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PHRP : Osong Public Health and Research Perspectives

OPEN ACCESS. pISSN: 2210-9099. eISSN: 2233-6052

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"Antimicrobial"

Original Articles

Genetic profiling of the tolC component of the acrAB-TolC efflux pump in clinical Klebsiella pneumoniae isolates: a cross-sectional study in Pontianak, Indonesia
Mardhia Mardhia, Delima Fajar Liana, Sari Eka Pratiwi, Mahyarudin Mahyarudin, Risa Agustina
Osong Public Health Res Perspect 2026;17(3):254-261.
Published online April 20, 2026
DOI: https://doi.org/10.24171/j.phrp.2025.0573
Genetic profiling of the tolC component of the acrAB-TolC efflux pump in clinical Klebsiella pneumoniae isolates: a cross-sectional study in Pontianak, Indonesia
Objectives
Klebsiella pneumoniae is a leading cause of hospital-acquired infections. Its increasing prevalence poses substantial challenges to both hospital and public health systems due to the emergence of multidrug-resistant strains. Understanding the epidemiology of K. pneumoniae and its antimicrobial resistance characteristics may support antimicrobial stewardship and infection control programs. A cross-sectional study was conducted from June to November 2025. Methods: A total of 62 isolates underwent phenotypic identification and antimicrobial susceptibility testing using the BD Phoenix system (Becton Dickinson), followed by molecular detection of K. pneumoniae and efflux pump genes. Sanger sequencing was performed on isolates positive for the tolC gene. Results: Among the isolates, 66.1% were classified as extended-spectrum β-lactamase (ESBL) producers, 6.5% as carbapenem-resistant Enterobacterales (CRE), and 6.5% as both ESBL and CRE producers. Most clinical isolates were resistant to ampicillin, cefazolin, ceftazidime, ceftriaxone, ciprofloxacin, and cefepime. The acrAB and tolC genes were detected in all 62 isolates. One isolate showed a genetic profile similar to that of the K. pneumoniae KP 52.145 strain. Conclusion: This study demonstrated a high prevalence of antibiotic resistance among K. pneumoniae isolates and confirmed the presence of efflux pump genes, including tolC, with observable genetic variability. Further investigation of tolC gene evolution is essential, as these genes play critical roles in antibiotic resistance mechanisms.
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Prevalence, multidrug resistance, and biofilm formation of Vibrio parahaemolyticus isolated from fish mariculture environments in Cat Ba Island, Vietnam
Kim Cuc Thi Nguyen, Phuc Hung Truong, Hoa Truong Thi, Xuan Tuy Ho, Phu Van Nguyen
Osong Public Health Res Perspect 2024;15(1):56-67.
Published online February 19, 2024
DOI: https://doi.org/10.24171/j.phrp.2023.0181
Prevalence, multidrug resistance, and biofilm formation of Vibrio parahaemolyticus isolated from fish mariculture environments in Cat Ba Island, Vietnam
Objectives
Vibrio parahaemolyticus is a major foodborne pathogen in aquatic animals and a threat to human health worldwide. This study investigated the prevalence, antimicrobial resistance, antimicrobial resistance genes (ARGs), and biofilm formation of V. parahaemolyticus strains isolated from fish mariculture environments in Cat Ba Island, Vietnam. Methods: In total, 150 rearing water samples were collected from 10 fish mariculture farms in winter and summer. A polymerase chain reaction assay was used to identify V. parahaemolyticus, its virulence factors, and ARGs. The antimicrobial resistance patterns and biofilm formation ability of V. parahaemolyticus strains were investigated using the disk diffusion test and a microtiter plate-based crystal violet method, respectively. Results: Thirty-seven V. parahaemolyticus isolates were recovered from 150 samples. The frequencies of the tdh and trh genes among V. parahaemolyticus isolates were 8.1% and 21.6%, respectively. More than 90% of isolates were susceptible to ceftazidime, cefotaxime, and chloramphenicol, but over 72% were resistant to ampicillin, tetracycline, and erythromycin. Furthermore, 67.57% of isolates exhibited multidrug resistance. The presence of ARGs related to gentamicin (aac(3)-IV), tetracycline (tetA) and ciprofloxacin (qnrA) in V. parahaemolyticus isolates was identified. Conversely, no ARGs related to ampicillin or erythromycin resistance were detected. Biofilm formation capacity was detected in significantly more multidrug-resistant isolates (64.9%) than non-multidrug-resistant isolates (18.9%). Conclusion: Mariculture environments are a potential source of antibiotic-resistant V. parahaemolyticus and a hotspot for virulence genes and ARGs diffusing to aquatic environments. Thus, the prevention of antibiotic-resistant foodborne vibriosis in aquatic animals and humans requires continuous monitoring.

Citations

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  • The synthetic peptide GATR-3 shows significant antibacterial and biofilm-inhibition activity against shellfish- and oyster-associated bacteria Vibrio vulnificus and Vibrio parahaemolyticus
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    Comparative Immunology Reports.2026; 10: 200266.     CrossRef
  • Antimicrobial resistance in shrimp aquaculture: Pathways, ecosystem risks, and policy responses
    Lovely Akter, Neaz A. Hasan, Moshiur Rahman, Nasrullah Forajy, Mohammad Mahfujul Haque
    Environmental Challenges.2026; 22: 101401.     CrossRef
  • Influence of environmental parameters on total and pathogenic Vibrio parahaemolyticus isolated from mussels and clams
    Görkem Cengiz, Özlem Küplülü
    Microbial Pathogenesis.2026; 213: 108352.     CrossRef
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    Food Science and Biotechnology.2026; 35(5): 1319.     CrossRef
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    Rzgar Farooq Rashid
    Italian Journal of Food Safety.2026;[Epub]     CrossRef
  • Assessment of Antibiotic Susceptibility and Biofilm Formation in Bacteria Isolated from White-Leg Shrimp in Traditional Markets, Can Tho City, Vietnam
    Hau Huu Tran, Nhi Thao Huynh, Nam Van Be Tran, Thanh Uyen Le, Tam Ngoc Thanh Huynh
    World's Veterinary Journal.2026; 16(1): 259.     CrossRef
  • New insights into the resistome-mobilome–biofilm relationship in Vibrio parahaemolyticus
    Antoine Régnier, Virginie Chesnais, Cecile Dumaire, Cecile Berdous, Romain Briandet, Sabine Debuiche, Virgile Guéneau, Graziella Midelet, Mélanie Gay, Thomas Brauge
    Food Microbiology.2026; 140: 105162.     CrossRef
  • Molecular Epidemiology, Antibiotic Susceptibility, and Virulence Profiling of Vibrio parahaemolyticus Isolated from Aquatic Foods in Shenzhen, China
    Fei Zha, Rui Luo, Longfei Hu, Weipeng Chen, Chun-Xu Xue
    Foodborne Pathogens and Disease.2026;[Epub]     CrossRef
  • Interface-dependent V. parahaemolyticus biofilm under varying temperatures, media, and oxygen conditions: implications for seafood safety
    Hansani Nilupama Kumari Senarath Pathirana, Steve Flint, Jon Palmer
    Food Research International.2026; 242: 120008.     CrossRef
  • Molecular epidemiology of multidrug-resistant, biofilm-producing Vibrio parahaemolyticus from a brackish water aquaculture-estuarine interface
    S.J. Abisha Juliet Mary, M. Petchimuthu, S. Deepika, G. Ferolin Jessina, S. Balasundari
    Environmental Pollution.2026; 409: 128990.     CrossRef
  • The Conjugative Megaplasmid pMD9A Mediates Transferring Antibiotic Resistance Genes
    Yahan Cao, Ling-jia Zhu, TianQi Wang, Wenchao Yu
    Microbial Drug Resistance.2026;[Epub]     CrossRef
  • Optimization of immune priming interval using Imuno-FS Plus enhances the efficacy of oral formalin-killed Vibrio parahaemolyticus vaccine in Pacific white shrimp (Litopenaeus vannamei)
    Annisa Widya Ananda, Sri Nuryati, Dinamella Wahjuningrum, Munti Yuhana, Ardana Kurniaji
    Comparative Immunology Reports.2026; 11: 200316.     CrossRef
  • Exploring the antibiofilm efficacy of pyrimidines against Vibrio parahaemolyticus, mechanisms and their potential food processing applications
    Olajide Sunday Faleye, Jin-Hyung Lee, Jintae Lee
    LWT.2025; 215: 117229.     CrossRef
  • The role of sea fish meat in the transmission of Vibrio parahaemolyticus to humans: An in-depth analysis of seasonal and species-specific variations
    Maged A. Al-Garadi, Dhary Alewy Almashhadany, Rasha N. Aziz, Dheyazan M. Ali Al-Qabili, Ohoud S. Alhumaidan, Hanouf Alnuwaysir, Al-Hammadi Mohammed Ali, Essam Sayed, A. M. Alabsi
    Veterinary World.2025; : 348.     CrossRef
  • Multidrug Resistance, Biofilm-Forming Ability, and Molecular Characterization of Vibrio Species Isolated from Foods in Thailand
    Watcharapong Mitsuwan, Ratchadaporn Boripun, Phirabhat Saengsawang, Sutsiree Intongead, Sumaree Boonplu, Rawiwan Chanpakdee, Yukio Morita, Sumalee Boonmar, Napapat Rojanakun, Natnicha Suksriroj, Chollathip Ruekaewma, Titima Tenitsara
    Antibiotics.2025; 14(3): 235.     CrossRef
  • Antimicrobial resistance of zoonotic bacteria isolated from shrimp aquaculture environments in Selangor, Malaysia
    S. Devadas, Z. Zakaria, M. Shariff, S. Bhassu, M. Karim, I. Natrah
    Aquaculture.2025; 604: 742480.     CrossRef
  • Characterization of Virulence Genotypes and Prevalence of Vibrio parahaemolyticus from Fish Samples Collected from Thoothukudi Fish Landing Centres, India
    Selvamathi Veerabhadran Ragul, Fathiraja Parthiban, Rajendran Shalini, Sivasankar Panchavarnam, Thandapani Muthulakshmi, Mohamed Mansoor, Stephen Jerusha, Selvam Krishnakumar
    Thalassas: An International Journal of Marine Scie.2025;[Epub]     CrossRef
  • Persistent Threats: A Comprehensive Review of Biofilm Formation, Control, and Economic Implications in Food Processing Environments
    Alexandra Ban-Cucerzan, Kálmán Imre, Adriana Morar, Adela Marcu, Ionela Hotea, Sebastian-Alexandru Popa, Răzvan-Tudor Pătrînjan, Iulia-Maria Bucur, Cristina Gașpar, Ana-Maria Plotuna, Sergiu-Constantin Ban
    Microorganisms.2025; 13(8): 1805.     CrossRef
  • Southeast‑Asian landscape of antimicrobial resistance research (2014–2024): A bibliometric analysis
    Alex S. Borromeo, Allan M. Manaloto, Ronilo P. Antonio
    Journal of Global Antimicrobial Resistance.2025; 45: 125.     CrossRef
  • A New Strategy: Antibiotic Circumstances for Rational Drug use Against Clinical Aeromonas hydrophila And Bacterial Properties of This Bacteria on Different Agars
    Nurdan Filik, Fethi Filik, Ayşegül Kubilay
    Acta Aquatica Turcica.2024; 20(4): 312.     CrossRef
  • Passive immunoprophylaxis with Ccombodies against Vibrio parahaemolyticus in Pacific white shrimp (Penaeus vannamei)
    Wanna Sirimanapong, Prawporn Thaijongrak, Chiranan Sudpraseart, Dennis Berbulla Bela-ong, Abigail Joy D. Rodelas-Angelia, Mark Rickard N. Angelia, Seungbeom Hong, Jaesung Kim, Kim D. Thompson, Tae Sung Jung
    Fish & Shellfish Immunology.2024; 154: 109973.     CrossRef
  • Isolation of H2S-generating Bacterium (Desulfovibrio sp.) and Vibrio parahaemolyticus From Aquatic Farming and In Vitro Evaluation of the Ability of Bacteriophages as Biocontrol
    Truong Thi Bich Van, Nguyen Thi Loan Anh, Nguyen Huu Tri , Chau Thanh Tuan
    Jurnal Ilmiah Perikanan dan Kelautan.2024; 17(1): 167.     CrossRef
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Review Article

Strategies to combat Gram-negative bacterial resistance to conventional antibacterial drugs: a review
Priyanka Bhowmik, Barkha Modi, Parijat Roy, Antarika Chowdhury
Osong Public Health Res Perspect 2023;14(5):333-346.
Published online October 18, 2023
DOI: https://doi.org/10.24171/j.phrp.2022.0323
Strategies to combat Gram-negative bacterial resistance to conventional antibacterial drugs: a review
The emergence of antimicrobial resistance raises the fear of untreatable diseases. Antimicrobial resistance is a multifaceted and dynamic phenomenon that is the cumulative result of different factors. While Gram-positive pathogens, such as methicillin-resistant Staphylococcus aureus and Clostridium difficile, were previously the most concerning issues in the field of public health, Gram-negative pathogens are now of prime importance. The World Health Organization’s priority list of pathogens mostly includes multidrug-resistant Gram-negative organisms particularly carbapenem-resistant Enterobacterales, carbapenem-resistant Pseudomonas aeruginosa, and extensively drug-resistant Acinetobacter baumannii. The spread of Gram-negative bacterial resistance is a global issue, involving a variety of mechanisms. Several strategies have been proposed to control resistant Gram-negative bacteria, such as the development of antimicrobial auxiliary agents and research into chemical compounds with new modes of action. Another emerging trend is the development of naturally derived antibacterial compounds that aim for targets novel areas, including engineered bacteriophages, probiotics, metal-based antibacterial agents, odilorhabdins, quorum sensing inhibitors, and microbiome-modifying agents. This review focuses on the current status of alternative treatment regimens against multidrug-resistant Gram-negative bacteria, aiming to provide a snapshot of the situation and some information on the broader context.

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Original Article
Prevalence of Antimicrobial Resistance in Escherichia coli Strains Isolated from Fishery Workers
Hyun-Ho Shin, Seung-Hak Cho
Osong Public Health Res Perspect 2013;4(2):72-75.
Published online April 30, 2013
DOI: https://doi.org/10.1016/j.phrp.2013.03.001
Objectives
This study aimed to characterize the prevalence of antibiotic resistance in <i>Escherichia coli</i> isolates from the fecal samples of fishery workers who work in fish farms and often use antibiotics for the feeding fishes.
Methods
Seventy-three <i>E. coli</i> strains isolated from the fecal samples of fishery workers and 180 isolates from a control group of restaurant workers were tested for antibiotic resistance by agar disk diffusion with 16 antimicrobial agents.
Results
About 30% of isolates from each group showed antimicrobial resistance to ampicillin, and 60% of isolates from fishery workers and 41% from restaurant workers were resistant to tetracycline. The isolates showed higher resistance to cephalothin and cefoxitin than to other cephem antibiotics and to gentamicin than to other aminogycosides. Our data indicated that fecal <i>E. coli</i> isolates from fishery workers showed higher antibiotic resistance than those of non-fishery workers (restaurant workers), especially to cephalothin, tetracycline, and trimethoprim–sulfamethoxazole (<i>p</i> < 0.05). However, rates of multidrug resistance were similar among the fishery workers and restaurant workers.
Conclusion
Frequent use of antibiotics may cause increased antibiotic resistance in the human microbiome.

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