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Cited by 269

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Abrupt Emergence of a Single Dominant Multidrug-Resistant Strain of Escherichia coli

Open access
Johnson, James R., Tchesnokova, Veronika, Johnston, Brian, Clabots, Connie, Roberts, Pacita L., Billig, Mariya, Riddell, Kim, Rogers, Peggy, Qin, Xuan, Butler-Wu, Susan, Price, Lance B., Aziz, Maliha, Nicolas-Chanoine, Marie-Hélène, DebRoy, Chitrita, Robicsek, Ari, Hansen, Glen, Urban, Carl, Platell, Joanne, Trott, Darren J., Zhanel, George, Weissman, Scott J., Cookson, Brad T., Fang, Ferric C., Limaye, Ajit P., Scholes, Delia, Chattopadhyay, Sujay, Hooper, David C., Sokurenko, Evgeni V.·2013·The Journal of Infectious Diseases

Abstract

BACKGROUND: Fluoroquinolone-resistant Escherichia coli are increasingly prevalent. Their clonal origins--potentially critical for control efforts--remain undefined. METHODS: Antimicrobial resistance profiles and fine clonal structure were determined for 236 diverse-source historical (1967-2009) E. coli isolates representing sequence type ST131 and 853 recent (2010-2011) consecutive E. coli isolates from 5 clinical laboratories in Seattle, Washington, and Minneapolis, Minnesota. Clonal structure was resolved based on fimH sequence (fimbrial adhesin gene: H subclone assignments), multilocus sequence typing, gyrA and parC sequence (fluoroquinolone resistance-determining loci), and pulsed-field gel electrophoresis. RESULTS: Of the recent fluoroquinolone-resistant clinical isolates, 52% represented a single ST131 subclonal lineage, H30, which expanded abruptly after 2000. This subclone had a unique and conserved gyrA/parC allele combination, supporting its tight clonality. Unlike other ST131 subclones, H30 was significantly associated with fluoroquinolone resistance and was the most prevalent subclone among current E. coli clinical isolates, overall (10.4%) and within every resistance category (11%-52%). CONCLUSIONS: Most current fluoroquinolone-resistant E. coli clinical isolates, and the largest share of multidrug-resistant isolates, represent a highly clonal subgroup that likely originated from a single rapidly expanded and disseminated ST131 strain. Focused attention to this strain will be required to control the fluoroquinolone and multidrug-resistant E. coli epidemic.

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Metadata

Authors
Johnson, J. R., Tchesnokova, V., Johnston, B., Clabots, C., Roberts, P. L., Billig, M., Riddell, K., Rogers, P., Qin, X., Butler-Wu, S., Price, L. B., Aziz, M., Nicolas-Chanoine, M.-H., DebRoy, C., Robicsek, A., Hansen, G., Urban, C., Platell, J., Trott, D. J., Zhanel, G., Weissman, S. J., Cookson, B. T., Fang, F. C., Limaye, A. P., Scholes, D., Chattopadhyay, S., Hooper, D. C., & Sokurenko, E. V.
Venue
The Journal of Infectious Diseases
Published
2013-01-03
Volume
207
Issue
6
Pages
919-928
ISSN
  • 0022-1899 (ISSN-L)
  • 1537-6613
OpenAlex
W2139852129
Cited by
269
References
2
FWCI
15.49
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Abrupt Emergence of a Single Dominant Multidrug-Resistant Strain of Escherichia coli. https://app.cochat.ai/papers/10.1093/infdis/jis933
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Johnson, J. R., Tchesnokova, V., Johnston, B., Clabots, C., Roberts, P. L., Billig, M., Riddell, K., Rogers, P., Qin, X., Butler-Wu, S., Price, L. B., Aziz, M., Nicolas-Chanoine, M.-H., DebRoy, C., Robicsek, A., Hansen, G., Urban, C., Platell, J., Trott, D. J., . . . Sokurenko, E. V. (2013). Abrupt Emergence of a Single Dominant Multidrug-Resistant Strain of Escherichia coli. The Journal of Infectious Diseases. https://doi.org/10.1093/infdis/jis933

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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