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Updated: May 14, 2026

Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
[Study of phenotypical and antimicrobial susceptibility markers in enteric Escherichia coli strains]
Adalberto Aguila1, Robert Bernedo, Alina Llop
1Instituto De Medicina Tropical Pedro Kouri, Ciudad de La Habana, Cuba. adalberto@ipk.sld.cu
Insights
This study analyzed Escherichia coli strains from children with diarrhea, identifying potential Shiga toxin-producing bacteria. Most strains showed resistance to common antibiotics like ampicillin.
Area of Science:
- Microbiology
- Bacteriology
- Infectious Diseases
Context:
- Escherichia coli (E. coli) is a common cause of bacterial infections, particularly in young children.
- Acute diarrhea in children under 5 years is a significant public health concern globally.
- Identifying specific pathogenic E. coli strains is crucial for effective treatment and public health interventions.
Purpose:
- To analyze phenotypic determinants of Escherichia coli strains isolated from children with acute diarrhea.
- To identify Shiga toxin-producing or enterohemorrhagic E. coli strains.
- To characterize the antimicrobial susceptibility patterns of these E. coli isolates.
Summary:
- Forty E. coli strains from children under 5 with acute diarrhea were analyzed using phenotypic tests (sorbose, sorbitol, enterohemolysin, O157:H7 serology).
- Six strains showed presumptive characteristics, with four identified as likely Shiga toxin-producing.
- Antimicrobial susceptibility testing revealed high resistance to ampicillin and trimethoprim-sulfamethoxazole, with 10 out of 12 resistance patterns being multi-drug resistant.
Impact:
- The findings highlight the prevalence of potentially pathogenic E. coli strains in pediatric diarrhea cases.
- High antimicrobial resistance rates underscore the need for judicious antibiotic use and surveillance.
- This research contributes to understanding the epidemiology and resistance profiles of E. coli in a specific geographic region.
Abstract:
Forty strains of Escherichia coli isolated from children under 5 years of age with acute diarreas, coming from different provinces of the country , were analyzed. Four important phenotypical determinants were tested: sorbosa, sorbitol, enterohemolysin and 0157:H7 serology, in order to select those strains from enterohemorrhagic or Shiga toxin-producing category. Likewise, they were characterized by biotyping and antimicrobial susceptibility methods. The use of phenotypical tests showed six strains with presumptive characteristics, four of which were most likely to be Shiga toxin-producing strains. In antimicrobial susceptibility test, the strains showed high resistance mainly to ampicillin and trimethrophin-sulfamethoxasole. Another interesting finding were intermediate resistance and susceptibility values to augmentin, aztreonan and ceftriaxone. There were 12 antimicrobial resistance patterns of which 10 were multi-resistant.
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