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Published on: June 23, 2015
The special affinity of particular types of Proteus mirabilis for the urinary tract
Abstract:
The strains of Proteus species found in significant numbers and as pure cultures in urine from 217 individuals were isolated, identified to species level and typed for proticine production (P type) and proticine sensitivity (S type) to give their P/S type. Urinary-tract infections with Proteus, principally P. mirabilis, were associated with the elderly. Ninety seven distinct P/S types were found but three P/S types P3/S1,8, P3/S1,8,13 and P3/S1,13 were isolated at a much higher frequency (14%) then could be explained from their faecal carriage rate. These types were almost without exception restricted to patients with clinical symptoms of urinary-tract infection and it is suggested therefore that they have some special affinity 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.
Related Concept Videos
Drug Elimination by Renal Route: Tubular Secretion
Urinary Tract Infection I: Introduction
Urinary Tract Infection II: Pathophysiology
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
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Microbiota of the Urogenital Tract

