Widespread pyocyanin over-production among isolates of a cystic fibrosis epidemic strain
2007

Widespread Over-Production of Pyocyanin in Cystic Fibrosis Strain

Sample size: 89 publication Evidence: moderate

Author Information

Author(s): Fothergill Joanne L, Panagea Stavroula, Hart Charles A, Walshaw Martin J, Pitt Tyrone L, Winstanley Craig

Primary Institution: University of Liverpool

Hypothesis

What is the prevalence of the unusual pyocyanin over-production phenotype among isolates of the cystic fibrosis epidemic strain?

Conclusion

The widespread occurrence of the unusual pyocyanin over-production phenotype suggests it may play an important role in the success of the epidemic strain.

Supporting Evidence

  • 51% of the LES isolates produced increased pyocyanin compared to strain PA01.
  • The unusual phenotype can persist for up to seven years during chronic infection.
  • There was a correlation between the OP phenotype and resistance to ceftazidime, aztreonam, and meropenem.

Takeaway

Some bacteria that cause lung infections in cystic fibrosis patients make too much of a harmful substance called pyocyanin, which can make the infection worse.

Methodology

The study screened 34 non-LES and 55 LES isolates for pyocyanin production using a simple broth test and assessed antimicrobial susceptibilities.

Limitations

The study may not account for all variations in pyocyanin production due to different growth conditions.

Participant Demographics

The study involved adult and child CF patients from Liverpool, with 21 male and 13 female non-LES isolates and 10 male and 6 female LES isolates.

Statistical Information

P-Value

p = 0.004

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2180-7-45

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