Comparative analysis of Enterococcus faecalis and Enterococcus faecium strains isolated from clinical samples and traditional cheese types in the Northwest of Iran: antimicrobial susceptibility and virulence traits

Arch Microbiol. 2020 May;202(4):765-772. doi: 10.1007/s00203-019-01792-z. Epub 2019 Dec 10.

Abstract

This research was conducted using 50 samples of popular traditional cheeses and 160 enterococcal clinical isolates. Phenotypic and genotypic methods used for identification of enterococci. Then, the incidences of antibacterial resistance and virulence traits were investigated. In total, 165 E. faecalis and 43 E. faecium obtained from traditional cheeses and different clinical isolates were analyzed in the study. Antibiotic susceptibility testing revealed 175(84.1%) isolates with multi-drug resistance (MDR) patterns, which was more common among clinical sources. The predominant virulence profile, including gelE, asa1 and cpd was detected within 47 (22.6%) of the MDR isolates. Our results showed that traditional cheeses and clinical E. faecalis isolates have distinct patterns of virulence traits. The identified enterococci with antibiotic resistance and associated virulence factors, could provide a potential risk to the public health.

Keywords: Antibiotic resistance; E. faecalis; E. faecium; PCR; Traditional cheese; Virulence factors.

Publication types

  • Comparative Study

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Cheese / microbiology*
  • Drug Resistance, Bacterial / drug effects
  • Enterococcus faecalis / drug effects*
  • Enterococcus faecalis / genetics
  • Enterococcus faecalis / isolation & purification
  • Enterococcus faecalis / pathogenicity*
  • Enterococcus faecium / drug effects*
  • Enterococcus faecium / genetics
  • Enterococcus faecium / isolation & purification
  • Enterococcus faecium / pathogenicity*
  • Genotype
  • Gram-Positive Bacterial Infections / microbiology*
  • Humans
  • Iran
  • Microbial Sensitivity Tests
  • Phenotype
  • Virulence Factors / genetics

Substances

  • Anti-Bacterial Agents
  • Virulence Factors