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Comparative Characterization of Vibrio cholerae O1 from Five Sub-Saharan African Countries Using Various Phenotypic and Genotypic Techniques
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We used standardized methodologies to characterize Vibrio cholerae O1 isolates from Guinea, Democratic Republic of the Congo (DRC), Togo, Côte d'Ivoire and Mozambique. We investigated 257 human isolates collected in 2010 to 2013. DRC isolates serotyped O1 Inaba, while isolates from other countries serotyped O1 Ogawa. All isolates were biotype El Tor and positive for cholera toxin. All isolates showed multidrug resistance but lacked ciprofloxacin resistance. Antimicrobial susceptibility profiles of isolates varied between countries. In particular, the susceptibility profile of isolates from Mozambique (East-Africa) included resistance to ceftriaxone and was distinctly different to the susceptibility profiles of isolates from countries located in West- and Central-Africa. Molecular subtyping of isolates using pulsed-field gel electrophoresis (PFGE) analysis showed a complex relationship among isolates. Some PFGE patterns were unique to particular countries and clustered by country; while other PFGE patterns were shared by isolates from multiple countries, indicating that the same genetic lineage is present in multiple countries. Our data add to a better understanding of cholera epidemiology in Africa.
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The Vibrio cholerae Ogawa biotype has been shown to be the most prevalent in the region, while epidemics are mainly caused by Wave 3 atypical O1 El Tor strain, which has been reported to be resistant to multiple antimicrobials.
“The V. cholerae Ogawa biotype has been shown to be the most prevalent in the region, while epidemics are mainly caused by Wave 3 atypical O1 El Tor strain, which has been reported to be resistant to multiple antimicrobials”
From Antimicrobial Resistance Rates and Surveillance in Sub-Saharan Africa: Where Are We Now? (2022) · cites this paper as [54]
The Results and Table 1 (pages not available in our copy) show that Ogawa was the serotype in four of the five countries studied and that isolates showed resistance to multiple antimicrobials. The Introduction reports altered El Tor strains in Africa and wave-three El Tor strains in Kenya, but does not establish that epidemics across the region are mainly caused by wave-three atypical El Tor strains. The paper also does not establish that the wave-three strains specifically were multidrug-resistant. (LLM, conf=0.87)
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Cited by
Sorted by citations
Antimicrobial Resistance Rates and Surveillance in Sub-Saharan Africa: Where Are We Now?
Kariuki, S., Kering, K., Wairimu, C., Onsare, R., & Mbae, C. (2022) · Infection and Drug Resistance · doi:10.2147/idr.s342753 · Cited by 245
Metadata
- Authors
- Smith, A. M., Njanpop-Lafourcade, B.-M., Mengel, M. A., Gessner, B. D., Sauvageot, D., Bidjada, B., Miwanda, B. N., Saliou, D. M., N’Douba, A. K., Langa, J. P., Ismail, H., Tau, N., Sooka, A., & Keddy, K. H.
- Affiliations
- National Health Laboratory Service (ZA)
- Agence de Médecine Préventive (FR)
- National Institute of Biomedical Research (CD)
- Institut National de Santé Publique (GN)
- Institut Pasteur de Côte d'Ivoire (CI)
- Instituto Nacional de Saúde (MZ)
- Corresponding author
- Smith, Anthony M.
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2015-11-25
- Volume
- 10
- Issue
- 11
- Pages
- e0142989
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4659613
- OpenAlex
- W2178493569
- Cited by
- 16
- References
- 0
- Citations by year
- 2025: 3 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 4 · 2018: 2 · 2017: 2
- FWCI
- 1.04
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Bill and Melinda Gates Foundation (OPPGH5233)
- Centers for Disease Control and Prevention (5u19gh000571-02, U19GH000571)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Vibrio bacteria research studies
- Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
- Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
- Keywords
- Vibrio cholerae O1, cholera, antimicrobial resistance, multidrug resistance, ceftriaxone resistance, ciprofloxacin resistance, cholera toxin, antimicrobial susceptibility, molecular subtyping, pulsed-field gel electrophoresis, genetic lineages, cholera epidemiology, sub-Saharan Africa, Guinea, Democratic Republic of the Congo, Togo, Côte d'Ivoire, Mozambique
- MeSH terms
- Adolescent, Adult, Cholera, Female, Genotype, Geography, Humans, Male, Middle Aged, Phenotype, Phylogeny, Population Surveillance, Africa South of the Sahara, Vibrio cholerae O1, Young Adult
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