Emergence of extended-spectrum beta-lactamases-producing Escherichia coli in community-acquired urinary infections in Casablanca, Morocco

Introduction: Extended-spectrum beta-lactamase- (ESBL)-producing Escherichia coli are an increasingly significant cause of community-acquired infection worldwide. The aim of this study was to assess the prevalence of ESBL-producing E. coli in a community, to analyze the relationship between strains...

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Main Authors: Fatna Bourjilat, Brahim Bouchrif, Noureddine Dersi, Jean David Perrier Gros Claude, Hamid Amarouch, Mohammed Timinouni
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2011-11-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/1490
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author Fatna Bourjilat
Brahim Bouchrif
Noureddine Dersi
Jean David Perrier Gros Claude
Hamid Amarouch
Mohammed Timinouni
author_facet Fatna Bourjilat
Brahim Bouchrif
Noureddine Dersi
Jean David Perrier Gros Claude
Hamid Amarouch
Mohammed Timinouni
author_sort Fatna Bourjilat
collection DOAJ
description Introduction: Extended-spectrum beta-lactamase- (ESBL)-producing Escherichia coli are an increasingly significant cause of community-acquired infection worldwide. The aim of this study was to assess the prevalence of ESBL-producing E. coli in a community, to analyze the relationship between strains studied, and to characterize the ESBL genes involved in this resistance. Methodology: ESBL production was detected by the double disk synergy test. Genes encoding ESBLs (blaTEM, blaCTM, blaSHV) were identified by PCR and DNA sequencing. Conjugation experiments were performed to check the transferability of antibiotic resistance genes. Strain inter-relationships were studied by pulsed field gel electrophoresis. Results: Seven ESBL-producing E. coli were identified among the 535 E. coli isolates. Most of them expressed a CTX-M enzyme (6/7) with a predominance of CTX-M-15 (6/6). Two strains possessed TEM in combination with CTX-M-15 or SHV-5.  Plasmid content and gene transfer analysis showed that resistance genes were carried by high molecular weight conjugative plasmids. PFGE analysis showed that the strains were not clonal. Conclusions: ESBL-producing E. coli from urinary tract infections in Casablanca belong to different clones and carry mobile beta-lactamase genes.  It is therefore essential to monitor the epidemiology of ESBLs in E. coli and related organisms locally to effectively combat resistance.
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spelling doaj-art-2b7f0bcb382c4b6b85ee01e2387e10cf2025-08-20T03:48:58ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802011-11-0151210.3855/jidc.1490Emergence of extended-spectrum beta-lactamases-producing Escherichia coli in community-acquired urinary infections in Casablanca, MoroccoFatna Bourjilat0Brahim Bouchrif1Noureddine Dersi2Jean David Perrier Gros Claude3Hamid Amarouch4Mohammed Timinouni5Laboratory of Microbiology, Medical Biology Center, Pasteur Institute of Morocco, Casablanca, MoroccoLaboratory of Microbiology, Medical Biology Center, Pasteur Institute of Morocco, Casablanca, MoroccoLaboratory of Microbiology, Medical Biology Center, Pasteur Institute of Morocco, Casablanca, MoroccoLaboratoire of Molecular Bacteriology, Pasteur Institute of Morocco, Casablanca, MoroccoLaboratory of Microbiology, Faculty of Sciences, Ain chok, Casablanca, MoroccoLaboratoire of Molecular Bacteriology, Pasteur Institute of Morocco, Casablanca, Morocco Introduction: Extended-spectrum beta-lactamase- (ESBL)-producing Escherichia coli are an increasingly significant cause of community-acquired infection worldwide. The aim of this study was to assess the prevalence of ESBL-producing E. coli in a community, to analyze the relationship between strains studied, and to characterize the ESBL genes involved in this resistance. Methodology: ESBL production was detected by the double disk synergy test. Genes encoding ESBLs (blaTEM, blaCTM, blaSHV) were identified by PCR and DNA sequencing. Conjugation experiments were performed to check the transferability of antibiotic resistance genes. Strain inter-relationships were studied by pulsed field gel electrophoresis. Results: Seven ESBL-producing E. coli were identified among the 535 E. coli isolates. Most of them expressed a CTX-M enzyme (6/7) with a predominance of CTX-M-15 (6/6). Two strains possessed TEM in combination with CTX-M-15 or SHV-5.  Plasmid content and gene transfer analysis showed that resistance genes were carried by high molecular weight conjugative plasmids. PFGE analysis showed that the strains were not clonal. Conclusions: ESBL-producing E. coli from urinary tract infections in Casablanca belong to different clones and carry mobile beta-lactamase genes.  It is therefore essential to monitor the epidemiology of ESBLs in E. coli and related organisms locally to effectively combat resistance. https://jidc.org/index.php/journal/article/view/1490urinary tract infectionEscherichia colicommunityESBLPFGEMorocco
spellingShingle Fatna Bourjilat
Brahim Bouchrif
Noureddine Dersi
Jean David Perrier Gros Claude
Hamid Amarouch
Mohammed Timinouni
Emergence of extended-spectrum beta-lactamases-producing Escherichia coli in community-acquired urinary infections in Casablanca, Morocco
Journal of Infection in Developing Countries
urinary tract infection
Escherichia coli
community
ESBL
PFGE
Morocco
title Emergence of extended-spectrum beta-lactamases-producing Escherichia coli in community-acquired urinary infections in Casablanca, Morocco
title_full Emergence of extended-spectrum beta-lactamases-producing Escherichia coli in community-acquired urinary infections in Casablanca, Morocco
title_fullStr Emergence of extended-spectrum beta-lactamases-producing Escherichia coli in community-acquired urinary infections in Casablanca, Morocco
title_full_unstemmed Emergence of extended-spectrum beta-lactamases-producing Escherichia coli in community-acquired urinary infections in Casablanca, Morocco
title_short Emergence of extended-spectrum beta-lactamases-producing Escherichia coli in community-acquired urinary infections in Casablanca, Morocco
title_sort emergence of extended spectrum beta lactamases producing escherichia coli in community acquired urinary infections in casablanca morocco
topic urinary tract infection
Escherichia coli
community
ESBL
PFGE
Morocco
url https://jidc.org/index.php/journal/article/view/1490
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