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Updated: Apr 26, 2026

Investigating the Effects of Probiotics on Pneumococcal Colonization Using an In Vitro Adherence Assay
Published on: April 28, 2014
[Colonization properties of opportunistic bacteria isolated from children with pneumonia]
Aim:
Evaluation of phenotypes and pathogenicity factors of 476 opportunistic bacteria isolated from respiratory samples of 973 children with community-acquired pneumonia and 36 children without respiratory infection symptoms.
Materials And Methods:
Quantitative method of tracheal aspirate and nasopharyngeal swab seeding into certified nutrient media was used, identification was carried out according to standard techniques.
Results:
Adhesive, "anti-interferon", anti-lysozyme and inherent bactericidal activity of Escherichia coli and Klebsiella pneumoniae, Staphylococcus aureus, Pseudomonas aeruginosa and Acinetobacter spp. were established to ensure in combination with known aggression factors their colonization advantage compared with other pneumopathogens. Adhesion indexes of Gram-negative bacteria lower than 2.5 are shown as markers of invasive strains. Anti-lysozyme activity level lower than 2.14 microg/ml and lack of "anti-interferon" activity characterize non-invasive opportunistic bacteria strains.
Conclusion:
The detected phenotypic features of opportunistic bacteria may be used in clinical practice for evaluatio of etiologic importance of microorganisms isolated from tracheal aspirate in pneumonia patients.
Insights
Phenotypic traits of opportunistic bacteria like adhesion and anti-lysozyme activity help identify invasive strains in children with community-acquired pneumonia. These factors aid in determining the etiological importance of isolated microorganisms.
Area of Science:
- Microbiology
- Pediatric Infectious Diseases
- Bacterial Pathogenesis
Background:
- Community-acquired pneumonia (CAP) in children is often caused by opportunistic bacteria.
- Understanding the virulence factors of these bacteria is crucial for effective treatment and diagnosis.
Purpose of the Study:
- To evaluate the phenotypes and pathogenicity factors of opportunistic bacteria isolated from pediatric respiratory samples.
- To differentiate between invasive and non-invasive strains based on specific bacterial activities.
Main Methods:
- Isolation and identification of opportunistic bacteria from tracheal aspirates and nasopharyngeal swabs of children with and without pneumonia.
- Quantitative assessment of bacterial phenotypes including adhesion, anti-lysozyme activity, and inherent bactericidal activity.
Main Results:
- Opportunistic bacteria such as Escherichia coli, Klebsiella pneumoniae, Staphylococcus aureus, Pseudomonas aeruginosa, and Acinetobacter spp. possess adhesive, anti-interferon, anti-lysozyme, and bactericidal activities.
- Invasive Gram-negative bacterial strains exhibit adhesion indexes below 2.5.
- Non-invasive strains are characterized by anti-lysozyme activity below 2.14 microg/ml and absence of "anti-interferon" activity.
Conclusions:
- Specific phenotypic features of opportunistic bacteria can serve as markers for invasive strains.
- These identified phenotypic characteristics can aid clinicians in assessing the etiological significance of bacteria isolated from pneumonia patients.
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