Multi-drug resistance and biofilm production among diarrheagenic Escherichia coli pathotypes isolated from stools of children with acute diarrheal disease

Background. Diarrheagenic E. coli (DEC) is an etiological agent of childhood diarrhea. Resistance against commonly used drugs in the empirical treatment of enteric infections has increased among DEC. Relationship between antibiotic resistance and biofilm formation in microorganisms have been widely...

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Autores principales: E. E. David, M. A. Yameen, I. Igwenyi, A. C. Okafor, U. N. Obeten, D. O. Obasi, U. R. Ezeilo, M. N. Emeribole, C. N. David
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Publicado: Sankt-Peterburg : NIIÈM imeni Pastera 2021
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spelling oai:doaj.org-article:f541ff01d7b945c98d3b707d221b8ef42021-11-22T07:09:56ZMulti-drug resistance and biofilm production among diarrheagenic Escherichia coli pathotypes isolated from stools of children with acute diarrheal disease2220-76192313-739810.15789/2220-7619-MDR-1589https://doaj.org/article/f541ff01d7b945c98d3b707d221b8ef42021-11-01T00:00:00Zhttps://www.iimmun.ru/iimm/article/view/1589https://doaj.org/toc/2220-7619https://doaj.org/toc/2313-7398Background. Diarrheagenic E. coli (DEC) is an etiological agent of childhood diarrhea. Resistance against commonly used drugs in the empirical treatment of enteric infections has increased among DEC. Relationship between antibiotic resistance and biofilm formation in microorganisms have been widely reported. This study was aimed to determine the antibiotic resistance and biofilm production pattern among DEC pathotypes isolated from stools of children aged 0–5 years with acute diarrheal disease in Abakaliki, Nigeria. Materials and methods. Diarrheal stool samples were obtained from 60 children and E. coli were isolated and identified using standard guidelines provided for laboratory diagnosis of enteric pathogens. Molecular identification was done by amplification of E. coli universal stress protein A (uspA) using polymerase chain reaction (PCR) method. Detection of virulent genes of DEC pathotypes was performed in a group of multiplex PCR using their specific primers. Kirby–Bauer disk diffusion method was used to determine the antibiotic susceptibility patterns of the isolates while biofilms production was detected by thiazolyl blue tetrazolium bromide dye in a 96-well plate. Results. DEC was isolated in 40 stools among which EIEC [40% (n = 16)] was commonly detected followed by ETEC [30% (n = 12)], EAEC [20% (n = 8)] and typical EPEC [10% (n = 4)]. Half of EAEC showed the highest multidrug resistance against ampicillin, cefoxitin, ciprofloxacin, levofloxacin, and tetracycline with the strongest biofilm production followed by all the EPEC which were resistant to ampicillin, ciprofloxacin, levofloxacin, and tetracycline with moderate biofilm production. All the LT-ETEC exhibited the least resistance to ampicillin and tetracycline with the weakest biofilm production. Conclusion. High frequency of the EIEC pathotype suggests its role as the primary etiological agent of diarrhea in children. Correlation between high drug resistance and biofilm production among the pathotype may indicate that biofilms may provide compatible uptake of resistance genes.E. E. DavidM. A. YameenI. IgwenyiA. C. OkaforU. N. ObetenD. O. ObasiU. R. EzeiloM. N. EmeriboleC. N. DavidSankt-Peterburg : NIIÈM imeni Pasteraarticlediarrheagenic e. coli (dec)antibiotic resistancediarrheal stoolmultiplex pcrmulti-drug resistancepolymerase chain reactionbiofilmsInfectious and parasitic diseasesRC109-216RUInfekciâ i Immunitet, Vol 11, Iss 5, Pp 958-964 (2021)
institution DOAJ
collection DOAJ
language RU
topic diarrheagenic e. coli (dec)
antibiotic resistance
diarrheal stool
multiplex pcr
multi-drug resistance
polymerase chain reaction
biofilms
Infectious and parasitic diseases
RC109-216
spellingShingle diarrheagenic e. coli (dec)
antibiotic resistance
diarrheal stool
multiplex pcr
multi-drug resistance
polymerase chain reaction
biofilms
Infectious and parasitic diseases
RC109-216
E. E. David
M. A. Yameen
I. Igwenyi
A. C. Okafor
U. N. Obeten
D. O. Obasi
U. R. Ezeilo
M. N. Emeribole
C. N. David
Multi-drug resistance and biofilm production among diarrheagenic Escherichia coli pathotypes isolated from stools of children with acute diarrheal disease
description Background. Diarrheagenic E. coli (DEC) is an etiological agent of childhood diarrhea. Resistance against commonly used drugs in the empirical treatment of enteric infections has increased among DEC. Relationship between antibiotic resistance and biofilm formation in microorganisms have been widely reported. This study was aimed to determine the antibiotic resistance and biofilm production pattern among DEC pathotypes isolated from stools of children aged 0–5 years with acute diarrheal disease in Abakaliki, Nigeria. Materials and methods. Diarrheal stool samples were obtained from 60 children and E. coli were isolated and identified using standard guidelines provided for laboratory diagnosis of enteric pathogens. Molecular identification was done by amplification of E. coli universal stress protein A (uspA) using polymerase chain reaction (PCR) method. Detection of virulent genes of DEC pathotypes was performed in a group of multiplex PCR using their specific primers. Kirby–Bauer disk diffusion method was used to determine the antibiotic susceptibility patterns of the isolates while biofilms production was detected by thiazolyl blue tetrazolium bromide dye in a 96-well plate. Results. DEC was isolated in 40 stools among which EIEC [40% (n = 16)] was commonly detected followed by ETEC [30% (n = 12)], EAEC [20% (n = 8)] and typical EPEC [10% (n = 4)]. Half of EAEC showed the highest multidrug resistance against ampicillin, cefoxitin, ciprofloxacin, levofloxacin, and tetracycline with the strongest biofilm production followed by all the EPEC which were resistant to ampicillin, ciprofloxacin, levofloxacin, and tetracycline with moderate biofilm production. All the LT-ETEC exhibited the least resistance to ampicillin and tetracycline with the weakest biofilm production. Conclusion. High frequency of the EIEC pathotype suggests its role as the primary etiological agent of diarrhea in children. Correlation between high drug resistance and biofilm production among the pathotype may indicate that biofilms may provide compatible uptake of resistance genes.
format article
author E. E. David
M. A. Yameen
I. Igwenyi
A. C. Okafor
U. N. Obeten
D. O. Obasi
U. R. Ezeilo
M. N. Emeribole
C. N. David
author_facet E. E. David
M. A. Yameen
I. Igwenyi
A. C. Okafor
U. N. Obeten
D. O. Obasi
U. R. Ezeilo
M. N. Emeribole
C. N. David
author_sort E. E. David
title Multi-drug resistance and biofilm production among diarrheagenic Escherichia coli pathotypes isolated from stools of children with acute diarrheal disease
title_short Multi-drug resistance and biofilm production among diarrheagenic Escherichia coli pathotypes isolated from stools of children with acute diarrheal disease
title_full Multi-drug resistance and biofilm production among diarrheagenic Escherichia coli pathotypes isolated from stools of children with acute diarrheal disease
title_fullStr Multi-drug resistance and biofilm production among diarrheagenic Escherichia coli pathotypes isolated from stools of children with acute diarrheal disease
title_full_unstemmed Multi-drug resistance and biofilm production among diarrheagenic Escherichia coli pathotypes isolated from stools of children with acute diarrheal disease
title_sort multi-drug resistance and biofilm production among diarrheagenic escherichia coli pathotypes isolated from stools of children with acute diarrheal disease
publisher Sankt-Peterburg : NIIÈM imeni Pastera
publishDate 2021
url https://doaj.org/article/f541ff01d7b945c98d3b707d221b8ef4
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