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Bacterial gastroenteritis, characterized by diarrhea, abdominal cramps, and vomiting, is often caused by ingestion of contaminated food or water and is frequently associated with pathogenic Escherichia coli strains. These microbes exploit two principal mechanisms to inflict disease.Shiga toxin–producing E. coli, also referred to as STEC—notably O157:H7—release Shiga toxins that target ribosomes, blocking protein synthesis. The B subunit of the toxin binds the host glycolipid receptor...
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Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
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Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes

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[ESBL producing organisms].

Yoshikazu Ishii1

  • 1Department of Microbiology and Infectious Diseases, Toho University School of Medicine.

Nihon Rinsho. Japanese Journal of Clinical Medicine
|March 15, 2012
PubMed
Summary

Extended-spectrum beta-lactamase (ESBL) producing Escherichia coli, particularly the ST131 clone, is rising globally. Current evidence does not directly link ESBL spread between humans and animals or food sources.

Area of Science:

  • Microbiology
  • Antimicrobial Resistance
  • Epidemiology

Background:

  • Extended-spectrum beta-lactamase (ESBL) producing organisms, especially CTX-M-15 producing Escherichia coli, are increasingly prevalent worldwide.
  • The O25b:H4-ST131 clone is the predominant ESBL-producing E. coli epidemic clone in humans.
  • ESBL producers are found in various sources, including infected patients, healthy individuals, domestic animals, food, and the environment.

Purpose of the Study:

  • To investigate the prevalence and characteristics of ESBL-producing E. coli, focusing on the ST131 clone.
  • To determine potential transmission routes of ESBL producers between humans, domestic animals, and food.

Main Methods:

  • Surveillance and isolation of ESBL-producing E. coli from diverse sources.

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  • Molecular typing and characterization of isolated strains, including CTX-M subgroup analysis.
  • Comparative analysis of E. coli ST131 and other ESBL producers across different sample types.
  • Main Results:

    • While ESBL producers are widespread, the E. coli ST131 clone is rarely isolated from domestic animals or food.
    • CTX-M-1 and CTX-M-9 are the dominant ESBL subgroups in human isolates.
    • The CTX-M-2 subgroup is predominant in non-human samples.

    Conclusions:

    • There is a lack of direct evidence for the transmission of ESBL producers between humans and domestic animals or food sources.
    • The distinct CTX-M profiles in human versus non-human isolates suggest separate evolutionary or epidemiological pathways.
    • Further research is needed to fully understand the ecology and transmission dynamics of ESBL-producing E. coli.