Escherichia coli urinary tract infections: Host age-related differences in bacterial virulence factors and antimicrobial susceptibility

Urinary tract infections (UTIs) caused by uropathogenic Escherichia coli (UPEC) are one of the most common outpatient bacterial infections. Although bacterial and host factors are reported to be associated with UTI pathogenesis, little is known about the host age-related differences in bacterial vir...

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Published inJournal of microbiology, immunology and infection Vol. 55; no. 2; pp. 249 - 256
Main Authors Lin, Wei-Hung, Wang, Ming-Cheng, Liu, Po-Yao, Chen, Po-Shun, Wen, Li-Li, Teng, Ching-Hao, Kao, Cheng-Yen
Format Journal Article
LanguageEnglish
Published England Elsevier B.V 01.04.2022
Elsevier
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Online AccessGet full text
ISSN1684-1182
1995-9133
1995-9133
DOI10.1016/j.jmii.2021.04.001

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Abstract Urinary tract infections (UTIs) caused by uropathogenic Escherichia coli (UPEC) are one of the most common outpatient bacterial infections. Although bacterial and host factors are reported to be associated with UTI pathogenesis, little is known about the host age-related differences in bacterial virulence factors and antimicrobial susceptibility. PCRs were carried out to detect K1 capsule antigen, 15 virulence factors, and phylogenetic groups in E. coli isolates. Antimicrobial susceptibility of selected agents was determined by the disk diffusion method. Isolates were divided into 6 groups based on their host age. The results showed that virulence factors PapGII, PapGIII, Cnf1, Aer, Usp, Iha, OmpT, HlyA, and Sat, had highest frequencies in the host age group 0–3. Phylogenetic group B2 dominated in our isolates (59.6%) followed by group D (20.7%). In addition, 77.4% of strains isolated from 0 to 3 age group belonged to phylogenetic group B2. Antimicrobial susceptibility tests showed that E. coli strains isolated were significantly more resistant to antimicrobial agents as host age increased. Phylogenetic group B2 isolates were more susceptible to antimicrobial agents, compared to A, B1, and D isolates. We found E. coli isolated from elders were more resistant to antimicrobial agents and had less virulence factors.
AbstractList Urinary tract infections (UTIs) caused by uropathogenic Escherichia coli (UPEC) are one of the most common outpatient bacterial infections. Although bacterial and host factors are reported to be associated with UTI pathogenesis, little is known about the host age-related differences in bacterial virulence factors and antimicrobial susceptibility. PCRs were carried out to detect K1 capsule antigen, 15 virulence factors, and phylogenetic groups in E. coli isolates. Antimicrobial susceptibility of selected agents was determined by the disk diffusion method. Isolates were divided into 6 groups based on their host age. The results showed that virulence factors PapGII, PapGIII, Cnf1, Aer, Usp, Iha, OmpT, HlyA, and Sat, had highest frequencies in the host age group 0-3. Phylogenetic group B2 dominated in our isolates (59.6%) followed by group D (20.7%). In addition, 77.4% of strains isolated from 0 to 3 age group belonged to phylogenetic group B2. Antimicrobial susceptibility tests showed that E. coli strains isolated were significantly more resistant to antimicrobial agents as host age increased. Phylogenetic group B2 isolates were more susceptible to antimicrobial agents, compared to A, B1, and D isolates. We found E. coli isolated from elders were more resistant to antimicrobial agents and had less virulence factors.
Urinary tract infections (UTIs) caused by uropathogenic Escherichia coli (UPEC) are one of the most common outpatient bacterial infections. Although bacterial and host factors are reported to be associated with UTI pathogenesis, little is known about the host age-related differences in bacterial virulence factors and antimicrobial susceptibility.BACKGROUNDUrinary tract infections (UTIs) caused by uropathogenic Escherichia coli (UPEC) are one of the most common outpatient bacterial infections. Although bacterial and host factors are reported to be associated with UTI pathogenesis, little is known about the host age-related differences in bacterial virulence factors and antimicrobial susceptibility.PCRs were carried out to detect K1 capsule antigen, 15 virulence factors, and phylogenetic groups in E. coli isolates. Antimicrobial susceptibility of selected agents was determined by the disk diffusion method. Isolates were divided into 6 groups based on their host age.METHODSPCRs were carried out to detect K1 capsule antigen, 15 virulence factors, and phylogenetic groups in E. coli isolates. Antimicrobial susceptibility of selected agents was determined by the disk diffusion method. Isolates were divided into 6 groups based on their host age.The results showed that virulence factors PapGII, PapGIII, Cnf1, Aer, Usp, Iha, OmpT, HlyA, and Sat, had highest frequencies in the host age group 0-3. Phylogenetic group B2 dominated in our isolates (59.6%) followed by group D (20.7%). In addition, 77.4% of strains isolated from 0 to 3 age group belonged to phylogenetic group B2. Antimicrobial susceptibility tests showed that E. coli strains isolated were significantly more resistant to antimicrobial agents as host age increased. Phylogenetic group B2 isolates were more susceptible to antimicrobial agents, compared to A, B1, and D isolates.RESULTSThe results showed that virulence factors PapGII, PapGIII, Cnf1, Aer, Usp, Iha, OmpT, HlyA, and Sat, had highest frequencies in the host age group 0-3. Phylogenetic group B2 dominated in our isolates (59.6%) followed by group D (20.7%). In addition, 77.4% of strains isolated from 0 to 3 age group belonged to phylogenetic group B2. Antimicrobial susceptibility tests showed that E. coli strains isolated were significantly more resistant to antimicrobial agents as host age increased. Phylogenetic group B2 isolates were more susceptible to antimicrobial agents, compared to A, B1, and D isolates.We found E. coli isolated from elders were more resistant to antimicrobial agents and had less virulence factors.CONCLUSIONWe found E. coli isolated from elders were more resistant to antimicrobial agents and had less virulence factors.
Background: Urinary tract infections (UTIs) caused by uropathogenic Escherichia coli (UPEC) are one of the most common outpatient bacterial infections. Although bacterial and host factors are reported to be associated with UTI pathogenesis, little is known about the host age-related differences in bacterial virulence factors and antimicrobial susceptibility. Methods: PCRs were carried out to detect K1 capsule antigen, 15 virulence factors, and phylogenetic groups in E. coli isolates. Antimicrobial susceptibility of selected agents was determined by the disk diffusion method. Isolates were divided into 6 groups based on their host age. Results: The results showed that virulence factors PapGII, PapGIII, Cnf1, Aer, Usp, Iha, OmpT, HlyA, and Sat, had highest frequencies in the host age group 0–3. Phylogenetic group B2 dominated in our isolates (59.6%) followed by group D (20.7%). In addition, 77.4% of strains isolated from 0 to 3 age group belonged to phylogenetic group B2. Antimicrobial susceptibility tests showed that E. coli strains isolated were significantly more resistant to antimicrobial agents as host age increased. Phylogenetic group B2 isolates were more susceptible to antimicrobial agents, compared to A, B1, and D isolates. Conclusion: We found E. coli isolated from elders were more resistant to antimicrobial agents and had less virulence factors.
Author Teng, Ching-Hao
Kao, Cheng-Yen
Lin, Wei-Hung
Wang, Ming-Cheng
Liu, Po-Yao
Wen, Li-Li
Chen, Po-Shun
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Cites_doi 10.1016/j.jmii.2011.12.024
10.1086/320198
10.1016/j.idc.2013.10.006
10.1128/JCM.02086-12
10.1177/1756287219832172
10.1016/j.jmii.2020.09.001
10.1093/ofid/ofv083
10.1128/microbiolspec.UTI-0002-2012
10.1111/lam.12517
10.1053/ajkd.2002.32992
10.1007/s10096-018-3302-y
10.1016/j.ijantimicag.2005.08.003
10.1016/j.jmii.2017.06.003
10.1128/CMR.00101-19
10.1086/427996
10.1086/669865
10.1086/343828
10.1186/s12866-020-01933-1
10.1128/AEM.66.10.4555-4558.2000
10.1007/s10096-014-2171-2
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Issue 2
Keywords Antimicrobial susceptibility
Urinary tract infection
Age-related differences
Virulence factors
Phylogenetic groups
Language English
License This is an open access article under the CC BY license.
Copyright © 2021. Published by Elsevier B.V.
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References Yazdanpour, Tadjrobehkar, Shahkhah (bib18) 2000; 20
Tseng, Lin, Wu, Wang, Teng, Wu (bib5) 2022; 55
Johnson, Porter, Johnston, Kuskowski, Spurbeck, Mobley (bib11) 2015; 2
Zhanel, Hisanaga, Laing, DeCorby, Nichol, Palatnik (bib20) 2005; 26
Stapleton (bib3) 2014; 28
Clermont, Bonacorsi, Bingen (bib16) 2000; 66
Nowrouzian, Wold, Adlerberth (bib19) 2005; 191
(bib17) 2020
Reitzer, Zimmern (bib8) 2019; 33
Kao, Lin, Tseng, Wu, Wang, Wu (bib13) 2014; 33
Johnson, O'Bryan, Delavari, Kuskowski, Stapleton, Carlino (bib10) 2001; 183
Tseng, Wang, Lin, Liao, Chen, Teng (bib6) 2018; 51
Lin, Tseng, Wu, Chang, Kuo, Chao (bib15) 2018; 37
Geerlings (bib2) 2016; 4
Wang, Tseng, Chen, Wu, Huang (bib7) 2002; 35
Banerjee, Johnston, Lohse, Porter, Clabots, Johnson (bib21) 2013; 34
Medina, Castillo-Pino (bib1) 2019; 11
Luo, Ma, Zhao, Wang, Guo, Ye (bib12) 2012; 50
Tseng, Wu, Liu, Sung, Huang (bib14) 2002; 39
Wang, Tseng, Wu, Lin, Teng, Yan (bib9) 2013; 46
Lee, Subhadra, Son, Kim, Park, Kim (bib4) 2016; 62
Lee (10.1016/j.jmii.2021.04.001_bib4) 2016; 62
Tseng (10.1016/j.jmii.2021.04.001_bib6) 2018; 51
Kao (10.1016/j.jmii.2021.04.001_bib13) 2014; 33
Yazdanpour (10.1016/j.jmii.2021.04.001_bib18) 2000; 20
Reitzer (10.1016/j.jmii.2021.04.001_bib8) 2019; 33
Nowrouzian (10.1016/j.jmii.2021.04.001_bib19) 2005; 191
Wang (10.1016/j.jmii.2021.04.001_bib7) 2002; 35
Lin (10.1016/j.jmii.2021.04.001_bib15) 2018; 37
Medina (10.1016/j.jmii.2021.04.001_bib1) 2019; 11
Luo (10.1016/j.jmii.2021.04.001_bib12) 2012; 50
Johnson (10.1016/j.jmii.2021.04.001_bib10) 2001; 183
Tseng (10.1016/j.jmii.2021.04.001_bib14) 2002; 39
Wang (10.1016/j.jmii.2021.04.001_bib9) 2013; 46
(10.1016/j.jmii.2021.04.001_bib17) 2020
Johnson (10.1016/j.jmii.2021.04.001_bib11) 2015; 2
Zhanel (10.1016/j.jmii.2021.04.001_bib20) 2005; 26
Stapleton (10.1016/j.jmii.2021.04.001_bib3) 2014; 28
Geerlings (10.1016/j.jmii.2021.04.001_bib2) 2016; 4
Tseng (10.1016/j.jmii.2021.04.001_bib5) 2022; 55
Clermont (10.1016/j.jmii.2021.04.001_bib16) 2000; 66
Banerjee (10.1016/j.jmii.2021.04.001_bib21) 2013; 34
References_xml – volume: 34
  start-page: 361
  year: 2013
  end-page: 369
  ident: bib21
  article-title: Escherichia coli sequence type 131 is a dominant, antimicrobial-resistant clonal group associated with healthcare and elderly hosts
  publication-title: Infect Control Hosp Epidemiol
– volume: 37
  start-page: 1699
  year: 2018
  end-page: 1707
  ident: bib15
  article-title: Clinical and microbiological characteristics of peritoneal dialysis-related peritonitis caused by Escherichia coli in southern Taiwan
  publication-title: Eur J Clin Microbiol Infect Dis
– volume: 20
  start-page: 241
  year: 2000
  ident: bib18
  article-title: Significant association between genes encoding virulence factors with antibiotic resistance and phylogenetic groups in community acquired uropathogenic Escherichia coli isolates
  publication-title: BMC Microbiol
– volume: 28
  start-page: 149
  year: 2014
  end-page: 159
  ident: bib3
  article-title: Urinary tract infection pathogenesis: host factors
  publication-title: Infect Dis Clin North Am
– volume: 2
  start-page: ofv083
  year: 2015
  ident: bib11
  article-title: Host characteristics and bacterial traits predict experimental virulence for Escherichia coli bloodstream isolates from patients with urosepsis
  publication-title: Open Forum Infect Dis
– volume: 66
  start-page: 4555
  year: 2000
  end-page: 4558
  ident: bib16
  article-title: Rapid and simple determination of the Escherichia coli phylogenetic group
  publication-title: Appl Environ Microbiol
– volume: 35
  start-page: 1161
  year: 2002
  end-page: 1166
  ident: bib7
  article-title: The role of bacterial virulence and host factors in patients with Escherichia coli bacteremia who have acute cholangitis or upper urinary tract infection
  publication-title: Clin Infect Dis
– volume: 33
  start-page: 2157
  year: 2014
  end-page: 2162
  ident: bib13
  article-title: The complex interplay among bacterial motility and virulence factors in different Escherichia coli infections
  publication-title: Eur J Clin Microbiol Infect Dis
– volume: 191
  start-page: 1078
  year: 2005
  end-page: 1083
  ident: bib19
  article-title: Escherichia coli strains belonging to phylogenetic group B2 have superior capacity to persist in the intestinal microflora of infants
  publication-title: J Infect Dis
– volume: 4
  year: 2016
  ident: bib2
  article-title: Clinical presentations and epidemiology of urinary tract infections
  publication-title: Microbiol Spectr
– volume: 62
  start-page: 84
  year: 2016
  end-page: 90
  ident: bib4
  article-title: Phylogenetic group distributions, virulence factors and antimicrobial resistance properties of uropathogenic Escherichia coli strains isolated from patients with urinary tract infections in South Korea
  publication-title: Lett Appl Microbiol
– volume: 33
  start-page: e00101
  year: 2019
  end-page: e00119
  ident: bib8
  article-title: Rapid growth and metabolism of uropathogenic Escherichia coli in relation to urine composition
  publication-title: Clin Microbiol Rev
– volume: 55
  start-page: 44
  year: 2022
  end-page: 50
  ident: bib5
  article-title: FimH adhesins act synergistically with PapGII adhesins for enhancing establishment and maintenance of kidney infection
  publication-title: J Microbiol Immunol Infect
– year: 2020
  ident: bib17
  article-title: Performance Standards for antimicrobial susceptibility testing
– volume: 46
  start-page: 24
  year: 2013
  end-page: 29
  ident: bib9
  article-title: Bacterial characteristics and glycemic control in diabetic patients with Escherichia coli urinary tract infection
  publication-title: J Microbiol Immunol Infect
– volume: 39
  start-page: 744
  year: 2002
  end-page: 752
  ident: bib14
  article-title: Roles of host and bacterial virulence factors in the development of upper urinary tract infection caused by Escherichia coli
  publication-title: Am J Kidney Dis
– volume: 11
  year: 2019
  ident: bib1
  article-title: An introduction to the epidemiology and burden of urinary tract infections
  publication-title: Ther Adv Urol
– volume: 50
  start-page: 4002
  year: 2012
  end-page: 4007
  ident: bib12
  article-title: Similarity and divergence of phylogenies, antimicrobial susceptibilities, and virulence factor profiles of Escherichia coli isolates causing recurrent urinary tract infections that persist or result from reinfection
  publication-title: J Clin Microbiol
– volume: 26
  start-page: 380
  year: 2005
  end-page: 388
  ident: bib20
  article-title: Antibiotic resistance in outpatient urinary isolates: final results from the north American urinary tract infection collaborative alliance (NAUTICA)
  publication-title: Int J Antimicrob Agents
– volume: 51
  start-page: 492
  year: 2018
  end-page: 499
  ident: bib6
  article-title: Role of class II P fimbriae and cytokine response in the pathogenesis of Escherichia coli kidney infection in diabetic mice
  publication-title: J Microbiol Immunol Infect
– volume: 183
  start-page: 1508
  year: 2001
  end-page: 1517
  ident: bib10
  article-title: Clonal relationships and extended virulence genotypes among Escherichia coli isolates from women with a first or recurrent episode of cystitis
  publication-title: J Infect Dis
– volume: 46
  start-page: 24
  year: 2013
  ident: 10.1016/j.jmii.2021.04.001_bib9
  article-title: Bacterial characteristics and glycemic control in diabetic patients with Escherichia coli urinary tract infection
  publication-title: J Microbiol Immunol Infect
  doi: 10.1016/j.jmii.2011.12.024
– volume: 183
  start-page: 1508
  year: 2001
  ident: 10.1016/j.jmii.2021.04.001_bib10
  article-title: Clonal relationships and extended virulence genotypes among Escherichia coli isolates from women with a first or recurrent episode of cystitis
  publication-title: J Infect Dis
  doi: 10.1086/320198
– volume: 28
  start-page: 149
  year: 2014
  ident: 10.1016/j.jmii.2021.04.001_bib3
  article-title: Urinary tract infection pathogenesis: host factors
  publication-title: Infect Dis Clin North Am
  doi: 10.1016/j.idc.2013.10.006
– year: 2020
  ident: 10.1016/j.jmii.2021.04.001_bib17
– volume: 50
  start-page: 4002
  year: 2012
  ident: 10.1016/j.jmii.2021.04.001_bib12
  article-title: Similarity and divergence of phylogenies, antimicrobial susceptibilities, and virulence factor profiles of Escherichia coli isolates causing recurrent urinary tract infections that persist or result from reinfection
  publication-title: J Clin Microbiol
  doi: 10.1128/JCM.02086-12
– volume: 11
  year: 2019
  ident: 10.1016/j.jmii.2021.04.001_bib1
  article-title: An introduction to the epidemiology and burden of urinary tract infections
  publication-title: Ther Adv Urol
  doi: 10.1177/1756287219832172
– volume: 55
  start-page: 44
  year: 2022
  ident: 10.1016/j.jmii.2021.04.001_bib5
  article-title: Escherichia coli FimH adhesins act synergistically with PapGII adhesins for enhancing establishment and maintenance of kidney infection
  publication-title: J Microbiol Immunol Infect
  doi: 10.1016/j.jmii.2020.09.001
– volume: 2
  start-page: ofv083
  year: 2015
  ident: 10.1016/j.jmii.2021.04.001_bib11
  article-title: Host characteristics and bacterial traits predict experimental virulence for Escherichia coli bloodstream isolates from patients with urosepsis
  publication-title: Open Forum Infect Dis
  doi: 10.1093/ofid/ofv083
– volume: 4
  year: 2016
  ident: 10.1016/j.jmii.2021.04.001_bib2
  article-title: Clinical presentations and epidemiology of urinary tract infections
  publication-title: Microbiol Spectr
  doi: 10.1128/microbiolspec.UTI-0002-2012
– volume: 62
  start-page: 84
  year: 2016
  ident: 10.1016/j.jmii.2021.04.001_bib4
  article-title: Phylogenetic group distributions, virulence factors and antimicrobial resistance properties of uropathogenic Escherichia coli strains isolated from patients with urinary tract infections in South Korea
  publication-title: Lett Appl Microbiol
  doi: 10.1111/lam.12517
– volume: 39
  start-page: 744
  year: 2002
  ident: 10.1016/j.jmii.2021.04.001_bib14
  article-title: Roles of host and bacterial virulence factors in the development of upper urinary tract infection caused by Escherichia coli
  publication-title: Am J Kidney Dis
  doi: 10.1053/ajkd.2002.32992
– volume: 37
  start-page: 1699
  year: 2018
  ident: 10.1016/j.jmii.2021.04.001_bib15
  article-title: Clinical and microbiological characteristics of peritoneal dialysis-related peritonitis caused by Escherichia coli in southern Taiwan
  publication-title: Eur J Clin Microbiol Infect Dis
  doi: 10.1007/s10096-018-3302-y
– volume: 26
  start-page: 380
  year: 2005
  ident: 10.1016/j.jmii.2021.04.001_bib20
  article-title: Antibiotic resistance in outpatient urinary isolates: final results from the north American urinary tract infection collaborative alliance (NAUTICA)
  publication-title: Int J Antimicrob Agents
  doi: 10.1016/j.ijantimicag.2005.08.003
– volume: 51
  start-page: 492
  year: 2018
  ident: 10.1016/j.jmii.2021.04.001_bib6
  article-title: Role of class II P fimbriae and cytokine response in the pathogenesis of Escherichia coli kidney infection in diabetic mice
  publication-title: J Microbiol Immunol Infect
  doi: 10.1016/j.jmii.2017.06.003
– volume: 33
  start-page: e00101
  issue: 1
  year: 2019
  ident: 10.1016/j.jmii.2021.04.001_bib8
  article-title: Rapid growth and metabolism of uropathogenic Escherichia coli in relation to urine composition
  publication-title: Clin Microbiol Rev
  doi: 10.1128/CMR.00101-19
– volume: 191
  start-page: 1078
  year: 2005
  ident: 10.1016/j.jmii.2021.04.001_bib19
  article-title: Escherichia coli strains belonging to phylogenetic group B2 have superior capacity to persist in the intestinal microflora of infants
  publication-title: J Infect Dis
  doi: 10.1086/427996
– volume: 34
  start-page: 361
  year: 2013
  ident: 10.1016/j.jmii.2021.04.001_bib21
  article-title: Escherichia coli sequence type 131 is a dominant, antimicrobial-resistant clonal group associated with healthcare and elderly hosts
  publication-title: Infect Control Hosp Epidemiol
  doi: 10.1086/669865
– volume: 35
  start-page: 1161
  year: 2002
  ident: 10.1016/j.jmii.2021.04.001_bib7
  article-title: The role of bacterial virulence and host factors in patients with Escherichia coli bacteremia who have acute cholangitis or upper urinary tract infection
  publication-title: Clin Infect Dis
  doi: 10.1086/343828
– volume: 20
  start-page: 241
  year: 2000
  ident: 10.1016/j.jmii.2021.04.001_bib18
  article-title: Significant association between genes encoding virulence factors with antibiotic resistance and phylogenetic groups in community acquired uropathogenic Escherichia coli isolates
  publication-title: BMC Microbiol
  doi: 10.1186/s12866-020-01933-1
– volume: 66
  start-page: 4555
  year: 2000
  ident: 10.1016/j.jmii.2021.04.001_bib16
  article-title: Rapid and simple determination of the Escherichia coli phylogenetic group
  publication-title: Appl Environ Microbiol
  doi: 10.1128/AEM.66.10.4555-4558.2000
– volume: 33
  start-page: 2157
  year: 2014
  ident: 10.1016/j.jmii.2021.04.001_bib13
  article-title: The complex interplay among bacterial motility and virulence factors in different Escherichia coli infections
  publication-title: Eur J Clin Microbiol Infect Dis
  doi: 10.1007/s10096-014-2171-2
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Snippet Urinary tract infections (UTIs) caused by uropathogenic Escherichia coli (UPEC) are one of the most common outpatient bacterial infections. Although bacterial...
Background: Urinary tract infections (UTIs) caused by uropathogenic Escherichia coli (UPEC) are one of the most common outpatient bacterial infections....
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SubjectTerms Age-related differences
Antimicrobial susceptibility
Phylogenetic groups
Urinary tract infection
Virulence factors
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Title Escherichia coli urinary tract infections: Host age-related differences in bacterial virulence factors and antimicrobial susceptibility
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