1. Increase in bacteraemia cases in the East Midlands region of the UK due to MDR Escherichia coli ST73: high levels of genomic and plasmid diversity in causative isolates.
- Author
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Alhashash, Fahad, Xiaohui Wang, Paszkiewicz, Konrad, Diggle, Mathew, Zhiyong Zong, and McNally, Alan
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ESCHERICHIA coli identification , *TREATMENT of escherichia coli diseases , *BACTEREMIA diagnosis , *URINARY tract infection diagnosis , *MULTIDRUG resistance in bacteria , *COMPARATIVE genomics - Abstract
Objectives: The objective of this study was to determine the population structure of Escherichia coli ST73 isolated from human bacteraemia and urinary tract infections. Methods: The genomes of 22 E. coli ST73 isolates were sequenced using the Illumina HiSeq platform. Highresolution SNP typing was used to create a phylogenetic tree. Comparative genomics were also performed using a pangenome approach. In silico and S1-PFGE plasmid profiling was conducted, and isolates were checked for their ability to survive exposure to human serum. Results: E. coli ST73 isolates circulating in clinically unrelated episodes show a high degree of diversity at a whole-genome level, but exhibit conservation in gene content, particularly in virulence-associated gene carriage. The isolates also contain a highly diverse plasmid pool that confers MDR via carriage of CTX-M genes. Conclusions: Our data show that a rise in incidence of MDR E. coli ST73 clinical isolates is not due to a circulating outbreak strain as in E. coli ST131. Rather the ST73 circulating strains are distantly related and carry a diverse set of resistance plasmids. This suggests that the evolutionary events behind emergence of drug-resistant E. coli differ between lineages. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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