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Monday, 4 February 2019

ISOLATION, IDENTIFICATION AND CHARACTERIZATION OF Escherichia coli and Staphylococcus aureus AS SOURCES OF SKIN INFECTION






CHAPTER ONE                                           
INTRODUCTION
1.1    Background to the Study                  
Infectious diseases are leading cause of global mobility and mortality (Ryan, 2014). In 1990, infections cause 16 million deaths, and in 2010, the number of deaths had fallen to 15 million [W.H.O 2013]. The spread of infectious diseases result as much from changes in human behavior. Including lifestyle and land use pattern, increased trade and travel, and inappropriate use of antibiotic drugs as form mutations in pathogens [Ngwai, 2010].Staphylococcus aureus and Escherichia coli are a major cause of various humans and animals infections. The first causes skin and soft tissues infections, surgical site infections and bone and joint infections. Staphylococcus aureus is a common cause of hospital acquired bacteraemia and it is associated with hospital acquired respiratory tract infections [Ryan, 2014]. E. coli is the most common cause of urinary tract infections (UTI) in humans [Foxman, 2010], and is a leading cause of enteric infections and systemic infection [Ngwai, 2010].
The systemic infections include bacteriamia, nosocomial pneumonia, cholecystitic, cholangitiz, and peritonitis, cellulites, osteomycelitis and infection arthritis. E. coli is also leading because of new meningitis [Kim, 2011]. A wide range of antimicrobial agents effectively inhibit the growth of E. coli. The β-lactase, fluorguninolones, amino glycosides and trimethoprim-sulfame thoxoizole are often used to treat community and hospital infections due to E. coli (Fast M-Bunzeluk, 2012). But antimicrobial resistant isolates, especially those that are fluoroguinolone resistant and those producing bit ended spectrum β-lactamonses have increased significantly during the 2,000s and in certain area in many nococomial and community-acquired E. coli are now resistant the several important antimicrobial classes (Ortega, 2009).
            Penicillinase-resistant penicillin’s, flucloxacilin, dicloxacillin) remain the antibiotics of choice for the management of serious mehticillin susceptible S. aureus (M55A) infections, but first generation cephalosporin (Cefaxiporin, Cephalothin and cephalexin), clindamycin, lincomycin and erythromycin have important the suspected roles in less serious MSSA infections such as skin and soft tissue infections or in patients with penicillin hypersensitivity. All serious MR5A infections should be treated with parental vancomycin or if the patient is vancomycin allergic, (Wang H. Dzink, 2011).
            Antibiotic’s resistant staphylococci are major public health concern since the bacteria can be easily circulated in the environment. Infections due to methicililn-resistant Staphylococcus aureus (MR5A) have increased worldwide during the past twenty years (Pitout, 2012). Some report of S. aureus isolate with intermediate or complete resistance to vancomycin portend a chemotherapeutic era in which effective bactericidal antibiotics against this organism may no longer be readily available (Pitout, 2012). Multiple during-resistant S. aureus have been frequently recovered from foodstuffs (Acc. Ferreira, 2011), water and bio-film formulation (Doughti, 2011). Nasal mucosa of humans  (Karezmarezyk, 2012).
            This paper aims to review the taxonomies, morphology and biochemical characteristics, habitant and growth characteristics, the caused infections the treatment and resistance to antibiotics of these two bacteria.
            Even though an individual has a “normal” skin flora it often happen that during his or her life there are fluctuation in the composition of this florin due to general health conditions, diet, hormonal activity, age and many other factors.
            The micro organisms most o which are bacteria comprise the normal skin flora also termed the normal micro biota. They inhibit mainly the inner surfaces of the body such as the mucous membrane of the oral cavity and genitourinary tract most are highly adopted to survival and growth in this area despite physical and chemical condition that discourage many other kind of micro-organisms.
            Therefore the termed normal skin flora implies that these microbes are harmless, and for the most part that they do not cause disease and are oven beneficial. Most are commensally, they benefit from the association with the host they benefit the host in some fashion while thriving in the host body. It is of interest to learn what these beneficial effects are and how they can be lost due to change in the normal skin flora cause by the use of the antibiotics or other means,.
            In addition some normal skin flora organism can be opportunistic pathogen that is they may cause infection if tissue occurred or at specific site or if the resistance of the body to infection is decrease. This is especially importance because in recent years there has been a rising incidence of infection and from this micro organism arises.



FREQUENT VISITOR
THE MAJOR MICROBIAL SYMBIOTANT FOUND ON OR IN THE SKIN OF HUMAN.
COURTESY OF B.C BLOCK AND J DUCAS, MAN MICROBES AND MATTER (2010).



















Microbes that colonize the human body during birth or shortly thereafter remaining throughout life are referred to as normal floral (Scheupelin, 2010). Normal floral can be found in many sites of the human body including the skin (especially the moist areas, such as the growing and between the toes), respiratory tract (particularly the nose).  Urinary tract and the digestive tract (primarily the mouth and the colon). On the other hand, areas of the body such as the brain, the circulatory system and the lungs are intended to remain sterile (microbe free).
Figure 1: Location of normal microbial floral. Each of these areas of the body contain their own microenvironment and various inhabitants of microbes. The human body provides many unique environments for different bacterial communities to live. In this context, scientists refer to the human body as the host. A positive host’s microbe relationship is usually described as either mutuality or communalistic. In mutualism both the host and the microbes benefit.
Which is in contract to commensalisms, where one partner of the relationship Bonnets (usually the microbe) and the other partner neither bereted nor harmed. In many cases it may be difficult to establish whether a particular host microbes relationship should be considered mutuality or communalistic, since scientists are only beginning to understand the role of normal flora in human health. In other words, individual microbes may be carrying out important functions within our bodies that we have not yet discovered. Just as host—microbe relationships can be positive or neutral, they can also be negative. Such a host—microbe relationship is usually described as parasitic or pathogenic. In a parasitic relationship the microbe bonnets at the expense of the host and similarly in a pathogenic relationship the microbe causes damage to the host. In both cases the cost to the host can vary from slight to fatal. Whether a host—microbe relationship is “positive” or “negative” depends on many factors. And in most cases the relationship will actually remain positive. The host provides a niche and nutrition for the colonizing microbe and the microbe, occupies a space that a potential parasite or pathogen might otherwise colonize. In these cases microbial communities may even aid in digestion or synthesize nutrients for the host. However, life is not always perfect, and in certain situations good-standing members of your normal flora can cause disease or invading pathogens can displace them. The result will be disease. To illustrate some of these scenarios let’s take a closer look at microbial communities found in different areas of the human body.
            Human skin is not particularly rich place for microbes to live. The skin surface is relatively dry, slightly acidic and the primary source of nutrition is dead cells. This is an environment that prevents the growth of many microorganisms, but a few have adapted to life on our skin.

1.2     Statement of Problem  
i          Escherichia coli and Staphylococcus aureus have been known as sources of skin infection of the human body, however because of their reaction on the skin not everybody (Adult and Adolescent) can have problem with this microorganisms, it may serve as a causes to those who suffer for boils, scalded skin syndrome, osteomyelitis impetigo, carbuncles, style, chronic ulceration of the skin wound and burn infections (Todar, 2010).
ii     Escherichia coli and Staphylococcus aurues reaction or causes as an sources of skin infection can be reduced by the help of antibiotics e.g Penicillin, Methicillin and Cephalosporin (Ngwar, 2010



1.3 Aims and Objective
 i    To isolate some microorganisms present on the human skin
 ii    To characterize and describe the resident flora of the skin
 iii   To determine the infections and the treatment to be used for isolated organisms

1.4 Justification
   i          The problem of  Escherichia  coli and Staphyloccocus aureus are known to cause higher sources of skin infection, when people are not using medicated and antiseptic soap to bathe and antibiotics regularly but if they are using all this regularly Escherichia coli and Staphyloccocus aureus will not cause any effect to the skin, (Noah S.A, 2008).
   ii        When people are using anti-disinfectant and medicated and antiseptic soap to bath, the E. coli and S. aureus will not cause much skin infection and the skin will be free from any cause of disease e.g carbuncles, Style and Pimples. (Balows, 2011).
  iii         The entering or absorption of Escherichia coli and Staphylococcus aureus occur when the skin is not properly wash regularly (bathing regularly) by using disinfectant, antiseptic and medicated soap at initial period so if this apply regularly there would not be any skin disease again.(W.H.O, 2013)
  iv        Antibiotics drugs is an essential requirement used to attack any sources of skin infection been caused by micro-organism such as Escherichia coli and Staphylococcus aureus. So that whenever the microorganism enter, there will be an attack of antibioitics been consumed before the entrance of the bacteria, (Levmaires, 2008). 


1.5 Scope of the Study
i         Isolation and characterization of Escherichia coli and Staphylococcus aureus from normal skin flora.
 ii         Laboratory identification of Escherichia coli and Staphylococcus aureus on skin normal flora.
iii           Microbiological, Isolation and characterization of Escherichia coli and Staphylococcus aureus made from normal skin flora.

















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