Acinetobacter bacteraemia in Thailand: evidence for infections outside the hospital setting.

SUMMARY: Acinetobacter is a well-recognized nosocomial pathogen. Previous reports of community-associated Acinetobacter infections have lacked clear case definitions and assessment of healthcare-associated (HCA) risk factors. We identified Acinetobacter bacteraemia cases from blood cultures obtained <3 days after hospitalization in rural Thailand and performed medical record reviews to assess HCA risk factors in the previous year and compare clinical and microbiological characteristics between cases with and without HCA risk factors. Of 72 Acinetobacter cases, 32 (44%) had no HCA risk factors. Compared to HCA infections, non-HCA infections were more often caused by Acinetobacter species other than calcoaceticus-baumannii complex species and by antibiotic-susceptible organisms. Despite similar symptoms, the case-fatality proportion was lower in non-HCA than HCA cases (9% vs. 45%, P < 0·01). Clinicians should be aware of Acinetobacter as a potential cause of community-associated infections in Thailand; prospective studies are needed to improve understanding of associated risk factors and disease burden.

MRSA carriage in a tertiary governmental hospital in Thailand: emphasis on prevalence and molecular epidemiology.

We investigated prevalence and risk factors for methicillin-resistant Staphylococcus aureus (MRSA) in a case-control study performed in a 900-bed tertiary governmental healthcare facility in Bangkok, Thailand. Multivariate unconditional logistic regression was used to identify risk profiles for MRSA carriage. Phage typing, pulsed-field gel electrophoresis (PFGE), polymorphisms of the coa and spa genes, hypervariable region (HVR) of SCCmec, multi-locus sequence typing (MLST), and identification of ST30/ST8 mosaic chromosome by heteroduplex-polymerase chain reaction (heteroduplex-PCR) were used to demonstrate a clonal relationship. Fifty-seven of 619 in-patients (9.2%) were positive for MRSA. Risk factors were being male, long admission, low modified McCabe score, history of MRSA infection, and use of broad spectrum cephalosporin. Molecular typing results indicated close relatedness among MRSA isolates. Successful epidemic subtypes were recovered from many different wards. However, all subtypes with different multi-locus sequence types were single locus variants (SLVs) of ST239. Heteroduplex-PCR gave two positive bands from ST8/ST30 mosaic chromosomal structures in all SLVs indicating all isolates were of the ST239 origin. The burden of MRSA nosocomial infections is high in the governmental tertiary hospital. The sole ST239 and its SLVs identified in this hospital is striking and calls for better policy for infection control and prevention.

A biosurfactant from Burkholderia cenocepacia BSP3 and its enhancement of pesticide solubilization.

AIMS: To isolate a biosurfactant (BS)-producing bacterium, to characterize the BS properties and to evaluate its ability to enhance pesticide solubilization for further application in environmental remediation. METHODS AND RESULTS: Five BS-producing bacteria were isolated from fuel oil-contaminated soil. Among them, Burkholderia cenocepacia BSP3 exhibited the highest emulsification index and was chosen for further study. Glucose-containing medium supplemented with nitrate or sunflower seed oil provided suitable conditions for growth and BS production. The BS was identified as a glucolipid, having a critical micelle concentration (CMC) of 316 mg l(-1). It could lower the surface tension of deionized water to 25 +/- 0.2 mN m(-1) and exhibited good emulsion stability. Finally, the application of the BS to facilitate pesticide solubilization demonstrated that this BS at the concentration below and above its CMC could enhance the apparent water solubility of three pesticides, i.e. methyl parathion, ethyl parathion and trifluralin. CONCLUSIONS: Burkholderia cenocepacia BSP3 is a BS-producing bacterium isolated from oil-contaminated soil. The BS was identified as a glucolipid having a molecular mass of 550.4 g mol(-1). An apparent yield of the BS was 6.5 +/- 0.7 g l(-1). This glucolipid-type BS noticeably enhanced pesticide solubilization suggesting its role in environmental remediation. SIGNIFICANCE AND IMPACT OF THE STUDY: A glucolipid type BS normally found in marine micro-organisms was isolated from a soil-bacterium. Due to its surface active properties and good performance in enhancement of pesticide solubilization, it could be used as a solubilizing agent for environmental remediation and synergistic treatment with bioremediation of pesticide-contaminated soil.