Slime production among uropathogenic bacterial isolates: Evaluating different phenotypic detection methods.
Keywords:
Bacterial Biofilm, uropathogens, TCP, urinary cathetersAbstract
Background: Biofilms are surface associated bacterial communities surrounded by a matrix of Exo -polymers. Biofilms contribute to the development of chronic urinary infections, refractory to antibiotic therapy.
Methods: This prospective study was done on 150 non-repetitive urine samples from catheterized patients. Semi-quantitative bacterial culture was performed and isolates were identified by standard biochemical tests. Biofilm formation was detected by Congo Red Agar Method (CRA), Tube Method (TM) and Tissue Culture Plate Method (TCP).
Result: Significant bacteriuria was observed among 113/150(74.66%) samples. Gram negative bacteria (GNB) were predominant isolates 101(89.38%) and among GNB, Escherichia coli was commonly isolated 30/101(29.70%).Non E.coli Enterobacteriaceae (NECE) isolates include Klebsiella spp. 25/101(24.75%), Citrobacter spp 07/101(6.93%), Proteus spp. 17/101(16.83%) among non-fermenter bacteria Pseudomonas aeruginosa 21/101(20.79%).Gram positive (GPB) constitute 12/113(10.61%) among total isolates. Biofilm producers detected by TCP 79(69.91%), TM 60(53.09%) and CRA 11(9.73%) respectively.
Conclusion: Detection of biofilms can be recommended for recurrent and recalcitrant infections before institution of empirical antibiotics. TCP method with good reproducibility and specificity which can be used for detection of biofilms in resource limited settings.
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DOI:Â 10.21276/apalm.2017.1064
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