Aims: This investigation aimed to isolate enteric rods from subgingival sites of patients presenting chronic periodontitis lesions, and to assess antimicrobial resistance and expression of hydrolytic enzymes. Methods and Results: Enterobacteriaceae were isolated from 20% patients, and assayed for antimicrobial susceptibility and hydrolytic enzymes with specificity to different substrates. Isolates comprised seven Enterobacter cloacae (43·75%), five Serratia marcescens (31·25%), one Klebsiella pneumoniae (6·25%), one Enterobacter aerogenes (6·25%), one Pantoea agglomerans (6·25%), and one Citrobacter freundii (6·25%). Gelatinase activity was observed for 75% strains; caseinase and elastase was produced by six and two strains, respectively. DNase, lecithinase and lipase were expressed by S. marcescens. Most of strains were resistant to ampicillin (93·75%) and amoxicillin/clavulanic acid (81·25%). The majority of strains were susceptible to cephalosporins and aztreonam. Enterobacteria remained susceptible to imipenem, streptomycin and fluoroquinolones. Resistance to gentamicin, amikacin, sulfamethoxazole/thrimethoprim, tetracycline, and chloramphenicol were also observed. Eight strains presented multiple drug resistance. Conclusions: Subgingival sites from periodontal diseases contain multi‐resistant and hydrolytic enzyme‐producing enterobacteria that may contribute to overall tissue destruction and spreading. Significance and Impact of the Study: Enterobacteria isolated from patients generally considered as healthy individuals poses periodontal diseases as reservoir for systemic infections particularly in immunocompromised and hospitalized hosts.
OBJETIVO: Evaluar el efecto antibacteriano, in vitro, de la Terapia Fotodinámica (PDT) sobre Enterococcus faecalis. MATERIAL Y MÉTODOS: Fueron preparadas suspensiones bacterianas a partir de cepas clínicas de E. faecalis. Estas suspensiones fueron divididas en tres grupos experimentales (1L, 2L y 3L) y un grupo control (GC). Utilizando un equipo Twin Laser conteniendo como medio activo un diodo de GaAIAs, los grupos experimentales recibieron respectivamente dosis de energía de 1 min a 60 J/cm2, 2 min a 120 J/cm2 y 3 min a 180 J/cm2. Las suspensiones fueron diluidas, sembradas e incubadas para posterior contaje de Unidades Formadoras de Colonia por mL (UFC/mL). Los valores de UFC fueron analizados estadísticamente por ANOVA y test de Tukey (p<0,05). RESULTADOS: Los grupos 1L, 2L y 3L mostraron una reducción de 99,88%, 99,86% y 99,92% respectivamente. Siendoque esta reducción de UFC/mL fue estadísticamente signifi cativa (p<0,05). Sin embargo, no fueron encontradas diferencias signifi cativas entre los tres grupos experimentales, sometidos a diferentes tiempos de PDT (p>0,05). CONCLUSIÓN: La PDT es una alternativa efi caz para la eliminación de E. faecalis, microorganismo frecuentemente asociado a casos de fracaso endodóntico.
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