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Multilocus Sequence Typing of Uropathogenic ESBL-Producing Escherichia coli Isolated in a Brazilian Community

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Abstract

In the present study, multilocus sequence typing (MLST), pulsed-field gel electrophoresis (PFGE) and polymerase chain reaction detection of three resistance genes were combined to characterize seven uropathogenic E. coli isolated from outpatients. Selected portions of seven housekeeping and three antibiotic-resistance genes of the isolates were sequenced. The seven isolates were classified into four different sequence types (STs) by MLST and five PGFE types. Three isolates had a novel allelic profile representing a new ST designated as ST528 and showed the same PFGE and resistance genes. Two isolates, both characterized as ST359, were differentiated by PFGE and shared only one of the antibiotic-resistance genes studied. Comparison of MLST results with those of PFGE and resistance genes demonstrated that Escherichia coli had acquired different antibiotic-resistance genes and DNA rearrangements, causing alterations in PFGE patterns but maintaining the same ST. Furthermore, this article also reports the first detection of a CTX-M-2 ESBL E. coli and SHV-5 in a Brazilian community.

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References

  1. Arpin C, Dubois V, Coulange L, Andre C, Fischer I, Noury P, Grobost F, Brochet JF, Jullin J, Dutilh B, Larribet G, Lagrange I, Quentin C (2003) Extended-spectrum beta-lactamase-producing Enterobacteriaceae in community and private health care centers. Antimicrob Agents Chemother 47:3506–3514

    Article  PubMed  CAS  Google Scholar 

  2. Borer A, Gilad J, Menashe G, Peled N, Riesenberg K, Schleffer F (2002) Extended-spectrum beta-lactamase-producing Enterobacteriaceae strains in community-acquired bacteremia in Southern Israel. Intern Med J Exp Clin Res 8:44–47

    Google Scholar 

  3. Bush K, Jacoby GA, Medeiros AA (1995) A functional classification scheme for β-lactamases and its correlation with molecular structure. Antimicrob Agents Chemother 39:1211–1233

    PubMed  CAS  Google Scholar 

  4. Carter MW, Oakton KJ, Warner M, Livermore DM (2000) Detection of extended-spectrum β-lactamases in Klebsiella with the Oxoid combination disk method. J Clin Microbiol 38:4228–4232

    PubMed  CAS  Google Scholar 

  5. CLSI (Clinical and Laboratory Standards Institute) (2005) Performance standards for antimicrobial disk susceptibility tests. 8th ed. (document M2-A8, v. 23, n.1). Wayne, PA, USA

  6. Donnenberg M (2002) Escherichia coli virulence mechanisms of versatile pathogen. Elsevier Science, San Diego

    Google Scholar 

  7. Essack SY, Hall LM, Pillay DG, McFadyen ML, Livermore DM (2001) Complexity and diversity of Klebsiella pneumoniae strains with extended-spectrum beta-lactamases isolated in 1994 and 1996 at a teaching hospital in Durban, South Africa. Antimicrob Agents Chemother 45:88–95

    Article  PubMed  CAS  Google Scholar 

  8. Feil EJ, Li BC, Aanensen DM, Hanage WP, Spratt BG (2004) eBURST: inferring patterns of evolutionary descent among clusters of related bacterial genotypes from multilocus sequence typing data. J Bacteriol 186:1518–1530

    Article  PubMed  CAS  Google Scholar 

  9. Gordon D, Cowling A (2003) The distribution and genetic structure of Escherichia coli in Australian vertebrates: host and geographic effects. Microbiology 149:3575–3586

    Article  PubMed  CAS  Google Scholar 

  10. Hyle EP, Lipworth AD, Zaoutis TE, Nachamkin I, Bilker WB, Lautenbach E (2005) Impact of inadequate initial antimicrobial therapy on mortality in infections due to extended-spectrum beta-lactamase-producing Enterobacteriaceae: variability by site of infection. Arch Intern Med 165:1375–1380

    Article  PubMed  Google Scholar 

  11. Maiden MC, Bygraves JA, Feil E, Morelli G, Russell JE, Urwin R, Zhang Q, Zhou J, Zurth K, Caugant DA, Feavers IM, Achtman M, Spratt BG (1998) Multilocus sequence typing: a portable approach to the identification of clones within populations of pathogenic microorganisms. Proc Natl Acad Sci USA 95:3140–3145

    Article  PubMed  CAS  Google Scholar 

  12. Meyer KS, Urban C, Eagan JA, Berger BJ, Rahal JJ (1993) Nosocomial outbreak of Klebsiella pneumoniae resistant to late-generation cephalosporins. Ann Intern Med 119:353–358

    PubMed  CAS  Google Scholar 

  13. Nemoy LL, Kotetishvili M, Tigno J, Keefer-Norris A, Harris AD, Perencevich EN, Johnson JA, Torpey D, Sulakvelidze A, Morris JG J, Stine CO (2005) Multilocus sequence typing versus pulsed-field gel electrophoresis for characterization of extended-spectrum beta-lactamase-producing Escherichia coli isolates. J Clin Microbiol 43:1776–1781

    Article  PubMed  CAS  Google Scholar 

  14. Perez-Perez FJ, Hanson ND (2002) Detection of plasmid-mediated AmpC beta-lactamase genes in clinical isolates by using multiplex PCR. J Clin Microbiol 40:2153–2162

    Article  PubMed  CAS  Google Scholar 

  15. Pitcher DG, Sanders NA, Owen RJ (1989) Rapid extraction of bacterial genomic DNA with guadinium thiocyanate. Lett Appl Microbiol 8:151–156

    CAS  Google Scholar 

  16. Smith CL, Cantor CR (1987) Purification, specific fragmentation, and separation of large DNA molecules. Methods Enzimol 155:449–467

    Article  CAS  Google Scholar 

  17. Solberg OD, Ajiboye RM, Riley LW (2006) Origin of class 1 and 2 integrons and gene cassettes in a population-based sample of uropathogenic Escherichia coli. J Clin Microbiol 44:1347–1351

    Article  PubMed  CAS  Google Scholar 

  18. Soll DR, Lockhart SR, Pujol C (2003) Laboratory procedures for the epidemiological analysis of microorganisms. In: Murray PR, Baron EJ, Jorgensen JH, Pfaller MA, Yolken RH (eds) Manual of clinical microbiology, vol. 1. 8th ed., ASM Press, Washington, DC, pp 139–167

    Google Scholar 

  19. Spanu T, Luzzaro F, Perilli M, Amicosante G, Toniolo A, Fadda G, Italian ESBL Study Group (2002) Occurrence of extended-spectrum beta-lactamases in members of the family Enterobacteriaceae in Italy: implications for resistance to beta-lactams and other antimicrobial drugs. Antimicrob Agents Chemother 46:196–202

    Article  PubMed  CAS  Google Scholar 

  20. Saladin M, Cao VT, Lambert T, Donay JL, Herrmann JL, Ould-Hocine Z, Verdet C, Delisle F, Philippon A, Arlet G (2002) Diversity of CTX-M beta-lactamases and their promoter regions from Enterobacteriaceae isolated in three Parisian hospitals. FEMS Microbiol Lett 209:161–168

    PubMed  CAS  Google Scholar 

  21. Tenover FC, Arbeit RD, Doering RV (1995) Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. J Clin Microbiol 33:2233–2239

    PubMed  CAS  Google Scholar 

  22. Wiener J, Quinn JP, Bradford PA, Goering RV, Nathan C, Bush K, Weinstein R (1999) Multiple antibiotic-resistance Klebsiella and Escherichia coli in nursing homes. J Am Med Associ 28:517–523

    Article  Google Scholar 

  23. Wirth T, Falush D, Lan R, Colles F, Mensa P, Wieler LH, Karch H, Reeves PR, Maiden MCJ, Ochman H, Achtman M (2006) Sex and virulence in E. coli: an evolutionary perspective. Mol Microbiol 60:1136–1151

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

We are grateful to Lemos Laboratórios de Análises Clínicas for supplying all isolates, to Hemocentro for sequencing, to Dr. David Livermore from the Central Public Health Laboratory, London, UK, and Dr. Jorge Sampaio from the Fleury-Centro de Medicina Diagnóstica, Brazil for gently providing the ESBL-producing E. coli controls. This study was financially supported by Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), and Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq).

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Correspondence to Ana Lúcia C. Darini.

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Minarini, L.A.R., Camargo, I.L.B.C., Pitondo-Silva, A. et al. Multilocus Sequence Typing of Uropathogenic ESBL-Producing Escherichia coli Isolated in a Brazilian Community. Curr Microbiol 55, 524–529 (2007). https://doi.org/10.1007/s00284-007-9026-3

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