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Tetz GV, Kardava KM, Vecherkovskaya MF, Tsifansky MD, Tetz VV. Treatment of chronic relapsing urinary tract infection with antibiotics selected by AtbFinder. Urol Case Rep 2022; 46:102312. [PMID: 36619660 PMCID: PMC9817160 DOI: 10.1016/j.eucr.2022.102312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 12/28/2022] [Indexed: 12/29/2022] Open
Abstract
We report the case of a 46-year-old patient who, after renal cancer surgery, developed a recurrent urinary tract infection that lasted for more than 2 years. Despite repeated antibiotic courses, including broad-spectrum drugs chosen using conventional antibiotic susceptibility testing, multiple reinfections followed. The patient was successfully treated once antibiotics were selected with AtbFinder. Unlike routine antimicrobial susceptibility methods, which select antibiotics effective only against a "lead bacterial pathogen," AtbFinder identifies antibiotics that target the mixture of bacteria at the infection site. This case demonstrates the ability of AtbFinder to successfully select antibiotics for the treatment of relapsing urinary tract infections.
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Affiliation(s)
- George V. Tetz
- Human Microbiology Institute, New York, NY, USA,Corresponding author. 101 Avenue of the Americas, New York, NY, 10013, USA.
| | | | | | - Michael D. Tsifansky
- Department of Pediatrics, George Washington University (GWU), Washington, DC, USA,Divisions of Cardiac Critical Care Medicine and Pulmonary, Children's National Hospital, Washington, DC, USA
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Tetz GV, Tetz VV, Voroshilova TM, Smirnova EI, Kardava KM, Karamyan TA, Zaslavskaya NV, Vikina DS, Zaitseva MA, Artemenko KL, Vecherkovskaya MF, Kaufman AS. [The choice of antibiotic in microbiological study of pyoinflammatory processes.]. Klin Lab Diagn 2017; 62:372-375. [PMID: 31505116 DOI: 10.18821/0869-2084-2017-62-6-372-375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2016] [Accepted: 12/15/2016] [Indexed: 06/10/2023]
Abstract
The efficiency of application of test-system "Antibiotic Choice" was examined concerning evaluation of sensitivity to medications of maximal possible number of bacteria from pathological samples at burn trauma without isolation of pure culture. The results of metagenome analysis demonstrated that test-system permits supporting factually all bacteria discovered in wound discharge, including ones related to not cultivated yet. The comparison was carried out concerning results of standard identification of sensitivity of bacteria to antibiotics and efficient medication according the results of application of test-system "Antibiotic Choice". The obtained results demonstrate that test-system permits choosing antibiotic during 6-20 hours without separation of pure culture.
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Affiliation(s)
- G V Tetz
- The I.P. Pavlov first Sankt-Pereburgskii' state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - V V Tetz
- The I.P. Pavlov first Sankt-Pereburgskii' state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - T M Voroshilova
- The I.P. Pavlov first Sankt-Pereburgskii' state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - E I Smirnova
- The I.P. Pavlov first Sankt-Pereburgskii' state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - K M Kardava
- The I.P. Pavlov first Sankt-Pereburgskii' state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - T A Karamyan
- The I.P. Pavlov first Sankt-Pereburgskii' state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - N V Zaslavskaya
- The I.P. Pavlov first Sankt-Pereburgskii' state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - D S Vikina
- The I.P. Pavlov first Sankt-Pereburgskii' state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - M A Zaitseva
- The I.P. Pavlov first Sankt-Pereburgskii' state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - K L Artemenko
- The I.P. Pavlov first Sankt-Pereburgskii' state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - M F Vecherkovskaya
- The I.P. Pavlov first Sankt-Pereburgskii' state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - A S Kaufman
- The I.P. Pavlov first Sankt-Pereburgskii' state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
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Tets VV, Tets GV, Kardava KM. [Distribution of bacterial spores in supermarkets]. Gig Sanit 2017; 96:124-127. [PMID: 29446593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
This work presents results of the study on the environment prevalence of spores of aerobic bacteria, which are of potential danger to human health. The investigation of swabs from handles of supermarket trolleys revealed on their surface the presence of a large number of spores of unrelated pathogenic bacteria carrying as antibiotic resistance genes and the origin of genes protected by bacterial spores from harmful environmental conditions as well. The high resistance of bacterial spores to antiseptics and disinfectants can be considered as the reason for the their accumulation in the environment.
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Tetz GV, Tetz VV, Voroshilova TM, Smirnova EI, Kardava KM, Karamyan TA, Zaslavskaya NV, Vikina DS, Artemenko KL, Kaufman AS. [The choice of antibiotic in microbiological analysis of phlegm.]. Klin Lab Diagn 2017; 62:618-622. [PMID: 30821944 DOI: 10.18821/0869-2084-2017-62-10-618-622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Accepted: 05/21/2017] [Indexed: 06/09/2023]
Abstract
The efficiency of application of the test-system "Vy`borAntibiotika" (AntibioticChoice) in incubation of a maximal possible number of bacteria from pathologic material in case of pneumonia was studied. The results of meta-genome analysis permitted to establish that test-system support incubation of practically all bacteria detected in phlegm, including those attributed to so far non-incubated ones. The comparison of the results was carried out concerning a standard detection of sensitivity of bacteria to antibiotics and choice of efficient medicinal according the results of application of test-system "Vy`borAntibiotika". The obtained data demonstrates that test-system permits to choose antibiotic during 6-20 hours without isolation of pure strain.
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Affiliation(s)
- G V Tetz
- The I.P. Pavlov first Sankt-Pereburgskii state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - V V Tetz
- The I.P. Pavlov first Sankt-Pereburgskii state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - T M Voroshilova
- The I.P. Pavlov first Sankt-Pereburgskii state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - E I Smirnova
- The I.P. Pavlov first Sankt-Pereburgskii state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - K M Kardava
- The I.P. Pavlov first Sankt-Pereburgskii state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - T A Karamyan
- The I.P. Pavlov first Sankt-Pereburgskii state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - N V Zaslavskaya
- The I.P. Pavlov first Sankt-Pereburgskii state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - D S Vikina
- The I.P. Pavlov first Sankt-Pereburgskii state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - K L Artemenko
- The I.P. Pavlov first Sankt-Pereburgskii state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
| | - A S Kaufman
- The I.P. Pavlov first Sankt-Pereburgskii state medical university of Minzdrav of Russia, 197022, St. Petersburg, Russia
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Tetz GV, Tetz VV, Voroshilova TM, Smirnova EI, Kardava KM, Karamian TA, Zaslavskaia NV, Vikina DS, Zaitseva MA, Artemenko KM, Kaufman AS. [CHOOSING ANTIBIOTIC IN MICROBIOLOGICAL ANALYSIS OF INFECTIONS OF URINARY EXCRETION SYSTEM]. Klin Lab Diagn 2016; 61:114-116. [PMID: 27455567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The effectiveness of application of test-system "Choice of antibiotic" was evaluated as a tool for incubation of maximal amount of bacteria from pathological material under acute cystitis. The results of meta-genome analysis established that test-system permits supporting growth of practically all bacteria detected in urine, including ones relating to "uncultivated for the present". The comparison of results of standard detection of sensitivity of bacteria to antibiotics and identification of effective pharmaceutical according the results of application of test-system "Choice of antibiotic" as well was implemented It is demonstrated that test- system permits choosing antibiotic during 6-20 hours wiihout isolation of pure strain.
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