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282662

Colistin resistance among multidrug-resistant E. coli isolated from Upper Egypt

Article

Last updated: 28 Dec 2024

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Tags

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Abstract

Background: The increased rate of resistance among Gram-negative bacteria to 𝛽-lactam, quinolone, or aminoglycoside antibiotics has resulted in increased use of colistin antibiotic with the unavoidable risk of emerging resistance and spreading of colistin resistant strains. Objectives: Our study aimed to investigate urinary tract infections for detection of colistin resistance among E. coli strains causing urinary tract infections and isolated from two University hospitals in Upper Egypt; Assiut and Minia University hospitals. Methodology: One hundred isolates of E. coli strains were collected from urine specimens at both Assiut and Minia University Hospitals. Antibiotic sensitivity test was carried out using disc diffusion method. For analysis of colistin resistance, the broth microdilution technique was employed. In addition, the mcr-1 gene encoding an enzyme phosphoethanolamine transferase which has been identified recognized as a source of acquired resistance of colistin was detected by PCR assay. Results: The high resistance pattern among E. coli strains, as most strains were resistant to 13 antibiotics. mcr-1 gene was detected in (20.8%) and (23.1%) of Assiut and Minia University Hospital respectively E. coli isolates. In addition, in this report, we describe the detection of mcr-1 in E. coli isolates causing urinary tract disorders infections in Upper Egypt. Conclusion: Our study revealed a high rate of mcr-1 gene encoding a phosphoethanolamine transferase in E. coli isolates as a source of acquired resistance to colistin. The Emergence of mcr-1 in our isolates of E. coli is alarming. Therefore, broader surveillance of this resistance determinant would be recommended even among other members of Gram-negative bacilli.

DOI

10.21608/ejmm.2019.282662

Keywords

Multidrug-resistant E. coli, Colistin resistance, mcr-1

Authors

First Name

Mohamed

Last Name

El-Mokhtar

MiddleName

A

Affiliation

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

Email

elmokhtarma@aun.edu.eg

City

Assuit

Orcid

-

First Name

Sahar

Last Name

Mandour

MiddleName

A.

Affiliation

Department of Microbiology and Immunology, Faculty of Pharmacy, Deraya University, New Minia, Minia, Egypt

Email

sahar.mandour@deraya.edu.eg

City

-

Orcid

0000-0003-2500-0480

First Name

Ahmed

Last Name

Shahat

MiddleName

A.

Affiliation

Assiut Urology and Nephrology Hospital, Assiut University, Egypt

Email

-

City

-

Orcid

-

Volume

28

Article Issue

2

Related Issue

39228

Issue Date

2019-04-01

Receive Date

2023-01-28

Publish Date

2019-04-01

Page Start

11

Page End

17

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_282662.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=282662

Order

282,662

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Colistin resistance among multidrug-resistant E. coli isolated from Upper Egypt

Details

Type

Article

Created At

28 Dec 2024