1. Prevalence and characterisation of extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli isolates in healthy volunteers in Tunisia.
- Author
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Ben Sallem, R., Ben Slama, K., Estepa, V., Jouini, A., Gharsa, H., Klibi, N., Sáenz, Y., Ruiz-Larrea, F., Boudabous, A., and Torres, C.
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DISEASE prevalence , *BETA-lactamase inhibitors , *ESCHERICHIA coli , *NUCLEOTIDE sequence , *POLYMERASE chain reaction - Abstract
The objective of this investigation was to analyse the carriage rate of extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli in faecal samples of healthy humans in Tunisia and to characterise the recovered isolates. One hundred and fifty samples were inoculated on MacConkey agar plates supplemented with cefotaxime (2 μg/ml) for ESBL-positive E. coli recovery. The characterisation of ESBL genes and their genetic environments, detection of associated resistance genes, multilocus sequence typing (MLST) and phylogroup typing were performed by polymerase chain reaction (PCR) and sequencing. The presence and characterisation of integrons and virulence factors were studied by PCR and sequencing. ESBL-positive E. coli isolates were detected in 11 of 150 faecal samples (7.3%) and one isolate/sample was further characterised. These isolates contained the bla (ten isolates) and bla genes (one isolate). The IS Ecp1 (truncated by IS 10 in four strains) and orf477 sequences were found upstream and downstream, respectively, of all bla genes. Seven different sequence types (STs) and three phylogroups were identified among CTX-M-1-producing isolates [ST/phylogroup (number of isolates)]: ST58/B1 (3), ST57/D (2), ST165/A (1), ST155/B1 (1), ST10/A (1), ST398/A (1) and ST48/B1 (1). The TEM-52-producing isolate was typed as ST219 and phylogroup B2. Six ESBL isolates contained class 1 integrons with the gene cassettes dfrA17-aadA5 (five isolates) and dfrA1-aadA1 (one). Healthy humans in the studied country could be a reservoir of CTX-M-1-producing E. coli. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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