PMID- 21537065 OWN - NLM STAT- MEDLINE DCOM- 20110810 LR - 20211216 IS - 1972-2680 (Electronic) IS - 1972-2680 (Linking) VI - 5 IP - 4 DP - 2011 Apr 26 TI - Comparison of virulence markers and antibiotic resistance in enterotoxigenic Escherichia coli isolated ten years apart in Tehran. PG - 248-54 AB - INTRODUCTION: Enterotoxigenic Escherichia coli (ETEC) causes diarrhoea by producing heat-labile (LT) or heat-stable (ST) enterotoxins after colonizing the small intestine by means of colonization factors (CFs). Although detection of the toxins is sufficient for verification of ETEC isolates, toxin-positive strains may be further analyzed for the presence of CFs. Antibiotics may shorten the duration of diarrhoea caused by ETEC, but the rapid emergence of resistant strains limits their usefulness. METHODOLOGY: ETEC isolates collected 10 years apart were compared for the prevalence of toxin types, CFs and antibiotic resistance. DNA/DNA hybridization with digoxigenin (DIG)-labeled probes was used for the detection of toxin types, and CF-typing was performed by DNA hybridization using DIG-labeled probes for cfaD and CS6 with slide agglutination. Disk diffusion was used to determine antibiotic resistance. The presence of class 1 integrons was detected by PCR. RESULTS: ST-positive isolates were the most prevalent among the isolates from 1988, but a significant shift towards LT-gene carriage was observed in the 1998 group. CFA/I and CFA/IV were the most common CF types within both groups. The most prevalent resistance patterns among these isolates were ACSTSXT followed by ASTSXT and ASSXT. CONCLUSION: Our study of the two groups of isolates showed that the rate of LT and ST gene carriage, as well as antibiotic resistance markers, has changed in the ten years separating the two bacterial populations. These variations show the importance of monitoring pathogenic bacteria to obtain a near realistic picture of the circulating bacterial pathogens. FAU - Shahrokhi, Nader AU - Shahrokhi N AD - Molecular Biology Unit, Pasteur Institute of Iran, Tehran 13164, Iran. shahrokhi@pasteur.ac.ir FAU - Bouzari, Saeid AU - Bouzari S FAU - Jafari, Anis AU - Jafari A LA - eng PT - Journal Article DEP - 20110426 PL - Italy TA - J Infect Dev Ctries JT - Journal of infection in developing countries JID - 101305410 RN - 0 (Anti-Bacterial Agents) RN - 0 (Antigens, Bacterial) RN - 0 (Bacterial Toxins) RN - 0 (CS6 antigen, E coli) RN - 0 (CfaD protein, E coli) RN - 0 (DNA, Bacterial) RN - 0 (DNA-Binding Proteins) RN - 0 (Enterotoxins) RN - 0 (Escherichia coli Proteins) RN - 0 (Virulence Factors) RN - 0 (heat stable toxin (E coli)) RN - D9K3SN2LNY (heat-labile enterotoxin, E coli) SB - IM MH - Anti-Bacterial Agents/*pharmacology MH - Antigens, Bacterial/genetics MH - Bacterial Toxins/genetics MH - Child, Preschool MH - DNA, Bacterial/genetics MH - DNA-Binding Proteins/genetics MH - *Drug Resistance, Bacterial MH - Enterotoxigenic Escherichia coli/*drug effects/genetics/isolation & purification/*pathogenicity MH - Enterotoxins/genetics MH - Escherichia coli Infections/*microbiology MH - Escherichia coli Proteins/genetics MH - Humans MH - Infant MH - Infant, Newborn MH - Iran MH - Microbial Sensitivity Tests MH - Nucleic Acid Hybridization MH - Polymerase Chain Reaction MH - Virulence Factors/*genetics EDAT- 2011/05/04 06:00 MHDA- 2011/08/11 06:00 CRDT- 2011/05/04 06:00 PHST- 2010/05/19 00:00 [received] PHST- 2010/10/02 00:00 [accepted] PHST- 2010/09/24 00:00 [revised] PHST- 2011/05/04 06:00 [entrez] PHST- 2011/05/04 06:00 [pubmed] PHST- 2011/08/11 06:00 [medline] AID - 10.3855/jidc.1206 [doi] PST - epublish SO - J Infect Dev Ctries. 2011 Apr 26;5(4):248-54. doi: 10.3855/jidc.1206.