Mechanical Method of Inoculating Plates for Antibiotic Sensitivity Testing

A mechanical method of inoculating culture plates for antibiotic sensitivity testing is described. This method, which involves the use of a modified laboratory centrifuge, is rapid and provides a homogeneous distribution of organisms.     

Device for Turbidity Standardizing of Cultures for Antibiotic Sensitivity Testing

A specially designed metal rack which is illuminated by a modified Rh-typing view box is described. This device facilitates the handling and reduces the time involved in standardizing cultures.     

Microcolony Cultivation on a Soil Substrate Membrane System Selects for Previously Uncultured Soil Bacteria

Traditional microbiological methods of cultivation recover less than 1% of the total bacterial species, and the culturable portion of bacteria is not representative of the total phylogenetic diversity. Classical cultivation strategies are now known to supply excessive nutrients to a system and therefore select for fast-growing bacteria that are capable of colony or biofilm formation. New approaches to the cultivation of bacteria which rely on growth in dilute nutrient media or simulated environments are beginning to address this problem of selection. Here we describe a novel microcultivation method for soil bacteria that mimics natural conditions. Our soil slurry membrane system combines a polycarbonate membrane as a growth support and soil extract as the substrate. The result is abundant growth of uncharacterized bacteria as microcolonies. By combining microcultivation with fluorescent in situ hybridization, previously “unculturable” organisms belonging to cultivated and noncultivated divisions, including candidate division TM7, can be identified by fluorescence microscopy. Successful growth of soil bacteria as microcolonies confirmed that the missing culturable majority may have a growth strategy that is not observed when traditional cultivation indicators are used.     

药物敏感试验药片法研究

药敏药片对国际三株标准菌试验,抑菌圈直径范围均符合判定标准。与进口药敏药片符合率为１００％。与药敏纸片片间差比较试验,药片抑菌圈＝１～２ｍｍ,精密度高,符合国际要求,而纸片抑菌圈＝９～１３ｍｍ,均匀度检测明显不合格。药片变异系数ＣＶ＝１．３１～２．９２,纸片ＣＶ＝１４．７８～２１．６７表明药片变量离散度小,片间差很小;而纸片变量离散度明显大,故纸片片间差很大。     

Mannitol Enhances Antibiotic Sensitivity of Persister Bacteria in Pseudomonas aeruginosa Biofilms

The failure of antibiotic therapies to clear Pseudomonas aeruginosa lung infection, the key mortality factor for cystic fibrosis (CF) patients, is partly attributed to the high tolerance of P. aeruginosa biofilms. Mannitol has previously been found to restore aminoglycoside sensitivity in Escherichia coli by generating a proton-motive force (PMF), suggesting a potential new strategy to improve antibiotic therapy and reduce disease progression in CF. Here, we used the commonly prescribed aminoglycoside tobramycin to select for P. aeruginosa persister cells during biofilm growth. Incubation with mannitol (10–40 mM) increased tobramycin sensitivity of persister cells up to 1,000-fold. Addition of mannitol to pre-grown biofilms was able to revert the persister phenotype and improve the efficacy of tobramycin. This effect was blocked by the addition of a PMF inhibitor or in a P. aeruginosa mutant strain unable to metabolise mannitol. Addition of glucose and NaCl at high osmolarity also improved the efficacy of tobramycin although to a lesser extent compared to mannitol. Therefore, the primary effect of mannitol in reverting biofilm associated persister cells appears to be an active, physiological response, associated with a minor contribution of osmotic stress. Mannitol was tested against clinically relevant strains, showing that biofilms containing a subpopulation of persister cells are better killed in the presence of mannitol, but a clinical strain with a high resistance to tobramycin was not affected by mannitol. Overall, these results suggest that in addition to improvements in lung function by facilitating mucus clearance in CF, mannitol also affects antibiotic sensitivity in biofilms and does so through an active, physiological response.     

Evaluation of a Scanner-Assisted Colorimetric MIC Method for Susceptibility Testing of Gram-Negative Fermentative Bacteria

We describe the ScanMIC method, a colorimetric MIC method for susceptibility testing of gram-negative fermentative bacteria. The method is a slight modification of the National Committee for Clinical Laboratory Standards (NCCLS) recommended broth microdilution method that uses a redox indicator 2,3,5-triphenyltetrazolium chloride (TTC) to enhance the estimate of bacterial growth inhibition in a microplate and a flatbed scanner to capture the microplate image. In-house software was developed to transform the microplate image into numerical values based on the amount of bacterial growth and to generate the MICs automatically. The choice of indicator was based on its low toxicity and ease of reading by scanner. We compared the ScanMIC method to the NCCLS recommended broth microdilution method with 197 coliform strains against seven antibacterial agents. The interpretative categorical agreement was obtained in 92.4% of the assays, and the agreement for MIC differences (within ±1 log₂ dilution) was obtained in 96% for ScanMIC versus broth microdilution and 97% for a two-step incubation colorimetric broth microdilution versus the broth microdilution method. The method was found to be labor-saving, not to require any initial investment, and to show reliable results. Thus, the ScanMIC method could be useful for epidemiological surveys that include susceptibility testing of bacteria.     

Antibiotic Resistance in Bacteria and Its Future for Novel Antibiotic Development

Since the first introduction of the sulfa drugs and penicillin into clinical use, large numbers of antibiotics have been developed and hence contributed to human health. But extensive use of antibiotics has raised a serious public health problem due to multiantibiotic resistant bacterial pathogens that inevitably develop resistance to every new drug launched in the clinic. Consequently, there is a pressing need to develop new antibiotics to keep pace with bacterial resistance. Recent advances in microbial genomics and X-ray crystallography provide opportunities to identify novel antibacterial targets for the development of new classes of antibiotics and to design more potent antimicrobial compounds derived from existing antibiotics respectively. To prevent and control infectious diseases caused by multiantibiotic resistant bacteria, we need to understand more about the molecular aspects of the pathogens’ physiology and to pursue ways to prolong the life of precious antibiotics.     

小儿呼吸道感染常见病原菌及药敏结果分析

目的:了解小儿下呼吸道感染的常见病原菌及其对抗菌药物的敏感性.方法:对北京市和平里医院儿科两年来确诊治疗的156例小儿呼吸道感染患儿的痰标本进行培养及药敏试验.结果:156例标本检出致病菌98株,其中G-杆菌71株(72.4％),G+球菌23株(23.5％),真菌4株(4.1％),主要致病菌依次为肺炎克雷伯菌26株,大肠埃希菌20株.流感嗜血杆菌13株,金黄色葡萄球菌7株,肺炎链球菌5株.药敏结果显示,G-杆菌对亚胺培南均敏感,其次为头孢西丁、庆大霉素,G+球菌对万古霉素均敏感,对头孢西丁、庆大霉素、环丙沙星、阿米卡星有较高的敏感性.结论:革兰阴性杆菌为本地区小儿呼吸道感染的主要致病菌,真菌的感染率也呈上升趋势,临床上应及时检测,合理用药.     

Antibiotic Sensitivity of Micrococcus radiodurans

A wild-type strain of Micrococcus radiodurans and its nonpigmented mutant W(1) were tested for sensitivity to 10 antibiotics selected from the standpoint of their mechanism of action. Representatives of groups of antibiotics inhibiting deoxyribonucleic acid (DNA) synthesis, DNA-dependent ribonucleic acid synthesis, protein synthesis, and cell wall synthesis were selected. M. radiodurans and its mutant exhibited full susceptibility to all antibiotics tested (mitomycin C, actinomycin D, chloramphenicol, dihydrostreptomycin, erythromycin, neomycin, kanamycin, benzylpenicillin, bacitracin, and vancomycin), the degree of susceptibility being of the same order as that of a standard strain of Staphylococcus aureus 209 P, with the exception of dihydrostreptomycin.     

Stress-induced Antibiotic Susceptibility Testing on a Chip

We have developed a rapid microfluidic method for antibiotic susceptibility testing in a stress-based environment. Fluid is passed at high speeds over bacteria immobilized on the bottom of a microfluidic channel. In the presence of stress and antibiotic, susceptible strains of bacteria die rapidly. However, resistant bacteria survive these stressful conditions. The hypothesis behind this method is new: stress activation of biochemical pathways, which are targets of antibiotics, can accelerate antibiotic susceptibility testing. As compared to standard antibiotic susceptibility testing methods, the rate-limiting step - bacterial growth - is omitted during antibiotic application. The technical implementation of the method is in a combination of standard techniques and innovative approaches. The standard parts of the method include bacterial culture protocols, defining microfluidic channels in polydimethylsiloxane (PDMS), cell viability monitoring with fluorescence, and batch image processing for bacteria counting. Innovative parts of the method are in the use of culture media flow for mechanical stress application, use of enzymes to damage but not kill the bacteria, and use of microarray substrates for bacterial attachment. The developed platform can be used in antibiotic and nonantibiotic related drug development and testing. As compared to the standard bacterial suspension experiments, the effect of the drug can be turned on and off repeatedly over controlled time periods. Repetitive observation of the same bacterial population is possible over the course of the same experiment.     

Quantitative Antibiotic Sensitivities of Ruminal Bacteria

Fifteen species of ruminal bacteria were tested against 10 antibiotics in concentrations ranging from 0.1 to 200 mug/ml in an anaerobic tube dilution system.     

Antibiotic Susceptibility of Anaerobic Ruminal Bacteria

This study demonstrated that 15 species of ruminal bacteria with no previous history of contact with antibiotics are susceptible to bacitracin, chloramphenicol, chlortetracycline, erythromycin, novobiocin, oleandomycin, oxytetracycline, penicillin, tetracycline, tylosin, and vancomycin. A number of the species were not inhibited by kanamycin, neomycin, polymyxin, and streptomycin. The data suggest that antibiotic-resistant cells occur within susceptible cultures of these species. Streptococcus bovis FD-10 and a nonruminal anaerobe, Bacteroides melaninogenicus BE-1, showed similar antibiotic susceptibilities.     

益生乳酸菌的纸片扩散法药敏性试验评价

乳酸菌菌株的药敏性评价是目前国际上益生乳酸菌安全性评价的首要内容, 然而用于乳酸菌药敏性测试的相关国际通引标准还未出台。本文就药敏试验使用的培养基进行了探讨, 并从中选取了合适的商品化培养基——RCA用于乳酸菌的药敏性测试。选取的培养基适合目前市场上常用益生菌的生长, 经方法优化后可得到满意的结果, 为今后制定针对乳酸菌的抗菌药物敏感性试验执行标准提供了一定依据。随后采用纸片扩散法对分属于4个属的9株乳酸菌进行了19类51种抗生素的敏感性测定, 较全面地了解了这些菌株的药敏谱。     

Diversifications in the Tube Dilution Test for Antibiotic Sensitivity of Microorganisms

The tube dilution method of performing antibiotic sensitivity tests is commonly employed as an accurate method for defining the minimal inhibitory concentration in relation to pathogenic organisms. It is also used as a reference for comparing minimal inhibitory concentrations with the size of the zone of inhibition in the agar diffusion test. Although surveys have shown that there is no standardized method and technique of performing the tube dilution test, it is generally assumed that all of the diversified methods will yield the same results and interpretations. With the assistance of five experts, seven different tube dilution methods were compared; 16 antibiotics, and three organisms for each antibiotic, were used. The conclusions drawn are that, although the accuracy of a single method within its own confines is acknowledged, the minimal inhibitory concentrations and interpretations cannot be interpolated from one laboratory to another where a different technique is employed. The results are frequently discrepant. It is suggested that a uniform method be developed and promulgated for general use.     

Influence of Hydrogen Peroxide,Lactic Acid,and Surfactants from Vaginal Lactobacilli on the Antibiotic Sensitivity of Opportunistic Bacteria

We studied as hydrogen peroxide, lactic acid, or surfactants from clinical isolates of vaginal lactobacilli and cell-free supernatants from probiotic strain LCR35 can influence on the sensitivity of opportunistic bacteria to antibiotics. We found that the most effective in increasing sensitivity to antibiotics were hydrogen peroxide and surfactants or their combination but no lactic acid. In some cases, the effect of the composition of hydrogen peroxide and surfactants was clearly higher than the sum of effects of these substances alone. With using of the supernatant of LCR35 was shown that the combination of surfactant and lactate has greater effect compared with surfactants alone. In concluding, metabolites of vaginal lactobacilli are suitable for the role of “antibiotic assistants” and it can help solve the problems the antibiotic resistance.     

Proliferation of Antibiotic-Producing Bacteria and Concomitant Antibiotic Production as the Basis for the Antibiotic Activity of Jordan's Red Soils

Anecdotes, both historical and recent, recount the curing of skin infections, including diaper rash, by using red soils from the Hashemite Kingdom of Jordan. Following inoculation of red soils isolated from geographically separate areas of Jordan, Micrococcus luteus and Staphylococcus aureus were rapidly killed. Over the 3-week incubation period, the number of specific types of antibiotic-producing bacteria increased, and high antimicrobial activity (MIC, ∼10 μg/ml) was observed in methanol extracts of the inoculated red soils. Antibiotic-producing microorganisms whose numbers increased during incubation included actinomycetes, Lysobacter spp., and Bacillus spp. The actinomycetes produced actinomycin C₂ and actinomycin C₃. No myxobacteria or lytic bacteriophages with activity against either M. luteus or S. aureus were detected in either soil before or after inoculation and incubation. Although protozoa and amoebae were detected in the soils, the numbers were low and did not increase over the incubation period. These results suggest that the antibiotic activity of Jordan''s red soils is due to the proliferation of antibiotic-producing bacteria.There is a growing recognition of the pressing need for new antimicrobial agents for the treatment of infectious diseases (11, 38). As just one cogent example, new antibiotics are in high demand for the treatment of Staphylococcus aureus infections (25), particularly due to the emergence of methicillin-resistant S. aureus in communities and hospitals (25, 41). In addition, providing effective and affordable antibiotics to people in epidemic-prone developing countries remains a major challenge (37).Historically, natural products have played a key role in the discovery and development of many antibiotics (34). In particular, soil-based actinomycetes have been the source of countless drugs, such as streptomycin, actinomycin, erythromycin, and vancomycin, to name only a few (18). One approach to the discovery of new antimicrobial agents from natural sources has been to use folklore or historical records to guide the collection of samples (20).Through our ongoing studies of the biodiversity of the Hashemite Kingdom of Jordan (Jordan) (2-7, 35, 36), we were intrigued by anecdotes of the antibiotic-like properties of red soil, used historically for treating skin infections and diaper rash and still in use in some communities as an inexpensive alternative to pharmaceutical products. Within Jordan, there are four major biogeographic regions (8, 21), and red soils are most commonly found in the Mediterranean region of the northwestern portion of Jordan, near cities such as Irbid, Ramtha, and Ajloun. An area away from housing, preferably not touched by feet and thus considered clean, is chosen, and soil below the surface is collected, as the surface is considered contaminated or not clean. After the infected area of skin is washed and dried, the sieved soil is applied daily as either a powder or paste until the infection subsides. The basis for the antimicrobial activity of red soils is not known.Antimicrobial activity of soils against inoculated microorganisms has been attributed to abiotic or biotic factors. Abiotic activity has been shown to be responsible for the antimicrobial activities of clay minerals used in the treatment of a mycobacterial skin infection known as Buruli ulcer (28). Soil texture was found to influence the survival of Pseudomonas fluorescens and Bacillus subtilis in soil (40), while soil temperature and pH and the presence of roots affected the leaching of a genetically modified strain of P. fluorescens in soil (29). Biotic factors, including predation and antimicrobial-producing or lytic microorganisms, were suggested as mechanisms for killing microorganisms introduced into soils (1, 14, 31, 32). Prior inoculation of soil with one strain of P. fluorescens reduced the ability of a second P. fluorescens strain to colonize (19). A phenazine pigment produced by a P. fluorescens strain was shown to be responsible for biological control of a root disease of wheat caused by Gaeumannomyces graminis var. tritici (39), and it has been shown that filaments of the biocontrol fungus Trichoderma grow toward fungal pathogens and release antibiotics and lytic enzymes (9). With that background as a guide, we undertook an investigation to identify the basis for the antimicrobial activity of Jordan''s red soils.