319863

Multidrug resistant <i>Enterococci</i> as a community acquired infection in diarrheal cases of children

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Medical bacteriology

Abstract

Background and Objectives: Enterococci causes many serious and life-threatening infections. Enterococci may be the cause of diarrhea in children. Multidrug-resistant (MDR) Enterococci limits treatment options. So, the aim of our study was to detect the frequency and the antibiotic resistance profile, both phenotypically and genotypically, of MDR Enterococci isolated from the stools of children suffering from gastroenteritis who needed hospitalization. Materials and Methods: Enterococci were isolated from stool samples from children. One hundred ten (110) infants (in patients) with typical signs of gastroenteritis (nausea, vomiting, abdominal pain, diarrhea). The Vitek 2 Compact System is used for identification and antimicrobial susceptibility testing. Drug resistance genes (ermB, aph(3′)IIIa, and tetM) and virulence genes (esp) were identified using molecular techniques. Results: Thirty-six isolates of Enterococci were diagnosed phenotypically by routine lab examination and Vitek2 followed by genotypic characterization by multiplex PCR for three resistant genes: ermB (100%), aph(3′)IIIa (63.9%) and tetM (91.7%) and one virulence gene (esp (25%)). The frequency of Enterococci among studied patients was 32.7% (36/110). Most of the Enterococci isolated from stool were  Enterococcus faecuim (86.1%). MDR Enterococci was found to be 94.4% (34/36) in total isolates.  Conclusion: MDR Enterococci was isolated in community acquired diarrhea in young aged (less than 24 months) children. More than one resistance gene: ermB, aph(3′)IIIa, tetM and virulence gene (esp) were detected in isolates. The presence of MDR strains is risky at a young age as it limits treatment options. Drug-resistant genes may be transmitted to a child through a carrier mother or cross infection from the hospital.

DOI

10.21608/mid.2023.233213.1605

Keywords

Multiplex PCR, ESP, ermB, aph(3′ )IIIa, tetM

Authors

First Name

Rawhia

Last Name

Abd El Hamid

MiddleName

Fathy

Affiliation

Microbiology and Immunology Department, Faculty of Medicine, Assiut University, Assiut, Egypt

Email

rawhiafathy@aun.edu.eg

City

Assiut

Orcid

-

First Name

Heba

Last Name

Mohamed Nafadi

MiddleName

Khaled

Affiliation

veterinary Microbiology and immunology department, Faculty of veterinary Medicine, Assiut University, Assiut city, Egypt.

Email

heba.20136799@vet.aun.edu.eg

City

Assiut

Orcid

-

First Name

Ahmed

Last Name

Hasanein

MiddleName

sadek

Affiliation

Microbiology and Immunology Department, Faculty of Medicine, Assiut University, Assiut, Egypt

Email

ahmedsadek@aun.edu.eg

City

Assiut

Orcid

-

First Name

shereen

Last Name

Galal

MiddleName

Mansour

Affiliation

Pediatrics, Gastroenterology, Hepatology, Faculty of Medicine, Assiut University Children Hospital.

Email

shereen80@aun.edu.eg

City

-

Orcid

-

First Name

Doaa

Last Name

Abd El-Kareem

MiddleName

Mohamed

Affiliation

Department of Clinical Pathology, faculty of Medicine, Assiut University, Assiut, Egypt

Email

doaa.abdelkareem@aun.edu.eg

City

Assiut

Orcid

-

First Name

ragaa

Last Name

rashwan

MiddleName

sedeik

Affiliation

Microbiology and Immunology Department, Faculty of Medicine, Assiut University, Assiut, Egypt

Email

ragaa.sedeik@aun.edu.eg

City

Assiut

Orcid

-

Volume

4

Article Issue

4

Related Issue

43799

Issue Date

2023-11-01

Receive Date

2023-08-31

Publish Date

2023-11-01

Page Start

1,275

Page End

1,286

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_319863.html

Detail API

https://mid.journals.ekb.eg/service?article_code=319863

Order

25

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

Multidrug resistant <i>Enterococci</i> as a community acquired infection in diarrheal cases of children

Details

Type

Article

Created At

25 Dec 2024