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Updated: Feb 4, 2026

Quantitative Polymerase Chain Reaction-based Analyses of Murine Intestinal Microbiota After Oral Antibiotic Treatment
Published on: November 17, 2018
Oral Microbiota of the Snake Bothrops lanceolatus in Martinique
Dabor Résière1, Claude Olive2, Hatem Kallel3
1Intensive Care Unit, University Hospital of Martinique, Fort-de-France, 97200 Martinique, France. dabor.resiere@chu-martinique.fr.
Abstract:
In Martinique, Bothrops lanceolatus snakebite, although relatively uncommon (~30 cases/year), may result in serious complications such as systemic thrombosis and local infections. Infections have been hypothesized to be related to bacteria present in the snake's oral cavity. In this investigation, we isolated, identified, and studied the susceptibility to beta-lactams of bacteria sampled from the oral cavity of twenty-six B. lanceolatus specimens collected from various areas in Martinique. Microbiota from B. lanceolatus oral cavity was polymicrobial. Isolated bacteria belonged to fifteen different taxa; the most frequent being Aeromonas hydrophyla (present in 50% of the samples), Morganella morganii, Klebsiella pneumoniae, Bacillus spp., and Enterococcus spp. Analysis of antibiotic susceptibility revealed that 66.7% of the isolated bacteria were resistant to amoxicillin/clavulanate. In contrast, the majority of isolated bacteria were susceptible to the third-generation cephalosporins (i.e., 73.3% with cefotaxime and 80.0% with ceftazidime). Microbiota from B. lanceolatus oral cavity is polymicrobial with bacteria mostly susceptible to third-generation cephalosporins but rarely to amoxicillin/clavulanate. In conclusion, our findings clearly support that first-line antibiotic therapy in the B. lanceolatus-bitten patients, when there is evidence of infection, should include a third-generation cephalosporin rather than amoxicillin/clavulanate.
Insights
Bacterial infections from Bothrops lanceolatus snakebites in Martinique are polymicrobial. Most oral bacteria were susceptible to third-generation cephalosporins, but resistant to amoxicillin/clavulanate, suggesting improved antibiotic therapy.
Area of Science:
- Microbiology
- Infectious Diseases
- Herpetology
Background:
- Bothrops lanceolatus snakebites in Martinique, though infrequent, can cause severe complications like thrombosis and infections.
- Infections are suspected to originate from bacteria within the snake's oral cavity.
- Understanding the oral microbiota of B. lanceolatus is crucial for effective infection management.
Purpose of the Study:
- To isolate and identify bacteria from the oral cavity of Bothrops lanceolatus.
- To determine the susceptibility of these bacteria to beta-lactam antibiotics.
- To inform optimal antibiotic treatment strategies for B. lanceolatus envenomation.
Main Methods:
- Bacterial samples were collected from the oral cavities of 26 B. lanceolatus specimens in Martinique.
- Bacteria were isolated, identified using standard microbiological techniques.
- Antibiotic susceptibility testing was performed, focusing on beta-lactam agents like amoxicillin/clavulanate and third-generation cephalosporins (cefotaxime, ceftazidime).
Main Results:
- The oral microbiota of B. lanceolatus was polymicrobial, comprising fifteen different bacterial taxa.
- Aeromonas hydrophyla was the most frequent isolate (50%), followed by Morganella morganii, Klebsiella pneumoniae, Bacillus spp., and Enterococcus spp.
- A significant proportion (66.7%) of isolates showed resistance to amoxicillin/clavulanate, while most were susceptible to cefotaxime (73.3%) and ceftazidime (80.0%).
Conclusions:
- The oral cavity of Bothrops lanceolatus harbors a diverse bacterial community.
- Third-generation cephalosporins are more effective against these bacteria than amoxicillin/clavulanate.
- First-line antibiotic therapy for B. lanceolatus bite-associated infections should prioritize third-generation cephalosporins over amoxicillin/clavulanate.
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