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Marc CC, Susan M, Sprintar SA, Licker M, Oatis DA, Marti DT, Susan R, Nicolescu LC, Mihu AG, Olariu TR, Muntean D. Prevalence and Antibiotic Resistance of Streptococcus agalactiae in Women of Childbearing Age Presenting Urinary Tract Infections from Western Romania. Life (Basel) 2024; 14:1476. [PMID: 39598274 PMCID: PMC11595585 DOI: 10.3390/life14111476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2024] [Revised: 11/11/2024] [Accepted: 11/12/2024] [Indexed: 11/29/2024] Open
Abstract
Urinary tract infections (UTIs) are a common bacterial infection in women of childbearing age. Streptococcus agalactiae (Group B Streptococcus-GBS), a rare causative pathogen of UTIs in this population, is particularly important due to the potential risk during pregnancy, when it can lead to life-threatening neonatal infections. The current study analyzed 17,273 urine samples collected from consecutive women aged 18-45 years from Arad County, Western Romania. A total of 2772 samples tested positive for UTIs. In 130 cases, GBS was identified as the causative agent. Univariate logistic regression analysis revealed that women aged 25-34 years were more likely to test positive for GBS than those aged 18-24 years (cOR = 1.91, 95% CI: 1.07-3.43, p = 0.03). Antibiotic sensitivity testing revealed that all GBS strains were fully sensitive to penicillin, ampicillin, and vancomycin. High resistance was observed for clindamycin (77.34%) and tetracycline (88.46%). While GBS was found to be a rare pathogen in UTIs, our results underscore the importance of monitoring GBS in women of childbearing age, especially due to its risks during pregnancy, and emphasize the need for appropriate antibiotic management.
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Affiliation(s)
- Constantin Catalin Marc
- Department of General Medicine, Doctoral School, “Victor Babes” University of Medicine and Pharmacy Timisoara, 300041 Timisoara, Romania;
- Department of Biology and Life Sciences, Faculty of Medicine, Vasile Goldis Western University of Arad, 310025 Arad, Romania; (D.A.O.); (D.T.M.); (L.C.N.)
| | - Monica Susan
- Centre for Preventive Medicine, Department of Internal Medicine, “Victor Babes” University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania;
| | - Sergiu Adrian Sprintar
- “Aurel Ardelean” Institute of Life Sciences, Vasile Goldis Western University of Arad, 86 Rebreanu, 310414 Arad, Romania;
| | - Monica Licker
- Multidisciplinary Research Center of Antimicrobial Resistance, Microbiology Department, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania; (M.L.); (D.M.)
- Microbiology Laboratory, “Pius Brinzeu” County Clinical Emergency Hospital, 300723 Timisoara, Romania
| | - Daniela Adriana Oatis
- Department of Biology and Life Sciences, Faculty of Medicine, Vasile Goldis Western University of Arad, 310025 Arad, Romania; (D.A.O.); (D.T.M.); (L.C.N.)
- “Aurel Ardelean” Institute of Life Sciences, Vasile Goldis Western University of Arad, 86 Rebreanu, 310414 Arad, Romania;
| | - Daniela Teodora Marti
- Department of Biology and Life Sciences, Faculty of Medicine, Vasile Goldis Western University of Arad, 310025 Arad, Romania; (D.A.O.); (D.T.M.); (L.C.N.)
| | - Razvan Susan
- Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy from Timisoara, Eftimie Murgu Square No. 2, 300041 Timisoara, Romania;
| | - Laura Corina Nicolescu
- Department of Biology and Life Sciences, Faculty of Medicine, Vasile Goldis Western University of Arad, 310025 Arad, Romania; (D.A.O.); (D.T.M.); (L.C.N.)
| | - Alin Gabriel Mihu
- Department of Biology and Life Sciences, Faculty of Medicine, Vasile Goldis Western University of Arad, 310025 Arad, Romania; (D.A.O.); (D.T.M.); (L.C.N.)
- “Aurel Ardelean” Institute of Life Sciences, Vasile Goldis Western University of Arad, 86 Rebreanu, 310414 Arad, Romania;
- Bioclinica Medical Analysis Laboratory, Dreptatii Street, nr. 23, 310300 Arad, Romania
| | - Tudor Rares Olariu
- Discipline of Parasitology, Department of Infectious Disease, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Center for Diagnosis and Study of Parasitic Diseases, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania
- Clinical Laboratory, Municipal Clinical Emergency Teaching Hospital, 300041 Timisoara, Romania
| | - Delia Muntean
- Multidisciplinary Research Center of Antimicrobial Resistance, Microbiology Department, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania; (M.L.); (D.M.)
- Microbiology Laboratory, “Pius Brinzeu” County Clinical Emergency Hospital, 300723 Timisoara, Romania
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Curiel Balsera E, Poullet Brea A, Prieto Palomino M. Experiencia con tigeciclina en el tratamiento de gérmenes multirresistentes en UCI. Med Intensiva 2011; 35:319-20. [DOI: 10.1016/j.medin.2010.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2010] [Revised: 09/03/2010] [Accepted: 09/09/2010] [Indexed: 11/24/2022]
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Sorlozano A, Gutiérrez J, Roman J, Liebana J, Piedrola G. Activity of daptomycin against multiresistant clinical isolates of Staphylococcus aureus and Streptococcus agalactiae. Microb Drug Resist 2009; 15:125-7. [PMID: 19432525 DOI: 10.1089/mdr.2009.0899] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The activity of daptomycin against 141 Staphylococcus aureus and 63 Streptococcus agalactiae isolates was assessed. The isolates were previously characterized and showed resistance to the antibiotics normally used against gram-positive cocci. Daptomycin was active against 100% of the isolates (minimum inhibitory concentration [MIC(90)] = 0.5 microg/ml, for both species). This antibiotic shows good in vitro activity; therefore, it is an excellent therapeutic alternative against these isolates.
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Affiliation(s)
- Antonio Sorlozano
- Department of Microbiology, School of Medicine, University of Granada, Granada, Spain
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