Pathogenesis of Proteus mirabilis urinary tract infection

C Coker1, C A Poore, X Li

  • 1Department of Microbiology and Immunology, University of Maryland, 655 W. Baltimore St., Baltimore, Maryland 21201, USA.

Microbes and Infection
|December 2, 2000
PubMed

Insights

Proteus mirabilis causes urinary tract infections, particularly in catheterized patients. This bacterium utilizes unique virulence factors to establish infection and persist in the host.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Urology

Background:

  • Proteus mirabilis is a Gram-negative bacterium.
  • It is a common cause of complicated urinary tract infections (UTIs), including cystitis and pyelonephritis.
  • UTIs caused by P. mirabilis disproportionately affect individuals with indwelling urinary catheters or underlying urinary tract abnormalities.

Purpose of the Study:

  • To investigate the virulence factors of Proteus mirabilis.
  • To understand the mechanisms of pathogenicity and persistence of P. mirabilis in the human urinary tract.

Main Methods:

  • Literature review of studies on Proteus mirabilis virulence.
  • Analysis of identified virulence factors and their roles in infection.

Main Results:

  • Proteus mirabilis possesses diverse virulence factors.
  • These factors include urease, swarming motility, fimbriae, and outer membrane proteins.
  • These contribute to biofilm formation, host tissue damage, and immune evasion.

Conclusions:

  • Proteus mirabilis employs a range of virulence factors to cause UTIs.
  • Understanding these factors is crucial for developing targeted therapies against P. mirabilis infections.

Related Concept Videos

Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
Microbiota of the Urogenital Tract01:28

Microbiota of the Urogenital Tract

The human urogenital system, once thought to be sterile in healthy individuals, is now recognized as a complex microbial habitat. Advancements in molecular sequencing techniques have revealed that even in healthy adults, the kidneys and bladder harbor microbial populations similar to those found in the distal urethra, albeit in much lower abundance. These resident microorganisms, while generally innocuous, can become opportunistic pathogens under conditions that alter the urogenital...
Urinary Tract Infection I: Introduction01:26

Urinary Tract Infection I: Introduction

Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such as Proteus,...
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Urine Studies II: Urine Culture and Sensitivity Test01:26

Urine Studies II: Urine Culture and Sensitivity Test

A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...