Evaluation of the Virulence Markers in the Clinical Isolates of Citrobacter Species: The First Report from India

Background: Citrobacter, a gram negative bacillus, is emerging as one of the major pathogens in hospital settings, with a potential to cause serious infections. Virulence markers are the factors which enhance the survival ability of the microorganisms. Among the gram negative bacilli, these have...

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Main Authors: Ritu Nayar, Indu Shukla, S Manazir Ali
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2013-06-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/3073/14%20-%205422_E(C)_PF1(M)_F(P)_PF1(P)_PF1(PP)_PFA(PUH).pdf
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author Ritu Nayar
Indu Shukla
S Manazir Ali
author_facet Ritu Nayar
Indu Shukla
S Manazir Ali
author_sort Ritu Nayar
collection DOAJ
description Background: Citrobacter, a gram negative bacillus, is emerging as one of the major pathogens in hospital settings, with a potential to cause serious infections. Virulence markers are the factors which enhance the survival ability of the microorganisms. Among the gram negative bacilli, these have been extensively studied in Escherichia coli. To the best of our knowledge as per internet search, we report that this study has been done for the first time in India on Citrobacter. Aims: An investigation was done to determine the ability of Citrobacter in producing virulence markers like the ability to survive the serum bactericidal activity, the resistance to the intracellular killing in the Polymorphonuclear Leucocytes (PMNLs) and the Cell Surface Hydrophobicity (CSH). Settings and Design: This prospective study was conducted in the Department of Microbiology of a tertiary care hospital in Aligarh, India, for a period of one year and six months. Material and Methods: A total of 105 clinical isolates and 20 control isolates from healthy subjects were identified as having Citrobacter spp. by using standard biochemical tests and they were studied for the presence of virulence markers like the ability to survive the serum bactericidal activity, the resistance to the intracellular killing in the Polymorphonuclear Leucocytes (PMNLs) and the cell surface hydrophobicity. The statistical analysis which was used: The standard deviations and the p-values were calculated for comparison. Results: Out of the 105 clinical isolates of Citrobacter which were studied, 86.6% isolates were resistant to 100% serum after 180 minutes of incubation and intracellular killing in PMNL was demonstrated in 17% strains. The Salt Aggregation Test (SAT) for the cell surface hydrophobicity was positive in 17.1% strains at different concentrations of ammonium sulphate. The presence of more than one virulence marker was present in 71.4% of the clinical isolates while in the control isolates. Conclusions: The presence of the virulence markers in Citrobacter demonstrated its pathogenic potential. Its invasiveness and ability to disseminate can be studied by identifying these markers.
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spelling doaj.art-1db6b9edd14e4992b47ca3096103e5462022-12-22T03:06:02ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2013-06-01761031103410.7860/JCDR/2013/5422.3073Evaluation of the Virulence Markers in the Clinical Isolates of Citrobacter Species: The First Report from IndiaRitu Nayar0Indu Shukla1S Manazir Ali2Senior Resident, Department of Microbiology, Dr Baba Saheb Ambedkar Hospital, Rohini, Delhi-85, India.Professor, Department of Microbiology, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh. U.P., India.Professor, Department of Paediatrics, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh. U.P., India.Background: Citrobacter, a gram negative bacillus, is emerging as one of the major pathogens in hospital settings, with a potential to cause serious infections. Virulence markers are the factors which enhance the survival ability of the microorganisms. Among the gram negative bacilli, these have been extensively studied in Escherichia coli. To the best of our knowledge as per internet search, we report that this study has been done for the first time in India on Citrobacter. Aims: An investigation was done to determine the ability of Citrobacter in producing virulence markers like the ability to survive the serum bactericidal activity, the resistance to the intracellular killing in the Polymorphonuclear Leucocytes (PMNLs) and the Cell Surface Hydrophobicity (CSH). Settings and Design: This prospective study was conducted in the Department of Microbiology of a tertiary care hospital in Aligarh, India, for a period of one year and six months. Material and Methods: A total of 105 clinical isolates and 20 control isolates from healthy subjects were identified as having Citrobacter spp. by using standard biochemical tests and they were studied for the presence of virulence markers like the ability to survive the serum bactericidal activity, the resistance to the intracellular killing in the Polymorphonuclear Leucocytes (PMNLs) and the cell surface hydrophobicity. The statistical analysis which was used: The standard deviations and the p-values were calculated for comparison. Results: Out of the 105 clinical isolates of Citrobacter which were studied, 86.6% isolates were resistant to 100% serum after 180 minutes of incubation and intracellular killing in PMNL was demonstrated in 17% strains. The Salt Aggregation Test (SAT) for the cell surface hydrophobicity was positive in 17.1% strains at different concentrations of ammonium sulphate. The presence of more than one virulence marker was present in 71.4% of the clinical isolates while in the control isolates. Conclusions: The presence of the virulence markers in Citrobacter demonstrated its pathogenic potential. Its invasiveness and ability to disseminate can be studied by identifying these markers.https://jcdr.net/articles/PDF/3073/14%20-%205422_E(C)_PF1(M)_F(P)_PF1(P)_PF1(PP)_PFA(PUH).pdfcitrobacterserum resistancecell surface hydrophobicityintracellular pmnl killing
spellingShingle Ritu Nayar
Indu Shukla
S Manazir Ali
Evaluation of the Virulence Markers in the Clinical Isolates of Citrobacter Species: The First Report from India
Journal of Clinical and Diagnostic Research
citrobacter
serum resistance
cell surface hydrophobicity
intracellular pmnl killing
title Evaluation of the Virulence Markers in the Clinical Isolates of Citrobacter Species: The First Report from India
title_full Evaluation of the Virulence Markers in the Clinical Isolates of Citrobacter Species: The First Report from India
title_fullStr Evaluation of the Virulence Markers in the Clinical Isolates of Citrobacter Species: The First Report from India
title_full_unstemmed Evaluation of the Virulence Markers in the Clinical Isolates of Citrobacter Species: The First Report from India
title_short Evaluation of the Virulence Markers in the Clinical Isolates of Citrobacter Species: The First Report from India
title_sort evaluation of the virulence markers in the clinical isolates of citrobacter species the first report from india
topic citrobacter
serum resistance
cell surface hydrophobicity
intracellular pmnl killing
url https://jcdr.net/articles/PDF/3073/14%20-%205422_E(C)_PF1(M)_F(P)_PF1(P)_PF1(PP)_PFA(PUH).pdf
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AT smanazirali evaluationofthevirulencemarkersintheclinicalisolatesofcitrobacterspeciesthefirstreportfromindia