• 제목/요약/키워드: vancomycin resistance

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Secular Trends of Species and Antimicrobial Resistance of Blood Isolates in a Tertiary Medical Center for Ten Years: 2003~2012

  • Shin, Kyeong Seob;Son, Young Il;Kim, Yong Dae;Hong, Seung Bok;Park, Je-Seop;Kim, Sunghyun;Yu, Young-Bin;Kim, Young Kwon
    • 대한의생명과학회지
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    • 제20권2호
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    • pp.77-84
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    • 2014
  • Periodic analysis of local epidemiologic data of prevalent pathogens of blood culture can provide clinicians with relevant information to guide empirical antibiotic therapy. In this study, we analyzed a pattern of change of causative microorganisms and antimicrobial resistance at a tertiary medical center in Chungcheong province from 2003 to 2012, retrospectively. Of 70,258 blood specimens cultured, 6,063 (8.6%) were positive. Among the positive isolates, 95.9% were aerobic or facultative anaerobic bacteria, 0.1% were anaerobes, and 3.9% were fungi. Coagulase-negative Staphylococci (CoNS) (32.9%), Escherichia coli (16.7%), Staphylococcus aureus (9.1%), Klebsiella pneumoniae (6.4%), and ${\alpha}$-hemolytic Streptococcus (5.9%) were commonly isolated bacteria, and Candida albicans (1.4%) was the most commonly isolated fungi. Enterococcus faecium progressively increased but Streptococcus pneumoniae, Acinetobacter baumannii and Proteus species gradually decreased over a period of 10 years. The multidrug-resistant microorganisms such as methicillin-resistant S. aureus (MRSA), vancomycin-resistant enterococci (VRE), cefotaxime-resistant E. coli, imipenem-resistant Pseudomonas aeruginosa (IRPA) and imipenem-resistant A. baumannii (IRAB), were significantly increased. Therefore, there is a need for a more strict control of antibiotics and a more updated guideline for the treatment of bloodstream infection.

설사 자돈으로부터 분리한 Escherichia coli의 특성에 관한 연구 ; 항균제 감수성, 장독소 및 섬모의 유전형의 분포 및 plasmid profiles (Characteristics of Escherichia coli isolated from piglets with diarrhea ; antimicrobial susceptibility, genotypes of enterotoxins and pili and plasmid profiles)

  • 박주연;신나리;박용호;유한상
    • 대한수의학회지
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    • 제40권2호
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    • pp.301-310
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    • 2000
  • The antimicrobial susceptibility, genotypes of enterotoxins(LT, STa) and pili(K88, 987P), and plasmid profiles were investigated with 102 Escherichia coli isolated from piglets showing diarrhea in Korea. Almost of them were susceptible to ceftiofur(99%), cefquinone(97.1%). However they showed resistance to bacitracin(100%), streptomycin(98%), vancomycin(97%), trimethoprim/sulfamethoxazole(87.2%), tetracycline(84.3%) in antimicrobial susceptibility test. Moreover, all of the isolates demonstrated resistance to more than 2, and 78% of them were resistant to more than 8 of total 17 drugs. Multiplex PCRs for genotyping of enterotoxins(LT, STa) and pili(K88, 987P) were established with primers designed based on sequences from Genebank. Seventeen strains(16.6%) of the isolates had STa gene, 11 strains(10.8%) of them had both STa and LT genes, and 18 strains(17.8%) had K88 gene. But none of the isolates harbored a gene exclusively encoding LT. The gene encoding 987P pili was not found in all isolates. Fifty-four strains of 102 isolates(52.9%) had plasmid with various sizes ranging from 125kb to 1.1kb. Numbers of plasmid per isolates were also various, from 1 to 9. Distinctive relationship between plasmid profiles and genotypes of enterotoxins and pili in the isolates was not found. These results might provide the basic knowledge to establish strategies for the treatment and prevention of colibacillosis in piglets.

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2004년 부산시내 일부 대학생의 검체에서 분리된 황색포도상구균의 항생제 내성 양상 (Antibiotic Resistance Patterns of Staphylococcus aureus Isolated from the Specimen of University Students in Busan in 2004)

  • 김태운;김윤태;권헌영
    • 대한임상검사과학회지
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    • 제37권3호
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    • pp.155-163
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    • 2005
  • The purpose of this study is to investigate the carrier rate of S. aureus in the community, antibiotic susceptibility patterns of the organism, detection of MRSA and mecA gene in MRSA. Identification and antibiotic resistance patterns of S. aureus and MRSA were done by MicroScan Panels. MRSA strain was confirmed by disk diffusion method using oxacillin disk. The mecA gene in MRSA was detected by PCR. Eighty-four strains (27.4%) of S. aureus were isolated from the nasal specimens of 307 university students in Busan in 2004. Sixty-eight strains (81.9%) of 83 S. aureus were resistant to penicllin, 16 strains(19.3%) to erythromycin, 15 strains (18.1%) to gentamicin, 12 strains (14.5%) to tetracycline, 6 strains (7.2%) to chloramphenicol, 3 strains (3.6%) to ofloxacin, 2 strains (2.4%) to cefepime, clindamycin, imipenem, meropenem, norfloxacin, respectively. One strain (1.2%) was resistant to ciprofloxacin, cefazolin, cefotaxime, cefuroxime, and oxacillin. And all the strains (100%) of 84 S. aureus were susceptible to amoxicilin/K clavulanate, ticarcillin/K clavulanate, trimethoprim/sulfamethoxazole, rifampin, syncroid, teicoplanin, and vancomycin. One strain of 84 S. aureus isolates was methicillin-resistant Staphylococcus aureus (MRSA). The mecA gene was detected from the MRSA strain.

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Selection of indigenous starter culture for safety and its effect on reduction of biogenic amine content in Moo som

  • Tangwatcharin, Pussadee;Nithisantawakhup, Jiraroj;Sorapukdee, Supaluk
    • Asian-Australasian Journal of Animal Sciences
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    • 제32권10호
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    • pp.1580-1590
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    • 2019
  • Objective: The aims of this study were to select one strain of Lactobacillus plantarum (L. plantarum) for a potential indigenous safe starter culture with low level antibiotic resistant and low biogenic amine production and evaluate its effect on biogenic amines reduction in Moo som. Methods: Three strains of indigenous L. plantarum starter culture (KL101, KL102, and KL103) were selected based on their safety including antibiotic resistance and decarboxylase activity, and fermentation property as compared with a commercial starter culture (L. plantarum TISIR543). Subsequently, the effect of the selected indigenous safe starter culture on biogenic amines formation during Moo som fermentation was studied. Results: KL102 and TISIR 543 were susceptible to penicillin G, tetracycline, chloramphenicol, erythromycin, gentamycin, streptomycin, vancomycin, ciprofloxacin and trimethoprim (MIC90 ranging from 0.25 to $4{\mu}g/mL$). All strains were negative amino acid-decarboxylase for lysis of biogenic amines in screening medium. For fermentation in Moo som broth, a relatively high maximum growth rate of KL102 and TISIR543 resulted in a generation time than in the other strains (p<0.05). These strain counts were constant during the end of fermentation. Similarly, KL102 or TISIR543 addition supported increases of lactic acid bacterial count and total acidity in Moo som fermentation. For biogenic amine reduction, tyramine, putrescine, histamine and spermine contents in Moo som decreased significantly by the addition KL102 during 1 d of fermentation (p<0.05). In final product, histamine, spermine and tryptamine contents in Moo som inoculated with KL102 were lower amount those with TISIR543 (p<0.05). Conclusion: KL102 was a suitable starter culture to reduce the biogenic amine formation in Moo som.

First Report on Multidrug-Resistant Methicillin-Resistant Staphylococcus aureus Isolates in Children Admitted to Tertiary Hospitals in Vietnam

  • Son, Nguyen Thai;Huong, Vu Thi Thu;Lien, Vu Thi Kim;Nga, Do Thi Quynh;Au, Tran Thi Hai;Nga, Tang Thi;Hoa, Le Nguyen Minh;Binh, Tran Quang
    • Journal of Microbiology and Biotechnology
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    • 제29권9호
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    • pp.1460-1469
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    • 2019
  • The extensive distribution of multidrug-resistant (MDR) methicillin-resistant Staphylococcus aureus (MRSA) poses a threat to healthcare worldwide. This study aimed to investigate the MDR and molecular patterns of MRSA isolates in children admitted to the two biggest tertiary care pediatric hospitals in northern and southern Vietnam. A total of 168 MRSA strains were collected to determine antibiotic susceptibility by minimum inhibitory concentration tests. Antibiotic-resistant genes, pulsed-field gel electrophoresis, staphylococcal cassette chromosome mec (SCCmec) typing, and multilocus sequence typing were used for the molecular characterization of MRSA. Among the total strains, the MDR rate (51.8%) was significantly higher in the northern hospital than in the southern hospital (73% vs. 39%, p < 0.0001). The MDR-MRSA with the highest rates were "ciprofloxacin-erythromycin-gentamicintetracyclines" (35.6%), followed by "erythromycin-tetracycline-chloramphenicol" (24.1%), and "ciprofloxacin-erythromycin-gentamicin" (19.5%), showing an accumulative total of 79.3%. The most susceptible antibiotics were rifampicin (100%) and vancomycin (100%), followed by doxycycline (94.0%), meropenem (78.0%), and cefotaxime (75.0%). The SCCmecII strains showed greater resistance to gentamicin, ciprofloxacin, tetracycline, meropenem and cephalosporins compared with the other strains. The SCCmecII strains exhibited the highest rate in the tested genes (aacA/aphD: 55.2%, ermA/B/C: 89.7%, and tetK/M: 82.8%). ST5-SCCmecII was the predominant clone in the northern hospital, whereas SCCmecIVa was more pronounced in the southern hospital. In conclusion, our results raised concerns about the predominant MDR-MRSA strains in the pediatric hospitals in Vietnam. The north-south difference in the antibiotic resistance patterns and genetic structure of MRSA suggests different MRSA origins and various uses of antimicrobial agents between the two regions.

Physiological Characteristics and Anti-Diabetic Effect of Pediococcus pentosaceus KI62

  • Kim, Seulki;Hong, Sang-pil;Lim, Sang-Dong
    • 한국축산식품학회지
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    • 제41권2호
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    • pp.274-287
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    • 2021
  • The purpose of this study is to examine the physiological characteristics and anti-diabetic effects of Pediococcus pentosaceus KI62. The α-amylase and α-glucosidase inhibitory activity of P. pentosaceus KI62 was 94.86±3.30% and 98.59±0.52%, respectively. In MRS broth containing 3% maltodextrin inoculated by P. pentosaceus KI62, the amounts of short chain fatty acids (SCFA) were propionic acid 18.05±1.85 mg/kg, acetic acid 1.12±0.07 g/100 mL, and butyric acid 2.19±0.061 g/kg, and those of medium chain fatty acids (MCFA) were C8 0.262±0.031 mg/kg, C10 0.279±0.021 mg/kg, and C12 0.203±0.009 mg/kg. Compared to sixteen antibiotics, P. pentosaceus KI62 had the highest sensitivity to penicillin-G and rifampicin, as well as the highest resistance to vancomycin and ampicillin. The strain also showed higher leucine arylamidase and valine arylamidase activities than other enzyme activities, but it did not produce β-glucuronidase which is carcinogenic enzymes. The survival rate of P. pentosaceus KI62 in 0.3% bile was 91.67%. Moreover, the strain showed a 98.63% survival rate in pH 2.0. P. pentosaceus KI62 exhibits resistance to Escherichia coli, Salmonella Typhimurium, Listeria monocytogenes, and Staphylococcus aureus at rates of 29.41%, 38.10%, 51.72%, and 50.47%, respectively. P. pentosaceus (23.31%) showed a similar adhesion ability to L. rhamnosus GG, the positive control (24.49%). These results show that P. pentosaceus KI62 has possibility as a probiotic with anti-diabetic effects.

실내 공기중에서 세균 및 진균의 분포와 분리균의 항생물질 감수성 (Antibiotic Susceptibility to Isolated Bacteria and Fungi from the Indoor-air)

  • 장명웅;장태호;박인달;김광혁
    • 생명과학회지
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    • 제8권5호
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    • pp.537-549
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    • 1998
  • 실험대상 병원내 27개소의 공기중에서 30분 동안 낙하균을 여름과 겨울에 채취하여, 총 세균 수와 포도상 구균속 및 진균의 수를 비교하고, 각각의 균을 동정하고, 분리된 주요 세균에 대한 항생물질 감수성 검사를 실시하였다. 분리된 총 세균 수, 포도구균속의 수, 진균의 수는 여름에 각각 26개, 17개, 2개였으며, 겨울에는 각각 19개, 8개, 2개로 여름이 더 많았다. 분리 동정된 세균 종은 Staphylococcus dpidermidis가 가장 많았으며, 그 다음이 Staphylococcus aureus, Aerococcus spp., Staphylococcus saprophyticus, Micrococcus spp., Bacilluc spp. 등의 순이 었다. 병원내 공기중에서 분리된 진균은 Aspergillus spp., Cephalosporium spp., Curvularia spp., Penicillium spp., Phialophora spp. 등의 순으로 많이 분리되었다. 분리된 109주의 Staphylococcus epidermidis는 tetracycline에 45.0%, methicillin에 40.4%, erythromycin에 31.2%, kanamycin에 24.8%, gentamy-cin에 16.5%가 저항성 균주이었다. 분리된 76주의 Staph-ylococcus aureus는 erythromycin에 71.1%, methicillin에 63.2%, kanamycin에 44.7%, tetracycline에 39.5%, ampicillin에 32.9%가 저항성 균주이었다. 분리된 67주의 Aerococcus spp.는 erythromycin에 26.9%, methicillin에 25.4%, tetracycline에 22.4%, kanamycin에 20.9%가 저항성 균주이었으나, vancomycin에는 저항성 균이 없었다. 분리된 48주의micrococcus spp.는 tetracycline에 27.0%, erythomycin과 methicillin에 각각 22.9%, kanamycin에 20.8%가 저항성 균주이었다. 분리된 37주의 Staphylococcus saprophyticus는 cephalothin에 35.4%, methicillin과 ampicillin에 32.4%, erythromycin과 kanamycin에 각각 27.0%, tetracycline에 21.6%가 저항성 균주이었다.

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식품에서 분리한 황색포도상구균의 항생제 내성 특징 및 균막 형성 (Antibiotic Resistance and Bacterial Biofilm Formation by Staphylococcus aureus Strains Isolated from Various Foods)

  • 이주영;왕해진;신동빈;조용선
    • 한국미생물·생명공학회지
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    • 제41권1호
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    • pp.96-104
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    • 2013
  • 2006년부터 2008년까지 다양한 식품에서 분리한 황색포도상구균 275균주에서 하나 이상의 항생제에 내성을 보인 균주는 259주(94.2%)이며 benzyl penicillin(P)이 92.0%로 가장 높은 내성률을 보였다. 106(40.7%) 균주가 2가지 이상의 항생제에 대하여 내성을 나타났으며 3가지 이상 항생제에 내성을 보인 균도 36주(13.8%)였다. Vancomycin에 대해서는 내성을 보인 균주는 없었다. 식품별로는 초밥과 김밥에서 검출된 균주는 8종류의 항생제에 각각 내성을 나타냈으며 MRSA 균주는 11주(전체 275주)가 4% 검출되었다. Oxacillin 내성균은 다제 내성 균주였다. Automated repetitive sequences based PCR microbial typing system(DiversiLab)으로 oxacillin 내성이 있거나 다제 내성인 20주에 대해 유형을 분석한 결과 DiversiLab Analysis Tool for Typing Reports 24529에 의해 90% 이상의 상동성은 2개의 Cluster과 4개의 unique type으로 구분되었다. Congo red agar에 의한 slime production assay로 균막 형성에 대한 양성 결과 균막 형성 양성은 275균주 중 67균주로 24.4%, biofilm assay로 균막 양성인 균주는 30.5%이며 초밥에서 분리한 균주가 34.5%로 가장 많이 형성 되었다. 항생제 내성과 균막 형성율과의 상관관계를 분석해 보면 slime 형성 균주는 fusidic acid(FA), mupirocin(MUP)의 단일 항생제의 내성과 통계적 의미를 확인할 수 있었다(p < 0.05). 다제 내성균의 수와 균막 형성은 상관 관계가 없었다.

임상재료에서 분리한 각종세균의 항균제내성 (Antimicrobial Resistance of Organisms Isolated from Clinical Specimens)

  • 서성일;박종욱;전도기
    • 대한미생물학회지
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    • 제22권3호
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    • pp.283-294
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    • 1987
  • One hundred and fifty-seven strains of staphylococci isolated from various clinical specimens and 80 of Gram-negative bacilli from urine of patients with urological diseases were tested for resistance to antimicrobial drugs by microdilution broth method. Among staphylococci, 50 to 89% of the strains were resistant to gentamicin(Gm), kanamycin(Km), erythromycin(Em), nalidixic acid(Na), and tetracycline. Ninety per cent MIC was lowest in ciprofloxacin(Cp), followed by vancomycin(Vc), trimethoprim(Tp), enoxacin(Ex), and norfloxacin(Nf) with the values of two ${\mu}g/ml$ or lower. Twenty-seven strains were resistant to methicillin(MR), with 24 strains of Staphylococcus aureus and 3 of S. epidermidis. All strains of MR S. aureus were resistant to oxacillin, rifampin(Rf), Gm, Km, Em, Na, and Tc, and no strain was resistant to Vc and Tp. Almost all staphylococci isolated from urine were S. epidermidis and sensitive to most drugs tested without MR strain. Among Gram-negative bacilli from urine, Escherichia coli(43 strains) was most frequently isolated, and followed by Klebsiella spp.(11), Proteus spp.(10), Serratia spp.(10), and Pseudomonas aeruginosa(6) in the decreasing order. The majority of E. coli and Serratia spp. were resistant to chloramphenicol(Cm), Tc, streptomycin, sulfisomidine(Su), ampicillin(Ap), Km, and carbenicillin(Cb), and 50 and 90% MICs of these drugs were also high. In Klebsiella spp., 54% or more were resistant to Cm, Su, Ap, cephalothin, and Cb. Proteus spp. were susceptible to most drugs tested, but Pseudomonas were resistant to nearly all drugs tested except Rf, amikacin, and moxalactam(Mx). All Gram-negative bacilli tested were found to be susceptible to Mx. New quinolone carboxylic acid compounds, such as Nf, Ex, and Cp showed very high antimicrobial activities against the majority of organisms tested except Pseudomonas, and 50 and 90% MICs of Nf and Ex were always equal or 2 to 4 times higher than Cp. Organisms multiply resistant to drugs were noted in almost all isolates tested. Twenty-seven strains of staphylococci were multiply resistant to 11 or more drugs, and 6 of Klebsiella spp. to 8 to 11 drugs. The most frequent multiplicity of durg resistance were 7 and 8, 12, and 13 in E. coli, Serratia spp., and Pseudomonas, respectively. No strain was resistant to more than 5 drugs in Proteus spp..

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Screening of Probiotic Activities of Lactobacilli Strains Isolated from Traditional Tibetan Qula, A Raw Yak Milk Cheese

  • Zhang, Bei;Wang, Yanping;Tan, Zhongfang;Li, Zongwei;Jiao, Zhen;Huang, Qunce
    • Asian-Australasian Journal of Animal Sciences
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    • 제29권10호
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    • pp.1490-1499
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    • 2016
  • In this study, 69 lactobacilli isolated from Tibetan Qula, a raw yak milk cheese, were screened for their potential use as probiotics. The isolates were tested in terms of: Their ability to survive at pH 2.0, pH 3.0, and in the presence of 0.3% bile salts; tolerance of simulated gastric and intestinal juices; antimicrobial activity; sensitivity against 11 specific antibiotics; and their cell surface hydrophobicity. The results show that out of the 69 strains, 29 strains (42%) had survival rates above 90% after 2 h of incubation at pH values of 2.0 or 3.0. Of these 29 strains, 21 strains showed a tolerance for 0.3% bile salt. Incubation of these 21 isolates in simulated gastrointestinal fluid for 3 h revealed survival rates above 90%; the survival rate for 20 of these isolates remained above 90% after 4 h of incubation in simulated intestinal fluid. The viable counts of bacteria after incubation in simulated gastric fluid for 3 h and simulated intestinal fluid for 4 h were both significantly different compared with the counts at 0 h (p<0.001). Further screening performed on the above 20 isolates indicated that all 20 lactobacilli strains exhibited inhibitory activity against Micrococcus luteus ATCC 4698, Bacillus subtilis ATCC 6633, Listeria monocytogenes ATCC 19115, and Salmonella enterica ATCC 43971. Moreover, all of the strains were resistant to vancomycin and streptomycin. Of the 20 strains, three were resistant to all 11 elected antibiotics (ciprofloxacin, erythromycin, tetracycline, penicillin G, ampicillin, streptomycin, polymyxin B, vancomycin, chloramphenicol, rifampicin, and gentamicin) in this study, and five were sensitive to more than half of the antibiotics. Additionally, the cell surface hydrophobicity of seven of the 20 lactobacilli strains was above 70%, including strains Lactobacillus casei 1,133 (92%), Lactobacillus plantarum 1086-1 (82%), Lactobacillus casei 1089 (81%), Lactobacillus casei 1138 (79%), Lactobacillus buchneri 1059 (78%), Lactobacillus plantarum 1141 (75%), and Lactobacillus plantarum 1197 (71%). Together, these results suggest that these seven strains are good probiotic candidates, and that tolerance against bile acid, simulated gastric and intestinal juices, antimicrobial activity, antibiotic resistance, and cell surface hydrophobicity could be adopted for preliminary screening of potentially probiotic lactobacilli.