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Published on: April 9, 2018
Colonization dynamics of ampicillin-resistant Escherichia coli in the infantile colonic microbiota
Nahid Karami1, Charles Hannoun, Ingegerd Adlerberth
1Department of Clinical Bacteriology and Virology, University of Gothenburg, Gothenburg, Sweden. nahid.karami@microbio.gu.se
Insights
Ampicillin-resistant Escherichia coli strains colonize infant guts as effectively as susceptible strains. Beta-lactamase genes persist, suggesting slow elimination from the commensal E. coli pool.
Area of Science:
- Microbiology
- Infant Gut Microbiota
- Antibiotic Resistance
Background:
- The infantile gut microbiota is crucial for immune development.
- Understanding the dynamics of antibiotic-resistant bacteria in infants is essential.
Purpose of the Study:
- To compare colonization dynamics of ampicillin-resistant and susceptible Escherichia coli in infants.
- To investigate factors associated with ampicillin resistance in E. coli.
Main Methods:
- Quantitative fecal cultures in 128 infants over the first year.
- Analysis of E. coli resistance patterns, beta-lactamase genes, phylogenetic groups, and virulence genes.
Main Results:
- 12% of E. coli strains were ampicillin-resistant, often carrying bla(TEM) or bla(SHV) genes.
- Ampicillin-resistant strains, mainly group D, frequently carried pap genes, associated with bla(SHV).
- Resistance was observed in infants without prior beta-lactam exposure; resistant strains persisted equally well.
Conclusions:
- Ampicillin-resistant E. coli demonstrate unimpaired colonization capacity in infants.
- Beta-lactamase genes may be slowly eliminated from the commensal E. coli population.
Objectives:
To compare the colonization dynamics of ampicillin-resistant and ampicillin-susceptible Escherichia coli strains in the infantile intestinal microbiota.
Methods:
We followed 128 infants over the first year of life with regular quantitative faecal cultures and recordings of antibiotic treatment. E. coli strains were quantified, and their resistance pattern and carriage of beta-lactamase genes (TEM, SHV and OXA), phylogenetic group (A, B1, B2 or D), virulence gene profile (fimA, papC, sfaD/E, kfiC neuB, hlyA and iutA) and time of persistence in the microbiota were determined.
Results:
Twelve percent (n = 32) of the E. coli strains were resistant to ampicillin, as they carried the bla(TEM) (84%) or bla(SHV) genes. Ampicillin-resistant strains belonged mostly to phylogenetic group D and carried pap genes (P = 0.023) significantly more often than ampicillin-susceptible strains due to a strong association between carriage of pap and bla(SHV). In 31 of 32 cases, colonization by ampicillin-resistant strains occurred in infants not previously treated with beta-lactam antibiotics. Ampicillin-resistant strains were equally capable as susceptible ones of persisting in the intestinal microbiota and did not have lower faecal population counts. Genes encoding beta-lactamases were in most cases retained during the entire colonization period.
Conclusions:
The results suggest that ampicillin-resistant E. coli strains are not hampered in their colonizing capacity, and beta-lactamase genes, therefore, may only slowly be eliminated from the commensal E. coli strain pool.
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