistance Pseudomonas ‎aeruginosa in intensive care unit; a critical review". ‎Genes & diseases, vol. 6 no. (2), p. 109–119, 2019. ‎https://doi.org/10.1016/j.gendis.2019.04.001‎

‎[15]‎ ‎ J.M. R. Al-Shara, "Phenotypic and molecular ‎detecting of carbapenem resistant Pseudomonas ‎aeruginosa in Najaf Hospitals". Ph.D. Thesis. ‎Faculty of Science. University of Kufa. Iraq, 2013.‎

‎[16]‎ ‎ A.A. Khan, & C.E Cerniglia, "Detection of ‎Pseudomonas aeruginosa from clinical and ‎environmental samples by amplification of the ‎exotoxin A gene using PCR". Applied and ‎environmental microbiology, vol. 60 no. (10), ‎p.3739-3745, 1994.‎

‎[17]‎ ‎ Z. Alkhulaifi, K. Mohammed, "The Prevalence of ‎Cephalosporins resistance in Pseudomonas ‎aeruginosa isolated from clinical specimens in ‎Basra, Iraq". UTJsci 10, 2023. ‎https://doi.org/10.32792/utq/utjsci/v10i1(SI).1010‎

‎[18]‎ ‎ R. Shuwaikh, A. Mujahid, "Antibiotics and their ‎uses". Oman Dar Tigris for Publishing and ‎Distribution. First edition. p. 13-39, 2016.‎

‎[19]‎ ‎ A. Karruli, C. D. Catalini, C. ’Amore, F. Foglia, F. ‎Mari, A. Harxhi, M. Galdiero, E. Durante-Mangoni, ‎‎"Evidence-Based Treatment of Pseudomonas ‎aeruginosa Infections: A Critical Reappraisal". ‎Antibiotics vol. 12, p. 399, 2023. ‎https://doi.org/10.3390/antibiotics12020399‎

‎[20]‎ ‎ I.H. Hashim, Q.A. Wdaah, A. Atya, "Potential ‎effect of antimicrobial agents against ‎Staphylococcus aureus and Pseudomonas ‎aeruginosa strains from patients with skin ‎infections". UTJsci vol. 7, p.7–14, 2019.‎

‎[21] H.V. Prashanth, R. Prakash, R.J Girishbabu, A. ‎Kausar, A. and V. Krishnamurthy, "Antimicrobial ‎susceptibility pattern of Pseudomonas aeruginosa". J. of ‎Pharma. and Biomed. Scie.vol. 29 no. (29) p.814- 817, ‎‎2013.‎

‎[22] EJ Yoon EJ, SH Jeong SH , "Mobile carbapenemase ‎genes in Pseudomonas aeruginosa". Front ‎Microbiol.2021 https:// doi. Org/ 10. 3389/ fmicb. 2021. ‎‎61405‎

‎[23] L.B. Al-husseini, A. Maleki, E. Kouhsari, S. ‎Ghafourian, M. Mahmoudi, and M F. Al Marjani, ‎‎"Evaluation of type II toxin-antitoxin systems, antibiotic ‎resistance, and biofilm production in clinical MDR ‎Pseudomonas aeruginosa isolates in Iraq". Gene Reports, ‎vol.17 no. (19) p.1-21, 2019.‎

‎[24] S. H Haji, "Detection of biofilm formation in ‎Pseudomonas aeruginosa isolates from clinical ‎specimens". Zanco Journal of Pure and Applied ‎Sciences, vol.30 no. (4) p.8-83, 2018.‎

‎[25] A. Brooun, S. Liu, and K. Lewis, "A dose-response ‎study of antibiotic resistance in Pseudomonas aeruginosa ‎biofilms". Antimicrob. Agents Chemother. Vol. 44, p. ‎‎640-646, 2000.‎

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Published

2024-12-05

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How to Cite

Detection and Pathogenicity Features of Pseudomonas Aeruginosa in Patients with Skin Infection. (2024). University of Thi-Qar Journal of Science, 11(2), 23-29. https://doi.org/10.32792/utq/utjsci/v11i2.1189