The special affinity of particular types of Proteus mirabilis for the urinary tract

Insights

Proteus mirabilis strains causing urinary-tract infections, particularly in the elderly, were identified. Specific P/S types showed a higher prevalence in patients, suggesting a urinary tract affinity.

Area of Science:

  • Microbiology
  • Infectious Diseases

Background:

  • Proteus species are common causes of urinary-tract infections (UTIs).
  • Understanding Proteus strain characteristics is crucial for managing UTIs, especially in vulnerable populations.

Purpose of the Study:

  • To isolate, identify, and characterize Proteus species from urine samples.
  • To determine the P/S (proticine production/sensitivity) types of isolated strains.
  • To investigate the association between specific Proteus P/S types and UTIs.

Main Methods:

  • Isolation and identification of Proteus species from 217 urine samples.
  • Typing of strains for proticine production (P type) and sensitivity (S type).
  • Analysis of P/S types frequency and correlation with clinical UTI symptoms.

Main Results:

  • Proteus strains, predominantly P. mirabilis, were frequently isolated from elderly patients with UTIs.
  • Ninety-seven distinct P/S types were identified.
  • Three specific P/S types (P3/S1,8, P3/S1,8,13, and P3/S1,13) occurred at a significantly higher frequency (14%) than expected from fecal carriage rates.

Conclusions:

  • Certain Proteus P/S types exhibit a higher prevalence in patients with symptomatic UTIs.
  • These specific P/S types may possess a particular affinity for the urinary tract, warranting further investigation.

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