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High prevalence of antimicrobial drug-resistant diarrheagenic Escherichia coli in asymptomatic children living in an urban slum
Abstract
Purpose The aim of this study was to investigate the presence of diarrheagenic Escherichia coli and antibiotic resistance in asymptomatic school-age children living in an area with defective environmental sanitation, comparing with children registered at a private school, both in the city of Osasco, Brazil. Methods Seventy-nine school-age children between 5 and 10 years living in a slum and 35 children who attended a private school of the same city were included in the study. Results DEC was found in 58% of the children living in the slum and in 17% of the control group (P=0.001). Resistance to at least one antimicrobial drug was found in 65% of DEC strains; resistant to two or more antimicrobial drugs was found in 46% of strains. Conclusion The high carriage status among the slum children point towards the widespread environment contamination in low socio-economic housing conditions, in conformance with the pediatric population at higher risk for developing DEC diarrhea.
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“Overall, the impacts of slum residents' inappropriate antibiotic consumption practices on community-level antimicrobial resistance may explain why a higher proportion of enteric and bloodstream infections among children living in urban informal settlements are resistant to first-line antibiotics, compared to children living in rural areas 27-29 .”
From Urban informal settlements as hotspots of antimicrobial resistance and the need to curb environmental transmission. (2020) · cites this paper as [29]
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“Currently, children living in urban informal settlements in several LMICs have significantly higher diarrhea prevalence than their wealthier urban counterparts 29 ; in at least half of LMICs surveyed in a recent analysis, slum-dwelling children had 1.18 - 1.28 times higher diarrhea prevalence than rural children 61 .”
From Urban informal settlements as hotspots of antimicrobial resistance and the need to curb environmental transmission. (2020) · cites this paper as [29]
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Research works printed but not linked: 32
- Araújo, 2007, Typical enteroaggregative and atypical enteropathogenic types of Escherichia coli are the most prevalent diarrhea-associated pathotypes among Brazilian children, J Clin Microbiol, 45, 3396, 10.1128/JCM.00084-07 · DOI
- Franzolin, 2005, Prevalence of diarrheagenic Escherichia coli in children with diarrhea in Salvador, Bahia, Brazil, Mem Inst Oswaldo Cruz, 100, 359, 10.1590/S0074-02762005000400004 · DOI
- Régua-Mangia, 2004, Frequency and characteristics of diarrheagenic Escherichia coli strains isolated from children with and without diarrhea in Rio de Janeiro, J Infect, 48, 161, 10.1016/S0163-4453(03)00138-5 · DOI
- Scaletsky, 2002, Comparison of DNA hybridization and PCR assays for detection of putative pathogenic enteroadherent Escherichia coli, J Clin Microbiol, 40, 1254, 10.1128/JCM.40.4.1254-1258.2002 · DOI
- Nataro, 1998, Diarrheagenic Escherichia coli, Clin Microbiol Rev, 11, 142, 10.1128/CMR.11.1.142 · DOI
- Fagundes-Neto, 1994, Tropical enteropathy (environmental enteropathy) in early childhood: a syndrome caused by contaminated environment, J Trop Pediatr, 30, 204, 10.1093/tropej/30.4.204 · DOI
- Aranda, 2004, Evaluation of multiplex PCRs for diagnosis of infection with diarrheagenic Escherichia coli and Shigella spp, J Clin Microbiol, 42, 5849, 10.1128/JCM.42.12.5849-5853.2004 · DOI
- Le Bouguenec, 2001, Characterization of AfaE adhesins produced by extraintestinal and intestinal human Escherichia coli isolates: PCR assays for detection of Afa adhesins that do or do not recognize Dr blood group antigens, J Clin Microbiol, 39, 1738, 10.1128/JCM.39.5.1738-1745.2001 · DOI
- Arraya, 1986, Acute diarrhoea and asymptomatic infection in Chilean preschoolers of low and high socioeconomic strata, Acta Paediatr Scand, 75, 645, 10.1111/j.1651-2227.1986.tb10265.x · DOI
- Barreto, 2007, Effect of city-wide sanitation programme on reduction in rate of childhood diarrhea in northeast Brazil: assessment by two cohort studies, Lancet, 370, 1622, 10.1016/S0140-6736(07)61638-9 · DOI
- Guerrant, 1983, Prospective study of diarrheal illnesses in northeastern Brazil: patterns of disease, nutritional impact, etiologies, and risk factors, J Infect Dis, 148, 986, 10.1093/infdis/148.6.986 · DOI
- Fewtrell, 2005, Water, sanitation, and hygiene interventions to reduce diarrhea in less developed countries: a systematic review and meta-analysis, Lancet Infect Dis, 5, 42, 10.1016/S1473-3099(04)01253-8 · DOI
- Figueroa, 1983, Enteropathogens carriage by healthy individuals living in an area with poor sanitation, J Hyg (Lond), 91, 499, 10.1017/S002217240006054X · DOI
- Levine, 1993, Epidemiological studies of Escherichia coli diarrheal infections in a low socioeconomic level peri-urban community in Santiago, Chile, Am J Epidemiol, 138, 849, 10.1093/oxfordjournals.aje.a116788 · DOI
- Cravioto, 1991, Association of Escherichia coli HEp-2 cells adherence patterns with type and duration of diarrhea, Lancet, 337, 262, 10.1016/0140-6736(91)90868-P · DOI
- Echeverria, 1992, Tissue culture-adherent Escherichia coli in infantile diarrhea, J Infect Dis, 165, 141, 10.1093/infdis/165.1.141 · DOI
- Gomes, 1989, Prevalence of Escherichia coli strains with localized, diffuse and aggregative adherence to HeLa cells in infants with diarrhea and matched controls, J Clin Microbiol, 27, 266, 10.1128/jcm.27.2.266-269.1989 · DOI
- Germani, 1996, Prevalence of enteropathogenic, enteroaggregative, and diffusely adherent Escherichia coli isolates from children with diarrhea in New Caledonia, J Infect Dis, 174, 1124, 10.1093/infdis/174.5.1124 · DOI
- Gunzburg, 1993, Diffuse and enteroaggregative patterns of adherence of enteric Escherichia coli from aboriginal children from the Kimberley region of Western Australia, J Infect Dis, 167, 755, 10.1093/infdis/167.3.755 · DOI
- Scaletsky, 2002, Diffusely adherent Escherichia coli as a cause of acute diarrhea in young children in Northeast Brazil: a case-control study, J Clin Microbiol, 40, 645, 10.1128/JCM.40.2.645-648.2002 · DOI
- Spano, 2008, Age-specific prevalence of diffusely adherent Escherichia coli in Brazilian children with acute diarrhea, J Med Microbiol, 57, 359, 10.1099/jmm.0.47660-0 · DOI
- Fang, 1995, Etiology and epidemiology of persistent diarrhea in northeastern Brazil: a hospital-based prospective, case-control study, J Pediatr Gastroenterol Nutr, 21, 137
- Okeke, 2001, Enteroaggregative Escherichia coli, Lancet Infect Dis, 1, 304, 10.1016/S1473-3099(01)00144-X · DOI
- Nataro, 2005, Enteroaggregative Escherichia coli pathogenesis, Curr Opin Gastroenterol, 21, 4
- Ochoa, 2008, New insights into the epidemiology of enteropathogenic Escherichia coli infection, Trans R Soc Trop Med Hyg, 102, 852, 10.1016/j.trstmh.2008.03.017 · DOI
- Estrada-Garcia, 2009, Association of diarrheagenic Escherichia coli pathotypes with infection and diarrhea among Mexican children and association of atypical enteropathogenic E. coli with acute diarrhea, J Clin Microbiol, 47, 93, 10.1128/JCM.01166-08 · DOI
- Wenneras, 2004, Prevalence of enterotoxigenic Escherichia coli associated diarrhea and carrier state in the developing world, J Health Popul Nutr, 22, 370
- Estrada-Garcia, 2005, Drug-resistant diarrheagenic Escherichia coli, Mexico, Emerg Infect Dis, 10, 1306, 10.3201/eid1108.050192 · DOI
- Sang, 1997, Multidrug-resistant enteroaggregative Escherichia coli associated with persistent diarrhea in Kenyan children, Emerg Infect Dis, 3, 373, 10.3201/eid0303.970317 · DOI
- Vignoli, 2005, Enteropathogenic Escherichia coli strains carrying genes encoding the PER-2 and TEM-116 extended-spectrum β-lactamases isolated from children with diarrhea in Uruguay, J Clin Microbiol, 43, 2940, 10.1128/JCM.43.6.2940-2943.2005 · DOI
- Villa, 1999, Antimicrobial resistance of diarrheagenic Escherichia coli isolated from children under the age of 5 years from Ifakara, Tanzania, Antimicrob Agents Chemother, 43, 3022, 10.1128/AAC.43.12.3022 · DOI
- Vu Nguyen, 2005, Antibiotic resistance in diarrheagenic Escherichia coli and Shigella strains isolated from children in Hanoi, Vietnam, Antimicrob Agents Chemother, 49, 816, 10.1128/AAC.49.2.816-819.2005 · DOI
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Nadimpalli, M. L., Marks, S. J., Montealegre, M. C., Gilman, R. H., Pajuelo, M. J., Saito, M., Tsukayama, P., Njenga, S. M., Kiiru, J., Swarthout, J., et al. (2020) · Nature microbiology · doi:10.1038/s41564-020-0722-0 · Cited by 223
Metadata
- Authors
- Souza, T. B., Morais, M. B., Tahan, S., Melli, L. C. F. L., Rodrigues, M. S. C., & Scaletsky, I. C. A.
- Affiliations
- Universidade Federal de São Paulo (BR)
- Corresponding author
- Scaletsky, Isabel C.A.
- ORCID
- Tahan, Soraia
- Venue
- Journal of Infection
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 59
- Issue
- 4
- Pages
- 247-251
- ISSN
- 0163-4453 (ISSN-L)
- OpenAlex
- W2089340836
- Cited by
- 29
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 3 · 2022: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 5 · 2015: 2 · 2014: 3 · 2013: 2 · 2012: 2
- FWCI
- 1.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Infection (publishedVersion)
- PubMed (publishedVersion)
- UNIFESP Institutional Repository (Universidade Federal de São Paulo) (submittedVersion)
- Funders
- Conselho Nacional de Desenvolvimento Científico e Tecnológico
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Escherichia coli research studies
- Health Sciences › Medicine › Microbiology (medical) › Antibiotic Resistance in Bacteria
- Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
- Keywords
- diarrheagenic Escherichia coli, antimicrobial resistance, asymptomatic carriage, elementary school students, urban slums, environmental sanitation, Osasco
- MeSH terms
- Anti-Bacterial Agents, Brazil, Child, Child, Preschool, Cities, Diarrhea, Escherichia coli, Escherichia coli Infections, Feces, Female, Humans, Male, Microbial Sensitivity Tests, Population, Poverty Areas, Prevalence, Drug Resistance, Bacterial, Virulence Factors
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- The paper
- Souza, T. B., Morais, M. B., Tahan, S., Melli, L. C. F. L., Rodrigues, M. S. C., & Scaletsky, I. C. A. (2009). High prevalence of antimicrobial drug-resistant diarrheagenic Escherichia coli in asymptomatic children living in an urban slum. Journal of Infection. https://doi.org/10.1016/j.jinf.2009.08.007