Molecular Epidemiology of Ciprofloxacin-Resistant Escherichia coli Isolated from Community-Acquired Urinary Tract Infections in Korea
- Authors
- Kim Bongyoung; Seo Mi-Ran; Kim Jieun; Kim Yeonjae; Wie Seong-Heon; Ki Moran; Cho Yong Kyun; Lim Seungkwan; Lee Jin Seo; Kwon Ki Tae; Lee Hyuck; Cheong Hee Jin; Park Dae Won; Ryu Seong Yeol; Chung Moon-Hyun; Pai Hyunjoo
- Issue Date
- Jun-2020
- Publisher
- 대한감염학회
- Keywords
- Urinary tract infection; Escherichia coli; Antimicrobial resistance; Multilocus sequence typing; Korea
- Citation
- Infection and Chemotherapy, v.52, no.2, pp.194 - 203
- Journal Title
- Infection and Chemotherapy
- Volume
- 52
- Number
- 2
- Start Page
- 194
- End Page
- 203
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/78925
- DOI
- 10.3947/ic.2020.52.2.194
- ISSN
- 2093-2340
- Abstract
- Background
Escherichia coli is the predominant causative pathogen for community-acquired urinary tract infections (UTIs), and the increase in fluoroquinolone-resistant E. coli is of great concern in Korea. The objectives of this study were to investigate the genotypic characteristics and molecular epidemiology of ciprofloxacin-resistant (CIP-R) E. coli isolated from community-acquired UTIs in Korea.
Materials and Methods
E. coli samples isolated from the blood or urine were collected from patients with community-acquired acute pyelonephritis aged 15 years and more who were admitted to 12 Korean hospitals from 1st April 2010 to 29th February 2012. Phylogenetic typing, multilocus sequence typing, and molecular characterization of β-lactamase and plasmid-mediated quinolone resistance determinants were performed for CIP-R E. coli isolates.
Results
A total of 569 E. coli isolates were collected, and 122 (21.4%) isolates were CIP-R isolates. The most prevalent sequence type (ST) was ST131 (28.7%, 35/122), followed by ST393 (14.7%, 18/122), ST1193 (13.1%, 16/122), ST38 (9.0%, 11/122), and ST405 (8.2%, 10/122). The antimicrobial resistance rates of ST131 to cefepime (22.9%, 8/35), ST38 to gentamicin (100%, 11/11), and ST405 to cefotaxime (66.7%, 6/9) were significantly higher than the resistance rates of all other STs combined. Notably, 40% (4/10) of ST405 clones produced extended-spectrum β-lactamases and were co-resistant to trimethoprim/sulfamethoxazole. aac(6′)-1b-cr (20%, 7/35) and CTX-M-14 (40%, 4/10) were more frequently observed in ST131 and ST405 compared with other clones, respectively.
Conclusions
Among the CIP-R uropathogenic E. coli isolates in this study, ST131, ST38, and ST405 were specifically associated with antimicrobial resistance.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 의과대학 > 의학과 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/78925)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.