Effectiveness of antimicrobial drugs against planktonic and biofilm forms of bacteria isolated from children with urinary tract infections

Authors

  • A. A. Vodianyk Bogomolets National Medical University, Kyiv, Ukraine,
  • Yе. O. Hrechukha Bogomolets National Medical University, Kyiv, Ukraine,
  • K. H. Lopatko National University of Life and Environmental Sciences of Ukraine, Kyiv,
  • V. A. Poniatovskyi Bogomolets National Medical University, Kyiv, Ukraine,
  • H. V. Hniloskurenko Bogomolets National Medical University, Kyiv, Ukraine,
  • I. O. Mitiuriaieva-Kornijko Bogomolets National Medical University, Kyiv, Ukraine,

DOI:

https://doi.org/10.14739/2310-1210.2018.6.146191

Keywords:

biofilms, urinary tract infections, microbial drug resistance

Abstract

 

The aim of our work is to determine the susceptibility of clinical isolates of bacteria in biofilm to the most common antimicrobial drugs used in clinical practice.

Materials and methods. By means of serial dilutions of antimicrobial drugs, we analyzed the effectiveness of amoxicillin clavulanate, ceftriaxone, cefixime, gentamicin, furazidin and silver nanoparticles on planktonic and biofilm forms of 60 strains of bacteria isolated from children with lower urinary tract infections, acute and chronic pyelonephritis.

Results. Through the use of serial dilutions method it was found that 77 % of planktonic strains were susceptible to amoxicillin clavulanate, 70 % – to ceftriaxone, 47% – to cefixime, 78 % – to gentamicin and 92 % – to furazidin.

The percentage of the strains susceptible to amoxicillin clavulanate after biofilm formation was 63 %, to ceftriaxone – 17 %, to cefixime – 13 %, to gentamicin – 37 %, to furazidin – 80 %.

Conclusions. It was established that biofilm bacteria gain resistance to all the investigated drugs, but the change of susceptibility manifests itself in varying degrees.

The number of resistant strains of bacteria depends on the form of the urinary tract infection, in acute and chronic pyelonephritis the number of resistant strains is much greater than in infection of the lower urinary tract.

Planktonic and biofilm forms of bacteria were the most effectively influenced in vitro by furazidin, amoxicillin clavulanate and gentamicin. Cephalosporins (ceftriaxone, cefixime) were less effective against both forms of bacteria.

 

References

  1. Butler, C. C., et al (2015). Childhood urinary tract infection in primary care: a prospective observational study of prevalence, diagnosis, treatment, and recovery. British Journal of General Practice. Apr; 65(633):e217-23.10.3399/bjgp15X684361
  2. Centers for Disease Control and Prevention (CDC), (2013). Antibiotic Resistance Threats in the United States, https://www.cdc.gov. Retrieved from https://www.cdc.gov/drugresistance/threat-report-2013/index.html
  3. Delcaru, C., et al (2016). Microbial Biofilms in Urinary Tract Infections and Prostatitis: Etiology, Pathogenicity, and Combating strategies. Pathogens. Dec; v. 5(4), 65. https://dx.doi.org/10.3390%2Fpathogens5040065
  4. Dik, JWH., et al (2016). Cross-border comparison of antibiotic prescriptions among children and adolescents between the north of the Netherlands and the north-west of Germany. Antimicrobial Resistance and Infection Control. 5, 14.10.1186/s13756-016-0113-8
  5. Di Martino, M., et al (2017). Prevalence of antibiotic prescription in pediatric outpatients in Italy: the role of local health districts and primary care physicians in determining variation. A multilevel design for healthcare decision support. BMC Public Health. Nov. 17, 17(1), 886. 10.1186/s12889-017-4905-4
  6. European Centre for Disease Prevention and Control. Surveillance of antimicrobial resistance in Europe 2016. Annual Report of the European Antimicrobial Resistance Surveillance Network (EARS-Net). Stockholm: ECDC.
  7. Hay, AD., et al (2016). Improving the Diagnosis and Treatment of Urinary Tract Infection in Young Children in Primary Care: Results from the DUTY Prospective Diagnostic Cohort Study. Annals of Family Medicine. Jul; 14(4), 325–336.i: 10.1370/afm.1954
  8. Macia, MD., et al (2014). Antimicrobial susceptibility testing in biofilm-growing bacteria. Clinical Microbiology and Infection Volume 20, Issue 10, October, 981-990. 10.1111/1469-0691.12651.
  9. Shallcross, L., et al (2017). Antibiotic prescribing frequency amongst patients in primary care: a cohort study using electronic health records. J Antimicrob Chemother. Jun; 72(6), 1818–1824. : 10.1093/jac/dkx048
  10. Soto, SM., et al (2014). Importance of Biofilms in Urinary Tract Infections: New Therapeutic Approaches. Advances in Biology. 13, 543974./10.1155/2014/543974

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How to Cite

1.
Vodianyk AA, Hrechukha YO, Lopatko KH, Poniatovskyi VA, Hniloskurenko HV, Mitiuriaieva-Kornijko IO. Effectiveness of antimicrobial drugs against planktonic and biofilm forms of bacteria isolated from children with urinary tract infections. Zaporozhye Medical Journal [Internet]. 2019Feb.1 [cited 2026May19];20(6). Available from: https://zmj.zsmu.edu.ua/article/view/146191

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Original research