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Brief Report
The laboratory test procedure to confirm rotavirus vaccine infection in severe complex immunodeficiency patients
Su-Jin Chae, Seung-Rye Cho, Wooyoung Choi, Myung-Guk Han, Deog-Yong Lee
Osong Public Health Res Perspect. 2021;12(4):269-273.   Published online August 13, 2021
DOI: https://doi.org/10.24171/j.phrp.2021.0079
  • 4,770 View
  • 89 Download
AbstractAbstract PDF
The rotavirus vaccine is a live vaccine, and there is a possibility of infection by the virus strain used in the vaccine. We investigated the process of determining whether an infection was caused by the vaccine strain in a severe complex immunodeficiency (SCID) patient with rotavirus infection. The patient was vaccinated with RotaTeq prior to being diagnosed with SCID. The testing process was conducted in the following order: confirming rotavirus infection, determining its genotype, and confirming the vaccine strain. Rotavirus infection was confirmed through enzyme immunoassay and VP6 gene detection. G1 and P[8] were identified by multiplex polymerase chain reaction for the genotype, and G3 was further identified using a single primer. By detecting the fingerprint gene (WC3) of RotaTeq, it was confirmed that the detected virus was the vaccine strain. Genotypes G1 and P[8] were identified, and the infection was suspected of having been caused by rotavirus G1P[8]. G1P[8] is the most commonly detected genotype worldwide and is not included in the recombinant strains used in vaccines. Therefore, the infection was confirmed to have been caused by the vaccine strain by analyzing the genetic relationship between VP4 and VP7. Rotavirus infection by the vaccine strain can be identified through genotyping and fingerprint gene detection. However, genetic linkage analysis will also help to identify vaccine strains.
Original Articles
Risk of Water and Food-Borne Communicable Diseases in Travelers Entering Korea
Kyung Sook Jung, Yu Mi Jang, Ji Hye Hwang, Gi Jun Park, Tae Jong Son
Osong Public Health Res Perspect. 2019;10(4):215-220.   Published online August 31, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.4.03
  • 11,409 View
  • 179 Download
AbstractAbstract PDF
Objectives

It was supposed to analyze status and affecting factors in water and food-borne communicable disease by screening entrants with diarrhea symptom at the point of entry in Korea

Methods

Symptomatic travelers with water and food-borne communicable diseases who entered Korea were diagnosed by a health declaration and detection of causative agents in water and food using laboratory tests. Among those entered in 2017, the affecting factors in the incidence of communicable diseases among those who had diarrhea at the entry into Korea, were analyzed, with frequency and chi-square test.

Results

The number of travel entrants with gastrointestinal communicable diseases increased by 40.19% from 2013 to 2017. The percentage of causative agents of water and food-borne communicable diseases was the highest at 69.2% from July to September. The rate of detection of causative agents of communicable disease pathogens in travelers from Southeast Asia entering Korea was 70.2%, which was higher than people arriving from East Asia and Central Asia (57.5%; p < 0.001).

Conclusion

The positive ratio of causative agents of water and food-borne communicable diseases was high among travelers that had entered Korea from July to September, with a high number among entrants from Southeast Asia. Based on the positive detection of causative agents, the entry period and countries visited were statistically significant affecting factors (p < 0.001).

Foodborne Illness Outbreaks in Gyeonggi Province, Korea, Following Seafood Consumption Potentially Caused by Kudoa septempunctata between 2015 and 2016
Joon Jai Kim, Sukhyun Ryu, Heeyoung Lee
Osong Public Health Res Perspect. 2018;9(2):66-72.   Published online April 30, 2018
DOI: https://doi.org/10.24171/j.phrp.2018.9.2.05
  • 5,259 View
  • 89 Download
  • 13 Crossref
AbstractAbstract PDF
Objectives

Investigations into foodborne illness, potentially caused by Kudoa septempunctata, has been ongoing in Korea since 2015. However, epidemiological analysis reporting and positive K septempunctata detection in feces in Korea has been limited. The aim of this study was to provide epidemiologic data analysis of possible food poisoning caused by K septempunctata in Korea.

Methods

This study reviewed 16 Kudoa outbreak investigation reports, including suspected cases between 2015 and 2016 in Gyeonggi province, Korea. Suspected Kudoa foodborne illness outbreak was defined as “evidence of K septempunctata in at least one sample.” The time and place of outbreak, patient symptoms and Kudoa (+) detection rate in feces was analyzed.

Results

Kudoa foodborne illness outbreaks occurred in most patients in August (22.6%) and in most outbreaks in April (25%). The attack rate was 53.9% and the average attack rate in patients who had consumed olive flounder was 64.7%. The average incubation period was 4.3 hours per outbreak. Diarrhea was the most common symptom which was reported by 91.5% patients. The Kudoa (+) detection rate in feces was 69.2% of cases.

Conclusion

Monthly distribution of Kudoa foodborne illness was different from previous studies. The Kudoa (+) detection rate in feces decreased rapidly between 25.5 and 28.5 hours of the time interval from food intake to epidemiologic survey. To identify effective period of time of investigation, we believe additional study with extended number of cases is necessary.

Citations

Citations to this article as recorded by  
  • Food Safety Practices of Food Handlers in China and their Correlation with Self-reported Foodborne Illness
    Yujuan Chen, Gaihong Wan, Jiangen Song, Jiajia Dai, Wei Shi, Lei Wang
    Journal of Food Protection.2024; 87(1): 100202.     CrossRef
  • Exploring the Potential Role of the Genus Kudoa (Myxosporea: Kudoidae) as an Emerging Seafood-Borne Parasite in Humans
    Shokoofeh Shamsi, Diane P. Barton
    Current Clinical Microbiology Reports.2024; 11(2): 107.     CrossRef
  • Ortholinea nupchi n. sp. (Myxosporea: Ortholineidae) from the urinary bladder of the cultured olive flounder Paralichthys olivaceus, South Korea
    Sang Phil Shin, Chang Nam Jin, Hanchang Sohn, Jeongeun Kim, Jehee Lee
    Parasitology International.2023; 94: 102734.     CrossRef
  • Molecular detection and genotype analysis of Kudoa septempunctata from food poisoning outbreaks in Korea
    Gyung-Hye Sung, In-Ji Park, Hee-Soo Koo, Eun-Hee Park, Mi-Ok Lee
    Parasites, Hosts and Diseases.2023; 61(1): 15.     CrossRef
  • Kudoa septempunctata Spores Cause Acute Gastroenteric Symptoms in Mouse and Musk Shrew Models as Evidenced In Vitro in Human Colon Cells
    Sung-Hee Hong, Ji-Young Kwon, Soon-Ok Lee, Hee-Il Lee, Sung-Jong Hong, Jung-Won Ju
    Pathogens.2023; 12(5): 739.     CrossRef
  • Detection and characterization of Kudoa thunni from uncooked yellowfin tuna (Thunnus albacares) in Southeast Asia
    Truong Dinh Hoai, Doan Thi Nhinh, Nguyen Thi Huong Giang, Saengchan Senapin, Ha Thanh Dong
    Parasitology International.2022; 87: 102536.     CrossRef
  • Descriptive study of foodborne disease using disease monitoring data in Zhejiang Province, China, 2016–2020
    Xiaojuan Qi, Xialidan Alifu, Jiang Chen, Wenliang Luo, Jikai Wang, Yunxian Yu, Ronghua Zhang
    BMC Public Health.2022;[Epub]     CrossRef
  • A review of food poisoning caused by local food in Japan
    Takashi Watari, Takayuki Tachibana, Azusa Okada, Kasumi Nishikawa, Kazuya Otsuki, Nobuhiro Nagai, Haruki Abe, Yasuhisa Nakano, Soshi Takagi, Yu Amano
    Journal of General and Family Medicine.2021; 22(1): 15.     CrossRef
  • Recent (2011–2017) foodborne outbreak cases in the Republic of Korea compared to the United States: a review
    Sang-Oh Kim, Sang-Soon Kim
    Food Science and Biotechnology.2021; 30(2): 185.     CrossRef
  • A study on Kudoa septempunctata infection from sashimi and sushi of olive flounder Paralichthys olivaceus in Busan, South Korea
    Hee-soo Koo, Ji-young Park, Gyung-hye Sung, Eun-hee Park, Pyeong-tae Ku, Mi-ok Lee
    Fisheries and Aquatic Sciences.2021; 24(8): 277.     CrossRef
  • Effect of environmental factors on microbiological quality of oyster farming in Amazon estuaries
    Osnan Lennon Lameira Silva, Samara Maria Modesto Veríssimo, Adrianne Maria Brito Pinheiro da Rosa, Yuri Barbosa Iguchi, Emilia do Socorro Conceição de Lima Nunes, Carina Martins de Moraes, Carlos Alberto Martins Cordeiro, Diego de Arruda Xavier, Anne Suel
    Aquaculture Reports.2020; 18: 100437.     CrossRef
  • A new species Myxodavisia jejuensis n. sp. (Myxosporea: Sinuolineidae) isolated from cultured olive flounder Paralichthys olivaceus in South Korea
    Sang Phil Shin, Chang Nam Jin, Han Chang Sohn, Hiroshi Yokoyama, Jehee Lee
    Parasitology Research.2019; 118(11): 3105.     CrossRef
  • Kudoa ogawai (Myxosporea: Kudoidae) Infection in Cultured Olive Flounder Paralichthys olivaceus
    Sang Phil Shin, Chang Nam Jin, Han Chang Sohn, Jehee Lee
    The Korean Journal of Parasitology.2019; 57(4): 439.     CrossRef
Profiling of Virulence-associated Factors in Shigella Species Isolated from Acute Pediatric Diarrheal Samples in Tehran, Iran
Sajad Yaghoubi, Reza Ranjbar, Mohammad Mehdi Soltan Dallal, Somayeh Yasliani Fard, Mohammad Hasan Shirazi, Mahmood Mahmoudi
Osong Public Health Res Perspect. 2017;8(3):220-226.   Published online June 30, 2017
DOI: https://doi.org/10.24171/j.phrp.2017.8.3.09
  • 4,645 View
  • 62 Download
  • 17 Crossref
AbstractAbstract PDF
Objectives

The genus Shigella comprises the most infectious and diarrheagenic bacteria causing severe diseases, mostly in children under five years of age. This study aimed to detect nine virulence genes (ipaBCD, VirA, sen, set1A, set1B, ial, ipaH, stx, and sat) in Shigella species (spp.) using multiplex polymerase chain reaction (MPCR) and to determine the relation of Shigella spp. from pediatric diarrheal samples with hospitalization and bloody diarrhea in Tehran, Iran.

Methods

Shigella spp. were isolated and identified using standard microbiological and serological methods. The virulence genes were detected using MPCR.

Results

Seventy-five Shigella spp. (40 S. sonnei, 33 S. flexneri, 1 S. dysenteriae, and 1 S. boydii) were isolated in this study. The prevalence of ial, sen, sat, set1A, and set1B was 74.7%, 45.4%, 28%, 24%, and 24%, respectively. All S. flexneri isolates, while no S. sonnei, S. dysenteriae, or S. boydii isolates, contained sat, set1A, and set1B. All isolates were positive for ipaH, ipaBCD, and virA, while one (1.4%) of the isolates contained stx. The highest prevalence of virulence determinants was found in S. flexneri serotype IIa. Nineteen (57.6%) of 33 S. flexneri isolates were positive for ipaBCD, ipaH, virA, ial, and sat. The sen determinants were found to be statistically significantly associated with hospitalization and bloody diarrhea (p = 0.001).

Conclusion

This study revealed a high prevalence of enterotoxin genes in S. flexneri, especially in serotype 2a, and has presented relations between a few clinical features of shigellosis and numerous virulence determinants of clinical isolates of Shigella spp.

Citations

Citations to this article as recorded by  
  • Epidemiological analysis and prevention strategies in response to a shigellosis cluster outbreak: a retrospective case series in an alternative school in the Republic of Korea, 2023
    Yeongseo Ahn, Sunmi Jin, Gemma Park, Hye Young Lee, Hyungyong Lee, Eunkyung Shin, Junyoung Kim, Jaeil Yoo, Yuna Kim
    Osong Public Health and Research Perspectives.2024; 15(1): 68.     CrossRef
  • Invasion of HeLa Cells by Shigella Species Clinical Isolates Recovered from Pediatric Diarrhea
    Zohreh Ghalavand, Marzieh Taheri, Gita Eslami, Mohammadmahdi Karimi-Yazdi, Mehrzad Sadredinamin
    Foodborne Pathogens and Disease.2023; 20(11): 509.     CrossRef
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    Tesleem Olatunde Abolarinwa, Daniel Jesuwenu Ajose, Bukola Opeyemi Oluwarinde, Justine Fri, Kotsoana Peter Montso, Omolola Esther Fayemi, Adeyemi Oladapo Aremu, Collins Njie Ateba
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    Nabi Jomehzadeh, Khadijah Ahmadi, Hazhir Javaherizadeh, Maryam Afzali
    Molecular Biology Reports.2021; 48(2): 1645.     CrossRef
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    Samane Mohebi, Hossein Hosseini Nave, Kasra Javadi, Ali Amanati, Soudeh Kholdi, Mahtab Hadadi, Zahra Hashemizadeh, Mohammad Motamedifar
    Gene Reports.2021; 23: 101189.     CrossRef
  • Burden, Antibiotic Resistance, and Clonality of Shigella spp. Implicated in Community-Acquired Acute Diarrhoea in Lilongwe, Malawi
    Abel F.N.D. Phiri, Akebe Luther King Abia, Daniel Gyamfi Amoako, Rajab Mkakosya, Arnfinn Sundsfjord, Sabiha Y. Essack, Gunnar Skov Simonsen
    Tropical Medicine and Infectious Disease.2021; 6(2): 63.     CrossRef
  • Frequency and Antimicrobial Resistance of Shigella Species in Iran During 2000-2020
    Farhad Moradi, Nahal Hadi, Maryam Akbari, Zahra Hashemizadeh, Reyhaneh Rouhi Jahromi
    Jundishapur Journal of Health Sciences.2021;[Epub]     CrossRef
  • Virulence factors and molecular characteristics of Shigella flexneri isolated from calves with diarrhea
    Zhen Zhu, Weiwei Wang, Mingze Cao, Qiqi Zhu, Tenghe Ma, Yongying Zhang, Guanhui Liu, Xuzheng Zhou, Bing Li, Yuxiang Shi, Jiyu Zhang
    BMC Microbiology.2021;[Epub]     CrossRef
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    B. Roy, S.K. Tousif Ahamed, B. Bandyopadhyay, N. Giri
    Letters in Applied Microbiology.2020; 71(1): 86.     CrossRef
  • High Rates of Antimicrobial Resistance and Virulence Gene Distribution Among Shigella spp. Isolated from Pediatric Patients in Tehran, Iran


    Mohammadmahdi Karimi-Yazdi, Zohreh Ghalavand, Mahdi Shabani, Hamidreza Houri, Mehrzad Sadredinamin, Marzieh Taheri, Gita Eslami
    Infection and Drug Resistance.2020; Volume 13: 485.     CrossRef
  • Molecular characterization of Shigella species isolated from diarrheal patients in Tehran, Iran: phylogenetic typing and its association with virulence gene profiles and a novel description of Shigella invasion associated locus
    Sina Arabshahi, Aytak Novinrooz, Reza Ranjbar, Abbas Ali Imani Fooladi
    European Journal of Clinical Microbiology & Infect.2020; 39(9): 1727.     CrossRef
  • Case report on a swift shift in uropathogens from Shigella flexneri to Escherichia coli: a thin line between bacterial persistence and reinfection
    Kukwah Anthony Tufon, Djike Puepi Yolande Fokam, Youmbi Sylvain Kouanou, Henry Dilonga Meriki
    Annals of Clinical Microbiology and Antimicrobials.2020;[Epub]     CrossRef
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    Mariana Bona, Pedro Henrique Medeiros, Ana Karolina Santos, Thiago Freitas, Mara Prata, Herlice Veras, Marília Amaral, Daniel Oliveira, Alexandre Havt, Aldo Ângelo Lima
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    Hamed Memariani, Mojtaba Memariani
    Reviews in Medical Microbiology.2019; 30(4): 217.     CrossRef
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    Dhiviya Prabaa Muthuirulandi Sethuvel, Shalini Anandan, Joy Sarojini Michael, Dhivya Murugan, Ayyanraj Neeravi, Valsan Philip Verghese, Kamini Walia, Balaji Veeraraghavan
    Pathogens and Global Health.2019; 113(4): 173.     CrossRef
  • Prevalence of enterotoxin-encoding genes among diverse Shigella strains isolated from patients with diarrhea, southwest Iran
    Mojtaba Moosavian, Sakineh Seyed-Mohammadi, Ahmad Farajzadeh Sheikh, Saeed Khoshnood, Aram Asarehzadegan Dezfuli, Morteza Saki, Gholamreza Ghaderian, Fatemeh Shahi, Mahtab Abdi, Fariba Abbasi
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  • Frequency of Mutations in Quinolone Resistance-Determining Regions and Plasmid-Mediated Quinolone Resistance in Shigella Isolates Recovered from Pediatric Patients in Tehran, Iran: An Overlooked Problem
    Sajad Yaghoubi, Reza Ranjbar, Mohammad Mehdi Soltan Dallal, Mohammad Hasan Shirazi, Mohammad Kazem Sharifi-Yazdi
    Microbial Drug Resistance.2018; 24(6): 699.     CrossRef
Enteric Bacteria Isolated from Diarrheal Patients in Korea in 2014
Nan-Ok Kim, Su-Mi Jung, Hae-Young Na, Gyung Tae Chung, Cheon-Kwon Yoo, Won Keun Seong, Sahyun Hong
Osong Public Health Res Perspect. 2015;6(4):233-240.   Published online August 31, 2015
DOI: https://doi.org/10.1016/j.phrp.2015.07.005
  • 3,236 View
  • 24 Download
  • 15 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
The aim of this study was to characterize the pathogens responsible for causing diarrhea according to season, region of isolation, patient age, and sex as well as to provide useful data for the prevention of diarrheal disease.
Methods
Stool specimens from 14,886 patients with diarrhea were collected to identify pathogenic bacteria from January 2014 to December 2014 in Korea. A total of 3,526 pathogenic bacteria were isolated and analyzed according to season, region of isolation, and the age and sex of the patient.
Results
The breakdown of the isolated pathogenic bacteria were as follows: Salmonella spp. 476 (13.5%), pathogenic Escherichia coli 777 (22.0%), Vibrio parahaemolyticus 26 (0.74%), Shigella spp. 13 (0.37%), Campylobacter spp. 215 (6.10%), Clostridium perfringens 508 (14.4%), Staphylococcus aureus 1,144 (32.4%), Bacillus cereus 356 (10.1%), Listeria monocytogenes 1 (0.03%), and Yersinia enterocolitica 10 (0.3%). The isolation rate trend showed the highest ratio in the summer season from June to September for most of the pathogenic bacteria except the Gram-positive bacteria. The isolation rate of most of the pathogenic bacteria by patient age showed highest ratio in the 0–19 year age range. For isolation rate by region, 56.2% were isolated from cities and 43.8% were isolated from provinces.
Conclusion
Hygiene education should be addressed for diarrheal disease-susceptible groups, such as those younger than 10 years, aged 10–19 years, and older than 70 years, and monitoring for the pathogens is still required. In addition, an efficient laboratory surveillance system for infection control should be continued.

Citations

Citations to this article as recorded by  
  • Antimicrobial Susceptibility Patterns and Genetic Diversity of Campylobacter spp. Isolates from Patients with Diarrhea in South Korea
    So Yeon Kim, Dongheui An, Hyemi Jeong, Jonghyun Kim
    Microorganisms.2024; 12(1): 94.     CrossRef
  • Comparative evaluation of two molecular multiplex syndromic panels with acute gastroenteritis
    Kuenyoul Park, Bo-Moon Shin
    Diagnostic Microbiology and Infectious Disease.2024; 109(1): 116211.     CrossRef
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    Hyun-Ju Song, Sekendar Ali, Bo-Youn Moon, Hee Young Kang, Eun Jeong Noh, Tae-Sun Kim, Su-Jeong Kim, Ji-In Kim, Yun Jin Lee, Soon-Seek Yoon, Suk-Kyung Lim
    Foodborne Pathogens and Disease.2024;[Epub]     CrossRef
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    Hye Jin Shi, Jae Baek Lee, Shinhee Hong, Joong Sik Eom, Yoonseon Park
    Korean Journal of Healthcare-Associated Infection .2023; 28(1): 172.     CrossRef
  • Plant-derived nanoparticles as alternative therapy against Diarrheal pathogens in the era of antimicrobial resistance: A review
    Tesleem Olatunde Abolarinwa, Daniel Jesuwenu Ajose, Bukola Opeyemi Oluwarinde, Justine Fri, Kotsoana Peter Montso, Omolola Esther Fayemi, Adeyemi Oladapo Aremu, Collins Njie Ateba
    Frontiers in Microbiology.2022;[Epub]     CrossRef
  • Prevalence, co-infection and seasonality of fecal enteropathogens from diarrheic cats in the Republic of Korea (2016–2019): a retrospective study
    Ye-In Oh, Kyoung-Won Seo, Do-Hyung Kim, Doo-Sung Cheon
    BMC Veterinary Research.2021;[Epub]     CrossRef
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    Mahmoud Fayez, Ibrahim Elsohaby, Theeb Al-Marri, Kamal Zidan, Ali Aldoweriej, Elham El-Sergany, Ahmed Elmoslemany
    Comparative Immunology, Microbiology and Infectiou.2020; 70: 101460.     CrossRef
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    Youn Jeong Kim, Ki-Ho Park, Dong-Ah Park, Joonhong Park, Byoung Wook Bang, Seung Soon Lee, Eun Jung Lee, Hyo-Jin Lee, Sung Kwan Hong, Yang Ree Kim
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  • Winning the War against Multi-Drug Resistant Diarrhoeagenic Bacteria
    Chizoba Mercy Enemchukwu, Angus Nnamdi Oli, Ebere Innocent Okoye, Nonye Treasure Ujam, Emmanuel O. Osazuwa, George Ogonna Emechebe, Kenneth Nchekwube Okeke, Christian Chukwuemeka Ifezulike, Obiora Shedrack Ejiofor, Jude Nnaemeka Okoyeh
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High Prevalence of Class 1 to 3 Integrons Among Multidrug-Resistant Diarrheagenic Escherichia coli in Southwest of Iran
Mohammad Kargar, Zahra Mohammadalipour, Abbas Doosti, Shahrokh Lorzadeh, Alireza Japoni-Nejad
Osong Public Health Res Perspect. 2014;5(4):193-198.   Published online August 31, 2014
DOI: https://doi.org/10.1016/j.phrp.2014.06.003
  • 3,308 View
  • 26 Download
  • 44 Crossref
AbstractAbstract PDF
Objectives
Horizontal transfer of integrons is one of the important factors that can contribute to the occurrence of multidrug-resistant (MDR) bacteria. This study aimed to determine the prevalence of integrons among MDR Escherichia coli strains isolated from stool specimens and investigate the associations between the existence of integrons and MDR properties in the southwest of Iran.
Methods
There were 164 E. coli strains isolated from January 2012 to June 2012. Fecal specimens identified as E. coli by the conventional methods. Subsequently the antibiotic resistance was assessed using Clinical and Laboratory Standard Institute criteria. The presence of class 1–3 integrons and embedded gene cassettes was verified using specific primers by multiplex polymerase chain reaction assay.
Results
Among a total of 164 studied samples, 69 (42.07%) isolates were multidrug resistant. Class 1 and class 2 integrons were present in 78.26% and 76.81% MDR isolates, respectively. For the first time in Iran, class 3 integron was observed in 26.09% MDR isolates. Significant correlations were identified between: class 1 integron and resistance to amikacin, gentamicin, chloramphenicol, ampicillin, tetracycline, nalidixic acid, and co-trimoxazole; class 2 integron and resistance to aminoglycosides, co-trimoxazole, cefalexin, ampicillin, and chloramphenicol; and class 3 integron and resistance to gentamicin, kanamycin, and streptomycin.
Conclusion
Our results indicate that integrons are common among MDR isolates and they can be used as a marker for the identification of MDR isolates. Therefore, due to the possibility of a widespread outbreak of MDR isolates, molecular surveillance and sequencing of the integrons in other parts of the country is recommended.

Citations

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  • Municipal wastewater treatment plant showing a potential reservoir for clinically relevant MDR bacterial strains co-occurrence of ESBL genes and integron-integrase genes
    Kuldeep Soni, David Kothamasi, Ram Chandra
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    Ilda Czobor Barbu, Irina Gheorghe-Barbu, Georgiana Alexandra Grigore, Corneliu Ovidiu Vrancianu, Mariana Carmen Chifiriuc
    International Journal of Molecular Sciences.2023; 24(9): 7892.     CrossRef
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    Antonio Mandujano, Diana Verónica Cortés-Espinosa, José Vásquez-Villanueva, Paulina Guel, Gildardo Rivera, Karina Juárez-Rendón, Wendy Lizeth Cruz-Pulido, Guadalupe Aguilera-Arreola, Abraham Guerrero, Virgilio Bocanegra-García, Ana Verónica Martínez-Vázqu
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    Karzan Taha Abubaker, Khanda Abdulateef Anwar
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    Somaye Tirbakhsh Gouran, Abbas Doosti, Mohammad Saeid Jami
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Prevalence of Antibiotic Resistance in Escherichia coli Fecal Isolates From Healthy Persons and Patients With Diarrhea
Seung-Hak Cho, Yeong-Sik Lim, Mi-Sun Park, Seong-Han Kim, Yeon-Ho Kang
Osong Public Health Res Perspect. 2011;2(1):41-45.   Published online June 30, 2011
DOI: https://doi.org/10.1016/j.phrp.2011.05.003
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AbstractAbstract PDF
Objectives
This study aimed to investigate the prevalence of antibiotic resistance in fecal Escherichia coli isolates from healthy persons and patients with diarrhea.
Methods
E. coli isolates (n = 428) were obtained from fecal samples of apparently healthy volunteers and hospitalized patients with diarrhea. Susceptibility patterns of isolates to 16 antimicrobial agents were determined by agar disc diffusion.
Results
Most E. coli isolates exhibited less than 10% resistance against imipenem, cefotetan, aztreonam, cefepime, cefoxitin, amikacin and netilamicin, although greater than 65% were resistant to ampicillin and tetracycline. No significant difference in resistance rates for all tested antibiotics was found between isolates from the healthy-and diarrheal-patient groups, including for multi-drug resistance (p = 0.22). The highest number of resistant antibiotics was 12 antibiotics. No significant differences in antibiotic resistance were found among the sex and age strata for isolates from healthy individuals. However, antibiotic resistance rates to cefoxitin, cefotaxime, amikacin, and netilamicin were significantly higher in the isolates of men than those of women (p < 0.05) in isolates from patients with diarrhea. Furthermore, isolates from patients with diarrhea older than 40-years of age showed higher resistance to cefepime and aztreonam (p < 0.05).
Conclusion
High resistance to the antibiotics most frequently prescribed for diarrhea was found in isolates from patients with diarrhea and apparently healthy individuals without any significant difference.

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PHRP : Osong Public Health and Research Perspectives