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Published on: June 23, 2015
Leuconostoc pseudomesenteroides as a cause of nosocomial urinary tract infections
E A Cappelli1, R R Barros, T C Camello
1Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20551, Brazil.
Abstract:
The phenotypic and genotypic characterization of five clinical isolates of Leuconostoc pseudomesenteroides associated with nosocomially acquired urinary tract infections is described. All the strains were susceptible to chloramphenicol, clindamycin, erythromycin, gentamicin, and tetracycline; all were resistant to nalidixic acid, norfloxacin, and vancomycin; and all were intermediately affected by ampicillin and penicillin. Analysis of chromosomal DNA by pulsed-field gel electrophoresis after treatment with SmaI indicated a clonal relationship of the isolates. The results provide evidence for the possibility of nosocomial transmission of this unusual opportunistic, vancomycin-resistant pathogen.
Insights
This study characterized five clinical isolates of Leuconostoc pseudomesenteroides causing hospital-acquired urinary tract infections. Evidence suggests these vancomycin-resistant opportunistic pathogens may be transmitted within healthcare settings.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Science
Background:
- Nosocomial infections pose a significant threat in healthcare settings.
- Urinary tract infections (UTIs) are common hospital-acquired infections.
- Emergence of antibiotic-resistant pathogens complicates treatment strategies.
Purpose of the Study:
- To conduct phenotypic and genotypic characterization of Leuconostoc pseudomesenteroides clinical isolates.
- To investigate the antibiotic susceptibility profiles of these isolates.
- To determine the potential for nosocomial transmission among these strains.
Main Methods:
- Phenotypic characterization including antibiotic susceptibility testing.
- Genotypic characterization using pulsed-field gel electrophoresis (PFGE) of chromosomal DNA after SmaI digestion.
- Analysis of five clinical isolates from nosocomial UTIs.
Main Results:
- All isolates were susceptible to chloramphenicol, clindamycin, erythromycin, gentamicin, and tetracycline.
- All isolates exhibited resistance to nalidixic acid, norfloxacin, and vancomycin.
- PFGE analysis revealed a clonal relationship among the isolates, suggesting a common source or transmission.
Conclusions:
- Leuconostoc pseudomesenteroides can act as an opportunistic pathogen in hospital-acquired UTIs.
- The isolates demonstrated a concerning resistance pattern, including to vancomycin.
- Genotypic data support the possibility of nosocomial transmission of this pathogen.
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Urinary Tract Infection II: Pathophysiology
Urinary Tract Infection I: Introduction
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Urine Studies II: Urine Culture and Sensitivity Test

