Title
Virulence factors and mechanisms of antimicrobial resistance in Shigella strains from periurban areas of Lima (Peru)
Date Issued
01 June 2015
Access level
open access
Resource Type
journal article
Author(s)
Hospital Clínico de la universidad de Barcelona
Hospital Clínico de la universidad de Barcelona
Publisher(s)
Elsevier GmbH
Abstract
The study was aimed to describe the serotype, mechanisms of antimicrobial resistance, and virulence determinants in Shigella spp. isolated from Peruvian children. Eighty three Shigella spp. were serogrouped and serotyped being established the antibiotic susceptibility. The presence of 12 virulence factors (VF) and integrase 1 and 2, along with commonly found antibiotic resistance genes was established by PCR. S. flexneri was the most relevant serogroup (55 isolates, 66%), with serotype 2a most frequently detected (27 of 55, 49%), followed by S. boydii and S. sonnei at 12 isolates each (14%) and S. dysenteriae (four isolates, 5%). Fifty isolates (60%) were multi-drug resistant (MDR) including 100% of S. sonnei and 64% of S. flexneri. Resistance levels were high to trimethoprim-sulfamethoxazole (86%), tetracycline (74%), ampicillin (67%), and chloramphenicol (65%). Six isolates showed decreased azithromycin susceptibility. No isolate was resistant to nalidixic acid, ciprofloxacin, nitrofurantoin, or ceftriaxone. The most frequent resistance genes were sul2 (95%), tet(B) (92%), cat (80%), dfrA1 (47%), blaOXA-1 like (40%), with intl1 and intl2 detected in 51 and 52% of the isolates, respectively. Thirty-one different VF profiles were observed, being the ipaH (100%), sen (77%), virA and icsA (75%) genes the most frequently found. Differences in the prevalence of VF were observed between species with S. flexneri isolates, particularly serotype 2a, possessing high numbers of VF. In conclusion, this study highlights the high heterogeneity of Shigella VF and resistance genes, and prevalence of MDR organisms within this geographic region.
Start page
480
End page
490
Volume
305
Issue
May 4
Language
English
OCDE Knowledge area
Virología
Enfermedades infecciosas
Subjects
Scopus EID
2-s2.0-84983094642
PubMed ID
Source
International Journal of Medical Microbiology
ISSN of the container
14384221
Sponsor(s)
This work was supported by Agencia Española de Cooperación Internacional para el Desarrollo (AECID), Spain, Programa de Cooperación Interuniversitaria e Investigación Científica con Iberoamérica (D/019499/08, D/024648/09, D/030509/10, and A1/035720/11) (J.R and T.J.O) by the Spanish Network for the Research in Infectious Diseases (REIPI RD12/0015) and Generalitat de Catalunya , Departament d’Universitats, Recerca i Societat de la Informació (2014 SGR 26) (JR) and by the National Institute of Child Health and Human Development , USA (Public Health Service award R01-HD051716) (TJO).
JR has a fellowship from the program I3SNS, of the ISCIII (grant number: CES11/012), and CG has a predoctoral grant from the ISCIII (FI12/00561).
Sources of information:
Directorio de Producción Científica
Scopus