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J Appl Oral Sci. 2016 Sep-Oct;24(5):462-471. doi: 10.1590/1678-775720160032.

Occurrence and antimicrobial susceptibility of enteric rods and pseudomonads isolated from the dental prostheses biofilm.

Journal of applied oral science : revista FOB

Sanrrangers Sales Silva, Maximilo de Oliveira Ribeiro, Francisco Isaac Fernandes Gomes, Hellíada Vasconcelos Chaves, Antonio Alfredo Rodrigues E Silva, Iriana Carla Junqueira Zanin, Francisco Cesar Barroso Barbosa

Affiliations

  1. Universidade Federal do Ceará, Faculdade de Odontologia, Campus Sobral, Sobral, CE, Brasil.
  2. Universidade Federal do Ceará, Faculdade de Medicina, Campus Sobral,Sobral, CE, Brasil.
  3. Agência Nacional de Vigilância Sanitária, Brasília, DF, Brasil.

PMID: 27812616 PMCID: PMC5083023 DOI: 10.1590/1678-775720160032

Abstract

OBJECTIVE:: To determine the occurrence and the in vitro antimicrobial susceptibility of enteric rods and pseudomonads from the denture biofilm of 52 subjects at the Center for Dental Specialties of Sobral/ Ceara, Brazil.

MATERIAL AND METHODS:: Denture biofilm was collected and samples plated on MacConkey agar. The isolated bacterial colonies were identified using the BBL Crystal enteric/non-fermenter system. Antibiotic bacterial susceptibility was assessed by the disc diffusion method of amoxicillin, amoxicillin/clavulanic acid, doxycycline, tetracycline, tobramycin, imipenem, cefotaxime, and ciprofloxacin. The Minimum Inhibitory Concentration (MIC) of cefotaxime, tobramycin, doxycycline, imipenem, and ciprofloxacin was determined for 40 species by E-test.

RESULTS:: 34 subjects (65.4%) harbored enteric rods in their prostheses. Klebsiella pneumoniae (26.5%), Escherichia coli (23.5%), and Enterobacter aerogenes (23.5%) were the most prevalent species. All organisms were susceptible to ciprofloxacin and most species were resistant to amoxicillin or amoxicillin/clavulanic acid, demonstrating variable sensitivity patterns to other antimicrobials. However, the MIC showed the emergence of strains with reduced sensitivity to ciprofloxacin (MIC90≥3 μg/ mL) and cefotaxime (MIC90≥2 μg/mL).

CONCLUSION:: The findings show high prevalence of nosocomial diseases-related bacterial species and low susceptibility to antimicrobial drugs. Therefore, these results imply caution against the indiscriminate use of broad spectrum antibiotics in dental practice.

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