Original Articles

Detection of Enterohemorrhagic Escherichia coli Related Genes in E. coli Strains Belonging to B2 Phylogroup Isolated from Urinary Tract Infections in Combination with Antimicrobial Resistance Phenotypes

Abstract

Background:  This study was conducted to detect the prevalence of EHEC virulence genes and antimicrobial resistance profile of Escherichia coli strains belonging to B2 phylogroup implicated in Urinary tract infections in Semnan, Iran.

Methods:   From 240 urine samples 160 E. coli strains were isolated, biochemically. Then, E. coli isolates were examined by Multiplex-PCR for phylogenetic typing and detection of virulence genes (hly, stx1, stx2, eae) associated with Enterohemorrhagic E. coli. Finally, Antimicrobial resistance of E. coli isolates were characterized using Disk Diffusion method. 

 Results:  From 160 E. coli isolates, 75 strains (47%) were assigned to B2 phylogenetic group and prevalence of virulence genes were as follow: hly (21.3%), stx1 (16%), stx2 (10.6%) and eae (6.7%), subsequently.  Phenotypic antimicrobial resistance of B2 isolates showed that all isolates were sensitive to Meropenem and Furazolidone and then highest frequency of resistance was observed to Streptomycin, Oxytetracycline, Neomycin, Nalidixic acid and Ampicillin (98.7% to 49.3%). Also low resistance prevalence was observed in case of Ceftizoxime, Lincospectin, Imipenem, Chloramphenicol and flurefenicole (16% to 1.3%).

Conclusion:   The data suggest a high prevalence of antibiotic resistance in UPEC strains belonging to B2 phylogroup even for the antimicrobials using in pet and farm animals and their potential to cause EHEC specific clinical symptoms which may represent a serious health risk since these strains can be transmitted to GI tract and act as a reservoir for other uropathogenic E. coli and commensal strains.

Croxen MA, Law RJ, Scholz R, et al. Recent advances in understanding enteric pathogenic Escherichia coli. Clin Microbiol Rev 2013; 26: 822-80.

Smith JL, Fratamico PM, Gunther NW. Extraintestinal pathogenic Escherichia coli. Foodborne Pathog Dis 2007; 4: 134-63.

Bryce A, Hay AD, Lane IF, et al. Global prevalence of antibiotic resistance in paediatric urinary tract infections caused by Escherichia coli and association with routine use of antibiotics in primary care: systematic review and meta-analysis. BMJ 2016; 352: i939.

McPhee JB. Enterohemorrhagic Escherichia coli and Other Shiga Toxin-Producing E. coli. Edited by Vanessa Sperandio and Carolyn J. Hovde. Washington (DC): ASM Press. Q Rev Biol 2016; 91.

Gordon DM, Clermont O, Tolley H, et al. Assigning Escherichia coli strains to phylogenetic groups: multi‐locus sequence typing versus the PCR triplex method. Environ Microbiol 2008; 10: 2484-96.

Piatti G, Mannini A, Balistreri M, et al. Virulence factors in urinary Escherichia coli strains: phylogenetic background and quinolone and fluoroquinolone resistance. J Clin Microbiol 2008; 46: 480-7.

Foxman B. Urinary tract infection syndromes: occurrence, recurrence, bacteriology, risk factors, and disease burden. Infect Dis Clin North Am 2014; 28: 1-13.

Staji H, Khoshgoftar J, Vayeghan AJ, et al. Phylogenetic Grouping and Assessment of Virulence Genotypes, With Antibiotic Resistance Patterns, of Escherichia coli Strains Implicated in Female Urinary Tract Infections. Int J Ent Pathog 2016; 4.

Salehi TZ, Tonelli A, Mazza A, et al. Genetic characterization of Escherichia coli O157: H7 strains isolated from the one-humped camel (Camelus dromedarius) by using microarray DNA technology. Mol Biotech 2012; 51: 283-8.

Haugum K, Johansen J, Gabrielsen C, et al. Comparative genomics to delineate pathogenic potential in non-O157 Shiga toxin-producing Escherichia coli (STEC) from patients with and without haemolytic uremic syndrome (HUS) in Norway. PloS one 2014; 9: e111788.

Bonadio M, Meini M, Spitaleri P, et al. Current microbiological and clinical aspects of urinary tract infections. Eur Urol 2001; 40: 439-45.

Osmundson TW, Eyre CA, Hayden KM, et al. Back to basics: an evaluation of NaOH and alternative rapid DNA extraction protocols for DNA barcoding, genotyping, and disease diagnostics from fungal and oomycete samples. Mol Ecol Resour 2013; 13: 66-74.

Derakhshandeh A, Firouzi R, Motamedifar M, et al. Distribution of virulence genes and multiple drug‐resistant patterns amongst different phylogenetic groups of uropathogenic Escherichia coli isolated from patients with urinary tract infection. Lett Appl Microbiol 2015; 60: 148-54.

Paton AW, Paton JC. Detection and Characterization of Shiga Toxigenic Escherichia coli by Using Multiplex PCR Assays forstx 1, stx 2, eaeA, Enterohemorrhagic E. coli hlyA, rfb O111, andrfb O157. J Clin Microbiol 1998; 36: 598-602.

Wayne P. Clinical and Laboratory Standards Institute (CLSI); 2010. Performance Standards for Antimicrobial Disk Susceptibility Tests.

Patel J, Cockerill III F, Alder J, et al. CLSI performance standards for antimicrobial susceptibility testing; twenty-fourth informational supplement. CLSI document M100-S24 2014; 34.

Sheerin NS. Urinary tract infection. Medicine 2011; 39: 384-9.

Sharifian M, Karimi A, Tabatabaei SR, et al. Microbial sensitivity pattern in urinary tract infections in children: a single center experience of 1,177 urine cultures. Japan J Infect Dis 2006; 59: 380.

van Hoek AH, Stalenhoef JE, van Duijkeren E, et al. Comparative virulotyping of extended-spectrum cephalosporin-resistant E. coli isolated from broilers, humans on broiler farms and in the general population and UTI patients. Vet Microbiol 2016; 194: 55-61.

Karami N, Wold A, Adlerberth I. Antibiotic resistance is linked to carriage of papC and iutA virulence genes and phylogenetic group D background in commensal and uropathogenic Escherichia coli from infants and young children. Eur J Clin Microbiol 2016: 1-9.

Adib N, Ghanbarpour R, Solatzadeh H, et al. Antibiotic resistance profile and virulence genes of uropathogenic Escherichia coli isolates in relation to phylogeny. Trop Biomed 2014; 31: 17-25.

Karpac CA, Li X, Terrell DR, et al. Sporadic bloody diarrhoea‐associated thrombotic thrombocytopenic purpura‐haemolytic uraemic syndrome: an adult and paediatric comparison. Brit J Haematol 2008; 141: 696-707.

Lim JY, La HJ, Sheng H, et al. Influence of plasmid pO157 on Escherichia coli O157: H7 Sakai biofilm formation. Appl Environ Microb 2010; 76: 963-6.

Staji H, Tonelli A, Javaheri-Vayeghan A, et al. Distribution of Shiga toxin genes subtypes in B1 phylotypes of Escherichia coli isolated from calves suffering from diarrhea in Tehran suburb using DNA oligonucleotide arrays. Iran J Microbiol 2015; 7: 191.

Mora A, López C, Dhabi G, et al. Seropathotypes, phylogroups, Stx subtypes, and intimin types of wildlife-carried, Shiga toxin-producing Escherichia coli strains with the same characteristics as human-pathogenic isolates. Appl Environ Microb 2012; 78: 2578-85.

Nataro JP, Kaper JB. Diarrheagenic escherichia coli. Clin Microbiol Rev 1998; 11: 142-201.

Ellingson JL, Koziczkowski JJ, Anderson JL, et al. Rapid PCR detection of enterohemorrhagic Escherichia coli (EHEC) in bovine food products and feces. Mol Cell Probe 2005; 19: 213-7.

Tahamtan Y, Hayati M, Namavari M. Prevalence and distribution of the stx1, stx2 genes in Shiga toxin producing E. coli (STEC) isolates from cattle. Iran J Microbiol 2010; 2: 9-14.

El-Sayed A, Ahmed S, Awad W. Do camels (Camelus dromedarius) play an epidemiological role in the spread of Shiga Toxin producing Escherichia coli (STEC) infection? Trop Anim Health Pro 2008; 40: 469-73.

Bahrani-Mougeot F, Gunther IV N, Donnenberg M, et al. Uropathogenic Escherichia coli. Escherichia coli Virulence Mechanisms of a Versatile Pathogen, 1st ed, Donnenberg, MS (Ed) 2002: 239-68.

Schindel C, Zitzer A, Schulte B, et al. Interaction of Escherichia coli hemolysin with biological membranes. Eur J Biochem 2001; 268: 800-8.

Hyland C, Vuillard L, Hughes C, et al. Membrane Interaction of Escherichia coliHemolysin: Flotation and Insertion-Dependent Labeling by Phospholipid Vesicles. J Bacteriol 2001; 183: 5364-70.

Farajnia S, Alikhani MY, Ghotaslou R, et al. Causative agents and antimicrobial susceptibilities of urinary tract infections in the northwest of Iran. Int J Infect Dis 2009; 13: 140-4.

Skurnik D, Clermont O, Guillard T, et al. Emergence of antimicrobial-resistant Escherichia coli of animal origin spreading in humans. Mol Biol Evol 2015: msv280.

Manges AR, Smith SP, Lau BJ, et al. Retail meat consumption and the acquisition of antimicrobial resistant Escherichia coli causing urinary tract infections: a case–control study. Foodborne Pathog Dis 2007; 4: 419-31.

Manges AR, Johnson JR. Reservoirs of extraintestinal pathogenic Escherichia coli. Microbiol Spect 2015; 3.

Guerra B, Junker E, Schroeter A, et al. Phenotypic and genotypic characterization of antimicrobial resistance in German Escherichia coli isolates from cattle, swine and poultry. J Antimicrob Chemoth 2003; 52: 489-92.

Files
IssueVol 6 No 1-2 (2017) QRcode
SectionOriginal Articles
Keywords
Escherichia coli B2 phylogroup EHEC genes Antimicrobial resistance

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Staji H. Detection of Enterohemorrhagic Escherichia coli Related Genes in E. coli Strains Belonging to B2 Phylogroup Isolated from Urinary Tract Infections in Combination with Antimicrobial Resistance Phenotypes. J Med Bacteriol. 2017;6(1-2):36-44.