Skip to main content
Top
Published in: European Journal of Medical Research 1/2021

Open Access 01-12-2021 | Doxycycline | Research

Investigation of antibiotic susceptibilities of Brucella Strains isolated from various clinical samples in eastern Turkey

Authors: Esra Gültekin, Muhammet Hamidullah Uyanık, Ayşe Albayrak, Selçuk Kılıç

Published in: European Journal of Medical Research | Issue 1/2021

Login to get access

Abstract

Background

Brucellosis is a worldwide zoonotic disease that causes serious public health problems. This study aimed to identify Brucella strains isolated from various clinical samples by conventional and molecular methods and to determine antimicrobial susceptibilities against doxycycline (DOX), streptomycin (STR), ciprofloxacin (CIP) and rifampicin (RIF) by the gradient strip (E test) test method.

Methods

A total of 87 Brucella strains isolated from various clinical specimens between 2004 and 2018 were included in this study. While four of the 87 strains included in the study were identified only at the genus level, the remaining 83 strains were identified at the species level by the Real-Time Multiplex PCR (M-RT-PCR) method and conventional methods were used for biotyping.

Results

According to molecular identification results, 83 strains were identified as B. melitensis by the M-RT-PCR method, with 82 strains identified as Brucella melitensis biovar (bv) 3 and one as B. melitensis bv 1 according to the conventional biotyping method. Among the antibiotics studied, CIP was found to be the most active agent according to the minimum inhibitory concentrations (MIC)90 values. This was followed by DOX and STR, respectively. While all of the isolates were sensitive to CIP, DOX and STR, 18 (20.7%) strains were found to be moderately susceptible to RIF, with the highest values of MIC50 and MIC90.

Conclusions

In our study, all strains were identified as B. melitensis. DOX, STR, CIP and RIF used in the treatment of brucellosis were found to be effective.
Literature
1.
go back to reference Corbel MJ. Brucellosis in humans and animals. Geneva: World Health Organization; 2006. Corbel MJ. Brucellosis in humans and animals. Geneva: World Health Organization; 2006.
2.
go back to reference Etiz P, Kibar F, Ekenoglu Y, Yaman A. Characterization of antibiotic susceptibility of Brucella spp. isolates with E-test method. ACM. 2015;6(1):1–5. Etiz P, Kibar F, Ekenoglu Y, Yaman A. Characterization of antibiotic susceptibility of Brucella spp. isolates with E-test method. ACM. 2015;6(1):1–5.
4.
go back to reference Çerekci A, Kılıç S, Bayraktar M, Uyanık MH, Yaşar E, Esen B. Comparison of conventional methods and real-time multiplex polymerase chain reaction for identification and typing of Brucella isolates of human origin. Mikrobiyol Bul. 2011;45(3):392–400.PubMed Çerekci A, Kılıç S, Bayraktar M, Uyanık MH, Yaşar E, Esen B. Comparison of conventional methods and real-time multiplex polymerase chain reaction for identification and typing of Brucella isolates of human origin. Mikrobiyol Bul. 2011;45(3):392–400.PubMed
5.
go back to reference Gültekı̇n E, Uyanık MH, Albayrak A, Aksoy O, Ayyıldız A. Bruselloz tanısında kullanılan çeşitli serolojik yöntemlerin karşılaştırılması. Türk Mikrobiyol Cem Derg. 2012;42(4):142–7.CrossRef Gültekı̇n E, Uyanık MH, Albayrak A, Aksoy O, Ayyıldız A. Bruselloz tanısında kullanılan çeşitli serolojik yöntemlerin karşılaştırılması. Türk Mikrobiyol Cem Derg. 2012;42(4):142–7.CrossRef
6.
go back to reference Şimşek H, Erdenliğ S, Oral B, Tülek N. Typing-biotyping of Brucella isolates of human origin and their epidemiologic evaluation. Klimik Derg. 2004;17(2):103–6. Şimşek H, Erdenliğ S, Oral B, Tülek N. Typing-biotyping of Brucella isolates of human origin and their epidemiologic evaluation. Klimik Derg. 2004;17(2):103–6.
7.
go back to reference Joint FAO/WHO expert committee on brucellosis. World Health Organ Tech Rep Ser. 1986;740:1–132. Joint FAO/WHO expert committee on brucellosis. World Health Organ Tech Rep Ser. 1986;740:1–132.
8.
go back to reference Alton GG, Jones LM, Pietz DE. Laboratory techniques in brucellosis, vol. 55. Monograph Series. Geneva: World Health Organ; 1975. p. 1–163. Alton GG, Jones LM, Pietz DE. Laboratory techniques in brucellosis, vol. 55. Monograph Series. Geneva: World Health Organ; 1975. p. 1–163.
9.
go back to reference Clinical and Laboratory Standards Institute. Performance standards for antimicrobial susceptibility testing. 20: M 100-S20. Wayne: CLSI; 2010. Clinical and Laboratory Standards Institute. Performance standards for antimicrobial susceptibility testing. 20: M 100-S20. Wayne: CLSI; 2010.
10.
go back to reference Denk A, Demırdag K, Kalkan A, Ozden M, Cetınkaya B, Kılıc SS. In vitro activity of Brucella melitensis isolates to various antimicrobials in Turkey. Infect Dis. 2015;47:364–9.CrossRef Denk A, Demırdag K, Kalkan A, Ozden M, Cetınkaya B, Kılıc SS. In vitro activity of Brucella melitensis isolates to various antimicrobials in Turkey. Infect Dis. 2015;47:364–9.CrossRef
11.
go back to reference Baykam N, Esener H, Ergönül Ö, Eren Ş, Celikbaş AK, Dokuzoğuz B. In vitro antimicrobial susceptibility of Brucella species. Int J Antimicrob Agents. 2004;23:405–7.CrossRef Baykam N, Esener H, Ergönül Ö, Eren Ş, Celikbaş AK, Dokuzoğuz B. In vitro antimicrobial susceptibility of Brucella species. Int J Antimicrob Agents. 2004;23:405–7.CrossRef
12.
go back to reference Parlak M, Güdücüoğlu H, Bayram Y, Çıkman A, Aypak C, Kılıç S, et al. Identification and determination of antibiotic susceptibilities of Brucella strains isolated from patients in Van, Turkey by conventional and molecular methods. Int J Med Sci. 2013;10:1406–11.CrossRef Parlak M, Güdücüoğlu H, Bayram Y, Çıkman A, Aypak C, Kılıç S, et al. Identification and determination of antibiotic susceptibilities of Brucella strains isolated from patients in Van, Turkey by conventional and molecular methods. Int J Med Sci. 2013;10:1406–11.CrossRef
13.
go back to reference Kılıç S, Ivanov IN, Durmaz R, Bayraktar MR, Ayaşlıoğlu E, Uyanık MH, et al. Multiple-locus variable-number tandem-repeat analysis genotyping of human Brucella isolates from Turkey. JCM. 2011;49(9):3276–83.CrossRef Kılıç S, Ivanov IN, Durmaz R, Bayraktar MR, Ayaşlıoğlu E, Uyanık MH, et al. Multiple-locus variable-number tandem-repeat analysis genotyping of human Brucella isolates from Turkey. JCM. 2011;49(9):3276–83.CrossRef
14.
go back to reference Abdel-Maksoud M, House B, Wasfy M, Abdel-Rahman B, Pimentel G, Roushdy G, et al. In vitro antibiotic susceptibility testing of Brucella isolates from Egypt between 1999 and 2007 and evidence of probable rifampin resistance. Ann Clin Microbiol Antimicrob. 2012;11:24.CrossRef Abdel-Maksoud M, House B, Wasfy M, Abdel-Rahman B, Pimentel G, Roushdy G, et al. In vitro antibiotic susceptibility testing of Brucella isolates from Egypt between 1999 and 2007 and evidence of probable rifampin resistance. Ann Clin Microbiol Antimicrob. 2012;11:24.CrossRef
15.
go back to reference Marianelli C, Graziani C, Santangelo C, Xibilia MT, Imbriani A, Amato R, et al. Molecular epidemiological and antibiotic susceptibility characterization of Brucella isolates from humans in Sicily, Italy. J Clin Microbiol. 2007;45(9):2923–38.CrossRef Marianelli C, Graziani C, Santangelo C, Xibilia MT, Imbriani A, Amato R, et al. Molecular epidemiological and antibiotic susceptibility characterization of Brucella isolates from humans in Sicily, Italy. J Clin Microbiol. 2007;45(9):2923–38.CrossRef
16.
go back to reference Bayram Y, Korkoca H, Aypak C, Parlak M, Çıkman A, Kilic S, et al. Antimicrobial susceptibilities of Brucella isolates from various clinical specimens. Int J Med Sci. 2011;8(3):198–202.CrossRef Bayram Y, Korkoca H, Aypak C, Parlak M, Çıkman A, Kilic S, et al. Antimicrobial susceptibilities of Brucella isolates from various clinical specimens. Int J Med Sci. 2011;8(3):198–202.CrossRef
17.
go back to reference Bodur H, Balaban N, Aksaray S, Yetener V, Akıncı E, Çolpan A, et al. Biotypes and antimicrobial susceptibilities of Brucella isolates. Scand J Infect Dis. 2003;35:337–8.CrossRef Bodur H, Balaban N, Aksaray S, Yetener V, Akıncı E, Çolpan A, et al. Biotypes and antimicrobial susceptibilities of Brucella isolates. Scand J Infect Dis. 2003;35:337–8.CrossRef
18.
go back to reference Kılıç S, Dizbay M, Hizel K, Arman D. In vitro synergistic activity of antibiotic combinations against Brucella melitensis using E-test methodology. Braz J Microbiol. 2008;39:233–7.CrossRef Kılıç S, Dizbay M, Hizel K, Arman D. In vitro synergistic activity of antibiotic combinations against Brucella melitensis using E-test methodology. Braz J Microbiol. 2008;39:233–7.CrossRef
19.
go back to reference Yamazhan T, Aydemir Ş, Tünger A, Serter D, Gökengin D. In vitro activities of various antimicrobials against Brucella melitensis strains in the aegean region in Turkey. Med Princ Pract. 2005;14:413–6.CrossRef Yamazhan T, Aydemir Ş, Tünger A, Serter D, Gökengin D. In vitro activities of various antimicrobials against Brucella melitensis strains in the aegean region in Turkey. Med Princ Pract. 2005;14:413–6.CrossRef
20.
go back to reference Kaya O, Akçam FZ, Yaylı G. Investigation of the in vitro activities of various antibiotics against Brucella melitensis strains. Turk J Med Sci. 2012;42(1):145–8. Kaya O, Akçam FZ, Yaylı G. Investigation of the in vitro activities of various antibiotics against Brucella melitensis strains. Turk J Med Sci. 2012;42(1):145–8.
21.
go back to reference Sayan M, Kılıc S, Uyanık MH. Epidemiological survey of rifampicin resistance in clinic isolates of Brucella melitensis obtained from all regions of Turkey. J Infect Chemother. 2012;18:41–6.CrossRef Sayan M, Kılıc S, Uyanık MH. Epidemiological survey of rifampicin resistance in clinic isolates of Brucella melitensis obtained from all regions of Turkey. J Infect Chemother. 2012;18:41–6.CrossRef
22.
go back to reference Clinical and Laboratory Standards Institute. Performance standards for antimicrobial susceptibility testing. 26: M 100-S16. CLSI: Wayne; 2006. Clinical and Laboratory Standards Institute. Performance standards for antimicrobial susceptibility testing. 26: M 100-S16. CLSI: Wayne; 2006.
23.
go back to reference Deshmukh A, Hagen F, Sharabasi OA, Abraham M, Wilson G, Doiphode S, et al. In vitro antimicrobial susceptibility testing of human Brucella melitensis isolates from Qatar between 2014–2015. BMC Microbiol. 2015;15:121.CrossRef Deshmukh A, Hagen F, Sharabasi OA, Abraham M, Wilson G, Doiphode S, et al. In vitro antimicrobial susceptibility testing of human Brucella melitensis isolates from Qatar between 2014–2015. BMC Microbiol. 2015;15:121.CrossRef
24.
go back to reference The European Committee on Antimicrobial Susceptibility Testing. Breakpoint tables for interpretation of MICs and zone diameters. Version 11.0; 2021. http://www.eucast.org. The European Committee on Antimicrobial Susceptibility Testing. Breakpoint tables for interpretation of MICs and zone diameters. Version 11.0; 2021. http://​www.​eucast.​org.
25.
go back to reference Shapiro DS, Wong JD. Brucella. In: Murray BE, Pfaller MA, Tenover FC, Yolken RH, editors. Manual of clinical microbiology. Washington DC: ASM Press; 1999. p. 625–31. Shapiro DS, Wong JD. Brucella. In: Murray BE, Pfaller MA, Tenover FC, Yolken RH, editors. Manual of clinical microbiology. Washington DC: ASM Press; 1999. p. 625–31.
26.
go back to reference Xu XL, Chen X, Yang PH, Liu JY, Hao XK. In vitro drug resistance of clinical isolated Brucella against antimicrobial agents. Asian Pac J Trop Med. 2013;6:921–4.CrossRef Xu XL, Chen X, Yang PH, Liu JY, Hao XK. In vitro drug resistance of clinical isolated Brucella against antimicrobial agents. Asian Pac J Trop Med. 2013;6:921–4.CrossRef
27.
go back to reference Altun B, Hasçelik G, Gür D. In vitro activity of tigecycline against Brucella spp. Med J Trakya Univ. 2009;26(3):261–3. Altun B, Hasçelik G, Gür D. In vitro activity of tigecycline against Brucella spp. Med J Trakya Univ. 2009;26(3):261–3.
28.
go back to reference Turkmani A, Ioannidis A, Christidou A, Psaroulaki A, Loukaides F, Tselentis Y. In vitro susceptibilities of Brucella melitensis isolates to eleven antibiotics. Ann Clin Microbiol Antimicrob. 2006;5:24.CrossRef Turkmani A, Ioannidis A, Christidou A, Psaroulaki A, Loukaides F, Tselentis Y. In vitro susceptibilities of Brucella melitensis isolates to eleven antibiotics. Ann Clin Microbiol Antimicrob. 2006;5:24.CrossRef
29.
go back to reference Ozhak-Baysan B, Ongut G, Ogunc D, Gunseren F, Sepin-Ozen N, Ozturk F, et al. Evaluation of in vitro activities of tigecycline and various antibiotics against Brucella spp. Pol J Microbiol. 2010;59(1):55–60.CrossRef Ozhak-Baysan B, Ongut G, Ogunc D, Gunseren F, Sepin-Ozen N, Ozturk F, et al. Evaluation of in vitro activities of tigecycline and various antibiotics against Brucella spp. Pol J Microbiol. 2010;59(1):55–60.CrossRef
30.
go back to reference Ayaşlıoğlu E, Kılıç S, Aydın K, Kılıç D, Kaygusuz S, Ağalar C. Antimicrobial susceptibility of Brucella melitensis isolates from blood samples. Turk J Med Sci. 2008;38(3):257–62. Ayaşlıoğlu E, Kılıç S, Aydın K, Kılıç D, Kaygusuz S, Ağalar C. Antimicrobial susceptibility of Brucella melitensis isolates from blood samples. Turk J Med Sci. 2008;38(3):257–62.
31.
go back to reference Turan H, Arslan H, Uncu H, Azap Ö, Şerefhanoğlu K. In vitro activity of tigecycline against Brucella strains: a comparative study with doxycycline, ciprofloxacin and rifampin. Turk J Infect. 2007;21(3):147–51. Turan H, Arslan H, Uncu H, Azap Ö, Şerefhanoğlu K. In vitro activity of tigecycline against Brucella strains: a comparative study with doxycycline, ciprofloxacin and rifampin. Turk J Infect. 2007;21(3):147–51.
32.
go back to reference Eşel D, Sümerkan B, Ayangil D, Telli M. Brucella melitensis suşlarının antibiyotik duyarliliklarinin belirlenmesinde agar dilüsyon ve E-test yöntemlerinin karşilaştirilmasi. ANKEM Derg. 2004;18(4):196–9. Eşel D, Sümerkan B, Ayangil D, Telli M. Brucella melitensis suşlarının antibiyotik duyarliliklarinin belirlenmesinde agar dilüsyon ve E-test yöntemlerinin karşilaştirilmasi. ANKEM Derg. 2004;18(4):196–9.
Metadata
Title
Investigation of antibiotic susceptibilities of Brucella Strains isolated from various clinical samples in eastern Turkey
Authors
Esra Gültekin
Muhammet Hamidullah Uyanık
Ayşe Albayrak
Selçuk Kılıç
Publication date
01-12-2021
Publisher
BioMed Central
Published in
European Journal of Medical Research / Issue 1/2021
Electronic ISSN: 2047-783X
DOI
https://doi.org/10.1186/s40001-021-00527-5

Other articles of this Issue 1/2021

European Journal of Medical Research 1/2021 Go to the issue