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Abrupt Emergence of a Single Dominant Multidrug-Resistant Strain of Escherichia coli
Open accessAbstract
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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Gupta, K., Hooton, T. M., Naber, K. G., Wullt, B., Colgan, R., Miller, L. G., Moran, G. J., Nicolle, L. E., Raz, R., Schaeffer, A. J., et al. (2011) · Clinical Infectious Diseases · doi:10.1093/cid/ciq257 · Cited by 3,038
Peirano, G., & Pitout, J. D. D. (2010) · International Journal of Antimicrobial Agents · doi:10.1016/j.ijantimicag.2009.11.003 · Cited by 443
Cited by
Pandemic lineages of extraintestinal pathogenic Escherichia coli
Riley, L. W. (2014) · Clinical Microbiology and Infection · doi:10.1111/1469-0691.12646 · Cited by 412
Nesta, B., Valeri, M., Spagnuolo, A., Rosini, R., Mora, M., Donato, P., Alteri, C. J., Del Vecchio, M., Buccato, S., Pezzicoli, A., et al. (2014) · PLoS Pathogens · doi:10.1371/journal.ppat.1004124 · Cited by 68
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
- Publisher
- Oxford University Press (OUP)
- 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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- 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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