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Proteus spp.-taxonomy, clinical significance, and antibiotic resistance of a highly versatile pathogen
Linea Katharina Muhsal1,2, Lisa Theis1, Jörg Overmann3,4,5
1Institute of Medical Microbiology and Virology, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.
Abstract:
SUMMARYProteus spp. are members of the Enterobacterales order and are widely found in humans, animals, and the environment. Some species, particularly P. mirabilis, are highly pathogenic and are among the most frequent causes of urinary tract and bloodstream infections. Proteus spp. possess a variety of virulence factors, such as swarming and urease activity, leading to persistent and severe infections. An increasing resistance to antibiotics has been reported for isolates and poses a substantial threat to global health. In recent years, several new Proteus spp. have been described, but their potential as pathogens has not yet been determined. Here, we provide an update on the taxonomy, virulence factors, and antibiotic resistance of Proteus spp.
Insights
Proteus bacteria, including P. mirabilis, cause severe infections and antibiotic resistance is rising. This review updates knowledge on Proteus taxonomy, virulence, and resistance, highlighting their threat to global health.
Area of Science:
- Microbiology
- Infectious Diseases
- Bacteriology
Background:
- Proteus species are common bacteria found in humans, animals, and the environment.
- Certain Proteus species, notably Proteus mirabilis, are significant pathogens causing urinary tract and bloodstream infections.
- These bacteria possess virulence factors like swarming motility and urease production, contributing to persistent and severe infections.
Purpose of the Study:
- To provide an updated overview of the taxonomy of Proteus species.
- To review the known virulence factors associated with Proteus infections.
- To summarize the current state of antibiotic resistance in Proteus isolates and its global health implications.
Main Methods:
- Literature review and synthesis of recent research findings.
- Analysis of taxonomic classifications and phylogenetic relationships.
- Compilation of data on virulence mechanisms and antimicrobial susceptibility patterns.
Main Results:
- Recent discoveries have expanded the known diversity of Proteus species.
- Established virulence factors contribute to the pathogenicity of Proteus.
- Increasing antibiotic resistance among Proteus isolates poses a significant public health challenge.
Conclusions:
- Proteus species represent a growing concern due to their pathogenicity and evolving antibiotic resistance.
- Continued research into Proteus taxonomy, virulence, and resistance is crucial for effective clinical management.
- Understanding these factors is essential for addressing the global health threat posed by Proteus infections.
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