Increased recognition of Chryseobacterium species as an emerging cause of nosocomial urinary tract infection following introduction of matrix-assisted laser desorption/ionisation-time of flight for bacterial identification

Indian J Med Microbiol. 2017 Oct-Dec;35(4):610-616. doi: 10.4103/ijmm.IJMM_15_413.

Abstract

Chryseobacterium species are rarely reported as aetiological agents of nosocomial urinary tract infection. Here, we evaluated the clinical significance of 19 isolates of Chryseobacterium species (15 Chryseobacterium indologenes and 4 Chryseobacterium gleum; identified by matrix-assisted laser desorption/ionisation-time of flight [MALDI-TOF]) obtained from urine or percutaneous nephrostomy drainage of 16 patients with urological complaints. The strains possessed drug resistance to multiple antibiotics. 14 isolates showed the presence of carbapenemases. Both MALDI-TOF and repetitive sequence-based-polymerase chain reaction grouped them into three clusters (Kappa 1.000). They may colonise the urinary tract acting as a reservoir for dissemination of drug resistance within hospital environment.

MeSH terms

  • Adult
  • Aged
  • Bacteriological Techniques / methods*
  • Chryseobacterium / classification
  • Chryseobacterium / isolation & purification*
  • Cluster Analysis
  • Cross Infection / diagnosis
  • Cross Infection / epidemiology*
  • Cross Infection / microbiology
  • Diagnostic Tests, Routine / methods*
  • Female
  • Flavobacteriaceae Infections / diagnosis
  • Flavobacteriaceae Infections / epidemiology*
  • Flavobacteriaceae Infections / microbiology
  • Humans
  • Male
  • Middle Aged
  • Molecular Diagnostic Techniques / methods
  • Molecular Typing
  • Nephrostomy, Percutaneous
  • Polymerase Chain Reaction / methods
  • Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization / methods*
  • Time Factors
  • Urinary Tract Infections / diagnosis
  • Urinary Tract Infections / epidemiology*
  • Urinary Tract Infections / microbiology
  • Urine / microbiology