Characterization of human uropathogenic ESBL-producing Escherichia coli in the Czech Republic: spread of CTX-M-27-producing strains in a university hospital
Language English Country United States Media print
Document type Journal Article, Research Support, Non-U.S. Gov't
PubMed
24959675
DOI
10.1089/mdr.2014.0013
Knihovny.cz E-resources
- MeSH
- Anti-Bacterial Agents pharmacology MeSH
- Drug Resistance, Microbial genetics MeSH
- beta-Lactamases genetics MeSH
- DNA, Bacterial genetics MeSH
- Escherichia coli drug effects genetics isolation & purification MeSH
- Escherichia coli Infections drug therapy epidemiology MeSH
- Humans MeSH
- Microbial Sensitivity Tests methods MeSH
- Hospitals, University MeSH
- Prevalence MeSH
- Escherichia coli Proteins genetics MeSH
- Electrophoresis, Gel, Pulsed-Field methods MeSH
- Virulence genetics MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Czech Republic MeSH
- Names of Substances
- Anti-Bacterial Agents MeSH
- beta-Lactamases MeSH
- CTX-M-27, E coli MeSH Browser
- DNA, Bacterial MeSH
- Escherichia coli Proteins MeSH
AIMS: The purpose of this study was to characterize the extended-spectrum β-lactamase (ESBL)-producing uropathogenic Escherichia coli (UPEC) strains isolated in the South Moravia region of the Czech Republic. RESULTS: Out of 109 ESBL-producing UPEC isolates, the CTX-M-15-producing E. coli O25b-ST131 was detected in 55 (50.5%) and the CTX-M-27-producing E. coli O25b-ST131 in 40 isolates (36.7%). Most isolates were distributed among three pulsed-field gel electrophoresis clusters and were characterized by low variability relative to antibiotic resistance patterns, in E. coli phylogroups and by the prevalence of virulence and bacteriocin determinants. Despite this, 14 groups of identical isolates (comprising a total of 41 isolates) were identified when all tested parameters of E. coli were combined. CONCLUSIONS: Since the occurrence of E. coli B2-O25b-ST131 CTX-M-27 was only recently described in Asia, the frequent isolation of this lineage among patients in South Moravia suggests an efficient transfer of this clone from Asian countries. The limited variability of detected parameters of ESBL-producing UPEC strains is consistent with a common origin of the analyzed isolates, in which there is an ongoing process of genetic diversification.
References provided by Crossref.org