The Gut of Healthy Infants in the Community as a Reservoir of ESBL and Carbapenemase-Producing Bacteria

Antibiotics

Alondra Diaz¹  Patrick C. Seed¹  Najeeb Rahman²  Aneeta Hotwani²  Anita K. Zaidi²  Shahida M. Qureshi²  Ali F. Saleem²  Ahreen Allana²  Asia Khan²  Lauren Hale³  Cristina Salinas³  Raul Salinas³  Mehreen Arshad³ 

[1] Ann & Robert H. Lurie Children’s Hospital, 225 E Chicago Ave, Chicago, IL 60611, USA;Department of Pediatrics and Child Health, Aga Khan University Hospital, National Stadium Rd, Karachi 74800, Pakistan;Department of Pediatrics, Duke University, 2301 Erwin Rd, Durham, NC 27710, USA;

关键词: Enterobacteriaceae;    multi-drug resistant;    extended-spectrum beta-lactamase;    carbapenemase;    infants;    gut colonization;   

DOI  :  10.3390/antibiotics9060286

来源: DOAJ

【 摘 要 】

The recent rapid rise of multi-drug resistant Enterobacteriaceae (MDR-E) is threatening the treatment of common infectious diseases. Infections with such strains lead to increased mortality and morbidity. Using a cross-sectional study, we aimed to estimate the prevalence of gut colonization with extended spectrum beta-lactamase (ESBL) producing Enterobacteriaceae among healthy infants born in Pakistan, a setting with high incidence of MDR-E infections. Stool samples were collected from 104 healthy infants between the ages of 5 and 7 months. Enterobacteriaceae isolates were screened for resistance against several antimicrobial classes. Presence of ESBL and carbapenemase genes was determined using multiplex PCR. Sequence types were assigned to individual strains by multi-locus sequence typing. Phylogenetic analysis of Escherichia coli was done using the triplex PCR method. Forty-three percent of the infants were positive for ESBL-producing Enterobacteriaceae, the majority of which were E. coli. We identified several different ESBL E. coli sequence types most of which belonged to the phylogenetic group B2 (23%) or D (73%). The widespread colonization of infants in a developing country with ESBL-producing Enterobacteriaceae is concerning. The multiple sequence types and reported non-human sources support that multiple non-epidemic MDR lineages are circulating in Pakistan with healthy infants as a common reservoir.

【 授权许可】

Unknown