1. Virulent Escherichia coli strains among Egyptian patients with acute diarrhoea versus urinary tract infection, and their antibiotic susceptibility
- Author
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Sherif M. Elnagdy, Rasha Elsherif, Sabah Amer, Nagwa A. Tharwat, and Raghda Marzaban
- Subjects
Diarrhea ,Nalidixic acid ,medicine.drug_class ,Antibiotics ,Virulence ,Quinolones ,medicine.disease_cause ,Microbiology ,Feces ,03 medical and health sciences ,0302 clinical medicine ,Antibiotic resistance ,Trimethoprim, Sulfamethoxazole Drug Combination ,Escherichia coli ,Humans ,Medicine ,Urinary tract infection (UTI) ,business.industry ,Escherichia coli Proteins ,Gastroenterology ,bacterial infections and mycoses ,medicine.disease ,Anti-Bacterial Agents ,Ciprofloxacin ,030220 oncology & carcinogenesis ,Acute Disease ,Urinary Tract Infections ,Egypt ,030211 gastroenterology & hepatology ,Gentamicin ,Gentamicins ,business ,medicine.drug - Abstract
Background and study aims Diarrhoea and urinary tract infection (UTI) are common clinical problems. Meanwhile, Escherichia coli (E. coli), is the commonest bacterial pathogen reported in both of them. This study aimed to evaluate the pathogenic E. coli (PEC) in stool of acute diarrhoea and urine of UTI regarding their virulence genes and their influence on the susceptibility to routinely prescribed antibiotics. Patients and methods Twenty two stool and another 22 urine samples of patients with acute diarrhoea and UTI respectively were collected from patients admitted at Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo University, Egypt. E. coli isolation, identification of their phyla; chuA, yjaA, and TspE4.C2, and further identification of 10 virulent genes; fimH, papC, papG//, papG///, papEF, afa, sfa, CNF1, iroN & hlyA was performed. Antibiotic susceptibility was studied against quinolones , gentamicin (GM), and trimethoprim-sulphamethoxazole (TMP-SMX). Results The studied virulence genes were comparably detected in both pathogenic samples. In diarrheogenic E. coli (DEC); phylum A was significantly related to both ciprofloxacin (CIP) and TMP-SMX resistance, and both of the virulence genes fimH and iroN were significantly related to all the studied antibiotics resistance, while afa was significantly related to nalidixic acid (NA) resistance. In uropathogenic E. coli (UEC); phylum D was significantly related to CIP and levofloxacin resistance, and both of the virulence genes fimH and iroN were significantly related to most of the studied antibiotics resistance. Conclusion The isolated PEC was evidently and broadly resistant to the studied antibiotics, with limited influence of their phyla and virulence genes (fimH and iroN).
- Published
- 2019