A molecular and epidemiological study of Vibrio cholerae isolates from cholera outbreaks in southern Ghana
Open accessAbstract
Cholera remains a major global public health threat and continuous emergence of new Vibrio cholerae strains is of major concern. We conducted a molecular epidemiological study to detect virulence markers and antimicrobial resistance patterns of V. cholerae isolates obtained from the 2012-2015 cholera outbreaks in Ghana. Archived clinical isolates obtained from the 2012, 2014 and 2015 cholera outbreaks in Ghana were revived by culture and subjected to microscopy, biochemical identification, serotyping, antibiotic susceptibility testing, molecular detection of distinct virulence factors and Multi-Locus Variable-Number of Tandem-Repeat Analysis (MLVA). Of 277 isolates analysed, 168 (60.6%) were confirmed to be V. cholerae and 109 (39.4%) isolates constituted other bacteria (Escherichia coli, Aeromonas sobria, Pseudomonas aeruginosa, Enterobacter cloacae and Enterococci faecalis). Serotyping the V. cholerae isolates identified 151 (89.9%) as Ogawa, 3 (1.8%) as Inaba and 14 (8.3%) as non-O1/O139 serogroup. The O1 serogroup isolates (154/168, 91.7%) carried the cholera toxin ctxB gene as detected by PCR. Additional virulence genes detected include zot, tcpA, ace, rtxC, toxR, rtxA, tcpP, hlyA and tagA. The most common and rare virulence factors detected among the isolates were rtxC (165 isolates) and tcpP (50 isolates) respectively. All isolates from 2014 and 2015 were multidrug resistant against the selected antibiotics. MLVA differentiated the isolates into 2 large unique clones A and B, with each predominating in a particular year. Spatial analysis showed clustering of most isolates at Ablekuma sub-district. Identification of several virulence genes among the two different genotypes of V. cholerae isolates and resistance to first- and second-line antibiotics, calls for scaleup of preventive strategies to reduce transmission, and strengthening of public health laboratories for rapid antimicrobial susceptibility testing to guide accurate treatment. Our findings support the current WHO licensed cholera vaccines which include both O1 Inaba and Ogawa serotypes.
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In the past decade, Vibrio cholerae isolates have become resistant to penicillins, aminoglycosides and sulfonamides, quinolones, tetracycline, macrolides, and phenicols.
“In the past decade, V. cholerae isolates have become resistant to penicillins, aminoglycosides and sulfonamides, quinolones, tetracycline, macrolides, and phenicols”
From Antimicrobial Resistance Rates and Surveillance in Sub-Saharan Africa: Where Are We Now? (2022) · cites this paper as [57]
The Results (§3.2; page unavailable) report increasing resistance among V. cholerae isolates from southern Ghana’s 2012, 2014 and 2015 outbreaks. The Discussion (§4; page unavailable) identifies resistance to a sulfonamide combination, a quinolone, erythromycin, doxycycline and chloramphenicol. The paper does not establish the claimed resistance to aminoglycosides or a general trend across the past decade; testing a drug, as described in Methods (§2.2), does not itself show resistance to it. (LLM, conf=0.84)
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- Authors
- Danso, E. K., Asare, P., Otchere, I. D., Akyeh, L. M., Asante-Poku, A., Aboagye, S. Y., Osei-Wusu, S., Opare, D., Ntoumi, F., Zumla, A., Duodu, S., & Yeboah-Manu, D.
- Affiliations
- University of Ghana (GH)
- Fondation Congolaise Pour La Recherche Médicale (CG)
- UCL Biomedical Research Centre (GB)
- ORCID
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2020-07-10
- Volume
- 15
- Issue
- 7
- Pages
- e0236016
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC7351161
- OpenAlex
- W3042118802
- Cited by
- 28
- References
- 44
- Citations by year
- 2026: 6 · 2025: 2 · 2024: 7 · 2023: 6 · 2022: 3 · 2021: 4
- FWCI
- 2.00
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- PANDORA-ID-NET funded EDCTP (RIA2016E-1609)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › 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, cholera outbreak, virulence genes, antimicrobial resistance, MLVA genotyping, serotyping, ctxB, TCPP, multidrug resistance, spatial clustering, outbreak clone, cholera vaccine, southern Ghana
- MeSH terms
- Anti-Bacterial Agents, Cholera, Cholera Toxin, Disease Outbreaks, Ghana, Humans, Microbial Sensitivity Tests, Phylogeny, Vibrio cholerae, Virulence, Tandem Repeat Sequences, Drug Resistance, Multiple, Bacterial, Serogroup
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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