Down-conversion en-face optical coherence tomography.

We present an optical coherence tomography (OCT) method that can deliver an en-face OCT image from a sample in real-time, irrespective of the tuning speed of the swept source. The method, based on the master slave interferometry technique, implements a coherence gate principle by requiring that the optical path difference (OPD) between the arms of an imaging interferometer is the same with the OPD in an interrogating interferometer. In this way, a real-time en-face OCT image can originate from a depth in the sample placed in the imaging interferometer, selected by actuating on the OPD in the interrogating interferometer, while laterally scanning the incident beam over the sample. The generation of the en-face image resembles time domain OCT, with the difference that here the signal is processed based on spectral domain OCT. The optoelectronic processor operates down-conversion of the chirped radio frequency signal delivered by the photo-detector. The down-conversion factor is equal to the ratio of the maximum frequency of the photo-detected signal due to an OPD value matching the coherence length of the swept source, to the sweeping rate. This factor can exceed 106 for long coherence swept sources.

Gabor fusion master slave optical coherence tomography.

This paper describes the application of the Gabor filtering protocol to a Master/Slave (MS) swept source optical coherence tomography (SS)-OCT system at 1300 nm. The MS-OCT system delivers information from selected depths, a property that allows operation similar to that of a time domain OCT system, where dynamic focusing is possible. The Gabor filtering processing following collection of multiple data from different focus positions is different from that utilized by a conventional swept source OCT system using a Fast Fourier transform (FFT) to produce an A-scan. Instead of selecting the bright parts of A-scans for each focus position, to be placed in a final B-scan image (or in a final volume), and discarding the rest, the MS principle can be employed to advantageously deliver signal from the depths within each focus range only. The MS procedure is illustrated on creating volumes of data of constant transversal resolution from a cucumber and from an insect by repeating data acquisition for 4 different focus positions. In addition, advantage is taken from the tolerance to dispersion of the MS principle that allows automatic compensation for dispersion created by layers above the object of interest. By combining the two techniques, Gabor filtering and Master/Slave, a powerful imaging instrument is demonstrated. The master/slave technique allows simultaneous display of three categories of images in one frame: multiple depth en-face OCT images, two cross-sectional OCT images and a confocal like image obtained by averaging the en-face ones. We also demonstrate the superiority of MS-OCT over its FFT based counterpart when used with a Gabor filtering OCT instrument in terms of the speed of assembling the fused volume. For our case, we show that when more than 4 focus positions are required to produce the final volume, MS is faster than the conventional FFT based procedure.

Design and testing of prototype handheld scanning probes for optical coherence tomography.

Three simple and low-cost configurations of handheld scanning probes for optical coherence tomography have been developed. Their design and testing for dentistry applications are presented. The first two configurations were built exclusively from available off-the-shelf optomechanical components, which, to the best of our knowledge, are the first designs of this type. The third configuration includes these components in an optimized and ergonomic probe. All the designs are presented in detail to allow for their duplication in any laboratory with a minimum effort, for applications that range from educational to high-end clinical investigations. Requirements that have to be fulfilled to achieve configurations which are reliable, ergonomic-for clinical environments, and easy to build are presented. While a range of applications is possible for the prototypes developed, in this study the handheld probes are tested ex vivo with a spectral domain optical coherence tomography system built in-house, for dental constructs. A previous testing with a swept source optical coherence tomography system has also been performed both in vivo and ex vivo for ear, nose, and throat-in a medical environment. The applications use the capability of optical coherence tomography to achieve real-time, high-resolution, non-contact, and non-destructive interferometric investigations with micrometer resolutions and millimeter penetration depth inside the sample. In this study, testing the quality of the material of one of the most used types of dental prosthesis, metalo-ceramic is thus demonstrated.

Dual instrument for in vivo and ex vivo OCT imaging in an ENT department.

A dual instrument is assembled to investigate the usefulness of optical coherence tomography (OCT) imaging in an ear, nose and throat (ENT) department. Instrument 1 is dedicated to in vivo laryngeal investigation, based on an endoscope probe head assembled by compounding a miniature transversal flying spot scanning probe with a commercial fiber bundle endoscope. This dual probe head is used to implement a dual channel nasolaryngeal endoscopy-OCT system. The two probe heads are used to provide simultaneously OCT cross section images and en face fiber bundle endoscopic images. Instrument 2 is dedicated to either in vivo imaging of accessible surface skin and mucosal lesions of the scalp, face, neck and oral cavity or ex vivo imaging of the same excised tissues, based on a single OCT channel. This uses a better interface optics in a hand held probe. The two instruments share sequentially, the swept source at 1300 nm, the photo-detector unit and the imaging PC. An aiming red laser is permanently connected to the two instruments. This projects visible light collinearly with the 1300 nm beam and allows pixel correspondence between the en face endoscopy image and the cross section OCT image in Instrument 1, as well as surface guidance in Instrument 2 for the operator. The dual channel instrument was initially tested on phantom models and then on patients with suspect laryngeal lesions in a busy ENT practice. This feasibility study demonstrates the OCT potential of the dual imaging instrument as a useful tool in the testing and translation of OCT technology from the lab to the clinic. Instrument 1 is under investigation as a possible endoscopic screening tool for early laryngeal cancer. Larger size and better quality cross-section OCT images produced by Instrument 2 provide a reference base for comparison and continuing research on imaging freshly excised tissue, as well as in vivo interrogation of more superficial skin and mucosal lesions in the head and neck patient.

Evaluation of novel assays to assess the influence of different iron sources on the growth of Clostridium difficile.

The ability of four Clostridium difficile strains to utilize various exogenous organic and inorganic iron sources for growth under iron-depleted (250 µM DPP) and iron-limited (75 µM DPP) conditions was analyzed in liquid broth cultures grown in tubes and in microtiter plates, and data compared with results from a bioassay developed on solid media. The growth profile of C. difficile varied depending on the iron source and availability. Addition of FeSO(4), FeCl(3), Fe citrate and ferritin allowed growth in an iron-depleted environment whereas glycoproteins (iron-saturated and low-iron lactoferrin, apo- and holo-transferrin) and heme proteins (hemoglobin, hematin and hemin) did not. All iron sources, except lactoferrin, were able to restore bacterial growth under iron-limited conditions to varying extents. The results demonstrated that the broth microtiter assay developed here was reproducible, reliable and convenient for high-throughput analysis of the growth of C. difficile compared to alternative traditional methods.

Evaluation of effective noise bandwidth for broadband optical coherence tomography operation.

Key noise parameters in optical coherence tomography (OCT) systems employing splitters with a nonflat spectral response are evaluated using a supercontinuum fiber laser source with a spectrum of 450 nm-1700 nm and a time domain OCT architecture based on 1300 nm fiber splitters. The spectral behavior of the splitter leading to balanced detection is measured over a range of 300 nm. Because of spectrally different signals at the balanced detector input a residual excess photon noise term results. A rigorous treatment of this noise term [Appl. Opt.43, 4802 (2004)] introduced two new quantities that take into account the spectral properties of the coupler. In this report, we have evaluated these two noise bandwidth quantities and comparatively assessed the noise behavior predicted by the classical theory with the theory based on the two new noise bandwidths. We show that under certain operating parameters, the additional excess photon noise is twice that predicted for a coupler with a flat spectral response.

Phenotypic and genetic virulence and antibiotic resistance markers in Escherichia coli strains isolated from hospital surfaces.

The aim of this study was the phenotypic and genotypic analysis of the antibiotic resistance and virulence markers in enterobacterial strains isolated from the hospital environment. In this purpose, 100 enterobacterial strains isolated from hospital surfaces were investigated for their susceptibility patterns, for the ability to colonize the cellular (HeLa) and inert substrate and for the production of soluble, enzymatic factors. The bacterial strains were also investigated for the presence of resistance and virulence genes (aggR, aggA, EaggEC, EAST1, hlyA). The enterobacterial strains isolated from the hospital surfaces exhibited high levels resistance rates to beta-lactams, including 3'd generation cephalosporins, teteracyclines, sulphametoxazole and nalidixic acid. The PCR analysis demonstrated the presence of TEM1, tetA, tetB, tetC, dfrA12, sulI and sulII in a low percentage of the resistant strains. The majority of the tested strains exhibited ability to colonize the inert and cellular substrate and also the ability to produce a series of soluble enzymes implicated in enteric and extra-intestinal pathogenesis (pore forming enzymes, proteases, mucinases, iron chelating agents). The presence of beta-haemolysis on sheep blood agar was well correlated with the presence of hlyA gene, while the aggregative adherence pattern with the presence of aggA, aggR and EAST/1 genes, in different combinations. Our results are demonstrating that the E. coli strains isolated from the hospital environment harbor phenotypic and genetic virulence markers, thus contributing to the development of resistance and virulence genes reservoirs with potential implication for the human health in the hospital environment.

Investigation of dental-plaque formers biofilms by optic and confocal laser scanning microscopy and microbiological tools.

The aim of the present study was to investigate the dental plaque formed on natural teeth surfaces by optic and confocal laser scanning microscopy (CLSM), to quantify the microbial density by viable cell counts, to identify the recovered microbial strains, the antibiotic susceptibility testing and their pathogenicity features (i.e. adherence and invasion capacity on HeLa cells, adherence on prostetic substrata used in oral medicine by original experimental models, production of extracellular enzymes and exotoxins). results: The CLSM revealed a very complex and highly organized architecture of dental plaque. The direct optic examination of Gram-stained smears revealed a great diversity of morphological types (82.5% of cases), with comparative levels of microbial densities. 50% of recovered microbial strains exhibited ability to adhere to three different polimeric inert substrata used in oral medicine, but reduced adherence and invasion capacity of HeLa cells and scared expression of soluble enzymatic factors.

Investigations of the eye fundus using a simultaneous optical coherence tomography/indocyanine green fluorescence imaging system.

We develop a dual-channel optical coherence tomography/indocyanine green (OCT/ICG) fluorescence system based on our previously reported ophthalmic OCT/confocal imaging system. The confocal channel is tuned to the fluorescence wavelength range of the ICG dye and light from the same optical source is used to generate the OCT image and to excite the ICG fluorescence. The system enables the clinician to visualize simultaneously en face OCT slices and corresponding ICG angiograms of the ocular fundus, displayed side by side. C-scan (constant depth) and B-scan (cross section) images are collected by fast en face scanning (T-scan). The pixel-to-pixel correspondence between the OCT and angiography images enables the user to precisely capture OCT B-scans at selected points on the ICG confocal images.

[Study of antibiotic influence on adherence capacity of gram positive and gram negative bacteria to the cellular substrate]. / Studiul influentei antibioticelor asupra capacitatii de aderenta a bacteriilor gram-pozitive si gram-negative la substratul celular.

Bacterial adherence to the cellular substrate (skin and mucosa) represents a precondition of infectious pathology. It was demonstrated that bacteria which adhere and form biofilms on catheters and other inert materials used in medicine are resistant to the therapeutic antibiotic concentrations being protected by the biofilm mathrix and generating severe and hard to treat infections. There are only few studies on the influence of antibiotics on the bacterial adhesins synthesis and bacterial adherence to the cellular substrate. The purpose of this study was to investigate the influence of subinhibitory concentrations of antibiotics on adherence capacity of Listeria monocytogenes, Vibrio cholerae and Aeromonas hydrophyla to the cellular substrate represented by HEp-2 cells. Suspensions (approximately 10(10) cells/ml) of bacterial cultures developed on solid media were incubated for 30 minutes in the presence of subinhibitory concentrations of penicillin, ampicillin, amoxicilin with clavulanic acid, ceftazidim, norfloxacin, kanamycin, chloramphenicole and vancomycin. Study of bacterial adherence to the cellular substrate was done by Cravioto's modified method. The quantitative evaluation of adherence/invasion capacity of bacterial suspensions pretreated with antibiotics was done by comparing the adherence/invasion index with controls without antibiotics. Penicillin, amoxicillin with clavulanic acid and vancomycin have significantly stimulated the adherence of Listeria monocytogenes strain and inhibited the adherence of Vibrio cholerae and Aeromonas hydrophyla strains. Ampicillin and chloramphenicole exhibited no significant effect on bacterial adherence capacity. The influence of kanamycin, ceftazidim and norfloxacin could not be interpreted due to the occurrence of a severe cytotoxic effect manifested by cell monolayer detaching, probably due to the action of antibiotic suspensions or to the increase of bacterial virulence under the selective pressure of the antibiotic.

[Factors influencing the capacity of cellular substrate adherence of vibrio cholerae O1 and non O1 strains]. / Studiul factorilor care influenteaza capacitatea de aderenta la substratul celular a tulpinilor de Vibrio cholerae O1 si non O1.

Bacterial adherence to eukariotic cells represents an important step of tissue colonization and is mediated by specific molecules called adhesins. Bacterial adherence to cellular substrate is a very complex process consisting in specific interactions between the surface of host cell and bacterial cell surface respectively. Adherence to cellular substrate confers selective advantages to bacterial cells, as: rapid growth rate by shorter lag period and protection against antibodies and lysozime. Adherence and colonization of small bowel represent the early steps of cholera infection (1, 2). The purposes of this study were to characterize the adherence ability of 46 Vibrio cholerae O1 and non O1 strains with different sources of isolation (acute diarrhea, water sources) to HEp-2 cell; to determine the influence of different factors (culture media, bacterial culture growth phase, proteolytic enzymes, carbohydrates and polyvalent agglutinant anti V. cholerae O1 serum) on the bacterial adherence capacity. Adherence capacity was assayed using the qualitative Cravioto's method. The adherence ability was appreciated by semi quantitative ("+", "++" and "+++") and quantitative assays. The adherence pattern of the tested strains was predominantly a diffuse one. The agar medium proved to be the most appropriate for the early and maximal expression of adhesion molecules, by comparison with nutritive broth and alkaline peptone water. Manose in different concentrations (1% and 3%) inhibited the adherence ability, demonstrating the role of manose-sensitive haemagglutinating fimbriae (MSHA) in mediating the adherence of V. cholerae strains to cellular substrate. Trypsine has no notable effect on the adherence ability, suggesting that the major V. cholerae adhesion molecules are not essentially of protein nature, so that the afimbrial adhesins could also play an important role in bacterial adhesion to eukariotic cells. The agglutinant polyvalent anti-V. cholerae O1 serum had the most significant inhibitory effect on the adherence ability, which was completely abolished in the presence of sub-agglutinant dilutions of serum titer (1/60-1/120) and partially reduced at titers ranging from 1/240 to 1/920. This inhibitory effect could be explained by bacterial agglutination, but also by the specific blocking of some surface structure implicated in the adherence process (i.e. lipopolysaccharides, as demonstrated by the inhibitory effect of sub-agglutinant serum titers). The inhibitory effect of polyvalent anti-V. cholerae O1 serum was limited to O1, but was not evident for the non O1 serogroups, demonstrating that the serum antibodies are acting on serogroup specific antigenic fractions.

[ Study of exo-enzymatic profile and cytotoxic effect of bacterial culture supernatants in different growth phase]. / Studiul profilului exo-enzimatic si al citotoxicitatii supernatantelor de culturi bacteriene în diferite faze de crestere.

Bacterial quorum-sensing represents an ubiquitary regulating system in which the pheromones (small molecules with different chemical structures, i.e. homoserin-lactones, octapeptides, aminoacids) act as extracellular mediators of signaling and intercellular communication. This chemical system is implicated in the regulation of different physiological processes dependent on the cell density (i.e. biolumniscence, virulence factors expression, sporulation, conjugation, antibiotic secretion etc). It is also mentioned in the literature the implication of bacterial pheromones in the modulation of eukariotic cells division rate. The objectives of this study were: a) to determine the exo-enzymatic profile of bacterial cultures in different growth phase in order to establish potential relationships between the phenotypic expression of some virulence factors on one side and the growth phase and bacterial culture density, on the other side; b) to determine de cytotoxic effect and the influence of bacterial culture supernatants on the HEp-2 cell division rate. Supernatants of bacterial cultures in nutrient broth of 2, 5 and 24 hrs of Staphylococcus aureus and Proteus sp. were tested directly and also, after thermic inactivation (at 100 degrees C, for 5 minutes) for the presence of different enzymatic activities known as virulence factors (spot and Kanagawa haemolysins, CAMP-like factor, caseinase, amilase, lipase, lecithinase, mucinase, DNA-ase). The exo-enzymatic profile of bacterial cultures of 2 and 5 hrs proved to be similar, the tested supernatants exhibiting haemolytic activity, and for Staphylococcus aureus, amilase and caseinase activities. Supernatants of and 5 hrs bacterial cultures exhibited also cytotoxic effect on HEp-2 cells. Supernatants of bacterial cultures of 24 hrs exhibited neither enzymatic activities, nor cytotoxic effect on HEp-2 cells, probably due to the inhibition of phenotypic expression of enzymatic activities at high bacterial densities through the activation of the quorum-sensing system. Bacterial supernatants did not significantly influence the HEp-2 cells division rate.

[Distribution and diversity of conjugative plasmids among some multiple antibiotic resistant E.coli strains isolated from river waters]. / Distributia si diversitatea plasmidelor conjugative la unele tulpini de E. coli multirezistente la antibiotice izolate din ape curgatoare.

In natural bacterial communities the microbial structure and functions are subjected to dynamic environmental and genetic adaptation. Plasmid-mediated horizontal genes transfer has a major impact on the adaptability of bacteria, exemplified by the interspecific and intergeneric transfer of antibioresistance genes in a variety of aquatic media. The high incidence of resistant bacteria has been documented for fresh waters, marine waters and chronically polluted waters. The aim of this study was to establish the distribution and diversity of plasmids and to study the transfer of plasmids harboring multiple antimicrobial-resistance determinants (R plasmids) belong to 12 multiple antibiotic resistant E. coli strains isolated from river waters. Antimicrobial resistance patterns were performed for aminoglycosides (gentamycin, kanamycin), beta-lactams (ampicillin), cephalosporins (ceftazidime and cefotaxime), tetracycline, nalidixic acid and chloramphenicol by disk diffusion method following NCCLS recommendations. Minimum inhibitory concentrations (MICs) were performed using dilution method in Mueller-Hinton broth with a 0.06-64 micrograms/ml concentration range for all antimicrobials and bacterial inoculum corresponding to 0.5 standard of the McFarland scale. For the data analysis NCCLS breakpoints for resistance and sensitivity were used. Bacterial plasmid isolation was performed by an alkaline lysis method. Genetic characterization was performed by agarose gel electrophoresis and spectrophotometric analysis. R-plasmid transfer frequencies were estimated by conjugation of drug-resistant E. coli strains used as donors with E. coli DH5 alpha F recipient marked with chromosomal resistance to nalidixic acid (Nal). The drug resistance markers possessed by a particular donor strain were sequentially used to screen for R+ transconjugants by incorporation the particular drug in the selective media. All E. coli strains are multiple antibiotic resistant, 65% of them being resistant to all 8 antibiotics tested. Plasmid profile analysis revealed the presence of several plasmids ranging from 3.8 kpb to more than 50 kpb. All aquatic R+ strains transferred two or more of their resistance markers to E. coli DH5 alpha F, transfer of resistance to ampicillin and tetracycline being the most frequent and having a frequency of 10(-4) or greater (expressed as transconjugants/donor). The phenotypic data shows the frequency and dynamic flow of multiple antibioresistant E. coli strains in aquatic media. Electrophoretic patterns analysis reflects the high incidence and diversity of plasmids in aquatic E. coli strains. Plasmid-harboring E. coli strains transferred antibiotic resistance and, hence, possessed conjugative R plasmids. Of these, 80% transferred drug resistance at a frequency of about 10(-4).

[Correlation between multiple antibiotic resistance and heavy-metal tolerance among some E.coli strains isolated from polluted waters]. / Corelatia dintre rezistenta multipla la antibiotice si toleranta la saruri ale metalelor grele pentru unele tulpini de E. coli izolate din ape poluate.

Self-transmissible plasmids conferring multiple antibiotic resistance are wide-spread in coliforms populations. In soil and water, multiple antibiotic resistance is clearly associated with resistance/tolerance to heavy-metals (Hg2+, Cu2+, Pb2+, Zn2+, Ca2+). For different genera the genes for heavy-metals resistance are often plasmid encoded. Since these genes are clustered on the same plasmids, heavy-metals and drugs are environmental factors which exert a selective pressure for the populations of these plasmid-harboring bacteria. The aim of this preliminary study was to find possible correlation between resistance genotype determined by genetic analysis and antibiotic and heavy-metal resistance patterns of 12 E. coli strains isolated from chronically polluted waters. Antimicrobial susceptibility testing was performed for ampicillin, tetracycline, gentamycin, kanamycin, chloramphenicol, ceftazidime and cefotaxime by standard disk diffusion Kirby-Bauer method following NCCLS recommendations. These antibiotics were chosen because of their wide-spread use and importance in the treatment of Gram-negative bacterial infections. MICs values of antibiotics and heavy-metals were determined by dilution method in Mueller-Hinton broth using an inoculum of about 1-2 x 10(8) CFU/ml. The concentration range for antimicrobials and heavy-metals salts (CuSO4, CdCl2, Co(NO3)2, Cr(NO3)3, HgCl2, NiCl2 and ZnSO4) was 0.06-64 [symbol: see text] g/ml, 0.5-256 [symbol: see text] g/ml respectively. Plasmid DNA was isolated from E. coli strains by an alkaline lysis. Genetic characterization was performed by agarose gel electrophoresis and spectrophotometric analysis. All strains are multiple antibiotic resistant, 16% of them being resistant to 3, 4 and 6 antibiotics, 32% to 5 and 8% to all 7 antibiotics, respectively. Multiple tolerance to high levels of Cd2+, Cu2+, Cr3+ and Ni2+ was common among multiple antibioresistant strains. Screening for plasmids relieved the presence of several plasmids ranging from 3.8 kpb to more than 50 kpb. The phenotypic data shows the direct association between multiple antibiotic and heavy-metal resistance for E. coli strains in polluted water. Electrophoretic patterns analysis reflects the high incidence and diversity of analyzed plasmids.

[Clonal analysis of some multiple antibiotic resistant E. coli strains isolated from river and polluted waters]. / Analiza clonala a unor tulpini de E. coli multirezistente la antibiotice izolate din ape curgatoare si poluate.

Several multiple antibiotic resistant E. coli strains isolated from river and polluted waters were compared for their genetic relatedness. Antibiotic susceptibility testing was performed for gentamycin, kanamycin, ampicillin, tetracycline, chloramphenicol, ceftazidime and cefotaxime, as described by Kirby-Bauer disk diffusion method following NCCLS recommendations. Minimum inhibitory concentrations (MICs) were performed using dilution method in Mueller-Hinton broth with a 0.06-64 micrograms/ml concentration range for all antimicrobials and bacterial inoculum of about 1-2 x 10(8) CFU/ml. For the data analysis NCCLS breakpoints for resistance and sensitivity were used. Genomic DNA was isolated from E. coli strains by CTAB method and digested to completion with HindIII enzyme. Genetic characterization was performed by agarose gel electrophoresis and spectrophotometric analysis. Genetic similarity and clustering were calculated using NISIS program. All E. coli strains isolated from river and polluted waters show a high incidence of multiple antibiotic resistance phenotype, 16% of them being resistant to 7, 6 and 4 antibiotics, 40% to 5 and 8% to 2 antibiotics, respectively. A moderate resistance was observed to kanamycin (higher than 30%) and cefotaxime (68%). The percentage of resistant E. coli strains ranged from 76% (to ampicillin, gentamicin and chloramphenicol) to 85% (to ceftazidime). The best results (resistance about 99%) were obtained with tetracycline. Screening for plasmids relieved the presence into 4 E. coli strains of several plasmids ranging from 3.8 kpb to more than 50 kpb. The number of fragments produced by HindIII digestion of genomic DNA ranged from 11 to 25, with sizes of approximately 22 to more than 750 kb. The phenotypic data shows the dynamic flow of multiple antibioresistant E. coli strains in aquatic media (river and polluted waters). Electrophoretic patterns analysis reflects the incidence and diversity of analyzed plasmids. DNA fingerprinting with genomic DNA RE suggested that, depending of the isolation source, E. coli strains could be grouped in two distinct populations with a different plasmid diversity.

[Beta-lactam resistance in aquatic Enterobacter cloacae strains using phenotypic and genotypic criteria]. / Studiul fenotipic si genotipic al rezistentei la antibiotice beta-lactamice a unor tulpini Enterobacter cloacae izolate din mediu acvatic.

Bacterial resistance by producing of beta-lactamases represents an increasing problem of infections chemotherapy. beta-lactam hydrolyzing activities are detected in virtually all bacteria, from witch Enterobacter cloacae produce chromosomal beta-lactamases included in inducible class AmpC beta-lactamases. The purpose of this preliminary study was to investigate the antibiotic susceptibility of 7 inducible beta-lactamase-producing Enterobacter cloacae strains isolated from aquatic sources (river and polluted waters). The identification to the species level was performed with the API 32E system and susceptibility to antimicrobial agents was tested by the disk diffusion method according to NCCLS recommendations. The following antibiotics were tested: ampicillin, amoxycillin/clavulanic acid, ceftazidime, cefotaxime, cephalotin, cefamandole, cephaclor, imipenem, amikacin, gentamycin, kanamycin, tobramycin, ciprofloxacin, norfloxacin, ofloxacin, nalidixic acid, tetracycline and chloramphenicol. Minimum inhibitory concentrations (MICs) were performed using dilution method in Mueller-Hinton broth with a 0.06-64 micrograms/ml concentration range for all antimicrobials and bacterial inoculum of about 1-2 x 10(8) cfu/ml. For the data analysis NCCLS breakpoints for resistance and sensitivity were used. Interaction of beta-lactamase inhibitor clavulanate with cefotaxime was performed by double-disk synergy test. Detection of inducible beta-lactamase expression was performed by the inductibility disk diffusion test using cefotaxime, ceftazidime and imipenem. Genomic DNA was isolated using CTAB technique and bacterial plasmid isolation was performed by an alkaline lysis method. Genetic characterization was performed by agarose gel electrophoresis and spectrophotometric analysis. The majority of examined E. cloacae strains were sensitive to imipenem, cefamandole, amikacin and quinolones (norfloxacin and ofloxacin), a higher moderate resistance being observed only to nalidixic acid (higher than 50%) and ciprofloxacin (15%). The percentage of resistant strains ranged from 72% (to kanamycin) to 87% (to gentamicin). The best results (resistance about 99%) were obtained with ampicillin, amoxycillin/clavulanic acid, ceftazidime, cefotaxime, cephalotin, cephaclor, tobramycin, tetracycline and chloramphenicol. The disk diffusion tests showed the absence of extended-spectrum beta-lactamases production and the expression of inducible beta-lactamases. Electrophoretic patterns point out the presence of plasmid DNA. Plasmid profile revealed the presence of several different plasmids ranging from 2.5 kpb to more than 30 kpb. The presence of inducible beta-lactamase E. cloacae strains in aquatic media (river and polluted waters) and the closely related pattern of susceptibility among these strains reflect the possible contamination of these sources and the common origin of them.