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Detection of outbreak caused by multi-drug resistant Acinetobacter baumannii in Assiut University Hospitals

Research Abstract
There is mounting evidence that Acinetobacter baumannii has a naturally occurring carbapenemase gene intrinsic in this species. Presence of class 1 integrase gene in Acinetobacter isolates is a useful marker for causing outbreaks in hospitals and for being epidemic strains of A. baumannii. The goal of the present study was to detect the resistance and outbreak marker genes by multiplex polymerase chain reaction (PCR) (blaOXA-51-like gene and class 1 integrase gene). Also to detect the correlation between imipenem susceptibility and detection of blaOXA-51-like gene. For these purposes, 51 consecutive, non-duplicate, A. baumanii strains were isolated from various clinical and environmental specimens from the Intensive Care Units (ICUs) of Assiut University Hospitals, Egypt. All the isolates were identified by conventional standard methods. The antibiotic sensitivity pattern was determined by Kirby Bauer disc diffusion method. For imipenem, the minimum inhibitory concentrations (MICs) were determined using Epsilometer (E test). Multiplex PCR was performed for the detection of the blaOXA-51-like and Class I integrase genes. The blaOXA-51-like gene was detected in (95.8%) and (96.3%) in clinical and environmental isolates, respectively. Class I integrase gene was detected in (75%) and (70.3%) in clinical and environmental isolates, respectively with statistically significant difference (P value of clinical samples = 0.041 and P value of environmental samples =0.011). This means that these strains have metallo-beta-lactamase (MBL) gene (cause outbreak in hospital at any time). Also (67.35%) of A. baumanii isolates are imipenem sensitive and positive for blaOXA-51-like gene and this means that these isolates contain hidden metallo beta lactamase MBL gene. Detection of outbreak caused by multi-drug resistant Acinetobacter baumannii in Assiut University Hospitals (PDF Download Available). Available from: https://www.researchgate.net/publication/264039110_Detection_of_outbreak_caused_by_multi-drug_resistant_Acinetobacter_baumannii_in_Assiut_University_Hospitals [accessed Apr 16, 2016].
Research Authors
Enas A Daef, Ismail S Mohamed, Ahmed S Ahmed, Sherein G El-Gendy, Ibrahim M Sayed
Research Journal
African Journal of Microbiology Research
Research Member
Research Pages
2238-2244
Research Publisher
Academic Journals
Research Rank
1
Research Vol
Volume 8 -Issue 22
Research Website
DOI: 10.5897/AJMR2014.6795
Research Year
2014

Detection of outbreak caused by multi-drug resistant Acinetobacter baumannii in Assiut University Hospitals

Research Abstract
There is mounting evidence that Acinetobacter baumannii has a naturally occurring carbapenemase gene intrinsic in this species. Presence of class 1 integrase gene in Acinetobacter isolates is a useful marker for causing outbreaks in hospitals and for being epidemic strains of A. baumannii. The goal of the present study was to detect the resistance and outbreak marker genes by multiplex polymerase chain reaction (PCR) (blaOXA-51-like gene and class 1 integrase gene). Also to detect the correlation between imipenem susceptibility and detection of blaOXA-51-like gene. For these purposes, 51 consecutive, non-duplicate, A. baumanii strains were isolated from various clinical and environmental specimens from the Intensive Care Units (ICUs) of Assiut University Hospitals, Egypt. All the isolates were identified by conventional standard methods. The antibiotic sensitivity pattern was determined by Kirby Bauer disc diffusion method. For imipenem, the minimum inhibitory concentrations (MICs) were determined using Epsilometer (E test). Multiplex PCR was performed for the detection of the blaOXA-51-like and Class I integrase genes. The blaOXA-51-like gene was detected in (95.8%) and (96.3%) in clinical and environmental isolates, respectively. Class I integrase gene was detected in (75%) and (70.3%) in clinical and environmental isolates, respectively with statistically significant difference (P value of clinical samples = 0.041 and P value of environmental samples =0.011). This means that these strains have metallo-beta-lactamase (MBL) gene (cause outbreak in hospital at any time). Also (67.35%) of A. baumanii isolates are imipenem sensitive and positive for blaOXA-51-like gene and this means that these isolates contain hidden metallo beta lactamase MBL gene. Detection of outbreak caused by multi-drug resistant Acinetobacter baumannii in Assiut University Hospitals (PDF Download Available). Available from: https://www.researchgate.net/publication/264039110_Detection_of_outbreak_caused_by_multi-drug_resistant_Acinetobacter_baumannii_in_Assiut_University_Hospitals [accessed Apr 16, 2016].
Research Authors
Enas A Daef, Ismail S Mohamed, Ahmed S Ahmed, Sherein G El-Gendy, Ibrahim M Sayed
Research Journal
African Journal of Microbiology Research
Research Pages
2238-2244
Research Publisher
Academic Journals
Research Rank
1
Research Vol
Volume 8 -Issue 22
Research Website
DOI: 10.5897/AJMR2014.6795
Research Year
2014

Detection of outbreak caused by multi-drug resistant Acinetobacter baumannii in Assiut University Hospitals

Research Abstract
There is mounting evidence that Acinetobacter baumannii has a naturally occurring carbapenemase gene intrinsic in this species. Presence of class 1 integrase gene in Acinetobacter isolates is a useful marker for causing outbreaks in hospitals and for being epidemic strains of A. baumannii. The goal of the present study was to detect the resistance and outbreak marker genes by multiplex polymerase chain reaction (PCR) (blaOXA-51-like gene and class 1 integrase gene). Also to detect the correlation between imipenem susceptibility and detection of blaOXA-51-like gene. For these purposes, 51 consecutive, non-duplicate, A. baumanii strains were isolated from various clinical and environmental specimens from the Intensive Care Units (ICUs) of Assiut University Hospitals, Egypt. All the isolates were identified by conventional standard methods. The antibiotic sensitivity pattern was determined by Kirby Bauer disc diffusion method. For imipenem, the minimum inhibitory concentrations (MICs) were determined using Epsilometer (E test). Multiplex PCR was performed for the detection of the blaOXA-51-like and Class I integrase genes. The blaOXA-51-like gene was detected in (95.8%) and (96.3%) in clinical and environmental isolates, respectively. Class I integrase gene was detected in (75%) and (70.3%) in clinical and environmental isolates, respectively with statistically significant difference (P value of clinical samples = 0.041 and P value of environmental samples =0.011). This means that these strains have metallo-beta-lactamase (MBL) gene (cause outbreak in hospital at any time). Also (67.35%) of A. baumanii isolates are imipenem sensitive and positive for blaOXA-51-like gene and this means that these isolates contain hidden metallo beta lactamase MBL gene. Detection of outbreak caused by multi-drug resistant Acinetobacter baumannii in Assiut University Hospitals (PDF Download Available). Available from: https://www.researchgate.net/publication/264039110_Detection_of_outbreak_caused_by_multi-drug_resistant_Acinetobacter_baumannii_in_Assiut_University_Hospitals [accessed Apr 16, 2016].
Research Authors
Enas A Daef, Ismail S Mohamed, Ahmed S Ahmed, Sherein G El-Gendy, Ibrahim M Sayed
Research Journal
African Journal of Microbiology Research
Research Pages
2238-2244
Research Publisher
Academic Journals
Research Rank
1
Research Vol
Volume 8 -Issue 22
Research Website
DOI: 10.5897/AJMR2014.6795
Research Year
2014

Evaluation of chemical castration with calcium chloride versus surgical castration in donkeys: testosterone as an endpoint
marker

Research Abstract
Background: For the last few years, researchers have been interested in developing a method for chemical sterilization which may be a better alternative to surgical castration. An ideal chemical sterilant would be one that effectively arrests spermatogenesis and androgenesis as well as libido with absence of toxic or other side effects. Calcium chloride in various solutions and concentrations has been tested in many animal species, but few studies have been evaluated it in equines as a chemical sterilant. So, the objective of this study was to evaluate the clinical efficacy of chemical castration with 20 % calcium chloride dissolved in absolute ethanol in comparison with surgical castration in donkeys based on the changes in the serum testosterone level and the histopathological changes in treated testes. Methods: Twelve clinically healthy adult male donkeys were used in this study. Donkeys were divided randomly and equally into two groups: a surgical (S) group (n = 6) and a chemical (C) group (n = 6). Animals in the (S) group were subjected to surgical castration while those in the (C) group received a single bilateral intratesticular injection of 20 % calcium chloride dissolved in absolute ethanol (20 ml/testis). Animals were kept under clinical observation for 60 days. Changes in animals' behavior and gross changes in external genitalia were monitored daily. Serum concentrations of testosterone were measured prior to treatment and at 15, 30, 45 and 60 days post-treatment. Testicles in the (C) group were examined histopathologically at the end of the experiment. Results: Chemical castration with intratesticular calcium chloride vs. surgical castration failed to reduce serum concentrations of testosterone throughout the whole duration of the study; however it induced orchitis that was evident by focal necrotic areas in seminiferous tubules, cellular infiltration of neutrophils, proliferative intertubular fibrosis with a compensatory proliferation of Leydig cells. Donkeys tolerated the intratesticular injection of calcium chloride. There were no detectable changes in the general health status of the animals with the exception of swelling in external genitalia, scrotal ulcerations and fistulas. Food and water consumption and the gait of animals remained unaffected. Conclusion: Intratesticular calcium chloride can’t be considered an effective method for chemical castration in donkeys.
Research Authors
Ahmed Ibrahim1, Magda M. Ali, Nasser S. Abou-Khalil and Marwa F. Ali
Research Journal
BMC Veterinary Research
Research Pages
1-9
Research Publisher
NULL
Research Rank
1
Research Vol
Vol 12 - No.46
Research Website
NULL
Research Year
2016

Evaluation of chemical castration with calcium chloride versus surgical castration in donkeys: testosterone as an endpoint
marker

Research Abstract
Background: For the last few years, researchers have been interested in developing a method for chemical sterilization which may be a better alternative to surgical castration. An ideal chemical sterilant would be one that effectively arrests spermatogenesis and androgenesis as well as libido with absence of toxic or other side effects. Calcium chloride in various solutions and concentrations has been tested in many animal species, but few studies have been evaluated it in equines as a chemical sterilant. So, the objective of this study was to evaluate the clinical efficacy of chemical castration with 20 % calcium chloride dissolved in absolute ethanol in comparison with surgical castration in donkeys based on the changes in the serum testosterone level and the histopathological changes in treated testes. Methods: Twelve clinically healthy adult male donkeys were used in this study. Donkeys were divided randomly and equally into two groups: a surgical (S) group (n = 6) and a chemical (C) group (n = 6). Animals in the (S) group were subjected to surgical castration while those in the (C) group received a single bilateral intratesticular injection of 20 % calcium chloride dissolved in absolute ethanol (20 ml/testis). Animals were kept under clinical observation for 60 days. Changes in animals' behavior and gross changes in external genitalia were monitored daily. Serum concentrations of testosterone were measured prior to treatment and at 15, 30, 45 and 60 days post-treatment. Testicles in the (C) group were examined histopathologically at the end of the experiment. Results: Chemical castration with intratesticular calcium chloride vs. surgical castration failed to reduce serum concentrations of testosterone throughout the whole duration of the study; however it induced orchitis that was evident by focal necrotic areas in seminiferous tubules, cellular infiltration of neutrophils, proliferative intertubular fibrosis with a compensatory proliferation of Leydig cells. Donkeys tolerated the intratesticular injection of calcium chloride. There were no detectable changes in the general health status of the animals with the exception of swelling in external genitalia, scrotal ulcerations and fistulas. Food and water consumption and the gait of animals remained unaffected. Conclusion: Intratesticular calcium chloride can’t be considered an effective method for chemical castration in donkeys.
Research Authors
Ahmed Ibrahim1, Magda M. Ali, Nasser S. Abou-Khalil and Marwa F. Ali
Research Journal
BMC Veterinary Research
Research Pages
1-9
Research Publisher
NULL
Research Rank
1
Research Vol
Vol 12 - No.46
Research Website
NULL
Research Year
2016

Evaluation of chemical castration with calcium chloride versus surgical castration in donkeys: testosterone as an endpoint
marker

Research Abstract
Background: For the last few years, researchers have been interested in developing a method for chemical sterilization which may be a better alternative to surgical castration. An ideal chemical sterilant would be one that effectively arrests spermatogenesis and androgenesis as well as libido with absence of toxic or other side effects. Calcium chloride in various solutions and concentrations has been tested in many animal species, but few studies have been evaluated it in equines as a chemical sterilant. So, the objective of this study was to evaluate the clinical efficacy of chemical castration with 20 % calcium chloride dissolved in absolute ethanol in comparison with surgical castration in donkeys based on the changes in the serum testosterone level and the histopathological changes in treated testes. Methods: Twelve clinically healthy adult male donkeys were used in this study. Donkeys were divided randomly and equally into two groups: a surgical (S) group (n = 6) and a chemical (C) group (n = 6). Animals in the (S) group were subjected to surgical castration while those in the (C) group received a single bilateral intratesticular injection of 20 % calcium chloride dissolved in absolute ethanol (20 ml/testis). Animals were kept under clinical observation for 60 days. Changes in animals' behavior and gross changes in external genitalia were monitored daily. Serum concentrations of testosterone were measured prior to treatment and at 15, 30, 45 and 60 days post-treatment. Testicles in the (C) group were examined histopathologically at the end of the experiment. Results: Chemical castration with intratesticular calcium chloride vs. surgical castration failed to reduce serum concentrations of testosterone throughout the whole duration of the study; however it induced orchitis that was evident by focal necrotic areas in seminiferous tubules, cellular infiltration of neutrophils, proliferative intertubular fibrosis with a compensatory proliferation of Leydig cells. Donkeys tolerated the intratesticular injection of calcium chloride. There were no detectable changes in the general health status of the animals with the exception of swelling in external genitalia, scrotal ulcerations and fistulas. Food and water consumption and the gait of animals remained unaffected. Conclusion: Intratesticular calcium chloride can’t be considered an effective method for chemical castration in donkeys.
Research Authors
Ahmed Ibrahim1, Magda M. Ali, Nasser S. Abou-Khalil and Marwa F. Ali
Research Department
Research Journal
BMC Veterinary Research
Research Pages
1-9
Research Publisher
NULL
Research Rank
1
Research Vol
Vol 12 - No.46
Research Website
NULL
Research Year
2016

Safety and efficacy of Letrozole for ovulation induction in clomiphene-resistant polycystic ovarian syndrome patients with systemic lupus erythematosus

Research Abstract
NULL
Research Authors
Omar M. Shaaban MD1, Dalia A. Attallah MD2 , Safwat A. Salman MD1, Dina H. El-Hammady MD3, Tarek A. Farghaly MD1
Research Journal
Egyptian Journal of Dermatology and Andrology
Research Member
Dina Hatem Yousef El-Hammadi
Research Pages
NULL
Research Publisher
NULL
Research Rank
2
Research Vol
NULL
Research Website
www.ejda.eg.net
Research Year
2015

Safety and efficacy of Letrozole for ovulation induction in clomiphene-resistant polycystic ovarian syndrome patients with systemic lupus erythematosus

Research Abstract
NULL
Research Authors
Omar M. Shaaban MD1, Dalia A. Attallah MD2 , Safwat A. Salman MD1, Dina H. El-Hammady MD3, Tarek A. Farghaly MD1
Research Department
Research Journal
Egyptian Journal of Dermatology and Andrology
Research Pages
NULL
Research Publisher
NULL
Research Rank
2
Research Vol
NULL
Research Website
www.ejda.eg.net
Research Year
2015

Safety and efficacy of Letrozole for ovulation induction in clomiphene-resistant polycystic ovarian syndrome patients with systemic lupus erythematosus

Research Abstract
NULL
Research Authors
Omar M. Shaaban MD1, Dalia A. Attallah MD2 , Safwat A. Salman MD1, Dina H. El-Hammady MD3, Tarek A. Farghaly MD1
Research Journal
Egyptian Journal of Dermatology and Andrology
Research Pages
NULL
Research Publisher
NULL
Research Rank
2
Research Vol
NULL
Research Website
www.ejda.eg.net
Research Year
2015

Safety and efficacy of Letrozole for ovulation induction in clomiphene-resistant polycystic ovarian syndrome patients with systemic lupus erythematosus

Research Abstract
NULL
Research Authors
Omar M. Shaaban MD1, Dalia A. Attallah MD2 , Safwat A. Salman MD1, Dina H. El-Hammady MD3, Tarek A. Farghaly MD1
Research Journal
Egyptian Journal of Dermatology and Andrology
Research Pages
NULL
Research Publisher
NULL
Research Rank
2
Research Vol
NULL
Research Website
www.ejda.eg.net
Research Year
2015
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