Abstract
Seventy five catheter urine specimens obtained from sixty four patients and admitted to
Urology and other departments in Ramadi Teaching Hospital were studied. qualitative and
quantitative detection for biofilm production for all isolates were achieved. Antimicrobial
susceptibility test for planktonic cells of study isolates was performed by broth dilution method and
the MICs were detected. Further, In Vitro model for formation of pseudomonal biofilm on catheter
segments by biofilm producer-isolates of the same bacteria was achieved. BICs and MBECs were
detected for all sessile study isolates of Pseudomonas aeruginosa against ciprofloxacin, amikacin
and cefotaxime.
Out of 75 catheter urine specimens, 61 (81.4%) were positive for culture including:
Escherichia coli 17 (27.9%) followed by Klebsiella spp. 13 (21.3%), Pseudomonas aeruginosa 12
(19.7%), and in spectrophotometric method, the results showed that all of 12 isolates of
Pseudomonas aeruginosa, 7 isolates of Proteus mirabilis, 17 isolates of Escherichia coli and 13
isolates of Klebsiella, 12 (100%), 7 (100%), 12 (70.6%) and 12 (92.3%) isolates produced biofilm
in the glucose supplemented media. In biofilm antimicrobial susceptibility, the sessile study isolates
of Pseudomonas aeruginosa were required 10-50 X MICs from ciprofloxacin and amikacin to
inhibit bacterial biofilm and 50-100 X MICs to eradicate it from the surfaces of catheter in contrast
to cefotaxime of which BICs were from 50-100 X MICs and MBECs from 100-1000 X MICs.
The study concluded that Escherichia coli was the most common uropathogen followed by
Klebsiella spp., and Pseudomonas aeruginosa.. Also, all study isolates of Pseudomonas aeruginosa
and Proteus mirabilis produced biofilm qualitatively and quantatively. Further, with regard to
ciprofloxacin and amikacin, the study isolates were also required 10-50 X MICs to inhibit bacterial
biofilm and 50-100 X MICs to remove pseudomonal adhesion from the catheters while those for
cefotaxime were 50-100 X MICs and 100-1000 MICs for inhibition and eradication of bacterial
biofilm respectively.
Urology and other departments in Ramadi Teaching Hospital were studied. qualitative and
quantitative detection for biofilm production for all isolates were achieved. Antimicrobial
susceptibility test for planktonic cells of study isolates was performed by broth dilution method and
the MICs were detected. Further, In Vitro model for formation of pseudomonal biofilm on catheter
segments by biofilm producer-isolates of the same bacteria was achieved. BICs and MBECs were
detected for all sessile study isolates of Pseudomonas aeruginosa against ciprofloxacin, amikacin
and cefotaxime.
Out of 75 catheter urine specimens, 61 (81.4%) were positive for culture including:
Escherichia coli 17 (27.9%) followed by Klebsiella spp. 13 (21.3%), Pseudomonas aeruginosa 12
(19.7%), and in spectrophotometric method, the results showed that all of 12 isolates of
Pseudomonas aeruginosa, 7 isolates of Proteus mirabilis, 17 isolates of Escherichia coli and 13
isolates of Klebsiella, 12 (100%), 7 (100%), 12 (70.6%) and 12 (92.3%) isolates produced biofilm
in the glucose supplemented media. In biofilm antimicrobial susceptibility, the sessile study isolates
of Pseudomonas aeruginosa were required 10-50 X MICs from ciprofloxacin and amikacin to
inhibit bacterial biofilm and 50-100 X MICs to eradicate it from the surfaces of catheter in contrast
to cefotaxime of which BICs were from 50-100 X MICs and MBECs from 100-1000 X MICs.
The study concluded that Escherichia coli was the most common uropathogen followed by
Klebsiella spp., and Pseudomonas aeruginosa.. Also, all study isolates of Pseudomonas aeruginosa
and Proteus mirabilis produced biofilm qualitatively and quantatively. Further, with regard to
ciprofloxacin and amikacin, the study isolates were also required 10-50 X MICs to inhibit bacterial
biofilm and 50-100 X MICs to remove pseudomonal adhesion from the catheters while those for
cefotaxime were 50-100 X MICs and 100-1000 MICs for inhibition and eradication of bacterial
biofilm respectively.
Keywords
Bacterial biofilm
BICs
Catheterized UTI
MBECs.