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Updated: Jan 28, 2026

Population and Single-Cell Analysis of Antibiotic Persistence in Escherichia coli
Published on: March 24, 2023
A Relationship Between O-Serotype, Antibiotic Susceptibility and Biofilm Formation in Uropathogenic Escherichia coli
Arezoo Noie Oskouie1, Alka Hasani1, Mohammad Ahangarzadeh Rezaee1
11 Infectious and Tropical Diseases Research Center and Department of Medical Microbiology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, The Islamic Republic of Iran.
Abstract:
Uropathogenic Escherichia coli (UPEC) is a well-known pathogen that has perturbed the medical scenario because of its resistance to diverse therapeutic drugs and its ability to form a biofilm. Different O-serogroups are the prevalent cause of urinary tract infections (UTIs) along with their ability to form a biofilm. The present research aimed to assess antibiotic susceptibility, biofilm formation, and serotyping of UPEC isolates in conjunction with the demographic data. Antibiotic susceptibility was determined using the Kirby-Bauer method and biofilm formation was assessed phenotypically and at the molecular level. Serotyping was performed by multiplex PCR. A significant proportion of the total of 120 UPECs was isolated from women (p < 0.05). Most isolates were resistant to cefotaxime, ceftazidime, and tetracycline, but maintained their sensitivity to imipenem. O25, O15, O8, and O75 were the most commonly detected serogroups. Moreover, O25, O15, and O8 were the highest biofilm-producing serogroups among the UPEC isolates. Serogroups O75 and O21 were significantly associated with diabetic patients and subjects with renal disease, respectively (p < 0.05). Overall, our results show that UTI incidence in women should be a subject of concern. The high prevalence of the O25 serogroup associated with a specific antibiotic profile and a high percentage of biofilm formation suggests a close relation between serogroups and characteristic features of UPEC isolates.
Insights
Uropathogenic Escherichia coli (UPEC) infections are common in women and show resistance to antibiotics like cefotaxime. Specific UPEC serogroups, particularly O25, are linked to biofilm formation and antibiotic resistance, highlighting the need for targeted interventions.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Research
Background:
- Uropathogenic Escherichia coli (UPEC) is a significant pathogen causing urinary tract infections (UTIs).
- UPEC exhibits antimicrobial resistance and forms biofilms, complicating treatment.
- Specific UPEC O-serogroups are frequently associated with UTIs and biofilm formation.
Purpose of the Study:
- To investigate antibiotic susceptibility, biofilm formation, and serotypes of UPEC isolates.
- To correlate UPEC characteristics with demographic data and patient comorbidities.
- To identify key UPEC serogroups and their associated features.
Main Methods:
- Antibiotic susceptibility testing using the Kirby-Bauer method.
- Phenotypic and molecular assessment of biofilm formation.
- Serotyping of UPEC isolates via multiplex PCR.
Main Results:
- Most UPEC isolates were resistant to cefotaxime, ceftazidime, and tetracycline, but sensitive to imipenem.
- Serogroups O25, O15, and O8 were the most prevalent and showed high biofilm production.
- Serogroups O75 and O21 were associated with diabetes and renal disease, respectively.
Conclusions:
- UTI incidence in women warrants attention due to high UPEC prevalence.
- The O25 serogroup is linked to specific antibiotic resistance patterns and significant biofilm formation.
- Serogroup characteristics are closely related to UPEC virulence factors and clinical presentation.
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