Enhanced Interstitial Fluid Extraction and Rapid Analysis via Vacuum Tube-Integrated Microneedle Array Device.

Advancing the development of point-of-care testing (POCT) sensors that utilize interstitial fluid (ISF) presents considerable obstacles in terms of rapid sampling and analysis. Herein, an innovative strategy is introduced that involves the use of a 3D-printed, hollow microneedle array patch (MAP), in tandem with a vacuum tube (VT) connected through a hose, to improve ISF extraction efficiency and facilitate expedited analysis. The employment of negative pressure by the VT allows the MAP device to effectively gather ≈18 µL of ISF from the dermis of a live rabbit ear within a concise period of 5 min. This methodology enables the immediate and minimally invasive measurement of glucose levels within the body, employing personal healthcare meters for quantification. The fusion of the VT and MAP technologies provides for their effortless integration into a comprehensive and mobile system for ISF analysis, accomplished by preloading the hose with custom sensing papers designed to detect specific analytes. Moreover, the design and functionality of this integrated VT-MAP system are intuitively user-friendly, eliminating the requirement for specialized medical expertise. This feature enhances its potential to make a significant impact on the field of decentralized personal healthcare.

Hybridizing Ti3C2Tx Layers with Layered Double Hydroxide Nanosheets at the Molecular Level: A Smart Electrode Material for H2O2 Monitoring in Cancer Cells.

Vertically stacked artificial 2D superlattice hybrids fabricated through molecular-level hybridization in a controlled fashion play a vital role in scientific and technological fields, but developing an alternate assembly of 2D atomic layers with strong electrostatic interactions could be much more challenging. In this study, we have constructed an alternately stacked self-assembled superlattice composite through integration of CuMgAl layered double hydroxide (LDH) nanosheets having positive charge with negatively charged Ti3C2Tx layers using well-controlled liquid-phase co-feeding protocol and electrostatic attraction and investigated its electrochemical performance in sensing early cancer biomarkers, i.e., hydrogen peroxide (H2O2). The molecular-level CuMgAl LDH/Ti3C2Tx superlattice self-assembly possesses superb conductivity and electrocatalytic properties, which are significant for obtaining a high electrochemical sensing aptitude. Electron penetration in Ti3C2Tx layers and rapid ion diffusion along 2D galleries have shortened the diffusion path and enhanced the charge transferring efficacy. The electrode modified with the CuMgAl LDH/Ti3C2Tx superlattice has demonstrated admirable electrocatalytic abilities in H2O2 detection with a wide linear concentration range and low real-time limit of detection (LOD) of 0.1 nM with signal/noise ratio (S/N) = 3. Practically, an electrochemical sensing podium based on the CuMgAl LDH/Ti3C2Tx superlattice has been effectively applied in real-time in vitro tracking of H2O2 effluxes excreted from different live cancer cells and normal cells after being encouraged by stimulation. The results exhibit that molecular-level heteroassembly holds great potential in electrochemical sensors to detect promising biomarkers.

Development and Validation of Reversed-Phase HPLC Method for the Determination of Epirubicin and Its Application to the Pharmacokinetic Study of Epirubicin Loaded Polymeric Nanoparticle Formulations in Rats.

Epirubicin, commonly used as anticancer drug for various types of tumors like breast, liver, lung, stomach, ovaries, and bladder for its improved antitumor efficacy and safety. A rapid, sensitive, and reliable bioanalytical method was developed and validated for epirubicin using conventional reverse phase HPLC with UV detection. The developed method was successfully applied to investigate the pharmacokinetics of epirubicin after intravenous administration of a reference epirubicin and its designed nano-formulations to rats. C18 column was used in an isocratic mode for analyte elution at a flow rate of 1.0 mL/min with UV detection of 234 nm. The mobile phase was composed of acetonitrile 22% (channel A) and 0.025% tri fluoro-acetic acid in water (channel B). Ondansetron was added as an internal standard, and the plasma samples were analyzed after protein precipitation. A concentration range of 0.016-1.024 µg/mL was selected for the construction of calibration curves, with LLOQ of 0.016 µg/mL. Results showed that the value of AUC, half-life, and mean residence time of designed nano-formulation were bounce to 10, 9, and 11 times higher, when compared to the reference epirubicin after intravenous dose of 10 mg/kg of epirubicin to rats, respectively. The designed epirubicin nano-formulations achieved clinically significant pharmacokinetic values in rats. Current method will help epirubicin future research using clinical samples and drug bioequivalence studies on various novel formulations for drug safety purposes.

State-of-the-Art Fluorescent Probes: Duplex-Specific Nuclease-Based Strategies for Early Disease Diagnostics.

Precision healthcare aims to improve patient health by integrating prevention measures with early disease detection for prompt treatments. For the delivery of preventive healthcare, cutting-edge diagnostics that enable early disease detection must be clinically adopted. Duplex-specific nuclease (DSN) is a useful tool for bioanalysis since it can precisely digest DNA contained in duplexes. DSN is commonly used in biomedical and life science applications, including the construction of cDNA libraries, detection of microRNA, and single-nucleotide polymorphism (SNP) recognition. Herein, following the comprehensive introduction to the field, we highlight the clinical applicability, multi-analyte miRNA, and SNP clinical assays for disease diagnosis through large-cohort studies using DSN-based fluorescent methods. In fluorescent platforms, the signal is produced based on the probe (dyes, TaqMan, or molecular beacon) properties in proportion to the target concentration. We outline the reported fluorescent biosensors for SNP detection in the next section. This review aims to capture current knowledge of the overlapping miRNAs and SNPs' detection that have been widely associated with the pathophysiology of cancer, cardiovascular, neural, and viral diseases. We further highlight the proficiency of DSN-based approaches in complex biological matrices or those constructed on novel nano-architectures. The outlooks on the progress in this field are discussed.

The Roadmap of Graphene-Based Sensors: Electrochemical Methods for Bioanalytical Applications.

Graphene (GR) has engrossed immense research attention as an emerging carbon material owing to its enthralling electrochemical (EC) and physical properties. Herein, we debate the role of GR-based nanomaterials (NMs) in refining EC sensing performance toward bioanalytes detection. Following the introduction, we briefly discuss the GR fabrication, properties, application as electrode materials, the principle of EC sensing system, and the importance of bioanalytes detection in early disease diagnosis. Along with the brief description of GR-derivatives, simulation, and doping, classification of GR-based EC sensors such as cancer biomarkers, neurotransmitters, DNA sensors, immunosensors, and various other bioanalytes detection is provided. The working mechanism of topical GR-based EC sensors, advantages, and real-time analysis of these along with details of analytical merit of figures for EC sensors are discussed. Last, we have concluded the review by providing some suggestions to overcome the existing downsides of GR-based sensors and future outlook. The advancement of electrochemistry, nanotechnology, and point-of-care (POC) devices could offer the next generation of precise, sensitive, and reliable EC sensors.

Engineering MOFs derived metal oxide nanohybrids: Towards electrochemical sensing of catechol in tea samples.

In this work, we have successfully developed Cu-MOF/CuO/NiO nanocomposites (NCs) and employed as a novel electrochemical sensing platform in catechol (CC) detection. The Scanning electron microscopy (SEM) along Energy dispersive X-ray Analysis (EDX), Transmission electron microscopy (TEM), X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), X-ray photoelectron spectroscopy (XPS) are carried out to characterize the as-fabricated Cu-MOF/CuO/NiO NCs. Cyclic voltammetry (CV) and differential pulse voltammetry (DPV) techniques have used to obtain oxidation peak currents of CC. Glassy carbon electrode (GCE) modified with Cu-MOF/CuO/NiO has exposed the superb EC properties representing low limit of detection (LOD) of 0.0078 µM (S/N = 3). To assess the practicability of Cu-MOF/CuO/NiO based sensing medium, it has been used to detect CC from two varieties of tea, namely black and green. Thus, we anticipate that this structural integration strategy possesses encouraging application potential in sensing podium and material synthesis.

Nanocrytals-Mediated Oral Drug Delivery: Enhanced Bioavailability of Amiodarone.

The aim of this study was to improve the saturation solubility, dissolution profile and oral bioavailability of amiodarone hydrochloride (AMH), a highly lipophilic drug. Stabilizer (Pluronic F-127)-coated AMH nanocrystals (AMH-NCs) were developed by a combination of antisolvent precipitation and homogenization techniques. The optimized formulation comprised pluronic F-127 and AMH at the concentration of 4% and 2% w/v, respectively. The particle size (PS), zeta potential (ZP) and polydispersity index (PDI) of the optimized formulation was found to be 221 ± 1.2 nm, 35.3 mV and 0.333, respectively. The optimized formulation exhibited a rough surface morphology with particles in colloidal dimensions and a significant reduction in crystallinity of the drug. AMH-NCs showed a marked increase in the saturation solubility as well as rapid dissolution rate when compared with the AMH and marketed product. The stability study displayed that the formulation was stable for 3 months, with no significant change in the PS, ZP and PDI. The in vivo pharmacokinetic study demonstrated the ability of AMH-NCs to significantly (p < 0.05) improve the oral bioavailability (2.1-fold) of AMH in comparison with AMH solution, indicating that the production of AMH-NCs using a combination of antisolvent precipitation and homogenization techniques could enhance the bioavailability of the drug.

Tuning the Redox Chemistry of Copper Oxide Nanoarchitectures Integrated with rGOP via Facet Engineering: Sensing H2S toward SRB Detection.

The ultrasensitive determination of sulfate reducing bacteria (SRB) is of great significance for their crucial roles in environmental and industrial harms together with the early detection of microbial corrosion. In this work, we report the development of highly efficient electrocatalysts, i.e., Cu2O-CuO extended hexapods (EHPs), which are wrapped on homemade freestanding graphene paper to construct a flexible paper electrode in the electrochemical sensing of the biomarker sulfide for SRB detection. Herein Cu2O-CuO EHPs have been synthesized via a highly controllable and facile approach at room temperature, where the redox centers of copper oxide nanoarchitectures are tuned via facet engineering, and then they are deposited on the graphene paper surface through an electrostatic adsorption to enable homogeneous and highly dense distribution. Owing to the synergistic contribution of high electrocatalytic activity from the Cu mixed oxidation states and abundant catalytically active facets of Cu2O-CuO EHPs and high electrical conductivity of the graphene paper electrode substrate, the resultant nanohybrid paper electrode has exhibited superb electrochemical sensing properties for H2S with a wide linear range up to 352 µM and an extremely low detection limit (LOD) of 0.1 nM with a signal-to-noise ratio of 3 (S/N = 3), as well as high sensitivity, stability, and selectivity. Furthermore, taking advantage of the good biocompatibility and mechanical flexibility, the electrochemical sensing platform based on the proposed electrode has been applied in the sensitive detection of SRB in environmental samples through the sensing of sulfide from SRB, which holds great promise for on-site and online corrosion and environmental monitoring.

Microwave-Assisted Physically Cross-Linked Chitosan-Sodium Alginate Hydrogel Membrane Doped with Curcumin as a Novel Wound Healing Platform.

This project purposes to develop chitosan and sodium alginate-based hydrogel membranes loaded with curcumin through microwave-based physical cross-linking technique and its evaluation for wound healing potential. For the purpose, curcumin-loaded chitosan and sodium alginate membranes were developed using microwave at fixed frequency of 2450 MHz, power 350 W for 60 s, and tested for their physicochemical attributes like swelling, erosion, surface morphology, drug content, and in vitro drug release. The membranes were also subjected to tensile strength and vibrational and thermal analysis followed by testing in vivo on animals. The results indicated that microwave treatment significantly enhanced the swelling ability, reduced the erosion, and ensured smooth surface texture with optimal drug content. The drug was released in a slow fashion releasing total of 41 ± 4.2% within 24-h period with a higher tensile strength of 16.4 ± 5.3 Mpa. The vibrational analysis results revealed significant fluidization of hydrophilic domains and defluidization of hydrophobic domains which translated into a significant rise in the melting temperature and corresponding enthalpy which were found to be 285.2 ± 3.2 °C and 4.89 ± 1.4 J/g. The in vivo testing revealed higher percent re-epithelialization (75 ± 2.3%) within 14 days of the treatment application in comparison to only gauze and other treatments applied, with higher extent of collagen deposition having well-defined epidermis and stratum corneum formation. The microwave-treated chitosan-sodium alginate hydrogel membranes loaded with curcumin may prove to be another alternative to treat skin injuries. Graphical Abstract.

Advancing interfacial properties of carbon cloth via anodic-induced self-assembly of MOFs film integrated with α-MnO2: A sustainable electrocatalyst sensing acetylcholine.

The metal organic frameworks (MOFs) with tunable composition, modified structure, and morphologically controlled nanoarchitectures are quite imperative to improve the electrochemical (EC) performances of sensing platforms. Herein, EC control over the fabrication of HKUST-1 (Cu-MOFs) nanocrystals is achieved via anodic-induced electrodeposition approach following the mixing of Cu2+ salt precursor in the vicinity of benzene-1,3,5-tricarboxylate (BTC3-) ligands. The problem of controlled mass transfer and slow dispersal of MOFs is resolved by EC deposition of pyramidal-octagonal MOFs on a highly conductive and flexible carbon substrate (activated carbon cloth, ACC) wrapped with rGO layers (ACC-rGO@Cu(BTC). Further, α-MnO2 is integrated on ACC-rGO@Cu(BTC) to achieve the synergistic effect of ternary structure interfaces. The novel ACC-rGO@Cu(BTC)@MnO2 based flexible electrode exhibits striking EC performance toward non-enzymatic sensing of acetylcholine (ACh) including wide linear range (0.1 µM - 3 mM), lowest detection limit (5 nM, S/N = 3), high selectivity, and long-term stability. Moreover, the developed sensing system has been applied for real-time detection of ACh efflux released from three different cell lines and biological matrices. Our work unlocks a new prospect of precisely structured MOFs with extensive functionalities and scaled-up fabrication methods via selection of nanoscale reaction centers to develop flexible sensing devices.

Turning the Page: Advancing Detection Platforms for Sulfate Reducing Bacteria and their Perks.

Sulfate reducing bacteria (SRB) are blamed as main culprits in triggering huge corrosion damages by microbiologically influenced corrosion. They obtained their energy through enzymatic conversion of sulfates to sulfides which are highly corrosive. However, conventional SRB detection methods are complex, time-consuming and are not enough sensitive for reliable detection. The advanced biosensing technologies capable of overcoming the aforementioned drawbacks are in demand. So, nanomaterials being economical, environmental friendly and showing good electrocatalytic properties are promising candidates for electrochemical detection of SRB as compared with antibody based assays. Here, we summarize the recent advances in the detection of SRB using different techniques such as PCR, UV visible method, fluorometric method, immunosensors, electrochemical sensors and photoelectrochemical sensors. We also discuss the SRB detection based on determination of sulfide, typical metabolic product of SRB.

Boosting electrocatalytic activity of carbon fiber@fusiform-like copper-nickel LDHs: Sensing of nitrate as biomarker for NOB detection.

Morphological evolution of layered double hydroxides (LDHs) with preferential crystal facets has appealed gigantic attention of research community. Herein, we prepare hierarchical hybrid material by structurally integrating fusiform-like CuNiAl LDHs petals on conductive backbone of CF (CF@CuNiAl LDHs) and investigate electrocatalytic behavior in nitrate reduction over a potential window of -0.7 V to +0.7 V. The CF@CuNiAl LDHs electrode exhibits remarkable electrocatalytic aptitude in nitrate sensing including broad linear ranges of 5 nM to 40 µM and 75 µM to 2.4 mM with lowest detection limit of 0.02 nM (S/N = 3). The sensor shows sensitivity of 830.5 ±â€¯1.84 µA mM1- cm2- and response time within 3 s. Owing to synergistic collaboration of improved electron transfer kinetics, specific fusiform-like morphology, presence of more catalytically active {111} facets and superb catalytic activity of LDHs, CF@CuNiAl LDHs electrode has outperformed as electrochemical sensor. Encouraged from incredible performance, CF@CuNiAl LDHs flexible electrode has been applied in real-time in-vitro detection of nitrite oxidizing bacteria (NOB) through the sensing of nitrate because NOB convert nitrite into nitrate by characteristic metabolic process to obtain their energy. Further, CF@CuNiAl LDHs based sensing podium has also been employed in in-vitro detection of nitrates from mineral water, tap water and Pepsi drink.

Tuning Electrocatalytic Aptitude by Incorporating α-MnO2 Nanorods in Cu-MOF/rGO/CuO Hybrids: Electrochemical Sensing of Resorcinol for Practical Applications.

In this study, Cu-MOF/rGO/CuO/α-MnO2 nanocomposites have been fabricated by a one-step hydrothermal method and used in the voltammetric detection of resorcinol (RS). The poor conductivity of MOFs in the field of electrochemical sensing is still a major challenge. A series of Cu-MOF/rGO/CuO/α-MnO2 nanocomposites have been synthesized with varying fractions of rGO and with a fixed amount of α-MnO2 via a facile method. These nanocomposites are well characterized using some sophisticated characterization techniques. The as-prepared nanohybrids have strongly promoted the redox reactions at the electrode surface due to their synergistic effects of improved conductivity, high electrocatalytic activity, an enlarged specific surface area, and a plethora of nanoscale level interfacial collaborations. The electrode modified with Cu-MOF/rGO/CuO/α-MnO2 has revealed superior electrochemical properties demonstrating linear differential pulse voltammetry (DPV) responses from a 0.2 to 22 µM RS concentration range (R2 = 0.999). The overall results of this sensing podium have shown excellent stability, good recovery, and a low detection limit of 0.2 µM. With excellent sensing performance achieved, the practicability of the sensor has been evaluated to detect RS in commercial hair color samples as well as in tap water and river water samples. Therefore, we envision that our hybrid nanostructures synthesized by the structural integration strategy will open new horizons in material synthesis and biosensing platforms.

Rice-Spikelet-like Copper Oxide Decorated with Platinum Stranded in the CNT Network for Electrochemical In Vitro Detection of Serotonin.

The specific monitoring of serotonin (ST) has provoked massive interest in therapeutic and biological science since it has been recognized as the third most significant endogenous gastrointestinal neurotransmitter. Hence, there is a great need to develop a sensitive and low-cost sensing platform for the detection of a clinically relevant ST level in biological matrices. Herein, we develop a simple two-step approach for an ultrasensitive electrochemical (EC) sensor with the Cu2O metal oxide (MO)-incorporated CNT core that has been further deposited with a transitional amount of platinum nanoparticles (Pt NPs). We presented, for the first time, the deposition of Pt NPs on the (CNTs-Cu2O-CuO) nanopetal composite via the galvanic replacement method, where copper not only acts as a reductant but a sacrificial template as well. The electrocatalytic aptitude of the fabricated EC sensing platform has been assessed for the sensitive detection of ST as a proficient biomarker in early disease diagnostics. The synergy of improved active surface area, remarkable conductivity, polarization effect induced by Pt NPs on CNTs-Cu2O-CuO nanopetals, fast electron transfer, and mixed-valence states of copper boost up the redox processes at the electrode-analyte junction. The CNTs-Cu2O-CuO@Pt-modified electrode has unveiled outstanding electrocatalytic capabilities toward ST oxidation in terms of a low detection limit of 3 nM (S/N = 3), wide linear concentration range, reproducibility, and incredible durability. Owing to the amazing proficiency, the proposed EC sensor based on the CNTs-Cu2O-CuO@Pt heterostructure has been applied for ST detection in biotic fluids and real-time tracking of ST efflux released from various cell lines as early disease diagnostic approaches.

Theoretical study of α, ß unsaturated carbonyl thiophene derivatives to investigate optoelectronic properties toward organic photovoltaics.

Herein theoretical study, we designed sixteen conjugated arylated α, ß unsaturated carbonyl thiophene based compounds by using density functional theory (DFT) and time-dependent (TD) density functional theory at modified Perdue Wang density functional MPW1PW91 functional with 6-31G (d, p) basis set. Ground and excited state geometries, electronic and photophysical characteristics of designed molecules are evaluated by assuming the electron-donating and electron-withdrawing effects of the substituents that are attached to these newly designed molecules. Furthermore, calculation of vibrational spectra, time-dependent effect, isotopic substitution effect and force constant along with thermodynamic quantities are also carried out by using MOPAC (Molecular Orbital Package) with strong implementation of semi empirical Hamiltonians. The results reveal that our designed molecules can be a good candidates for electroluminescent and optoelectronic devices for further fabrication of solar cell devices.

The role of biosensors in coronavirus disease-2019 outbreak.

Herein, we have summarized and argued about biomarkers and indicators used for the detection of severe acute respiratory syndrome coronavirus 2. Antibody detection methods are not considered suitable to screen individuals at early stages and asymptomatic cases. The diagnosis of coronavirus disease 2019 using biomarkers and indicators at point-of-care level is much crucial. Therefore, it is urgently needed to develop rapid and sensitive detection methods which can target antigens. We have critically elaborated key role of biosensors to cope the outbreak situation. In this review, the importance of biosensors including electrochemical, surface enhanced Raman scattering, field-effect transistor, and surface plasmon resonance biosensors in the detection of severe acute respiratory syndrome coronavirus 2 has been underscored. Finally, we have outlined pros and cons of diagnostic approaches and future directions.

Facet-energy inspired metal oxide extended hexapods decorated with graphene quantum dots: sensitive detection of bisphenol A in live cells.

The development of crystal-facet metal oxide heterostructures has been of great interest owing to their rational design and multifunctional properties at the nanoscale level. Herein, we report a facile solution-based method for the synthesis of single-crystal Cu2O nanostructures (i.e. Cu2O-CuO) as a core. Graphene quantum dots (GQDs) with varying concentrations are fabricated on the surface of Cu2O extended hexapods (EHPs) in ethanol solution at room temperature via self-assembly, where copper acts as a sacrificial model and a stabilizer as well. The Cu2O crystals displayed a good sensing activity toward BPA oxidation owing to their high energy facets, dangling bonds and great proportion of surface copper atoms. Structural, morphological, chemical and vibrational investigations were performed in detail, presenting high crystallinity of hybrid nanocomposites and Cu2O-CuO heterojunction positions along with the growth of GQDs on the core of Cu2O-CuO crystals. The electrochemical sensing performance of the as-fabricated Cu2O-CuO@GQD EHPs was monitored for the determination of bisphenol A (BPA) as an early diagnostic marker and environmental contaminant. The synergistic effects of the boosted surface area, exposed Cu {111} crystallographic planes and mixed copper valences enhance redox reaction kinetics by increasing the electron shuttling rate at the electrode-analyte junction. Benefitting from the improved electrocatalytic activity for BPA oxidation, the electrochemical sensor displayed the lowest limit of detection (≤1 nM), good chemical stability, a broad linear range (2 nM-11 mM), and high sensitivity (636 µA mM-1 cm-2). The Cu2O-CuO@GQD EHP-based sensing platform was used for BPA detection in water and human serum samples. We have also constructed a pioneering electrochemical sensing platform for BPA detection in live cells, which might be used as a marker for early disease diagnosis.

Effects of ampicillin, gentamicin, and cefotaxime on the release of Shiga toxins from Shiga toxin-producing Escherichia coli isolated during a diarrhea episode in Faisalabad, Pakistan.

The Shiga toxin-producing Escherichia coli (STEC) is an emerging foodborne pathogen. The proportion of cases attributed to STEC in an episode of diarrhea in the Faisalabad region of Pakistan was investigated. In addition, as increase in Shiga toxin (Stx) release after exposure to various antimicrobial agents is widely reported, we also elucidated the in vitro effects of three commonly used antibiotics (ampicillin, gentamicin, and cefotaxime) on Stx release. Isolation and detection of STEC was done using enzyme-linked immunosorbent assay and polymerase chain reaction, followed by phenotypic characterization. In vitro Stx release from isolated STEC was determined using enzyme-linked immunosorbent assay, and Stx-induced verocytotoxicity was quantified using cytotoxicity detection assay. STEC was detected in 5 (21.7%) of 23 patients. Exposure to minimum inhibitory concentration (MIC) of ampicillin, gentamicin, and cefotaxime resulted in a considerable decrease in toxin release and level of cytotoxicity in most of the STEC isolates when compared with control (without antibiotic exposure). Exposure to sub-MIC of ampicillin resulted in a relative increase in Stx release and cytotoxicity (p

Relationship of drug resistance to phylogenetic groups of E. coli isolates from wound infections.

BACKGROUND: Drug resistance is a major problem in Escherichia coli isolated from surgical wound infections. In this study, we evaluated relationship between phylogenicity and drug resistance. METHODOLOGY: A total of 29 multi-drug resistant (MDR) E. coli isolates of known drug resistance genes and integron profile were selected for the present study. Triplex PCR was conducted for phylogenetic classification of these isolates into four established phylogenetic groups: A, B1, B2 and D. Statistical analysis was done to determine the association of different drug resistance genes and integrons with the phylogenetic groups. RESULTS: Most of the isolates (44.8%) belonged to phylogenetic group A followed by group B2 and D (24.1% each) and group B1 (6.9%). CONCLUSIONS: There is a definitive relationship between drug resistance and various phylogenetic groups of E. coli infecting wounds. A shift towards phylogenetic group A might be observed with an increasing drug resistance profile.

A profile of drug resistance genes and integrons in E. coli causing surgical wound infections in the Faisalabad region of Pakistan.

Escherichia coli are one of the leading causes of infection in wounds. Emerging multiple drug resistance among E. coli poses a serious challenge to antimicrobial therapy for wounds. This study was conducted to ascertain a baseline profile of antimicrobial resistance in E. coli isolates infecting surgical wounds. A total of 64 pus samples from hospitalized patients were screened and 29 (45.3%) were found to have E. coli, which were identified biochemically and confirmed by molecular methods. Using the disc diffusion method, antimicrobial resistance was observed toward tetracycline (100%), cefradine (100%), nalidixic acid (93.1%), ampicillin (86.2%), gentamicin (86.2%), cefixime (82.8%), ceftriaxone (82.8%), aztreonam (82.8%), ciprofloxacin (75.9%), streptomycin (72.4%), cefoperazone (65.5%), chloramphenicol (58.6%) and amikacin (58.6%). In an effort to find relevant genes, 11 different genes were targeted by PCR. Among these, the mutated gyrA gene was found to be the most prevalent (82.8%), followed by the TEM (72.4%), catP (68.9%), catA1 (68.9%), tetB (62.1%), blt (58.6%), bla(CTX-M-15) (27.6%), bla(TEM) (20.7%), bla(OXA) (17.2%), tetA (17.2%) and aadA1 (13.8%) genes. The presence of integrons was also studied among these isolates. The prevalence of class 1 integrons was the highest (44.8%), followed by class 2 (27.6%). Three (10.3%) isolates carried both class 1 and class 2 integrons (first report from E. coli infecting wounds). The high incidence of integrons points toward their facilitation for carriage of antimicrobial resistance genes; however, in nearly 37% isolates, no integrons were detected, indicating the significance of alternative mechanisms of gene transfer. Another salient finding was that all isolates were multidrug-resistant E. coli.