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Antimicrobial Resistance, Pathogenic, and Molecular Characterization of <i>Escherichia coli</i> from Diarrheal Patients in South Korea
oleh: Seong Bin Park, Yon Kyoung Park, Min Woo Ha, Kim D. Thompson, Tae Sung Jung
Format: | Article |
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Diterbitkan: | MDPI AG 2022-03-01 |
Deskripsi
Diarrheal diseases due to foodborne <i>Escherichia coli</i> are the leading cause of illness in humans. Here, we performed pathogenic typing, molecular typing, and antimicrobial susceptibility tests on seventy-five isolates of <i>E. coli</i> isolated from stool samples of patients suffering from foodborne diseases in Busan, South Korea. All the isolates were identified as <i>E. coli</i> by both biochemical analysis (API 20E system) and matrix-assisted laser desorption/ionization-time of flight mass spectrometry (MALDI-TOF MS). The bacteria displayed entero-pathogenic <i>E. coli</i> (EPEC) (47.0%), entero-aggregative <i>E. coli</i> (EAEC) (33.3%), entero-toxigenic <i>E. coli</i> (ETEC) (6.6%), ETEC and EPEC (6.6%), EPEC and EAEC (4%), and ETEC and EAEC (2.7%) characteristics. The <i>E. coli</i> isolates were highly resistant to nalidixic acid (44.0%), tetracycline (41.3%), ampicillin (40%), ticarcillin (38.7%), and trimethoprim/sulfamethoxazole (34.7%); however, they were highly susceptible to imipenem (98.6%), cefotetan (98.6%), cefepime (94.6%), and chloramphenicol (94.6%). Although 52 strains (69.3%) showed resistance against at least 1 of the 16 antibiotics tested, 23 strains (30.7%) were susceptible to all the antibiotics. Nine different serotypes (O166, O8, O20, O25, O119, O159, O28ac, O127a, and O18), five genotypes (I to V, random-amplified polymorphic DNA), and four phenotypes (A to D, MALDI-TOF MS) were identified, showing the high level of heterogeneity between the <i>E. coli</i> isolates recovered from diarrheal patients in South Korea.