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Antimicrobial resistance of aerobes and facultative anaerobes isolated from the oral cavity

Identifieur interne : 004E19 ( Main/Exploration ); précédent : 004E18; suivant : 004E20

Antimicrobial resistance of aerobes and facultative anaerobes isolated from the oral cavity

Auteurs : Ellen Cristina Gaetti-Jardim [Brésil] ; Antônio Carlos Marqueti [Brésil] ; Leonardo Perez Faverani [Brésil] ; Elerson Gaetti-Jardim Júnior [Brésil]

Source :

RBID : PMC:3881752

Abstract

Objectives

This study evaluated the resistance to antimicrobials of aerobes and facultative anaerobes isolated from patients wearing complete dentures, patients with gingivitis and periodontitis, and periodontally health subjects.

Material and methods

Three hundred and four isolates were tested. The minimal inhibitory concentrations of the drugs were evaluated through the agar dilution method using Mueller-Hinton agar.

Results

The most active antimicrobial drugs were the carbapenems (meropenem and imipenem), and resistance to these drugs was restrict to 1.6-2.3% of the isolates, as well as ciprofloxacin and rifampin. Microbial resistance to ampicillin, amoxicillin/clavulanic acid, cefoxitin, cephalothin, amikacin, chloramphenicol and nalidixic acid was particularly high. In most cases, the resistance to β-lactams was mediated by the production of hydrolytic enzymes, especially in gram-negative enteric rods, while enterococci did not evidence production of these enzymes. The association amoxicillin/clavulanic acid was not effective in 28.3% of the tested isolates.

Conclusions

The results of this investigation confirmed that the oral cavity of patients with periodontitis and gingivitis, and particularly edentulous patients wearing complete dentures, could harbor microorganisms with several antimicrobial resistance markers, and these microorganisms are frequently implicated in multiresistant, systemic, oral or nosocomial infections.


Url:
DOI: 10.1590/S1678-77572010000600004
PubMed: 21308284
PubMed Central: 3881752


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<nlm:aff id="aff01"> MSc, Graduate student, Department of Pathology and Propedeutics, Araçatuba Dental School, UNESP, Araçatuba, SP, Brazil.</nlm:aff>
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<p>This study evaluated the resistance to antimicrobials of aerobes and facultative anaerobes isolated from patients wearing complete dentures, patients with gingivitis and periodontitis, and periodontally health subjects. </p>
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<title>Material and methods</title>
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<p>The most active antimicrobial drugs were the carbapenems (meropenem and imipenem), and resistance to these drugs was restrict to 1.6-2.3% of the isolates, as well as ciprofloxacin and rifampin. Microbial resistance to ampicillin, amoxicillin/clavulanic acid, cefoxitin, cephalothin, amikacin, chloramphenicol and nalidixic acid was particularly high. In most cases, the resistance to β-lactams was mediated by the production of hydrolytic enzymes, especially in gram-negative enteric rods, while
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did not evidence production of these enzymes. The association amoxicillin/clavulanic acid was not effective in 28.3% of the tested isolates. </p>
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<p>The results of this investigation confirmed that the oral cavity of patients with periodontitis and gingivitis, and particularly edentulous patients wearing complete dentures, could harbor microorganisms with several antimicrobial resistance markers, and these microorganisms are frequently implicated in multiresistant, systemic, oral or nosocomial infections.</p>
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<name sortKey="Vignoli, R" uniqKey="Vignoli R">R Vignoli</name>
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<author>
<name sortKey="Calvelo, E" uniqKey="Calvelo E">E Calvelo</name>
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<author>
<name sortKey="Cordeiro, Nf" uniqKey="Cordeiro N">NF Cordeiro</name>
</author>
<author>
<name sortKey="Lucero, R" uniqKey="Lucero R">R Lucero</name>
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<author>
<name sortKey="Ingold, E" uniqKey="Ingold E">E Ingold</name>
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<author>
<name sortKey="Quintana, A" uniqKey="Quintana A">A Quintana</name>
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<li>Brésil</li>
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<li>État de São Paulo</li>
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<country name="Brésil">
<region name="État de São Paulo">
<name sortKey="Gaetti Jardim, Ellen Cristina" sort="Gaetti Jardim, Ellen Cristina" uniqKey="Gaetti Jardim E" first="Ellen Cristina" last="Gaetti-Jardim">Ellen Cristina Gaetti-Jardim</name>
</region>
<name sortKey="Faverani, Leonardo Perez" sort="Faverani, Leonardo Perez" uniqKey="Faverani L" first="Leonardo Perez" last="Faverani">Leonardo Perez Faverani</name>
<name sortKey="Gaetti Jardim Junior, Elerson" sort="Gaetti Jardim Junior, Elerson" uniqKey="Gaetti Jardim Junior E" first="Elerson" last="Gaetti-Jardim Júnior">Elerson Gaetti-Jardim Júnior</name>
<name sortKey="Marqueti, Antonio Carlos" sort="Marqueti, Antonio Carlos" uniqKey="Marqueti A" first="Antônio Carlos" last="Marqueti">Antônio Carlos Marqueti</name>
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