Genomics of Streptococcus pneumoniae and Streptococcus mitis

Size: px
Start display at page:

Download "Genomics of Streptococcus pneumoniae and Streptococcus mitis"

Transcription

1 Genomics of Streptococcus pneumoniae and Streptococcus mitis Regine Hakenbeck Department of Microbiology and Nano+Bio Center University of Kaiserslautern

2

3 Meningitis patho-genomics Otitis Sinusitis Pneumonia Colonizer of the Nasopharynx antibiotic resistance Sepsis

4 90 capsular types rough (cps + ) The Transforming Principle colonies smooth ( cps)

5 Intra- and interspecies gene transfer mutation 'bottleneck' gene transfer spread of new clones

6 S. mitis? S. oralis?

7 Genetic Evidence of Gene Transfer of Virulence

8 The success of one major class of mosaic pbp2x genes S. pneumoniae resistant CZ 14 SP 6B Fi 6B F 6B TW 23F SA 19A SP 14 TW 19F USA 23F SP 23F F 9V SV18 SV10 M3 614 B6 B Uo S. mitis sensitive S. mitis resistant

9 Penicillin resistance is mediated by highly diverse mosaic genes Sm s Sp s GB 19 F 14 G 23F Fi 23F F 23F GB Sm s Hu Sm s Sp Sm r SA 19A SA 6A Hu 19A Hu 19A Hu 19A Hu 19A PNG 6

10 Mosaic Genes - Mosaic Chromosomes?

11 Genomes Streptococcus pneumoniae R Mb Streptococcus pneumoniae TIGR Mb Pathogens Commensals Streptococcus mitis B Mb

12 Gene transfer commensal S. mitis gene pool commensal S. oralis virulence factors Streptococcus pneumoniae pathogen antibiotic resistance determinants

13 Comparative Genomic Analysis clones 2 2 sensitive 23F SP (SA) 1985 (19F) resistant S. pneumoniae 6B strains S. mitis GB G SA SP HU species HU HU S. oralis HU HU

14 Genomic Comparison of Streptococcus pneumoniae Hu15 Hu9 Hu ATCC F D219 Fi2306 D39 R6 Fi2303R SA B232C2 * * % difference between clones mobile elements * 2000 genes 12 within clones * * % different genes Hakenbeck et al Infect Immun.69:

15 TIGR specific clusters versus R6 zmpc efflux 157 kb 1 2 cps ABC 3 (SSA) LPXTG c b a 4 5 LPXTG bacteriocin PTS rm/xerc2 V-type ATPase; nanc xerc4 ABC Brückner et al. (2004) IJMM 294:

16 Comparison of 20 S. pneumoniae strains (TIGR array) R6 clusters vs TIGR 69 kb R6 TIGR TIGR clusters vs R6 157 kb TIGR clusters vs alle anderen 90 kb 316 kb "floating material" in 20 S. pneumoniae pili bacteriocins cell surface proteins V-ATPase antibiotic resistance transporter 16 (partial) genomes: kb core genome (Hiller et. al., J. Bacteriol.)

17 B5 M3B6 Hu-o8 NTCC10712 Hu11 SA D39 Hu-o2 Hu-o12 Hu-o5 Hu-o16 % difference pneumoniae mitis 85 oralis oralis mitis pneumoniae

18 S714 HK386 S. pneumoniae R6 MLST analysis of Streptococcus sp. B6 S. mitis RSA31 HUO8 HUO4 HK816 NCTC12261 RSA38 HK TW17 S691 RSA37 B5 SV16 RSA60 NCTC10712 M3 SV10 RSA13 HK SV1 HKP1 PN93/872B MS22 HKP46 HKP CS111 S492 HK470 Sp264 HKP S S614 HKO17 R6 GM17 HK648 HUO14 B6 HUN RSA24 SV18 SV5 TL7/1993 HK RSA23 HKP7 HKP140 HKO10 HUO1 HKP15 HUO10 HKP26 HK553 TW31 HK666 RSA42 S578 HK651 S697 S661 RSA4 S47 0 HK575 S510 SV12 RSA20 HK S711 S739 S699 HK188 S476 S621 HK323 S532 HK62 HK579 HK680 HK122 S527 S586 S694 HK123 HK677 S. oralis RSA40 HUO2 HUO11 HK49 HK417 HK496 HK RSA11 HK754 HK51 HUO3 HUO17 HK263 HK299 HK312 HUO5 HK581 HK587 S698 S560 S197 S566 HK524 HK574 HK619 RSA18 S Chi et al., IJMM 279:

19 S. oralis S. pneumoniae S. mitis One pbp2x gene family in three 'species' TW17 PN93/872B MS22 HKP46 HKP CS111 TW31 HKP26 HKP7 HKP140 HKP15 HKO SV18 TL7/ HUN663 HUO GM R HKP68 HKO17 Sp264 HK470 HKP1 SV1 HUO4 B5 HUO8 SV10 RSA37 RSA38 M3 S691 HK29 NCTC12261 NCTC10712 HK HK816 RSA31 RSA60 SV16 RSA13 S614 S492 S658 HK648 B6 HK339 RSA24 SV5 RSA23 HUO1 HUO10 HK553 HK666 RSA42 S578 HK651 S697 S661 RSA4 S714 HK575 S47 S510 SV12 RSA20 HK HK188 HK323 HK62 HK579 HK122 S527 RSA40 HUO2 HUO11 RSA11 HK417 HUO5 HK754 HUO3 HUO17 S767 HK51 S698 S560 S197 S566 HK386 HK581 HK587 HK524 HK574 HK619 HK263 HK299 HK312 RSA18 HK496 HK49 HK S586 S694 HK123 HK677 HK680 S532 S476 S621 S739 S699 S B6

20 S.pseudopneumoniae S.pneumoniae S.mitis tree based on ddl, gdh, rpob, and soda S.oralis S.infantis Kilian et al., PLoS ONE 3: July 2008

21 Streptococcus mitis B6: A high level beta-lactam and multiple antibiotic resistant strain In vitro antibiotic susceptibilities of Streptococcus mitis B6 MIC (µg/ml) Penicillin G >32 Erythromycin 0.19 Cefotaxime >32 Clindamycin Piperacillin >256 Gentamicin >1024 Cephalothin >256 Tobramycin >256 Cefepime >32 Cepodoxime >256 RP Cefpirome 64 Sparfloxacin 0.75 Cefuroxime >256 Ceftazidime >256 Tetracyclin r Imipenem 2.0 Chloramphenicol s Meropenem 2 König, A., et al Microb. Drug Res. 4: 45-49

22 163 kb in six clusters Streptococcus mitis B6 GC skew (G-C)/G+C) aminoglycoside resistance 25,4 kb GC% prophage ΦB6 44,2 kb ser-rich cell surface protein cluster 34,4 kb GC V-type ATPase 15,5 kb tet(m) cluster 27,3 kb conserved / hypothetical 16,2 kb

23 Streptococcus pneumoniae virulence factors Phase variation (blood versus mucosa) cell wall associated proteins CELL WALL POLYSACCHARIDES capsule peptidoglycan choline containing WTA, LTA CBPs LPXTG LXXC lipoproteins BACTERIOCINS PROTEINS RELEASED UPON AUTOLYSIS pneumolysin autolysin SECRETED PROTEINS neuraminidase hyaluronidase

24 Dept. of Microbiology Reinhold Brückner Dalia Denapaite Bernhard Henrich Patrick Maurer Yvonne Schähle Abderrahim Madhour Ilka Zerfaß Regine Hakenbeck Nano-Bio-Center KL Peter Reichmann Michael Nuhn Sonja Schröck BMBF DFG EU Helmholtz Stiftung Innovation Rh-Pf. Schwerpunkt TU KL communication is evolution is communication is evolution is communication is evolution is communicati

Cell surface proteins in S. pneumoniae, S. mitis and S. oralis

Cell surface proteins in S. pneumoniae, S. mitis and S. oralis Volume 3 Number 2 (June 2011) 58-67 Cell surface proteins in S. pneumoniae, S. mitis and S. oralis Madhour A, Maurer P, Hakenbeck R * Department of Microbiology, University of Kaiserslautern, Paul-Ehrlich

More information

Antibiotic Resistance Pattern of Blood and CSF Culture Isolates At NHLS Academic Laboratories (2005)

Antibiotic Resistance Pattern of Blood and CSF Culture Isolates At NHLS Academic Laboratories (2005) Antibiotic Resistance Pattern of Blood and CSF Culture Isolates At NHLS Academic Laboratories (2005) Streptococcus pneumoniae (SP) Blood Culture Isolates Penicillin intermediate Penicillin Cefotaxime 336

More information

Laboratory CLSI M100-S18 update. Paul D. Fey, Ph.D. Associate Professor/Associate Director Josh Rowland, M.T. (ASCP) State Training Coordinator

Laboratory CLSI M100-S18 update. Paul D. Fey, Ph.D. Associate Professor/Associate Director Josh Rowland, M.T. (ASCP) State Training Coordinator Nebraska Public Health Laboratory 2008 CLSI M100-S18 update Paul D. Fey, Ph.D. Associate Professor/Associate Director Josh Rowland, M.T. (ASCP) State Training Coordinator Agenda Discuss 2008 M100- S18

More information

Characterization of Mucoid and Non-Mucoid Streptococcus pneumoniae Isolated From Outpatients

Characterization of Mucoid and Non-Mucoid Streptococcus pneumoniae Isolated From Outpatients Original Article Clinical Microbiology Ann Lab Med 2015;35:410-415 http://dx.doi.org/10.3343/alm.2015.35.4.410 ISSN 2234-3806 eissn 2234-3814 Characterization of Mucoid and Non-Mucoid Streptococcus pneumoniae

More information

The Streptococci. Diverse collection of cocci. Gram-positive Chains or pairs significant pathogens

The Streptococci. Diverse collection of cocci. Gram-positive Chains or pairs significant pathogens The Streptococci Diverse collection of cocci. Gram-positive Chains or pairs significant pathogens Strong fermenters Facultative anaerobes Non-motile Catalase Negative 1 Classification 1 2 Classification

More information

STREPTOCOCCUS ANGINOSUS

STREPTOCOCCUS ANGINOSUS STREPTOCOCCUS ANGINOSUS Streptococcus anginosus Group Bacteria: No longer a Case of Mistaken Identity Ralph K. Funckerstorff et al. Article Review by Andrea Prinzi INTRODUCTION In 1906, two scientists

More information

Discussion points CLSI M100 S19 Update. #1 format of tables has changed. #2 non susceptible category

Discussion points CLSI M100 S19 Update. #1 format of tables has changed. #2 non susceptible category Discussion points 2009 CLSI M100 S19 Update Nebraska Public Health Laboratory Changes most important to routine antimicrobial susceptibility testing. Documents available Janet Hindler discussion slide

More information

Streptococcus pneumonia

Streptococcus pneumonia Streptococcus pneumonia The pneumococci (S. pneumoniae) are gram-positive diplococci. Often lancet shaped or arranged in chains, possessing a capsule of polysaccharide that permits typing with specific

More information

Multi-drug Resistant Serotype 19A Pneumococci in Toronto

Multi-drug Resistant Serotype 19A Pneumococci in Toronto TML Lab Rounds January 17, 2008 Multi-drug Resistant Serotype 19A Pneumococci in Toronto The Role of the Microbiology Lab Susan M. Poutanen, MD, MPH, FRCPC Microbiologist/ID Consultant, TML/MSH Assistant

More information

number Done by Corrected by Doctor Hamed Al-Zoubi

number Done by Corrected by Doctor Hamed Al-Zoubi m number 10 Done by Mohammad Sinnokrot Corrected by Doctor Hamed Al-Zoubi Gram Positive Cocci (Staphylococcus, Streptococcus and Enterococcus) Last lecture we talked about Staphylococcus, today we will

More information

Group B streptococcal infection;. Bacteremia without a focus occurs in 80-85%,. July has been recognised as Group B Strep Awareness Month,.

Group B streptococcal infection;. Bacteremia without a focus occurs in 80-85%,. July has been recognised as Group B Strep Awareness Month,. Group B streptococcal infection;. Bacteremia without a focus occurs in 80-85%,. July has been recognised as Group B Strep Awareness Month,. 12-10-2017 Group B streptococci are uniformly sensitive to penicillin

More information

EXTRACORPOREAL TECHNIQUES IN MODS: An Update :Techniques For Organ Support Where Are We In 2013? Prof Patrick Honoré,MD, PhD, Intensivist-Nephrologist

EXTRACORPOREAL TECHNIQUES IN MODS: An Update :Techniques For Organ Support Where Are We In 2013? Prof Patrick Honoré,MD, PhD, Intensivist-Nephrologist EXTRACORPOREAL TECHNIQUES IN MODS: An Update :Techniques For Organ Support Where Are We In 2013? 1.-CRRT : A «Lego» Module? 4.-Antibiotic Adaptation During Low Dose CRRT? 2.- CRRT + ECMO: What to do? 5.-

More information

Development of C sporins. Beta-lactam antibiotics - Cephalosporins. Second generation C sporins. Targets - PBP s

Development of C sporins. Beta-lactam antibiotics - Cephalosporins. Second generation C sporins. Targets - PBP s Beta-lactam antibiotics - Cephalosporins Development of C sporins Targets - PBP s Activity - Cidal - growing organisms (like the penicillins) Principles of action - Affinity for PBP s Permeability properties

More information

An Intriguing Case of Meningitis. Tiffany Mylius MLS (ASCP)

An Intriguing Case of Meningitis. Tiffany Mylius MLS (ASCP) An Intriguing Case of Meningitis { Tiffany Mylius MLS (ASCP) A 4yo male presents with 2wk history of URI symptoms. On the day of admission, the patient woke up with a HA in the morning, took a nap later

More information

We determined the nucleotide sequence between 1,903 and 3,097 bp of pbp1a

We determined the nucleotide sequence between 1,903 and 3,097 bp of pbp1a ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, Sept. 1998, p. 2267 2273 Vol. 42, No. 9 0066-4804/98/$04.00 0 Copyright 1998, American Society for Microbiology. All Rights Reserved. Association of a Thr-371 Substitution

More information

Translocation Studies Mid-Term Review (MTR) Meeting Marseille, France

Translocation Studies Mid-Term Review (MTR) Meeting Marseille, France Marie Curie Actions Research Training Networks (RTN) Translocation Studies Mid-Term Review (MTR) Meeting Marseille, France F. Vidal-Aroca, M.G.P. Page and J. Dreier Background Deteriorating situation regarding

More information

Lessons from recent studies. João Gonçalves Pereira UCIP DALI

Lessons from recent studies. João Gonçalves Pereira UCIP DALI Lessons from recent studies João Gonçalves Pereira UCIP DALI 1 Patterns of Antimicrobial Activity Concentration C max Aminoglycosides Cmax/MIC>10 Metronidazol Area under the concentration curve Azithromycin

More information

Incidence per 100,000

Incidence per 100,000 Streptococcus pneumoniae Surveillance Report 2005 Oregon Active Bacterial Core Surveillance (ABCs) Office of Disease Prevention & Epidemiology Oregon Department of Human Services Updated: March 2007 Background

More information

Streptococcus pyogenes

Streptococcus pyogenes Streptococcus pyogenes From Wikipedia, the free encyclopedia Streptococcus pyogenes S. pyogenes bacteria at 900x magnification. Scientific classification Kingdom: Eubacteria Phylum: Firmicutes Class: Cocci

More information

Extremely High Incidence of Macrolide and Trimethoprim- Sulfamethoxazole Resistance among Clinical Isolates of Streptococcus pneumoniae in Taiwan

Extremely High Incidence of Macrolide and Trimethoprim- Sulfamethoxazole Resistance among Clinical Isolates of Streptococcus pneumoniae in Taiwan JOURNAL OF CLINICAL MICROBIOLOGY, Apr. 1999, p. 897 901 Vol. 37, No. 4 0095-1137/99/$04.00 0 Copyright 1999, American Society for Microbiology. All Rights Reserved. Extremely High Incidence of Macrolide

More information

Emergence of Klebsiella pneumoniae ST258 with KPC-2 in Hong Kong. Title. Ho, PL; Tse, CWS; Lai, EL; Lo, WU; Chow, KH

Emergence of Klebsiella pneumoniae ST258 with KPC-2 in Hong Kong. Title. Ho, PL; Tse, CWS; Lai, EL; Lo, WU; Chow, KH Title Emergence of Klebsiella pneumoniae ST258 with KPC-2 in Hong Kong Author(s) Ho, PL; Tse, CWS; Lai, EL; Lo, WU; Chow, KH Citation International Journal Of Antimicrobial Agents, 2011, v. 37 n. 4, p.

More information

ADI_Res_Bull_2013_Pneumococcal_Vaccine_Tests

ADI_Res_Bull_2013_Pneumococcal_Vaccine_Tests ADI_Res_Bull_2013_Pneumococcal_Vaccine_Tests Most non-vaccinated humans and some animals have a natural exposure to non-virulent strains Streptococcus pneumonia, and therefore contain high levels of antibodies

More information

Streptococcus(gram positive coccus) Dr. Hala Al Daghistani

Streptococcus(gram positive coccus) Dr. Hala Al Daghistani Streptococcus(gram positive coccus) Dr. Hala Al Daghistani Streptococci Facultative anaerobe Gram-positive usually chains (sometimes pairs) Catalase negative Non motile Hemolysins Lancefield Groups (C-carbohydrate

More information

Expert rules. for Gram-negatives

Expert rules. for Gram-negatives Academic Perspective in Expert rules Emerging Issues of Resistance in Gram-ve Bacteria for Gram-negatives Trevor Winstanley Sheffield Teaching Hospitals Presented on behalf of David Livermore University

More information

Antibiotic Resistance of Non- pneumococcal Streptococci and Its Clinical Impact

Antibiotic Resistance of Non- pneumococcal Streptococci and Its Clinical Impact Antibiotic Resistance of Non- pneumococcal Streptococci and Its Clinical Impact 50 Nainee Desai, Judith Steenbergen, and David E. Katz 1 Introduction The taxonomy of streptococci has undergone major changes

More information

Streptococci facultative anaerobe

Streptococci facultative anaerobe THE GENUS STREPTOCOCCUS The genus Streptococcus obtains Gram-positive cocci, nonmotile, nonsporeforming, arranged mostly in chains or in pairs. Most species are facultative anaerobes. Some of streptococci

More information

ORIGINAL ARTICLE /j x

ORIGINAL ARTICLE /j x ORIGINAL ARTICLE 10.1111/j.1469-0691.2004.00869.x Invasive Streptococcus pneumoniae from Portugal: implications for vaccination and antimicrobial therapy I. Serrano, M. Ramirez, the Portuguese Surveillance

More information

Serotype Distribution and Antimicrobial Resistance of

Serotype Distribution and Antimicrobial Resistance of BioMed Research International Volume 2016, Article ID 6950482, 7 pages http://dx.doi.org/10.1155/2016/6950482 Research Article Serotype Distribution and Antimicrobial Resistance of Streptococcus pneumoniae

More information

Multi-clonal origin of macrolide-resistant Mycoplasma pneumoniae isolates. determined by multiple-locus variable-number tandem-repeat analysis

Multi-clonal origin of macrolide-resistant Mycoplasma pneumoniae isolates. determined by multiple-locus variable-number tandem-repeat analysis JCM Accepts, published online ahead of print on 30 May 2012 J. Clin. Microbiol. doi:10.1128/jcm.00678-12 Copyright 2012, American Society for Microbiology. All Rights Reserved. 1 2 Multi-clonal origin

More information

Bacteremic Pneumococccal Pneumonia: Current Therapeutic Options

Bacteremic Pneumococccal Pneumonia: Current Therapeutic Options Bacteremic Pneumococccal Pneumonia: Current Therapeutic Options Charles Feldman 1 MB BCh, PhD, DSc and Ronald Anderson 2 PhD From the Division of Pulmonology 1, Department of Internal Medicine, Charlotte

More information

World Health Organization Department of Communicable Disease Surveillance and Response

World Health Organization Department of Communicable Disease Surveillance and Response WHO/CDS/CSR/DRS/2001.6 Resistant pneumococcal infections Stephanie J. Schrag, Bernard Beall and Scott Dowell World Health Organization Department of Communicable Disease Surveillance and Response This

More information

Laboratory and Epidemiological Characteristics of Streptococcus pseudopneumoniae

Laboratory and Epidemiological Characteristics of Streptococcus pseudopneumoniae Laboratory and Epidemiological Characteristics of Streptococcus pseudopneumoniae Elaine Keith A thesis submitted for the degree of Master of Medical Laboratory Science at the University of Otago, Dunedin

More information

Report on susceptibility of Salmonella serotypes in Belgium Vicky Jasson

Report on susceptibility of Salmonella serotypes in Belgium Vicky Jasson CODA-CERVA Report on susceptibility of Salmonella serotypes in Belgium 2014. Vicky Jasson Veterinary and Agrochemical Research Centre 1 Introduction Salmonella is one of the most important bacterial zoonotic

More information

Methicillin-Resistant Staphylococcus aureus (MRSA) S urveillance Report 2008 Background Methods

Methicillin-Resistant Staphylococcus aureus (MRSA) S urveillance Report 2008 Background Methods Methicillin-Resistant Staphylococcus aureus (MRSA) Surveillance Report 2008 Oregon Active Bacterial Core Surveillance (ABCs) Office of Disease Prevention & Epidemiology Oregon Department of Human Services

More information

Affinity of Doripenem and Comparators to Penicillin-Binding Proteins in Escherichia coli and ACCEPTED

Affinity of Doripenem and Comparators to Penicillin-Binding Proteins in Escherichia coli and ACCEPTED AAC Accepts, published online ahead of print on February 00 Antimicrob. Agents Chemother. doi:./aac.01-0 Copyright 00, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights

More information

Sep Oct Nov Dec Total

Sep Oct Nov Dec Total LB PAGE 2 LB PAGE 3 Sep Oct Nov Dec 2007 2007 2007 2007 Total Repeat Information Total Repeats 35 15 17 9 76 Repeat Rate 6.01% 0.17% 1.12% 0.39% 2.07% Repeat Chemistry 25 0 2 0 27 Repeat Extraction 1 0

More information

Characteristics of Streptococcus pseudopneumoniae Isolated from Purulent Sputum Samples

Characteristics of Streptococcus pseudopneumoniae Isolated from Purulent Sputum Samples JOURNAL OF CLINICAL MICROBIOLOGY, Mar. 2006, p. 923 927 Vol. 44, No. 3 0095-1137/06/$08.00 0 doi:10.1128/jcm.44.3.923 927.2006 Copyright 2006, American Society for Microbiology. All Rights Reserved. Characteristics

More information

PK/PD degli antibiotici utilizzati nella sepsi

PK/PD degli antibiotici utilizzati nella sepsi PK/PD degli antibiotici utilizzati nella sepsi Dario Cattaneo, U.O. Farmacologia Clinica ASST Fatebenefratelli Sacco, Milano Bergamo, città alta Variability of antibiotic concentrations in critically ill

More information

Continuous Infusion of Antibiotics In The ICU: What Is Proven? Professor of Medicine Vice-Chairman, Department of Medicine SUNY at Stony Brook

Continuous Infusion of Antibiotics In The ICU: What Is Proven? Professor of Medicine Vice-Chairman, Department of Medicine SUNY at Stony Brook Continuous Infusion of Antibiotics In The ICU: What Is Proven? Michael S. Niederman, M.D. Chairman, Department of Medicine Winthrop-University Hospital Mineola, NY Professor of Medicine Vice-Chairman,

More information

A Snapshot of Colistin Use in South-East Europe and Particularly in Greece

A Snapshot of Colistin Use in South-East Europe and Particularly in Greece A Snapshot of Colistin Use in South-East Europe and Particularly in Greece Helen Giamarellou 02.05.2013 When Greek Physicians Prescribe Colistin? It is mainly prescribed in the ICU for VAP, bacteremia

More information

β-lactamase inhibitors

β-lactamase inhibitors β-lactamase inhibitors Properties, microbiology & enzymology DAVID M LIVERMORE Professor of Medical Microbiology, UEA Lead on Antibiotic Resistance, Public Health England β-lactamase classes A B C D Serine

More information

Invasive Bacterial Disease

Invasive Bacterial Disease Invasive Bacterial Disease All Streptococcus pneumoniae Electronic Disease Surveillance System Division of Surveillance and Disease Control Infectious Disease Epidemiology Program : 304-558-5358 or 800-423-1271

More information

Molecular mechanisms of antibiotic resistance in Neisseria gonorrhoeae

Molecular mechanisms of antibiotic resistance in Neisseria gonorrhoeae medicaldaily.com http://en.vircell.com/diseases ppcorn.com Molecular mechanisms of antibiotic resistance in Neisseria gonorrhoeae Robert Nicholas University of North Carolina at Chapel Hill cdc.gov Timeline

More information

A genomic dissection of travel associated ESBL producing Salmonella Typhi originating from the Philippines

A genomic dissection of travel associated ESBL producing Salmonella Typhi originating from the Philippines A genomic dissection of travel associated ESBL producing Salmonella Typhi originating from the Philippines A one-off occurrence or threat to the effective treatment of typhoid fever? Rene S. Hendriksen,

More information

Incidence per 100,

Incidence per 100, Group B Streptococcus Surveillance Report 2005 Oregon Active Bacterial Core Surveillance (ABCs) Office of Disease Prevention & Epidemiology Oregon Department of Human Services Updated: January 2007 Background

More information

HUSRES Annual Report 2009 Martti Vaara

HUSRES Annual Report 2009 Martti Vaara HUSRES Annual Report 2009 Martti Vaara www.huslab.fi www.intra.hus.fi Martti Vaara, 2/2010 1 The basis of this HUSRES 2009 report is the HUSLAB/Whonet database 2009, which contains susceptibility data

More information

Expert rules in antimicrobial susceptibility testing: State of the art

Expert rules in antimicrobial susceptibility testing: State of the art Expert rules in antimicrobial susceptibility testing: State of the art ESCMID Postgraduate Education Course Antimicrobial Susceptibility Testing and Surveillance: from Laboratory to Clinic Hospital Universitario

More information

Overcoming the PosESBLities of Enterobacteriaceae Resistance

Overcoming the PosESBLities of Enterobacteriaceae Resistance Overcoming the PosESBLities of Enterobacteriaceae Resistance Review of current treatment options Jamie Reed, PharmD Pharmacy Grand Rounds August 28, 2018 Rochester, MN 2018 MFMER slide-1 Disclosure No

More information

Of 142 cases where sex was known, 56 percent were male; of 127cases where race was known, 90 percent were white, 4 percent were

Of 142 cases where sex was known, 56 percent were male; of 127cases where race was known, 90 percent were white, 4 percent were Group B Streptococcus Surveillance Report 2014 Oregon Active Bacterial Core Surveillance (ABCs) Center for Public Health Practice Updated: November 2015 Background The Active Bacterial Core surveillance

More information

Veterinary and Agrochemical Research Centre

Veterinary and Agrochemical Research Centre Veterinary and Agrochemical Research Centre Report on susceptibility of Salmonella serotypes in Belgium. P. Butaye Susceptibility of Salmonella strains was assessed by MIC determination using Sensititer

More information

Surveillance of antimicrobial susceptibility of Enterobacteriaceae pathogens isolated from intensive care units and surgical units in Russia

Surveillance of antimicrobial susceptibility of Enterobacteriaceae pathogens isolated from intensive care units and surgical units in Russia Feb. 2016 THE JAPANESE JOURNAL OF ANTIBIOTICS 69 1 41 41 Surveillance of antimicrobial susceptibility of Enterobacteriaceae pathogens isolated from intensive care units and surgical units in Russia IRINA

More information

Detecting CRE. what does one need to do?

Detecting CRE. what does one need to do? 5 th ICAN Conference, Harare 4 th November 2014 Room 2: 10:30-12:00 Detecting CRE (Carbapenem-resistant Enterobacteriaceae) what does one need to do? Dr Nizam Damani Associate Medical Director Infection

More information

Received 26 June 1995/Returned for modification 15 September 1995/Accepted 5 February 1996

Received 26 June 1995/Returned for modification 15 September 1995/Accepted 5 February 1996 ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, Apr. 1996, p. 941 946 Vol. 40, No. 4 0066-4804/96/$04.00 0 Copyright 1996, American Society for Microbiology Amoxicillin Dose-Effect Relationship with Streptococcus

More information

Antibiotic resistance pattern of streptococcus pyogenes isolated from clinical samples with special reference to quinolone resistance

Antibiotic resistance pattern of streptococcus pyogenes isolated from clinical samples with special reference to quinolone resistance Original Research Article DOI: 10.18231/2394-5478.2017.0022 Antibiotic resistance pattern of streptococcus pyogenes isolated from clinical samples with special reference to quinolone resistance Thipperudraswamy.

More information

ORIGINAL ARTICLE. Pneumococcal acute otitis media in children

ORIGINAL ARTICLE. Pneumococcal acute otitis media in children ORIGINAL ARTICLE Pneumococcal acute otitis media in children G. Kouppari 1, A. Zaphiropoulou 1, G. Stamos 1, V. Deliyianni 1, N. Apostolopoulos 2 and N. J. Legakis 3 1 Microbiology Laboratory, 2 ENT Department

More information

Professor of Chemotherapy Department of Preclinical and Clinical Pharmacology University of Florence

Professor of Chemotherapy Department of Preclinical and Clinical Pharmacology University of Florence Professor of Chemotherapy Department of Preclinical and Clinical Pharmacology University of Florence Researching field Pharmacokinetics, Pharmacodynamics of antimicrobial, antifungal and antitumoral drugs

More information

Dr.Mohammed Al-Araji 2015/2016 Streptococcus pneumoniae

Dr.Mohammed Al-Araji 2015/2016 Streptococcus pneumoniae Dr.Mohammed Al-Araji 2015/2016 Streptococcus pneumoniae Streptococcus pneumoniae, or pneumococcus, is a Grampositive, alphahemolytic, aerotolerant, anaerobic member of the genusstreptococcus. A significant

More information

Adenium Biotech. Management: - Peter Nordkild, MD, CEO, ex Novo Nordisk, Ferring, Egalet - Søren Neve, PhD, project director, ex Lundbeck, Novozymes

Adenium Biotech. Management: - Peter Nordkild, MD, CEO, ex Novo Nordisk, Ferring, Egalet - Søren Neve, PhD, project director, ex Lundbeck, Novozymes Adenium Biotech Management: - Peter Nordkild, MD, CEO, ex Novo Nordisk, Ferring, Egalet - Søren Neve, PhD, project director, ex Lundbeck, Novozymes Board of Directors: - Stephan Christgau, PhD, chairman,

More information

*Address correspondence to Masaya Yamaguchi,

*Address correspondence to Masaya Yamaguchi, Supplementary information Evolutionary inactivation of a sialidase in group B Streptococcus Masaya Yamaguchi a, b, *, Yujiro Hirose a, c, Masanobu Nakata a, Satoshi Uchiyama b, Yuka Yamaguchi b, Kana Goto

More information

Altered PBP 2A and Its Role in the Development of Penicillin, Cefotaxime, and Ceftriaxone Resistance in a Clinical Isolate of Streptococcus pneumoniae

Altered PBP 2A and Its Role in the Development of Penicillin, Cefotaxime, and Ceftriaxone Resistance in a Clinical Isolate of Streptococcus pneumoniae ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, May 2005, p. 2002 2007 Vol. 49, No. 5 0066-4804/05/$08.00 0 doi:10.1128/aac.49.5.2002 2007.2005 Copyright 2005, American Society for Microbiology. All Rights Reserved.

More information

Cases in employees. Cases. Day of onset (July)

Cases in employees. Cases. Day of onset (July) Cases in employees 70 60 50 Cases 40 30 20 10 0 0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 Day of onset (July) 70 60 50 40 Cases 30 Cases in employees and visitors Employees Visitors 20 10 0 0 2 4 6 8

More information

Exploring the evolution of MRSA with Whole Genome Sequencing

Exploring the evolution of MRSA with Whole Genome Sequencing Exploring the evolution of MRSA with Whole Genome Sequencing PhD student: Zheng WANG Supervisor: Professor Margaret IP Department of Microbiology, CUHK Joint Graduate Seminar Department of Microbiology,

More information

State of Hong Kong Children

State of Hong Kong Children HK J Paediatr (new series) 2001;6:127-132 State of Hong Children Proceedings of The First Current Topic in Infectious Diseases: Consensus Meeting on Conjugate Vaccines of the Center of Infection, Faculty

More information

Revised AAC Version 2» New-Data Letter to the Editor ACCEPTED. Plasmid-Mediated Carbapenem-Hydrolyzing β-lactamase KPC-2 in

Revised AAC Version 2» New-Data Letter to the Editor ACCEPTED. Plasmid-Mediated Carbapenem-Hydrolyzing β-lactamase KPC-2 in AAC Accepts, published online ahead of print on 3 December 2007 Antimicrob. Agents Chemother. doi:10.1128/aac.01180-07 Copyright 2007, American Society for Microbiology and/or the Listed Authors/Institutions.

More information

Molecular Epidemiology of Penicillin-Susceptible, Multidrug- Resistant Serotype 6B Pneumococci Isolated from Children in Greece

Molecular Epidemiology of Penicillin-Susceptible, Multidrug- Resistant Serotype 6B Pneumococci Isolated from Children in Greece JOURNAL OF CLINICAL MICROBIOLOGY, Feb. 2001, p. 581 585 Vol. 39, No. 2 0095-1137/01/$04.00 0 DOI: 10.1128/JCM.39.2.581 585.2001 Copyright 2001, American Society for Microbiology. All Rights Reserved. Molecular

More information

Pre- and Postvaccination Clonal Compositions of Invasive Pneumococcal Serotypes for Isolates Collected in the United States in 1999, 2001, and 2002

Pre- and Postvaccination Clonal Compositions of Invasive Pneumococcal Serotypes for Isolates Collected in the United States in 1999, 2001, and 2002 JOURNAL OF CLINICAL MICROBIOLOGY, Mar. 2006, p. 999 1017 Vol. 44, No. 3 0095-1137/06/$08.00 0 doi:10.1128/jcm.44.3.999 1017.2006 Copyright 2006, American Society for Microbiology. All Rights Reserved.

More information

Haemophilus influenzae and its invisibility cloak. Anna Strain Virology Supervisor/VPD Reference Center Coordinator June 5, 2018

Haemophilus influenzae and its invisibility cloak. Anna Strain Virology Supervisor/VPD Reference Center Coordinator June 5, 2018 Haemophilus influenzae and its invisibility cloak Anna Strain Virology Supervisor/VPD Reference Center Coordinator June 5, 2018 Haemophilus influenzae Gram negative aerobic coccobacilli Pfeiffer s Bacillus-

More information

biological mechanisms Streptococcus pneumoniae virulence factors Mycobacterium tuberculosis pathogenesis Bacillus anthracis vaccine development

biological mechanisms Streptococcus pneumoniae virulence factors Mycobacterium tuberculosis pathogenesis Bacillus anthracis vaccine development http://www.microbio.uab.edu/ Bacteriology at UAB Streptococcus pneumoniae Mycobacterium tuberculosis Bacillus anthracis Mycoplasma biological mechanisms virulence factors pathogenesis vaccine development

More information

Örebro University Hospital

Örebro University Hospital Örebro University Hospital Department of Laboratory Medicine Susanne Jacobsson Date: 2015-02-18 Page 1 (8) Neisseria meningitidis 2014 Annual report concerning serogroup, genosubtype and antibiotic susceptibility

More information

December 3, 2015 Severe Sepsis and Septic Shock Antibiotic Guide

December 3, 2015 Severe Sepsis and Septic Shock Antibiotic Guide Severe Sepsis and Septic Shock Antibiotic Guide Surviving Sepsis: The choice of empirical antimicrobial therapy depends on complex issues related to the patient s history, including drug intolerances,

More information

University of Alberta Hospital Antibiogram for 2007 and 2008 Division of Medical Microbiology Department of Laboratory Medicine and Pathology

University of Alberta Hospital Antibiogram for 2007 and 2008 Division of Medical Microbiology Department of Laboratory Medicine and Pathology University of Alberta Hospital Antibiogram for 2007 and 2008 Division of Medical Microbiology Department of Laboratory Medicine and Pathology This material is supported in part by unrestricted educational

More information

Surveillance of invasive pneumococcal infection in Belgium

Surveillance of invasive pneumococcal infection in Belgium Surveillance of invasive pneumococcal infection in Belgium National Reference Laboratory Start in 198 Laboratory Microbiology UH Leuven (prof. J. Vandepitte) Capsular type determination Antibiotic susceptibility

More information

PHARMACOKINETIC & PHARMACODYNAMIC OF ANTIBIOTICS

PHARMACOKINETIC & PHARMACODYNAMIC OF ANTIBIOTICS PHARMACOKINETIC & PHARMACODYNAMIC OF ANTIBIOTICS SITI HIR HURAIZAH MD TAHIR Bpharm (UKM), MSc (Clinical Microbiology) (UoN) CLINICAL PHARMACIST HOSPITAL MELAKA WHY STUDY PHARMACOKINETICS (PK) AND PHARMACODYNAMICS

More information

Medical Bacteriology- Lecture: 6

Medical Bacteriology- Lecture: 6 Medical Bacteriology- Lecture: 6 Gram Positive Cocci Streptococcal Disease Streptococcus pyogenes Classification of Streptococci based on (1- Hemolysis reactions on blood agar) (Brown in 1903) The type

More information

Alberta Health and Wellness Public Health Notifiable Disease Management Guidelines August Pneumococcal Disease, Invasive (IPD)

Alberta Health and Wellness Public Health Notifiable Disease Management Guidelines August Pneumococcal Disease, Invasive (IPD) August 2011 Pneumococcal Disease, Invasive (IPD) Revision Dates Case Definition Reporting Requirements Remainder of the Guideline (i.e., Etiology to References sections inclusive) Case Definition August

More information

This material is supported in part by unrestricted educational grants from: Abbott, Bayer HealthCare, Merck Frosst, Roche Diagnostics, and Wyeth Inc.

This material is supported in part by unrestricted educational grants from: Abbott, Bayer HealthCare, Merck Frosst, Roche Diagnostics, and Wyeth Inc. Division of Medical Microbiology Department of Laboratory Medicine and Pathology University of Alberta Hospital and Stollery Children's Hospital Antibiogram 2006 This material is supported in part by unrestricted

More information

The Bacteriology of Bronchiectasis in Australian Indigenous children

The Bacteriology of Bronchiectasis in Australian Indigenous children The Bacteriology of Bronchiectasis in Australian Indigenous children Kim Hare, Amanda Leach, Peter Morris, Heidi Smith-Vaughan, Anne Chang Presentation outline What is bronchiectasis? Our research at Menzies

More information

Mark Alderson Simposio Subregional del Caribe sobre Neumococo Santo Domingo, October 2008

Mark Alderson Simposio Subregional del Caribe sobre Neumococo Santo Domingo, October 2008 Pneumococcal Vaccine Project Mark Alderson Simposio Subregional del Caribe sobre Neumococo Santo Domingo, October 2008 PATH s Mission To improve the health of people around the world by advancing technologies,

More information

Academic Perspective in. David Livermore Prof of Medical Microbiology, UEA Lead on Antibiotic resistance PHE

Academic Perspective in. David Livermore Prof of Medical Microbiology, UEA Lead on Antibiotic resistance PHE Academic Perspective in Emerging No, we can t Issues treat of carbapenemase Resistance and ESBL in Gram-ve producers Bacteria based on MIC David Livermore Prof of Medical Microbiology, UEA Lead on Antibiotic

More information

Emergence of Streptococcus pneumoniae with Very-High-Level Resistance to Penicillin

Emergence of Streptococcus pneumoniae with Very-High-Level Resistance to Penicillin ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, Aug. 2004, p. 3016 3023 Vol. 48, No. 8 0066-4804/04/$08.00 0 DOI: 10.1128/AAC.48.8.3016 3023.2004 Copyright 2004, American Society for Microbiology. All Rights Reserved.

More information

Prevalence of Extended Spectrum -Lactamases In E.coli and Klebsiella spp. in a Tertiary Care Hospital

Prevalence of Extended Spectrum -Lactamases In E.coli and Klebsiella spp. in a Tertiary Care Hospital ISSN: 2319-7706 Volume 3 Number 10 (2014) pp. 474-478 http://www.ijcmas.com Original Research Article Prevalence of Extended Spectrum -Lactamases In E.coli and Klebsiella spp. in a Tertiary Care Hospital

More information

Shirin Abadi, B.Sc.(Pharm.), ACPR, Pharm.D. Clinical Pharmacy Specialist & Pharmacy Education Coordinator, BC Cancer Agency Clinical Associate

Shirin Abadi, B.Sc.(Pharm.), ACPR, Pharm.D. Clinical Pharmacy Specialist & Pharmacy Education Coordinator, BC Cancer Agency Clinical Associate Shirin Abadi, B.Sc.(Pharm.), ACPR, Pharm.D. Clinical Pharmacy Specialist & Pharmacy Education Coordinator, BC Cancer Agency Clinical Associate Professor of Pharmacy & Associate Member of Medicine, UBC

More information

EFFECT OF ANTIMICROBIAL DRUGS ON THE INTESTINAL MICROFLORA: IMPORTANCE OF PHARMACOKINETIC PROPERTIES OF ANTIBACTERIAL AGENTS TOM BERGAN

EFFECT OF ANTIMICROBIAL DRUGS ON THE INTESTINAL MICROFLORA: IMPORTANCE OF PHARMACOKINETIC PROPERTIES OF ANTIBACTERIAL AGENTS TOM BERGAN Old Herborn University Seminar Monograph 3: Consequences of antimicrobial therapy for the composition of the microflora of the digestive tract. Editors: Carl Erik Nord, Peter J. Heidt, Volker Rusch, and

More information

AXITAB-CV TAB. COMPOSITION :

AXITAB-CV TAB. COMPOSITION : AXITAB-CV TAB. COMPOSITION : Each film coated tablet contains: Cefuroxime Axetil I.P. Eq. to Anhydrous 500mg. Potassium Clavulanate Diluted I.P. Eq. to Clavulanic Acid 125mg DESCRIPTION : Cefuroxime Axetil

More information

ICU Volume 11 - Issue 3 - Autumn Series

ICU Volume 11 - Issue 3 - Autumn Series ICU Volume 11 - Issue 3 - Autumn 2011 - Series Impact of Pharmacokinetics of Antibiotics in ICU Clinical Practice Introduction The efficacy of a drug is mainly dependent on its ability to achieve an effective

More information

Ampicillin Resistance Mechanisms in Clinical Haemophilus influenzae: What is Happening in Portugal?

Ampicillin Resistance Mechanisms in Clinical Haemophilus influenzae: What is Happening in Portugal? Ampicillin Resistance Mechanisms in Clinical Haemophilus influenzae: What is Happening in Portugal? M. Paula Bajanca-Lavado Haemophilus Reference Laboratory Infectious Disease Department National Institute

More information

Streptococcus pneumoniae

Streptococcus pneumoniae Streptococcus pneumoniae EPIDEMIOLOGY AND PREVENTION 2^4. November 2007 Prof. Dr. Kathrin Mühlemann Klinik und Poliklinik für Infektionskrankheiten Universität Bern, INSELSPITAL S. pneumoniae: epidemiology

More information

β- Lactamase Gene carrying Klebsiella pneumoniae and its Clinical Implication

β- Lactamase Gene carrying Klebsiella pneumoniae and its Clinical Implication Prevalence of Carbapenem-Hydrolyzing β- Lactamase Gene carrying Klebsiella pneumoniae and its Clinical Implication David Alcid M.D Balaji Yegneswaran M.D. Wanpen Numsuwan Introduction Klebsiella pneumoniae

More information

Fraser Health pandemic preparedness

Fraser Health pandemic preparedness Fraser Health pandemic preparedness DRAFT Last revised: April 2006 General Management of Patients in Acute Care Facilities During an Influenza Pandemic 1. OVERVIEW GENERAL MANAGEMENT OF PATIENTS IN ACUTE

More information

2019 PHP PRIMARY CARE INCENTIVE

2019 PHP PRIMARY CARE INCENTIVE Primary Care Physicians (PCP) of Physicians Health Network (PHN) may be eligible for an incentive payment in accordance with this PHP PCP Incentive (hereinafter referred to as the PCP Incentive ). As described

More information

Bio Microbiology - Spring 2010 Study Guide 21

Bio Microbiology - Spring 2010 Study Guide 21 Bio 230 - Microbiology - Spring 2010 Study Guide 21 Factors in Microbial Disease Host Parasite Interactions are Dynamic Evolution effects both Parasite and Host Pathogenic Properties of Bacteria Microorganisms

More information

The effect of probiotics on animal health: a focus on host s natural intestinal defenses

The effect of probiotics on animal health: a focus on host s natural intestinal defenses The effect of probiotics on animal health: a focus on host s natural intestinal defenses Guillaume Tabouret Animal Health Dept. Joint Unit 1225 Host Pathogens Interactions History of probiotics and definition

More information

POLICY FOR TREATMENT OF UPPER RESPIRATORY TRACT INFECTIONS

POLICY FOR TREATMENT OF UPPER RESPIRATORY TRACT INFECTIONS POLICY F TREATMENT OF UPPER RESPIRATY TRACT INFECTIONS Written by: Dr M Milupi, Consultant Microbiologist Date: June 2018 Approved by: Date: July 2018 The Drugs & Therapeutics Committee Implementation

More information

PHARMACEUTICAL MICROBIOLOGY -1I PHT 313. Dr. Rasheeda Hamid Abdalla Assistant Professor tmail.com

PHARMACEUTICAL MICROBIOLOGY -1I PHT 313. Dr. Rasheeda Hamid Abdalla Assistant Professor  tmail.com PHARMACEUTICAL MICROBIOLOGY -1I PHT 313 Dr. Rasheeda Hamid Abdalla Assistant Professor E-mail rasheedahamed12@ho tmail.com General Characteristics of Streptococci Gram-positive spherical/ovoid cocci arranged

More information

Streptococcus pneumoniae 356 moxifloxacin (MFLX), garenoxacin (GRNX) sitafloxacin

Streptococcus pneumoniae 356 moxifloxacin (MFLX), garenoxacin (GRNX) sitafloxacin 2009 21 1) 1, 2) 1, 2) 1) 1) 2) 1) 1) 1) 1) 1) 1, 2) 1) 2) 20 2 29 21 1 14 Streptococcus pneumoniae 356 moxifloxacin (MFLX), garenoxacin (GRNX) sitafloxacin (STFX), DX619 S. pneumoniae S. pneumoniae 60

More information

Acute Bacterial Meningitis in Infants and Children Epidemiology and Management

Acute Bacterial Meningitis in Infants and Children Epidemiology and Management REVIEW ARTICLE Pediatr Drugs 2011; 13 (6): 385-400 1174-5878/11/0006-0385/$49.95/0 ª 2011 Adis Data Information BV. All rights reserved. Acute Bacterial Meningitis in Infants and Children Epidemiology

More information

Medical Bacteriology- Lecture 6

Medical Bacteriology- Lecture 6 Medical Bacteriology- Lecture 6 Streptococci 1 Classification of Streptococci based on (1) - Hemolysis reactions on blood agar) (Brown in 1903) The type of hemolytic reaction on blood agar has long been

More information

Molecular Characterization of Penicillin-Resistant Streptococcus pneumoniae Isolates from Bulgaria

Molecular Characterization of Penicillin-Resistant Streptococcus pneumoniae Isolates from Bulgaria JOURNAL OF CLINICAL MICROBIOLOGY, Mar. 1999, p. 638 648 Vol. 37, No. 3 0095-1137/99/$04.00 0 Copyright 1999, American Society for Microbiology. All Rights Reserved. Molecular Characterization of Penicillin-Resistant

More information