Characterization of young infants with fecal carriage of multidrug-resistant Escherichia coli in Southern Taiwan

Autor: Fang-Chih Lin, Wailap Victor Ng, Hsiao-Ping Wang, Chih-Hsin Hung, Jenn-Tzong Chang, Chih-Chieh Yang, Po-Yen Liu, Ming-Fang Cheng
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Pediatrics and Neonatology, Vol 65, Iss 2, Pp 138-144 (2024)
Druh dokumentu: article
ISSN: 1875-9572
DOI: 10.1016/j.pedneo.2023.04.014
Popis: Background: The accelerating prevalence of extended-spectrum β-lactamase (ESBL)-producing and multidrug-resistance (MDR) Escherichia coli (E. coli) become a public health challenge worldwide. This study aimed to discuss the prevalence of drug-resistant E. coli colonization and analyze its risk factors and clinical characteristics among young infants in Southern Taiwan. Methods: Stool samples were collected from young infants, aged less than three months, within three days of their hospitalization from September to December 2019 in a tertiary hospital. A questionnaire was designed for parents to complete. E. coli colonies were selected and analyzed for antimicrobial susceptibility. PCR-based multilocus sequence typing was to detect the presence of sequence type ST131 and blaCTX-M genes. Results: Among 100 enrolled infants, 36% had fecal carriage of E. coli isolates, of which twenty nine (80.5%) were MDR, thirteen (36.1%) were ESBL-producing isolates and five (13.8%) and ten (27.7%) were ST131 and strains carrying CTX-M-14 gene, respectively. Compared to non-ST131 and non-CTX-M-14 gene carrier, isolates of ST131 and CTX-M-14 gene carrier showed a significantly higher resistance rate to cefixime, ceftriaxone, and gentamycin, with p value all
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