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 in | Journal of microbiology, immunology and infection Vol. 55; no. 2; pp. 249 - 256 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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England
Elsevier B.V
01.04.2022
Elsevier |
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ISSN | 1684-1182 1995-9133 1995-9133 |
DOI | 10.1016/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. |
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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 |
Author_xml | – sequence: 1 givenname: Wei-Hung surname: Lin fullname: Lin, Wei-Hung organization: Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan – sequence: 2 givenname: Ming-Cheng surname: Wang fullname: Wang, Ming-Cheng organization: Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan – sequence: 3 givenname: Po-Yao surname: Liu fullname: Liu, Po-Yao organization: Institute of Microbiology and Immunology, School of Life Sciences, National Yang Ming Chiao Tung University, Taipei, Taiwan – sequence: 4 givenname: Po-Shun surname: Chen fullname: Chen, Po-Shun organization: Department of Biomedical Engineering, University of Southern California, Los Angeles, CA, 90089-0482, United States – sequence: 5 givenname: Li-Li surname: Wen fullname: Wen, Li-Li organization: Department of Clinical Laboratory, En Chu Kong Hospital, New Taipei City, Taiwan – sequence: 6 givenname: Ching-Hao orcidid: 0000-0002-4615-094X surname: Teng fullname: Teng, Ching-Hao organization: Institute of Molecular Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan – sequence: 7 givenname: Cheng-Yen orcidid: 0000-0001-8782-3912 surname: Kao fullname: Kao, Cheng-Yen email: kaocy@ym.edu.tw organization: Institute of Microbiology and Immunology, School of Life Sciences, National Yang Ming Chiao Tung University, Taipei, Taiwan |
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Keywords | Antimicrobial susceptibility Urinary tract infection Age-related differences Virulence factors Phylogenetic groups |
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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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