High prevalence of fecal carriage of extended-spectrum beta-lactamase producing Enterobacterales among patients with urinary tract infections in rural Tanzania
Frontiers in Microbiology,
Journal Year:
2025,
Volume and Issue:
15
Published: Jan. 6, 2025
The
global
rise
of
extended-spectrum
beta-lactamase-producing
Enterobacterales
(ESBL-PE)
challenges
resource-limited
countries
with
insufficient
laboratory
infrastructure.
This
study
investigates
fecal
carriage
and
risk
factors
for
ESBL-PE
carbapenemase-producing
organisms
among
patients
urinary
tract
infection
(UTI)
in
rural
Tanzania.
cross-sectional
was
conducted
at
St.
Francis
Regional
Referral
Hospital,
Ifakara,
Tanzania,
from
October
2021
to
August
2023,
involving
326
UTI
patients.
Demographic
data
resistance
were
collected
via
structured
questionnaires.
Stool
samples
pre-antibiotic
treatment
screened
carbapenemase
locally.
Positive
underwent
further
analysis
Switzerland
using
MALDI-ToF,
Vitek
MS,
whole-genome
sequencing.
Multivariable
assessed
predictors
associated
p
<
0.05.
We
enrolled
(median
age:
35.5
years,
range:
25-52)
189
(58.0%)
females.
Fecal
colonization
detected
70.9%
patients,
predominantly
E.
coli
(62.8%)
K.
pneumoniae
(33.0%).
Whole-genome
sequencing
identified
diverse
phylogroups
sequence
types,
CTX-M-15
being
the
most
common
ESBL
gene.
IncF
plasmids
primary
carriers.
Younger
age
(aOR:
0.98,
95%
CI:
0.97-0.99;
=
0.0239)
inpatient
status
1.77,
1.08-2.91;
0.0036)
significant
carriage.
high
prevalence
Tanzania
highlights
need
improved
control
research
into
community
transmission
dynamics.
Language: Английский
Molecular Characterization of Extended-Spectrum ß-Lactamases-Producing Escherichia coli Isolated from a Greek Food Testing Laboratory
Aikaterini Dikaiou,
No information about this author
Nikolaos Tzimotoudis,
No information about this author
Daniel Sergelidis
No information about this author
et al.
Antibiotics,
Journal Year:
2025,
Volume and Issue:
14(4), P. 329 - 329
Published: March 21, 2025
Background/Objectives:
Over
the
past
decade,
extended-spectrum
beta-lactamase
(ESBL)-producing
Escherichia
coli
have
emerged
as
a
significant
public
health
concern
due
to
their
potential
spread
beyond
clinical
settings
and
healthy
carriers,
in
various
environments,
including
animal
source
foods.
This
study
seeks
investigate
molecular
characteristics
of
ESBL-producing
E.
strains
isolated
from
food
origin,
with
focus
on
chromosomal
typing,
plasmid
description
associated
resistance
genes’
genetic
environment.
Methods:
Ninety-seven
origin
samples
were
tested
for
isolates
resistant
cefotaxime.
The
resulting
then
subjected
antimicrobial
susceptibility
testing
PCR
analysis
detect
genes.
Additional
assays,
encompassing
mating-out
procedures,
typing
utilizing
Pulsed-Field
Gel
Electrophoresis,
Multilocus
Sequence
Typing
Analysis,
Oxford
Nanopore
Technology
Lite
whole
sequencing,
also
conducted.
Results:
was
detected
26
raw
specimens,
generating
percentage
27%.
Fourteen
current
(14%)
third
generation
cephalosporins,
producing
CTX-M-1,
CTX-M-15,
CTX-M-55,
SHV-12
beta-lactamases.
respective
genes
accompanied
by
Insertion
Sequences
ISEcp1
IS26,
facilitating
transfer.
Among
plasmids
harboring
ESBL
genes,
representatives
belonging
incI1
incompatibility
group
prevailed
(5/8),
followed
IncY
IncX3.
Most
proved
conjugative.
Diversity
fingerprints
revealed.
Conclusions:
To
best
our
knowledge,
this
is
first
describe
ESBLs
sourced
foods
Greece.
prevalence
confined
collection
primarily
very
successful
IncI1
plasmids,
which
not
linked
specific
background.
lack
association
confirms
that
horizontal
transfer
plays
more
role
than
clonal
dissemination
ESBL-mediated
cephalosporin
resistance.
Language: Английский
Unraveling the evolution and global transmission of high level tigecycline resistance gene tet(X)
Environment International,
Journal Year:
2025,
Volume and Issue:
199, P. 109499 - 109499
Published: April 25, 2025
Language: Английский
An Unusual ’Gift’ from Humans: Third-Generation Cephalosporin-Resistant Enterobacterales in migratory birds along the East Asian-Australasian Flyway harboring widespread resistant plasmids
Zile Cheng,
No information about this author
Yiwen Chen,
No information about this author
Min Li
No information about this author
et al.
Environment International,
Journal Year:
2025,
Volume and Issue:
197, P. 109320 - 109320
Published: Feb. 12, 2025
Migratory
birds
play
a
pivotal
role
in
the
global
dissemination
of
antimicrobial
resistance
genes
(ARGs),
with
shorebirds
relying
on
coastal
wetlands
during
their
long-distance
migrations,
environments
often
contaminated
and
conducive
to
ARG
transmission.
However,
systematic
investigations
into
(AMR)
remain
scarce.
During
spring
autumn
2023,
we
collected
893
throat
cloacal
swabs
from
480
shorebirds,
representing
28
species,
at
Chongming
Dongtan,
critical
stopover
along
East
Asian-Australasian
Flyway.
Our
analysis
identified
six
strains,
including
four
extra-intestinal
pathogenic
E.
coli
(ExPEC)
two
K.
pneumoniae,
that
exhibited
third-generation
cephalosporins,
three
ExPEC
strains
exhibiting
significant
virulence
Galleria
mellonella
infection
assays.
We
conjugative
plasmids:
E042113F_p1,
carrying
blaCMY-2
gene
coli,
M50_p2,
blaKPC-2
hypervirulent
pneumoniae
plasmid
harboring
aerobactin
system.
Bioinformatic
experimental
analyses
confirmed
these
plasmids
could
transfer
without
any
fitness
cost,
remaining
stable
for
least
30
passages.
Surprisingly,
genomic
tracing
revealed
among
similar
E042113F_p1
(blaCMY-2),
earliest
was
Chinese
swallow
2015,
subsequent
detections
wild
Mongolia
(2017),
Russia
(2018),
Australia
(2019).
Notably,
E04-CMY-like/M50-KPC-like
predominantly
originated
human
sources,
underscoring
activity
cross-species
transmission
AMR.
This
human-mediated
elements
wildlife
posed
substantial
risk
amplifying
disseminating
AMR
through
long-range
migratory
bird
movements,
highlighting
urgent
need
international
collaboration
under
One
Health
framework.
Integrated
surveillance,
environmental
management,
stringent
antibiotic
stewardship
are
mitigating
risks
by
spreading
across
ecosystems.
Language: Английский
What’s up ducks? – antimicrobial resistance of Escherichia coli isolated from duck farm environment in Poland extended with genomic characteristics of cephalosporin-resistant strains
Veterinary Microbiology,
Journal Year:
2025,
Volume and Issue:
unknown, P. 110492 - 110492
Published: March 1, 2025
Language: Английский
Environmental Risk Factors Contributing to the Spread of Antibiotic Resistance in West Africa
Microorganisms,
Journal Year:
2025,
Volume and Issue:
13(4), P. 951 - 951
Published: April 21, 2025
Antibiotic
resistance
is
a
well-documented
global
health
challenge
that
disproportionately
impacts
low-
and
middle-income
countries.
In
2019,
the
number
of
deaths
attributed
to
associated
with
antibiotic
in
Western
Sub-Saharan
Africa
was
approximately
27
115
per
100,000,
respectively,
higher
than
other
regions
worldwide.
Extensive
research
has
consistently
confirmed
persistent
presence
spread
hospitals,
among
livestock,
within
food
supply
chains,
across
various
environmental
contexts.
This
review
documents
risk
factors
contributing
West
Africa.
We
collected
studies
from
multiple
African
countries
using
Web
Science
PubMed
databases.
screened
them
for
antibiotic-resistant
bacteria
genes
between
2018
2024.
Our
findings
indicate
remains
significant
concern
Africa,
pollution
waste
management
identified
as
major
proliferation
Additional
include
poor
hygiene,
use
antibiotics
agriculture,
aquaculture,
animal
farming,
transmission
hospital
settings.
Unfortunately,
lack
comprehensive
genetic
characterization
hinders
thorough
understanding
this
critical
issue
region.
Since
transcends
national
borders
can
countries,
it
essential
understand
driving
its
dissemination
Such
will
be
instrumental
developing
recommending
effective
strategies
nationally
internationally
combat
resistance.
Language: Английский
Analysis of molecular mechanisms of delafloxacin resistance in Escherichia coli
András Kubicskó,
No information about this author
Katalin Kamotsay,
No information about this author
Dóra Szabó
No information about this author
et al.
Scientific Reports,
Journal Year:
2024,
Volume and Issue:
14(1)
Published: Nov. 2, 2024
Abstract
In
this
study
delafloxacin
resistance
mechanisms
in
Escherichia
coli
strains
were
analyzed.
Delafloxacin
is
a
new
fluoroquinolone,
that
approved
for
clinical
application
however,
against
agent
scarcely
reported.
our
37
E.
included
and
antimicrobial
susceptibility
testing
was
performed
ciprofloxacin,
delafloxacin,
levofloxacin,
moxifloxacin,
ceftazidime,
cefotaxime,
imipenem.
Six
resistant
selected
whole-genome
sequencing
all
of
them
exhibited
to
other
fluoroquinonlones
showed
an
extended-spectrum
beta-lactamase
phenotype.
The
six
belonged
different
sequence
types
(STs)
namely,
ST131
(2
strains),
ST57
ST162
ST15840.
Each
strain
possessed
multiple
mutations
quinolone
resistance-determining
regions
(QRDRs).
Notably,
three
gyrA
Ser83Leu,
Asp87Asn
parC
Ser80Ile
ST162,
However,
the
two
carried
five
combined
Asp87Asn,
Ser80Ile,
Glu84Val,
parE
Ile549Leu.
Association
production
CTX-M-15
ST131,
CMY-2
ST15840
detected.
ST,
clonal
complex
69
identified.
Our
results
demonstrate,
at
least
QRDRs
are
required
.
Language: Английский