Comparison of quinolone and beta-lactam resistance among Escherichia coli strains isolated from urinary tract infections

Infez Med. 2016 Dec 1;24(4):326-330.

Abstract

The growing frequency of antibiotic resistances is now a universal problem. Increasing resistance to new generations of β-lactam and quinolone antibiotics in multidrug-resistant Enterobacteriaceae isolates is considered an emergency health issue worldwide. The aim of this study was to evaluate plasmid-mediated quinolone resistance genes in ESBL-producing Escherichia coli isolated from urinary tract infections (UTIs). In our study ESBL-producing isolates were assessed by screening methods. After determination of antimicrobial susceptibility testing, detection of ESBLs and quinolone resistance genes was performed. A total of 97 ESBL-producing E. coli were determined. The bla-TEM, bla-SHV and bla-CTX-M genes were detected in 90 isolates. The bla-TEM was the most frequently detected gene (46.4%), followed by bla-SHV (31.9%) and bla-CTX-M (14.4%). The most prevalent quinolone resistance gene among ESBL-producing isolates was oqxAB which was found in 67 isolates (69.1%). The frequencies of the aac(6')-Ib-cr, qnr and qepA were 65 (67%), 8 (8.2%) and 6 (6.2%), respectively. Our data indicate that the prevalence of plasmid-mediated quinolone resistance genes in ESBL-positive isolates is increasing. The co-dissemination of PMQR and ESBL genes among E. coli isolates can be considered a threat to public health. Therefore, prescription of antibiotics against infectious disease should be managed carefully.

Publication types

  • Comparative Study

MeSH terms

  • Anti-Bacterial Agents* / pharmacology
  • Cross-Sectional Studies
  • Drug Resistance, Multiple, Bacterial / genetics
  • Escherichia coli / genetics*
  • Escherichia coli / isolation & purification
  • Escherichia coli Infections / complications*
  • Escherichia coli Infections / epidemiology
  • Genotype
  • Hospitals / statistics & numerical data
  • Humans
  • Inpatients / statistics & numerical data
  • Iran / epidemiology
  • Microbial Sensitivity Tests
  • Outpatients / statistics & numerical data
  • Prevalence
  • Quinolones* / pharmacology
  • Urinary Tract Infections / epidemiology
  • Urinary Tract Infections / microbiology*
  • beta-Lactam Resistance / genetics*
  • beta-Lactamases / analysis
  • beta-Lactamases / genetics*
  • beta-Lactams* / pharmacology

Substances

  • Anti-Bacterial Agents
  • Quinolones
  • beta-Lactams
  • beta-Lactamases