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Published in: Gut Pathogens 1/2018

Open Access 01-12-2018 | Research

Occurrence of multidrug-resistant and ESBL-producing atypical enteropathogenic Escherichia coli in China

Authors: Yanmei Xu, Hui Sun, Xiangning Bai, Shanshan Fu, Ruyue Fan, Yanwen Xiong

Published in: Gut Pathogens | Issue 1/2018

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Abstract

Background

Atypical enteropathogenic Escherichia coli (aEPEC) is regarded as a globally emerging enteropathogen. aEPECs exhibit various level of resistance to a range of antibiotics, which is increasing alarmingly. The present study investigated the antimicrobial resistance of aEPEC isolates recovered from diarrheal patients, healthy carriers, animals, and raw meats.

Results

Among 267 aEPEC isolates, 146 (54.7%) were resistant to tetracycline, followed by ampicillin (49.4%), streptomycin (46.1%), and piperacillin (41.2%). Multidrug resistance (MDR) was detected in 128 (47.9%) isolates, and 40 MDR isolates were resistant to ≥ 10 antimicrobial agents. A total of 47 (17.6%) aEPEC isolates were identified as extended-spectrum β-lactamase (ESBL)-producers. The blaCTX-M-14 and blaCTX-M-15 genes were predominant among ESBL-producing isolates.

Conclusions

This investigation depicted the occurrence of multidrug-resistant and ESBL-producing aEPEC isolates in China. The results suggested that it is necessary to continuously monitor the emergence and spread of MDR aEPEC.
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Literature
1.
go back to reference Walker CL, Aryee MJ, Boschi-Pinto C, Black RE. Estimating diarrhea mortality among young children in low and middle income countries. PLoS ONE. 2012;7:e29151.CrossRefPubMed Walker CL, Aryee MJ, Boschi-Pinto C, Black RE. Estimating diarrhea mortality among young children in low and middle income countries. PLoS ONE. 2012;7:e29151.CrossRefPubMed
2.
go back to reference Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE, et al. Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet. 2012;379:2151–61.CrossRefPubMed Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE, et al. Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet. 2012;379:2151–61.CrossRefPubMed
3.
go back to reference Croxen MA, Law RJ, Scholz R, Keeney KM, Wlodarska M, Finlay BB. Recent advances in understanding enteric pathogenic Escherichia coli. Clin Microbiol Rev. 2013;26:822–80.CrossRefPubMedPubMedCentral Croxen MA, Law RJ, Scholz R, Keeney KM, Wlodarska M, Finlay BB. Recent advances in understanding enteric pathogenic Escherichia coli. Clin Microbiol Rev. 2013;26:822–80.CrossRefPubMedPubMedCentral
4.
go back to reference Chen HD, Frankel G. Enteropathogenic Escherichia coli: unravelling pathogenesis. FEMS Microbiol Rev. 2005;29:83–98.CrossRefPubMed Chen HD, Frankel G. Enteropathogenic Escherichia coli: unravelling pathogenesis. FEMS Microbiol Rev. 2005;29:83–98.CrossRefPubMed
5.
go back to reference Lanata CF, Fischer-Walker CL, Olascoaga AC, Torres CX, Aryee MJ, Black RE, et al. Global causes of diarrheal disease mortality in children < 5 years of age: a systematic review. PLoS ONE. 2013;8:e72788.CrossRefPubMedPubMedCentral Lanata CF, Fischer-Walker CL, Olascoaga AC, Torres CX, Aryee MJ, Black RE, et al. Global causes of diarrheal disease mortality in children < 5 years of age: a systematic review. PLoS ONE. 2013;8:e72788.CrossRefPubMedPubMedCentral
7.
go back to reference Clarke SC, Haigh RD, Freestone PP, Williams PH. Virulence of enteropathogenic Escherichia coli, a global pathogen. Clin Microbiol Rev. 2003;16:365–78.CrossRefPubMedPubMedCentral Clarke SC, Haigh RD, Freestone PP, Williams PH. Virulence of enteropathogenic Escherichia coli, a global pathogen. Clin Microbiol Rev. 2003;16:365–78.CrossRefPubMedPubMedCentral
9.
go back to reference Afset JE, Bevanger L, Romundstad P, Bergh K. Association of atypical enteropathogenic Escherichia coli (EPEC) with prolonged diarrhoea. J Med Microbiol. 2004;53:1137–44.CrossRefPubMed Afset JE, Bevanger L, Romundstad P, Bergh K. Association of atypical enteropathogenic Escherichia coli (EPEC) with prolonged diarrhoea. J Med Microbiol. 2004;53:1137–44.CrossRefPubMed
10.
go back to reference Robins-Browne RM, Bordun AM, Tauschek M, Bennett-Wood VR, Russell J, Oppedisano F, et al. Escherichia coli and community-acquired gastroenteritis, Melbourne, Australia. Emerg Infect Dis. 2004;10:1797–805.CrossRefPubMedPubMedCentral Robins-Browne RM, Bordun AM, Tauschek M, Bennett-Wood VR, Russell J, Oppedisano F, et al. Escherichia coli and community-acquired gastroenteritis, Melbourne, Australia. Emerg Infect Dis. 2004;10:1797–805.CrossRefPubMedPubMedCentral
11.
go back to reference Cohen MB, Nataro JP, Bernstein DI, Hawkins J, Roberts N, Staat MA. Prevalence of diarrheagenic Escherichia coli in acute childhood enteritis: a prospective controlled study. J Pediatr. 2005;146:54–61.CrossRefPubMed Cohen MB, Nataro JP, Bernstein DI, Hawkins J, Roberts N, Staat MA. Prevalence of diarrheagenic Escherichia coli in acute childhood enteritis: a prospective controlled study. J Pediatr. 2005;146:54–61.CrossRefPubMed
12.
go back to reference Franzolin MR, Alves RC, Keller R, Gomes TA, Beutin L, Barreto ML, et al. Prevalence of diarrheagenic Escherichia coli in children with diarrhea in Salvador, Bahia, Brazil. Mem Inst Oswaldo Cruz. 2005;100:359–63.CrossRefPubMed Franzolin MR, Alves RC, Keller R, Gomes TA, Beutin L, Barreto ML, et al. Prevalence of diarrheagenic Escherichia coli in children with diarrhea in Salvador, Bahia, Brazil. Mem Inst Oswaldo Cruz. 2005;100:359–63.CrossRefPubMed
13.
go back to reference Estrada-Garcia T, Lopez-Saucedo C, Thompson-Bonilla R, Abonce M, Lopez-Hernandez D, Santos JI, et al. Association of diarrheagenic Escherichia coli pathotypes with infection and diarrhea among Mexican children and association of atypical Enteropathogenic E. coli with acute diarrhea. J Clin Microbiol. 2009;47:93–8.CrossRefPubMed Estrada-Garcia T, Lopez-Saucedo C, Thompson-Bonilla R, Abonce M, Lopez-Hernandez D, Santos JI, et al. Association of diarrheagenic Escherichia coli pathotypes with infection and diarrhea among Mexican children and association of atypical Enteropathogenic E. coli with acute diarrhea. J Clin Microbiol. 2009;47:93–8.CrossRefPubMed
14.
go back to reference Hernandes RT, Elias WP, Vieira MA, Gomes TA. An overview of atypical enteropathogenic Escherichia coli. FEMS Microbiol Lett. 2009;297:137–49.CrossRefPubMed Hernandes RT, Elias WP, Vieira MA, Gomes TA. An overview of atypical enteropathogenic Escherichia coli. FEMS Microbiol Lett. 2009;297:137–49.CrossRefPubMed
15.
go back to reference Sakkejha H, Byrne L, Lawson AJ, Jenkins C. An update on the microbiology and epidemiology of enteropathogenic Escherichia coli in England 2010–2012. J Med Microbiol. 2013;62:1531–4.CrossRefPubMed Sakkejha H, Byrne L, Lawson AJ, Jenkins C. An update on the microbiology and epidemiology of enteropathogenic Escherichia coli in England 2010–2012. J Med Microbiol. 2013;62:1531–4.CrossRefPubMed
16.
go back to reference Ochoa TJ, Barletta F, Contreras C, Mercado E. New insights into the epidemiology of enteropathogenic Escherichia coli infection. Trans R Soc Trop Med Hyg. 2008;102:852–6.CrossRefPubMedPubMedCentral Ochoa TJ, Barletta F, Contreras C, Mercado E. New insights into the epidemiology of enteropathogenic Escherichia coli infection. Trans R Soc Trop Med Hyg. 2008;102:852–6.CrossRefPubMedPubMedCentral
17.
go back to reference Staples M, Doyle CJ, Graham RM, Jennison AV. Molecular epidemiological typing of enteropathogenic Escherichia coli strains from Australian patients. Diagn Microbiol Infect Dis. 2013;75:320–4.CrossRefPubMed Staples M, Doyle CJ, Graham RM, Jennison AV. Molecular epidemiological typing of enteropathogenic Escherichia coli strains from Australian patients. Diagn Microbiol Infect Dis. 2013;75:320–4.CrossRefPubMed
18.
go back to reference Magiorakos AP, Srinivasan A, Carey RB, Carmeli Y, Falagas ME, Giske CG, et al. Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. Clin Microbiol Infect. 2012;18:268–81.CrossRefPubMed Magiorakos AP, Srinivasan A, Carey RB, Carmeli Y, Falagas ME, Giske CG, et al. Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. Clin Microbiol Infect. 2012;18:268–81.CrossRefPubMed
19.
go back to reference Chong Y, Ito Y, Kamimura T. Genetic evolution and clinical impact in extended-spectrum beta-lactamase-producing Escherichia coli and Klebsiella pneumoniae. Infect Genet Evol. 2011;11:1499–504.CrossRefPubMed Chong Y, Ito Y, Kamimura T. Genetic evolution and clinical impact in extended-spectrum beta-lactamase-producing Escherichia coli and Klebsiella pneumoniae. Infect Genet Evol. 2011;11:1499–504.CrossRefPubMed
20.
21.
go back to reference Lowe CF, Katz K, McGeer AJ, Muller MP. Efficacy of admission screening for extended-spectrum beta-lactamase producing Enterobacteriaceae. PLoS ONE. 2013;8:e62678.CrossRefPubMedPubMedCentral Lowe CF, Katz K, McGeer AJ, Muller MP. Efficacy of admission screening for extended-spectrum beta-lactamase producing Enterobacteriaceae. PLoS ONE. 2013;8:e62678.CrossRefPubMedPubMedCentral
22.
23.
go back to reference Moxon CA, Paulus S. Beta-lactamases in Enterobacteriaceae infections in children. J Infect. 2016;72(Suppl):S41–9.CrossRefPubMed Moxon CA, Paulus S. Beta-lactamases in Enterobacteriaceae infections in children. J Infect. 2016;72(Suppl):S41–9.CrossRefPubMed
24.
go back to reference Shaikh S, Fatima J, Shakil S, Rizvi SM, Kamal MA. Antibiotic resistance and extended spectrum beta-lactamases: types, epidemiology and treatment. Saudi J Biol Sci. 2015;22:90–101.CrossRefPubMed Shaikh S, Fatima J, Shakil S, Rizvi SM, Kamal MA. Antibiotic resistance and extended spectrum beta-lactamases: types, epidemiology and treatment. Saudi J Biol Sci. 2015;22:90–101.CrossRefPubMed
25.
go back to reference D’Andrea MM, Arena F, Pallecchi L, Rossolini GM. CTX-M-type beta-lactamases: a successful story of antibiotic resistance. Int J Med Microbiol. 2013;303:305–17.CrossRefPubMed D’Andrea MM, Arena F, Pallecchi L, Rossolini GM. CTX-M-type beta-lactamases: a successful story of antibiotic resistance. Int J Med Microbiol. 2013;303:305–17.CrossRefPubMed
26.
go back to reference Xu L, Ensor V, Gossain S, Nye K, Hawkey P. Rapid and simple detection of bla CTX-M genes by multiplex PCR assay. J Med Microbiol. 2005;54:1183–7.CrossRefPubMed Xu L, Ensor V, Gossain S, Nye K, Hawkey P. Rapid and simple detection of bla CTX-M genes by multiplex PCR assay. J Med Microbiol. 2005;54:1183–7.CrossRefPubMed
27.
go back to reference Zhang ZK, Lai SJ, Yu JX, Yang WQ, Wang X, Jing HQ, et al. Epidemiological characteristics of diarrheagenic Escherichia coli among diarrhea outpatients in China, 2012–2015. Zhonghua liu xing bing xue za zhi. 2017;38:419–23.PubMed Zhang ZK, Lai SJ, Yu JX, Yang WQ, Wang X, Jing HQ, et al. Epidemiological characteristics of diarrheagenic Escherichia coli among diarrhea outpatients in China, 2012–2015. Zhonghua liu xing bing xue za zhi. 2017;38:419–23.PubMed
28.
go back to reference Xu Y, Bai X, Jin Y, Hu B, Wang H, Sun H, et al. High prevalence of virulence genes in specific genotypes of atypical enteropathogenic Escherichia coli. Front Cell Infect Microbiol. 2017;7:109.PubMedPubMedCentral Xu Y, Bai X, Jin Y, Hu B, Wang H, Sun H, et al. High prevalence of virulence genes in specific genotypes of atypical enteropathogenic Escherichia coli. Front Cell Infect Microbiol. 2017;7:109.PubMedPubMedCentral
29.
go back to reference CLSI. Performance standards for antimicrobial susceptibility testing. 27th ed. CLSI supplement M100S. Wayne: CLSI; 2017. CLSI. Performance standards for antimicrobial susceptibility testing. 27th ed. CLSI supplement M100S. Wayne: CLSI; 2017.
30.
go back to reference Dallenne C, Da Costa A, Decre D, Favier C, Arlet G. Development of a set of multiplex PCR assays for the detection of genes encoding important beta-lactamases in Enterobacteriaceae. J Antimicrob Chemother. 2010;65:490–5.CrossRefPubMed Dallenne C, Da Costa A, Decre D, Favier C, Arlet G. Development of a set of multiplex PCR assays for the detection of genes encoding important beta-lactamases in Enterobacteriaceae. J Antimicrob Chemother. 2010;65:490–5.CrossRefPubMed
31.
go back to reference Lee WC, Yeh KS. Characteristics of extended-spectrum beta-lactamase-producing Escherichia coli isolated from fecal samples of piglets with diarrhea in central and southern Taiwan in 2015. BMC Vet Res. 2017;13:66.CrossRefPubMedPubMedCentral Lee WC, Yeh KS. Characteristics of extended-spectrum beta-lactamase-producing Escherichia coli isolated from fecal samples of piglets with diarrhea in central and southern Taiwan in 2015. BMC Vet Res. 2017;13:66.CrossRefPubMedPubMedCentral
32.
go back to reference Besemer J, Lomsadze A, Borodovsky M. GeneMarkS: a self-training method for prediction of gene starts in microbial genomes. Implications for finding sequence motifs in regulatory regions. Nucleic Acids Res. 2001;29:2607–18.CrossRefPubMedPubMedCentral Besemer J, Lomsadze A, Borodovsky M. GeneMarkS: a self-training method for prediction of gene starts in microbial genomes. Implications for finding sequence motifs in regulatory regions. Nucleic Acids Res. 2001;29:2607–18.CrossRefPubMedPubMedCentral
33.
go back to reference Schattner P, Brooks AN, Lowe TM. The tRNAscan-SE, snoscan and snoGPS web servers for the detection of tRNAs and snoRNAs. Nucleic Acids Res. 2005;33:W686–9.CrossRefPubMedPubMedCentral Schattner P, Brooks AN, Lowe TM. The tRNAscan-SE, snoscan and snoGPS web servers for the detection of tRNAs and snoRNAs. Nucleic Acids Res. 2005;33:W686–9.CrossRefPubMedPubMedCentral
34.
go back to reference Lagesen K, Hallin P, Rodland EA, Staerfeldt HH, Rognes T, Ussery DW. RNAmmer: consistent and rapid annotation of ribosomal RNA genes. Nucleic Acids Res. 2007;35:3100–8.CrossRefPubMedPubMedCentral Lagesen K, Hallin P, Rodland EA, Staerfeldt HH, Rognes T, Ussery DW. RNAmmer: consistent and rapid annotation of ribosomal RNA genes. Nucleic Acids Res. 2007;35:3100–8.CrossRefPubMedPubMedCentral
35.
36.
go back to reference Maldonado NA, Munera MI, Lopez JA, Sierra P, Robledo C, Robledo J, et al. Trends in antibiotic resistance in Medellin and municipalities of the metropolitan area between 2007 and 2012: results of six years of surveillance. Biomedica. 2014;34:433–46.CrossRefPubMed Maldonado NA, Munera MI, Lopez JA, Sierra P, Robledo C, Robledo J, et al. Trends in antibiotic resistance in Medellin and municipalities of the metropolitan area between 2007 and 2012: results of six years of surveillance. Biomedica. 2014;34:433–46.CrossRefPubMed
37.
go back to reference Subramanian K, Selvakkumar C, Vinaykumar KS, Goswami N, Meenakshisundaram S, Balakrishnan A, et al. Tackling multiple antibiotic resistance in enteropathogenic Escherichia coli (EPEC) clinical isolates: a diarylheptanoid from Alpinia officinarum shows promising antibacterial and immunomodulatory activity against EPEC and its lipopolysaccharide-induced inflammation. Int J Antimicrob Agents. 2009;33:244–50.CrossRefPubMed Subramanian K, Selvakkumar C, Vinaykumar KS, Goswami N, Meenakshisundaram S, Balakrishnan A, et al. Tackling multiple antibiotic resistance in enteropathogenic Escherichia coli (EPEC) clinical isolates: a diarylheptanoid from Alpinia officinarum shows promising antibacterial and immunomodulatory activity against EPEC and its lipopolysaccharide-induced inflammation. Int J Antimicrob Agents. 2009;33:244–50.CrossRefPubMed
38.
go back to reference Scaletsky IC, Souza TB, Aranda KR, Okeke IN. Genetic elements associated with antimicrobial resistance in enteropathogenic Escherichia coli (EPEC) from Brazil. BMC Microbiol. 2010;10:25.CrossRefPubMedPubMedCentral Scaletsky IC, Souza TB, Aranda KR, Okeke IN. Genetic elements associated with antimicrobial resistance in enteropathogenic Escherichia coli (EPEC) from Brazil. BMC Microbiol. 2010;10:25.CrossRefPubMedPubMedCentral
39.
go back to reference Pitondo-Silva A, Nakazato G, Falcao JP, Irino K, Martinez R, Darini AL, et al. Phenotypic and genetic features of enteropathogenic Escherichia coli isolates from diarrheal children in the Ribeirao Preto metropolitan area, Sao Paulo State, Brazil. APMIS. 2015;123:128–35.CrossRefPubMed Pitondo-Silva A, Nakazato G, Falcao JP, Irino K, Martinez R, Darini AL, et al. Phenotypic and genetic features of enteropathogenic Escherichia coli isolates from diarrheal children in the Ribeirao Preto metropolitan area, Sao Paulo State, Brazil. APMIS. 2015;123:128–35.CrossRefPubMed
40.
go back to reference Malvi S, Appannanavar S, Mohan B, Kaur H, Gautam N, Bharti B, et al. Comparative analysis of virulence determinants, antibiotic susceptibility patterns and serogrouping of atypical enteropathogenic Escherichia coli versus typical enteropathogenic E. coli in India. J Med Microbiol. 2015;64:1208–15.CrossRefPubMed Malvi S, Appannanavar S, Mohan B, Kaur H, Gautam N, Bharti B, et al. Comparative analysis of virulence determinants, antibiotic susceptibility patterns and serogrouping of atypical enteropathogenic Escherichia coli versus typical enteropathogenic E. coli in India. J Med Microbiol. 2015;64:1208–15.CrossRefPubMed
41.
go back to reference Bakhshi B, Fallahzad S, Pourshafie MR. The occurrence of atypical enteropathogenic Escherichia coli strains among children with diarrhea in Iran. J Infect Chemother. 2013;19:615–20.CrossRefPubMed Bakhshi B, Fallahzad S, Pourshafie MR. The occurrence of atypical enteropathogenic Escherichia coli strains among children with diarrhea in Iran. J Infect Chemother. 2013;19:615–20.CrossRefPubMed
42.
go back to reference Bolton DJ, Ennis C, McDowell D. Occurrence, virulence genes and antibiotic resistance of enteropathogenic Escherichia coli (EPEC) from twelve bovine farms in the north-east of Ireland. Zoonoses Public Health. 2014;61:149–56.CrossRefPubMed Bolton DJ, Ennis C, McDowell D. Occurrence, virulence genes and antibiotic resistance of enteropathogenic Escherichia coli (EPEC) from twelve bovine farms in the north-east of Ireland. Zoonoses Public Health. 2014;61:149–56.CrossRefPubMed
43.
go back to reference Jenkins C, Smith HR, Lawson AJ, Willshaw GA, Cheasty T, Wheeler JG, et al. Serotypes, intimin subtypes, and antimicrobial resistance patterns of atypical enteropathogenic Escherichia coli isolated in England from 1993 to 1996. Eur J Clin Microbiol Infect Dis. 2006;25:19–24.CrossRefPubMed Jenkins C, Smith HR, Lawson AJ, Willshaw GA, Cheasty T, Wheeler JG, et al. Serotypes, intimin subtypes, and antimicrobial resistance patterns of atypical enteropathogenic Escherichia coli isolated in England from 1993 to 1996. Eur J Clin Microbiol Infect Dis. 2006;25:19–24.CrossRefPubMed
44.
go back to reference Lim YS, Ngan CC, Tay L. Enteropathogenic Escherichia coli as a cause of diarrhoea among children in Singapore. J Trop Med Hyg. 1992;95:339–42.PubMed Lim YS, Ngan CC, Tay L. Enteropathogenic Escherichia coli as a cause of diarrhoea among children in Singapore. J Trop Med Hyg. 1992;95:339–42.PubMed
45.
go back to reference Zhang S, Wu Q, Zhang J, Zhu X. Occurrence and characterization of enteropathogenic Escherichia coli (EPEC) in retail ready-to-eat foods in China. Foodborne Pathog Dis. 2016;13:49–55.CrossRefPubMed Zhang S, Wu Q, Zhang J, Zhu X. Occurrence and characterization of enteropathogenic Escherichia coli (EPEC) in retail ready-to-eat foods in China. Foodborne Pathog Dis. 2016;13:49–55.CrossRefPubMed
46.
go back to reference Huang Y, Shan XF, Deng H, Huang YJ, Mu XP, Huang AL, et al. Epidemiology, antimicrobial resistance and beta-lactamase genotypic features of enteropathogenic Escherichia coli isolated from children with diarrhea in Southern China. Jpn J Infect Dis. 2015;68:239–43.CrossRefPubMed Huang Y, Shan XF, Deng H, Huang YJ, Mu XP, Huang AL, et al. Epidemiology, antimicrobial resistance and beta-lactamase genotypic features of enteropathogenic Escherichia coli isolated from children with diarrhea in Southern China. Jpn J Infect Dis. 2015;68:239–43.CrossRefPubMed
47.
go back to reference Mahmoudi-Aznaveh A, Bakhshi B, Najar-Peerayeh S. The trend of enteropathogenic Escherichia coli towards atypical multidrug resistant genotypes. J Chemother. 2017;29:1–7.CrossRefPubMed Mahmoudi-Aznaveh A, Bakhshi B, Najar-Peerayeh S. The trend of enteropathogenic Escherichia coli towards atypical multidrug resistant genotypes. J Chemother. 2017;29:1–7.CrossRefPubMed
48.
go back to reference Grave K, Torren-Edo J, Mackay D. Comparison of the sales of veterinary antibacterial agents between 10 European countries. J Antimicrob Chemother. 2010;65:2037–40.CrossRefPubMed Grave K, Torren-Edo J, Mackay D. Comparison of the sales of veterinary antibacterial agents between 10 European countries. J Antimicrob Chemother. 2010;65:2037–40.CrossRefPubMed
49.
go back to reference Hu Y, Cheng H. Use of veterinary antimicrobials in China and efforts to improve their rational use. J Glob Antimicrob Resist. 2015;3:144–6.CrossRefPubMed Hu Y, Cheng H. Use of veterinary antimicrobials in China and efforts to improve their rational use. J Glob Antimicrob Resist. 2015;3:144–6.CrossRefPubMed
50.
go back to reference Borges CA, Cardozo MV, Beraldo LG, Oliveira ES, Maluta RP, Barboza KB, et al. Wild birds and urban pigeons as reservoirs for diarrheagenic Escherichia coli with zoonotic potential. J Microbiol. 2017;55:344–8.CrossRefPubMed Borges CA, Cardozo MV, Beraldo LG, Oliveira ES, Maluta RP, Barboza KB, et al. Wild birds and urban pigeons as reservoirs for diarrheagenic Escherichia coli with zoonotic potential. J Microbiol. 2017;55:344–8.CrossRefPubMed
51.
go back to reference Poirel L, Bonnin RA, Nordmann P. Genetic support and diversity of acquired extended-spectrum beta-lactamases in Gram-negative rods. Infect Genet Evol. 2012;12:883–93.CrossRefPubMed Poirel L, Bonnin RA, Nordmann P. Genetic support and diversity of acquired extended-spectrum beta-lactamases in Gram-negative rods. Infect Genet Evol. 2012;12:883–93.CrossRefPubMed
52.
go back to reference Zhang J, Zheng B, Zhao L, Wei Z, Ji J, Li L, et al. Nationwide high prevalence of CTX-M and an increase of CTX-M-55 in Escherichia coli isolated from patients with community-onset infections in Chinese county hospitals. BMC Infect Dis. 2014;14:659.CrossRefPubMedPubMedCentral Zhang J, Zheng B, Zhao L, Wei Z, Ji J, Li L, et al. Nationwide high prevalence of CTX-M and an increase of CTX-M-55 in Escherichia coli isolated from patients with community-onset infections in Chinese county hospitals. BMC Infect Dis. 2014;14:659.CrossRefPubMedPubMedCentral
55.
go back to reference Ranjan A, Shaik S, Hussain A, Nandanwar N, Semmler T, Jadhav S, et al. Genomic and functional portrait of a highly virulent, CTX-M-15-producing H30-Rx subclone of Escherichia coli sequence type 131. Antimicrob Agents Chemother. 2015;59:6087–95.CrossRefPubMedPubMedCentral Ranjan A, Shaik S, Hussain A, Nandanwar N, Semmler T, Jadhav S, et al. Genomic and functional portrait of a highly virulent, CTX-M-15-producing H30-Rx subclone of Escherichia coli sequence type 131. Antimicrob Agents Chemother. 2015;59:6087–95.CrossRefPubMedPubMedCentral
56.
go back to reference Rocha FR, Pinto VP, Barbosa FC. The spread of CTX-M-type extended-spectrum beta-lactamases in Brazil: a systematic review. Microb Drug Resist. 2016;22:301–11.CrossRefPubMed Rocha FR, Pinto VP, Barbosa FC. The spread of CTX-M-type extended-spectrum beta-lactamases in Brazil: a systematic review. Microb Drug Resist. 2016;22:301–11.CrossRefPubMed
57.
go back to reference Xu G, An W, Wang H, Zhang X. Prevalence and characteristics of extended-spectrum beta-lactamase genes in Escherichia coli isolated from piglets with post-weaning diarrhea in Heilongjiang province, China. Front Microbiol. 2015;6:1103.PubMedPubMedCentral Xu G, An W, Wang H, Zhang X. Prevalence and characteristics of extended-spectrum beta-lactamase genes in Escherichia coli isolated from piglets with post-weaning diarrhea in Heilongjiang province, China. Front Microbiol. 2015;6:1103.PubMedPubMedCentral
58.
go back to reference Zheng H, Zeng Z, Chen S, Liu Y, Yao Q, Deng Y, et al. Prevalence and characterisation of CTX-M beta-lactamases amongst Escherichia coli isolates from healthy food animals in China. Int J Antimicrob Agents. 2012;39:305–10.CrossRefPubMed Zheng H, Zeng Z, Chen S, Liu Y, Yao Q, Deng Y, et al. Prevalence and characterisation of CTX-M beta-lactamases amongst Escherichia coli isolates from healthy food animals in China. Int J Antimicrob Agents. 2012;39:305–10.CrossRefPubMed
59.
go back to reference Ma J, Liu JH, Lv L, Zong Z, Sun Y, Zheng H, et al. Characterization of extended-spectrum beta-lactamase genes found among Escherichia coli isolates from duck and environmental samples obtained on a duck farm. Appl Environ Microbiol. 2012;78:3668–73.CrossRefPubMedPubMedCentral Ma J, Liu JH, Lv L, Zong Z, Sun Y, Zheng H, et al. Characterization of extended-spectrum beta-lactamase genes found among Escherichia coli isolates from duck and environmental samples obtained on a duck farm. Appl Environ Microbiol. 2012;78:3668–73.CrossRefPubMedPubMedCentral
60.
go back to reference Poeta P, Radhouani H, Goncalves A, Figueiredo N, Carvalho C, Rodrigues J, et al. Genetic characterization of antibiotic resistance in enteropathogenic Escherichia coli carrying extended-spectrum beta-lactamases recovered from diarrhoeic rabbits. Zoonoses Public Health. 2010;57:162–70.CrossRefPubMed Poeta P, Radhouani H, Goncalves A, Figueiredo N, Carvalho C, Rodrigues J, et al. Genetic characterization of antibiotic resistance in enteropathogenic Escherichia coli carrying extended-spectrum beta-lactamases recovered from diarrhoeic rabbits. Zoonoses Public Health. 2010;57:162–70.CrossRefPubMed
Metadata
Title
Occurrence of multidrug-resistant and ESBL-producing atypical enteropathogenic Escherichia coli in China
Authors
Yanmei Xu
Hui Sun
Xiangning Bai
Shanshan Fu
Ruyue Fan
Yanwen Xiong
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Gut Pathogens / Issue 1/2018
Electronic ISSN: 1757-4749
DOI
https://doi.org/10.1186/s13099-018-0234-0

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