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. 1976 Mar;3(3):350–358. doi: 10.1128/jcm.3.3.350-358.1976

Differentiation of Proteus mirabilis by bacteriophage typing and the Dienes reaction.

F W Hickman, J J Farmer 3rd
PMCID: PMC274298  PMID: 773962

Abstract

A provisional typing schema based on sensitivity to 23 bacteriophages has been established for Proteus mirabilis. Seventy-three bacteriophages were isolated on strains of P. mirabilis (64), P. vulgaris (1), P. morganii (7), and P. rettgeri (1), but those isolated on P. mirabilis were the most useful in differentiating other strains of . mirabilis. From the 73 phages studied, the best 23 were chosen by computer analysis for the provisional system, which was then used to study P. mirabilis infections in a 500-bed general hospital. All patient isolates for 19 months were saved and then compared by bacteriophage typing and the Dienes reaction in a retrospective study. There was evidence for only three instances of cross-infection or -colonization during this time. Bacteriophage typing was very sensitive in differentiating strains, since 200 strains were differentiated into 113 different lysis patterns and 94% were typable. The Dienes reaction was useful at times but often gave reactions that were difficult to read or that changed when the tests were repeated. The bacteriophages described by Schmidt and Jeffries were also evaluated and proved useful in combination with ours. The value of bacteriophage typing was clearly established, and work toward a standardized schema for P. mirabilis should continue.

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Selected References

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  1. Adler J. L., Burke J. P., Martin D. F., Finland M. Proteus infections in a general hospital. I. Biochemical characteristics and antibiotic susceptibility of the organisms. With special reference to proticine typing and the Dienes phenomenon. Ann Intern Med. 1971 Oct;75(4):517–530. doi: 10.7326/0003-4819-75-4-517. [DOI] [PubMed] [Google Scholar]
  2. Adler J. L., Burke J. P., Martin D. F., Finland M. Proteus infections in a general hospital. II. Some clinical and epidemiological characteristis. With an analysis of 71 cases of proteus bacteremia. Ann Intern Med. 1971 Oct;75(4):531–536. doi: 10.7326/0003-4819-75-4-531. [DOI] [PubMed] [Google Scholar]
  3. BECKER A. H. Infection due to Proteus mirabilis in newborn nursery. Am J Dis Child. 1962 Oct;104:355–359. doi: 10.1001/archpedi.1962.02080030357006. [DOI] [PubMed] [Google Scholar]
  4. BELYAVIN G., MILES E. M., MILES A. A. The serology of fifty strains of Proteus vulgaris. J Gen Microbiol. 1951 Feb;5(1):178–196. doi: 10.1099/00221287-5-1-178. [DOI] [PubMed] [Google Scholar]
  5. Burke J. P., Ingall D., Klein J. O., Gezon H. M., Finland M. Proteus mirabilis infections in a hospital nursery traced to a human carrier. N Engl J Med. 1971 Jan 21;284(3):115–121. doi: 10.1056/NEJM197101212840301. [DOI] [PubMed] [Google Scholar]
  6. De Louvois J. Serotyping and the Dienes reaction on Proteus mirabilis from hospital infections. J Clin Pathol. 1969 May;22(3):263–268. doi: 10.1136/jcp.22.3.263. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Farmer J. J., 3rd Epidemiological differentiation of Serratia marcescens: typing by bacteriocin production. Appl Microbiol. 1972 Feb;23(2):218–225. doi: 10.1128/am.23.2.218-225.1972. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Farmer J. J., 3rd Improved bacteriophage-bacteriocin applicator. Appl Microbiol. 1970 Sep;20(3):517–518. doi: 10.1128/am.20.3.517-518.1970. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Farmer J. J., 3rd Mnemonic for reporting bacteriocin and bacteriophage types. Lancet. 1970 Jul 11;1(7663):96–96. doi: 10.1016/s0140-6736(70)92663-2. [DOI] [PubMed] [Google Scholar]
  10. France D. R., Markham N. P. Epidemiological aspects of Proteus infections with particular reference to phage typing. J Clin Pathol. 1968 Jan;21(1):97–102. doi: 10.1136/jcp.21.1.97. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Huang C. T. Multitest media for rapid identification of Proteus species with notes on biochemical reactions of strains isolated from urine and pus. J Clin Pathol. 1966 Sep;19(5):438–442. doi: 10.1136/jcp.19.5.438. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. KIPPAZ P. W. A study of Proteus infections in a male urological ward. J Clin Pathol. 1957 Aug;10(3):211–214. doi: 10.1136/jcp.10.3.211. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. LANYI B. Serological typing of proteus strains; sensitivity of serotypes to antibiotics. Acta Microbiol Acad Sci Hung. 1957;4(4):447–457. [PubMed] [Google Scholar]
  14. Matsen J. M., Blazevic D. J., Ryan J. A., Ewing W. H. Characterization of indole-positive Proteus mirabilis. Appl Microbiol. 1972 Mar;23(3):592–594. doi: 10.1128/am.23.3.592-594.1972. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. POPOVICI M. [Research on the phago-bacterial systems in the Proteus group. I. Manifestations of lysosensitivity and lysogeny in bacteria of the Proteus group]. Arch Roum Pathol Exp Microbiol. 1962 Jun;21:307–314. [PubMed] [Google Scholar]
  16. Rustigian R., Stuart C. A. The Biochemical and Serological Relationships of the Organisms of the Genus Proteus. J Bacteriol. 1945 May;49(5):419–436. doi: 10.1128/jb.49.5.419-436.1945. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. STORY P. Proteus infections in hospital. J Pathol Bacteriol. 1954 Jul;68(1):55–62. doi: 10.1002/path.1700680107. [DOI] [PubMed] [Google Scholar]
  18. Schmidt W. C., Jeffries C. D. Bacteriophage typing of Proteus mirabilis, Proteus vulgaris, and Proteus morganii. Appl Microbiol. 1974 Jan;27(1):47–53. doi: 10.1128/am.27.1.47-53.1974. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Skirrow M. B. The dienes (mutual inhibition) test in the investigation of proteus infections. J Med Microbiol. 1969 Nov 4;2(4):471–477. doi: 10.1099/00222615-2-4-471. [DOI] [PubMed] [Google Scholar]
  20. Sourek J. On some findings concerning Dienes's phenomenon in swarming proteus strains. Zentralbl Bakteriol Orig. 1968;208(3):419–427. [PubMed] [Google Scholar]
  21. Tracy O., Thomson E. J. An evaluation of three methods of typing organisms of the genus Proteus. J Clin Pathol. 1972 Jan;25(1):69–72. doi: 10.1136/jcp.25.1.69. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. VIEU J. F. Note préliminaire sur la lysotypie de Proteus hauseri. Zentralbl Bakteriol Orig. 1958 Jun;171(8):612–615. [PubMed] [Google Scholar]
  23. YOW E. M. Development of Proteus and Pseudomonas infections during antibiotic therapy. J Am Med Assoc. 1952 Jul 26;149(13):1184–1188. doi: 10.1001/jama.1952.02930300010003. [DOI] [PubMed] [Google Scholar]

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