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Published on: December 1, 2017
Ascending urinary tract infections in rats induced by Staphylococcus saprophyticus and Proteus mirabilis
E Hjelm1, I Lundell-Etherden, P A Mårdh
1Institute of Clinical Bacteriology, University of Uppsala, Sweden.
Abstract:
Ascending pyelonephritis was induced by Staphylococcus saprophyticus and Proteus mirabilis both by inoculating the organisms separately and in combination into rat bladders. Bacterial cultures of tissue homogenates showed that pyelonephritis by both bacteria occurred significantly more often in rats where the two organisms were instilled concomitantly, suggesting a synergistic virulence between the two species. The antibody response to the different organisms was the same either the bacteria were instilled separately or in combination.
Insights
This study reveals that Staphylococcus saprophyticus and Proteus mirabilis exhibit synergistic virulence, causing more frequent pyelonephritis when co-infecting rat bladders. Antibody responses remained consistent regardless of co-infection.
Area of Science:
- Microbiology
- Infectious Diseases
- Urology
Background:
- Ascending pyelonephritis is a significant kidney infection.
- Staphylococcus saprophyticus and Proteus mirabilis are common uropathogens.
Purpose of the Study:
- To investigate the virulence and synergistic effects of Staphylococcus saprophyticus and Proteus mirabilis in inducing experimental ascending pyelonephritis.
- To evaluate the host antibody response to these bacteria during monoinfection versus coinfection.
Main Methods:
- Ascending pyelonephritis was induced in rats by inoculating Staphylococcus saprophyticus and Proteus mirabilis, separately and in combination, into the bladders.
- Bacterial cultures of kidney tissue homogenates were performed to assess infection.
- Antibody responses were measured to evaluate host immunity.
Main Results:
- Pyelonephritis occurred significantly more often when both bacteria were instilled concomitantly compared to separate instillations.
- This suggests a synergistic virulence between Staphylococcus saprophyticus and Proteus mirabilis.
- The antibody response to each bacterium was similar whether they were instilled separately or together.
Conclusions:
- Staphylococcus saprophyticus and Proteus mirabilis demonstrate synergistic virulence in the development of ascending pyelonephritis.
- Coinfection with these pathogens may lead to more severe outcomes than monoinfection.
- Host antibody response does not appear to be enhanced by coinfection in this model.
Related Concept Videos
Urinary Tract Infection I: Introduction
Urinary Tract Infection II: Pathophysiology
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
Urine Studies II: Urine Culture and Sensitivity Test
Microbiota of the Urogenital Tract

