A brief insight into Citrobacter species - a growing threat to public health

Citrobacter spp. are Gram-negative, non-spore forming, rod-shaped, facultative anaerobic bacteria from the Enterobacteriaceae family often found in soil, sewage, sludge, water, food, and the intestinal tracts of animals and humans. Several members of Citrobacter spp. especially C. freundii, C. koser...

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Main Authors: Ishrat Jabeen, Sohidul Islam, A. K. M. Imrul Hassan, Zerin Tasnim, Sabbir R. Shuvo
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Antibiotics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/frabi.2023.1276982/full
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author Ishrat Jabeen
Sohidul Islam
A. K. M. Imrul Hassan
Zerin Tasnim
Sabbir R. Shuvo
author_facet Ishrat Jabeen
Sohidul Islam
A. K. M. Imrul Hassan
Zerin Tasnim
Sabbir R. Shuvo
author_sort Ishrat Jabeen
collection DOAJ
description Citrobacter spp. are Gram-negative, non-spore forming, rod-shaped, facultative anaerobic bacteria from the Enterobacteriaceae family often found in soil, sewage, sludge, water, food, and the intestinal tracts of animals and humans. Several members of Citrobacter spp. especially C. freundii, C. koseri, C. braakii are frequently detected in newborn illnesses, urinary tract infections, and patients with severe underlying conditions, including hypertension, diabetes, cancer, and respiratory infections, or those who are immunocompromised. Strains of Citrobacter spp. can spread vertically or horizontally from carriers or other hospital sources and thus cause nosocomial infections in hospital settings. A total of 19 Citrobacter genomospecies have been recognized based on genomics. It has been noted that the Citrobacter genus acquired antimicrobial resistance and virulence, including invasion, colonization, biofilm formation, and toxin production. The recent emergence and spread of antimicrobial resistance to β-lactams, carbapenems, fluoroquinolones, aminoglycosides, and colistin in Citrobacter spp. through chromosomal and plasmid-mediated resistance limits the empiric treatment options. Therefore, combination therapy involving costly and potentially hazardous antibiotics poses significant challenges in treating Citrobacter infections. Here we summarized the nomenclature of Citrobacter spp., clinical manifestations, epidemiology, pathogenesis, antibiotic resistance mechanisms, and treatments from various clinical samples. This review will expand our knowledge of the genomics and epidemiology of Citrobacter spp., enabling improved control of infections and the spread of these organisms.
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spelling doaj.art-31b1fb0e7a9f4cb596da500863a40a7b2023-12-05T05:07:22ZengFrontiers Media S.A.Frontiers in Antibiotics2813-24672023-12-01210.3389/frabi.2023.12769821276982A brief insight into Citrobacter species - a growing threat to public healthIshrat JabeenSohidul IslamA. K. M. Imrul HassanZerin TasnimSabbir R. ShuvoCitrobacter spp. are Gram-negative, non-spore forming, rod-shaped, facultative anaerobic bacteria from the Enterobacteriaceae family often found in soil, sewage, sludge, water, food, and the intestinal tracts of animals and humans. Several members of Citrobacter spp. especially C. freundii, C. koseri, C. braakii are frequently detected in newborn illnesses, urinary tract infections, and patients with severe underlying conditions, including hypertension, diabetes, cancer, and respiratory infections, or those who are immunocompromised. Strains of Citrobacter spp. can spread vertically or horizontally from carriers or other hospital sources and thus cause nosocomial infections in hospital settings. A total of 19 Citrobacter genomospecies have been recognized based on genomics. It has been noted that the Citrobacter genus acquired antimicrobial resistance and virulence, including invasion, colonization, biofilm formation, and toxin production. The recent emergence and spread of antimicrobial resistance to β-lactams, carbapenems, fluoroquinolones, aminoglycosides, and colistin in Citrobacter spp. through chromosomal and plasmid-mediated resistance limits the empiric treatment options. Therefore, combination therapy involving costly and potentially hazardous antibiotics poses significant challenges in treating Citrobacter infections. Here we summarized the nomenclature of Citrobacter spp., clinical manifestations, epidemiology, pathogenesis, antibiotic resistance mechanisms, and treatments from various clinical samples. This review will expand our knowledge of the genomics and epidemiology of Citrobacter spp., enabling improved control of infections and the spread of these organisms.https://www.frontiersin.org/articles/10.3389/frabi.2023.1276982/fullCitrobacter spp.epidemiologypathogenesismultidrug resistancetreatment
spellingShingle Ishrat Jabeen
Sohidul Islam
A. K. M. Imrul Hassan
Zerin Tasnim
Sabbir R. Shuvo
A brief insight into Citrobacter species - a growing threat to public health
Frontiers in Antibiotics
Citrobacter spp.
epidemiology
pathogenesis
multidrug resistance
treatment
title A brief insight into Citrobacter species - a growing threat to public health
title_full A brief insight into Citrobacter species - a growing threat to public health
title_fullStr A brief insight into Citrobacter species - a growing threat to public health
title_full_unstemmed A brief insight into Citrobacter species - a growing threat to public health
title_short A brief insight into Citrobacter species - a growing threat to public health
title_sort brief insight into citrobacter species a growing threat to public health
topic Citrobacter spp.
epidemiology
pathogenesis
multidrug resistance
treatment
url https://www.frontiersin.org/articles/10.3389/frabi.2023.1276982/full
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