The in-vitro activity of ten antimicrobial agents was evaluated for 28 clinical isolates of Bacteroides ureolyticus, an obligate anaerobe associated with non-gonococcal urethritis. The isolates were characterized by plasmid DNA profile and PAGE protein pattern. All isolates were inhibited at concentrations equal to or lower than the recommended breakpoint concentration for ampicillin (16 mg/l), metronidazole (16 mg/l) and erythromycin (4 mg/l). Twenty-seven isolates were inhibited by less than or equal to 2 mg/l of ciprofloxacin, pefloxacin and ofloxacin. Four isolates were tetracycline-resistant requiring 2-64 mg/l of tetracycline, minocycline or doxycycline for inhibition. In two tetracycline-resistant isolates tetM was demonstrated by dot-blot and Southern hybridizations. These two isolates did not contain a plasmid and had a PAGE protein pattern type III. These data confirm the spread of the tetM determinant in various bacteria of the genital tract.
A clinical isolate of Enterobacter cloacae BF280 showing a multidrug resistance phenotype including resistance to β-lactams and quinolones is the subject of this study. This strain was isolated from a patient at the intensive care unit of a military hospital (hôpital Militaire de Tunis). By polymerase chain reaction amplification and sequencing, this isolate was found to produce quinolone resistance determinant QnrS1. In addition, it was found to produce CTX-M-28, OXA-1 and TEM-1. The qnrS, bla CTX-M-28 , bla TEM-1 and bla OXA-1 genes were located on a highly conjugative plasmid.
AN-Ident (Analytab Products, Inc., Plainview, N.Y.) is a ready-to-use system for anaerobe identification. It is based on the detection of constitutive preformed enzymes, is growth independent, and requires only 4 h of aerobic incubation. This micromethod was evaluated for its ability to identify anaerobic bacteria by using a conventional methodology as a reference. Of 265 clinical isolates, AN-Ident accurately identified 241 (91%) of the isolates to the species level and 259 (98%) of the isolates to the genus level, with limited supplemental testing needed (5%). The AN-Ident system performed well for the most common pathogens but less satisfactorily for infrequently isolated and/or asaccharolytic species; expansion and updating of the data base would be helpful. Although some color reactions were difficult to interpret, the commercial kit was easy to use.
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