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PHRP : Osong Public Health and Research Perspectives

OPEN ACCESS. pISSN: 2210-9099. eISSN: 2233-6052

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"Asish K. Mukhopadhyay"

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"Asish K. Mukhopadhyay"

Original Article
Profiling Virulence and Antimicrobial Resistance Markers of Enterovirulent Escherichia Coli from Fecal Isolates of Adult Patients with Enteric Infections in West Cameroon
Wiliane J. T. Marbou, Priyanka Jain, Sriparna Samajpati, Gourab Halder, Asish K. Mukhopadhyay, Shanta Dutta, Victor Kuete
Osong Public Health Res Perspect 2020;11(4):216-230.
Published online August 31, 2020
DOI: https://doi.org/10.24171/j.phrp.2020.11.4.11
<sec> <title>Objectives</title> <p>This study aimed to identify virulent and antimicrobial resistant genes in fecal <italic>E. coli</italic> in Mbouda, Cameroon.</p></sec> <sec> <title>Methods</title> <p>A total of 599 fecal samples were collected from patients with enteric infections who were ≥ 20 years old. <italic>E. coli</italic> was isolated on the MacConkey agar and virulent genes were detected by multiplex/simplex PCR. Isolates in which ≥ 1 virulent gene was detected were subjected to antibiotic susceptibility testing. The resulting resistant isolates were subjected to PCR, followed by sequencing for resistant genes detection.</p></sec> <sec> <title>Results</title> <p>There were 119 enterovirulent <italic>E. coli</italic> identified, amongst which 47.05% were atypical enteropathogenic <italic>E. coli</italic> (EPEC), 36.97% enterotoxigenic <italic>E. coli</italic>, 10.08% Shiga toxin producing <italic>E. coli</italic> (STEC) and 5.88% were enteroinvasive <italic>E. coli</italic> (EIEC). The occurrence of the <italic>eae</italic> gene (47.06%) was higher compared with <italic>CVD432</italic> (33.61%), <italic>aaic</italic> (13.45%), <italic>stx2</italic> (10.08%) and <italic>stx1</italic> (0.84%). High resistance rates were noted for ampicillin (94.64% EPEC, 91.67% STEC, 59.09% EAEC, and 57.14% EIEC) and sulfamethoxazole-trimethoprim (100% EPEC and 83.33% STEC, 81.82% EAEC and 71.43% EIEC). <italic>sul2</italic> (71.43%), <italic>tetB</italic> (64.71%), <italic>tetA</italic> (59.94%) and <italic>blaTEM</italic> (52.10%) were detected. A double mutation (S83L; D87N) was seen in <italic>gyrA</italic> and a single mutation (S80I) was observed in <italic>parC</italic>.</p></sec> <sec> <title>Conclusion</title> <p>These findings suggested that measures should be taken to reduce the harm of <italic>E. coli</italic> to public health.</p></sec>

Citations

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