Abstract
Aims: This study aimed to examine antibiotic resistance and the epidemiology of extended-spectrum β-lactamases (ESBL)-producing Escherichia coli associated with bloodstream infections over a period of 10 years. Methods and results: Isolates were collected from January 2009 to December 2019 and those testing for E. coli were included. Antibiotic susceptibility was tested using the VITEK® system. Selected isolates were further characterized by amplification of marker genes (virulence traits, phylogroups, and sequence types). A total of 166 ESBL-producing E. coli were recovered. The blaCTX-M-15 allele was the most abundant. Most of the isolates were resistant to ceftriaxone, cefepime, ceftazidime, ampicillin/sulbactam, piperacillin/tazobactam, and ciprofloxacin. No resistance to carbapenems was registered. More than 80% of bacteria were classified as extraintestinal pathogenic E. coli (ExPEC), and the combination of virulence traits: papA-papC-kpsMII-uitA was the most common. Phylogroup B2 was the most prevalent, and bacteria predominantly belonged to ST131. Conclusions: There was an increase in the ExPEC ESBL-E coli in bloodstream infections and the relationship between the isolates found in these infections during these 10 years.
| Original language | English |
|---|---|
| Article number | lxad269 |
| Journal | Journal of Applied Microbiology |
| Volume | 134 |
| Issue number | 11 |
| DOIs | |
| State | Published - 16 Nov 2023 |
Bibliographical note
Publisher Copyright:© The Author(s) 2023. Published by Oxford University Press on behalf of Applied Microbiology International. All rights reserved.
Funding
The authors are grateful to Microbiology and Tuberculosis Deparment of Vozandes Hospital. A special thanks to Dr Jose Luis Recalde and Dr Camilo Zurita-Salinas. Part of this work was presented in Paris, France at the ECCMID Meeting in April, 2020. This study was supported by the grant QINV0213-IINV533010100 of the Pontificia Universidad Católica del Ecuador and the grant MIC-012 of the Department of Biomedical Research from Zurita & Zurita Laboratories.
| Funders | Funder number |
|---|---|
| Zurita & Zurita Laboratories | |
| Pontifical Catholic University of Ecuador | MIC-012 |
Keywords
- BSI
- E. coli
- ST131
- bla
- surveillance
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