We have been working this year on infectious diseases, particularly nosocomial diseases.
A nosocomial infection is an infection contracted during hospitalization. It is therefore absent at the time of admission of the patient in the establishment and is declared at least 48 hours after admission. One major problem regarding those infections is that some pathogenic bacterias can develop resistance against antibiotics.
Nowadays, antibiotic resistance is one of the biggest threats to global health, food security, and development. The World Health Organization, WHO, published last year, a list of high-priority pathogenic agents for which we need to find new treatments . It lists the 12 most threatening families of bacterias for human health.
In this list, Pseudomonas aeruginosa is considered as a first priority pathogen. Indeed, the most worrying strains because of their antibiotic resistance are carbapenem-resistant strains . However, most pathogenic Pseudomonas aeruginosa strains are multi-drug resistant. So it is a challenge to detect these pathogenic strains which represent a particular threat in hospitals or nursing homes, and then find new treatments.
Moreover, Staphylococcus aureus is listed as a high priority pathogenic agent because of its multidrug resistance against vancomycin or methicillin antibiotics .
This is why, in the project, we decided to work on those two bacteria.
The gram-negative Pseudomonas aeruginosa bacterium is a common opportunistic pathogen. It can infect humans with compromised natural defenses and causing severe pulmonary disease .
Opportunistic bacteria can symptomatically infect healthy individual and become pathogenic during a weakening of the body's defenses.
Pseudomonas aeruginosa is likely to cause the following conditions: pneumonia, sepsis, endocarditis, CNS infection, digestive, urinary and skin infections
Various treatments, with different action mechanism, using penicillins, cephalosporins, carbapenems, monobactams, aminoglycosides, fluoroquinolones, and polymyxins have shown a good activity and efficiency against most of P. aeruginosa isolates. All, however, are prone to be compromised by P.aeruginosa acquisition of mutations conferring resistance to these treatments .
Staphyloccocus aureus is a common gram-positive bacterium.
Staphylococcus aureus is the main bacteria involved in skin infections with pus formation, particularly in the case of boils, paronychia, folliculitis, sycosis, impetigo, styes and suppurations of wounds and abscesses. Other localized Staphylococcus aureus infections include respiratory tract infections (pneumonia and pleurisy), endocarditis, urinary tract infections, phlebitis, meningitis (sometimes involving S. aureus), ear infections and sinusitis (S aureus sometimes involved) and bone infections: osteomyelitis.
While it is one of the most common of our natural flora, Staphylococcus aureus is a formidable pathogen that has developed resistance to each new antibiotic introduced for half a century. The plasticity of its genome gives it the ability to adapt to all environmental conditions, including the acquisition of genes for antibiotic resistance and to develop regulatory mechanisms to adapt to increasing concentrations of antibiotics .
As you can see, both Pseudomonas aeruginosa and Staphylococcus aureus represents a major threat from an antibiotic resistance point of view. However, we eventually decided to focus on Pseudomonas aeruginosa as we were lacking time and biology staff. Moreover, a laboratory in our university is working on Pseudomonas aeruginosa and was ready to help us during our project.
 GLOBAL PRIORITY LIST OF ANTIBIOTIC-RESISTANT BACTERIA TO GUIDE RESEARCH, DISCOVERY, AND DEVELOPMENT OF NEW ANTIBIOTICS, WHO, 2018
 Carbapenem-resistant Pseudomonas aeruginosa: association with virulence genes and biofilm formation, 2017 Apr-Jun; 48(2): 211–217, Braz J Microbiol
 Methicillin-resistant Staphylococcus aureus: a controversial food-borne pathogen, D. Sergelidis and A.S. Angelidis, Letters in Applied Microbiology 64, 409 -- 418, accepted 11
 International Journal of Biology-Vol. 7, No. 2; 2015-Pseudomonas aeruginosa – Pathogenesis and Pathogenic Mechanisms Alaa Alhazmi
 Survey of Pseudomonas aeruginosa and its phages: de novo peptide sequencing as a novel tool to assess the diversity of worldwide collected viruses, Ceyssens PJ, Environmental Microbiology (2009) 11(5), 1303–1313
 Multiple Mechanisms of Antimicrobial Resistance in Pseudomonas aeruginosa: Our Worst Nightmare?-Clinical Infectious Diseases, Volume 34, Issue 5, 1 March 2002, Pages 634–640-David M. Livermore)
 Community-acquired meticillin-resistant Staphylococcus aureus: an emerging threat. Volume 5, Issue 5, May 2005, Pages 275-286, NicolaZetola, Elsevier