Analysis of Genetic Similarities Between Clostridium Perfringens Isolates Isolated from Patients with Gas Gangrene and from Hospital Environment Conducted with the use of the PFGE Method

• Authors: Monika Brzychczy-Włoch , Małgorzata Bulanda
• Languages of publication: EN

Abstracts

EN

The objective of the study was to perform a comparative analysis of genetic similarity, with the use of pulsed field gel electrophoresis (PFGE), of Clostridium perfringens isolates originating from patients with gas gangrene and from the hospital environment. The study encompassed two patients with a clinical and microbiological diagnosis of gas gangrene, who were hospitalized in one of the hospitals of the Małopolska province in the time period between 31st March 2012 and 18th May 2012. Clostridium perfringens isolates genotyping indicated that the isolates originating from the two studied patients did not display genetic similarity and represented two different PFGE types, which corresponded to two different clones (clone A and B). Whereas the strains isolated from the hospital environment were genetically identical with the strain coming from the second patient and represented one PFGE type, which corresponded to one clone (clone A). As a result of the study, it is possible to conclude that both patients developed endogenous infection. Even so, the examination of the hospital environment indicates the possibility of the appearance of exogenous infections. It prompts recommending and following the exact regulations of sanitary regime in the ward and the operating theater if a patient is diagnosed with gas gangrene.

Keywords

EN

Clostridium perfringens   gas gangrene   pulsed field gel electrophoresis - PFGE   epidemiological investigation  

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 86
• Issue: 3
• Pages: 141-146

Dates

published

1 - 3 - 2014

online

25 - 4 - 2014

received

4 - 10 - 2013

References

• 1. Sołtys-Bolibrzuch K: Nowy drobnoustrój na liście czynników alarmowych - Clostridium perfringens. Postępowanie z pacjentem w przypadku podejrzenia i/lub rozpoznania zgorzeli gazowej. Pielęgniarka Epidemiologiczna 2012; 1: 5-7.
• 2. Stasiak M. Lasek J. Samet A. et al.: Gas gangrene of a different origin in trauma patients- report of 2 cases. J Orthopaedics 2007; 4(1)e15.
• 3. Knap J: Zgorzel gazowa. W: Choroby zakaźne i pasożytnicze - epidemiologia i profilaktyka. Red: Magdzik W. Narszewicz-Lesiuk D, Zieliński A. Wyd. α-medica press, Bielsko Biała, 2004; str. 411-14.
• 4. Sobel J. Mixter ChG, Kolhe P et al.: Necrotizing enterocolitis associated with Clostridium perfringens type A in previously healthy North American adults. J Am Coll Surg 2005; 201: 48-56.
• 5. Sussmann M, Boriello SP, Taylor DJ : Gas gangrene and other clostridial infections In: Topley and Wilsons’ Microbiology and Microbial infections, Ninth edition, Ed: Collier L. Balows A. Sussman M. Arnold, London, 1998; 669-84.
• 6. Stevens DL , Bryant AE: The role of clostridial toxins in the pathogenesis of gas gangrene, CID 2002; 35: 593-600.
• 7. Rozporządzenie Ministra Zdrowia z dnia 23 grudnia 2011 r. w sprawie listy czynników alarmowych, rejestrów zakażeń szpitalnych i czynników alarmowych oraz raportów o bieżącej sytuacji epidemiologicznej szpitala. Dz.U. z 2011 r. Nr 294, poz. 1741.
• 8. Martirosian G: Zakażenia wywołane przez Clostroidium perfringens, zgorzel gazowa, zatrucia pokarmowe. W: Choroby zakaźne i pasożytnicze. Red: Cianciara J. Juszczyk J. Wyd. Czelej Sp. Z o.o. Lublin2007; str. 646-49.
• 9. van Belkum A, Tassios PT, Dijkshoorn L et al.: Guidelines for the validation and application of typing methods for use in bacterial epidemiology. Clin Microbiol Infect 2007; 13: 1-46.[Crossref][PubMed][WoS]
• 10. Fleischer M. Salik K: Postępowanie w przypadku występowania szpitalnych ognisk epidemiologicznych. Materiały szkoleniowe dla pielęgniarek epidemiologicznych. Wrocław 2006.
• 11. Maslanka SE, Kerr JG, Williams G et al.: Molecular subtyping of Clostridium perfringens by pulsed-field gel electrophoresis to facilitate foodborne- disease outbreak investigations. J Clin Microbiol 1999; 37: 2209-14.
• 12. Fielden MP, Martinovic E, Ells AL : Hyperbaric oxygen therapy in the treatment of orbital gas gangrene. JAA POS 2002; 6: 252-54.
• 13. Wojdat E. Kwiatek K. Zdrojewski H et al.: Zachorowanie na zgorzel gazową - opis diagnozowania przypadku. Przegl Epidemiol 2005; 59: 859-63.

Identifiers

DOI

10.2478/pjs-2014-0026