Virulence and phylogenetic analysis of enteric pathogenic Escherichia coli isolated from children with diarrhoea in South Africa

ABSTRACT: Background: : Diarrhoeagenic Escherichia coli pose a significant risk to human health. As such, determining the source(s) of these bacteria when isolated from patients with diarrhoea is an important step in disease prevention. Objectives: : To identify the presence of genes coding for vir...

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Main Authors: Ntando W. Alfinete, John Y. Bolukaoto, Lee Heine, Natasha Potgieter, Tobias G. Barnard
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971221008626
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author Ntando W. Alfinete
John Y. Bolukaoto
Lee Heine
Natasha Potgieter
Tobias G. Barnard
author_facet Ntando W. Alfinete
John Y. Bolukaoto
Lee Heine
Natasha Potgieter
Tobias G. Barnard
author_sort Ntando W. Alfinete
collection DOAJ
description ABSTRACT: Background: : Diarrhoeagenic Escherichia coli pose a significant risk to human health. As such, determining the source(s) of these bacteria when isolated from patients with diarrhoea is an important step in disease prevention. Objectives: : To identify the presence of genes coding for virulence and phylogroups among E. coli isolated from children hospitalized due to diarrhoea in Limpopo Province, South Africa. Methods: : E. coli isolates were identified using the VITEK-2 automated system. An 11-gene multiplex polymerase chain reaction (PCR) was used to differentiate five pathogenic types of E. coli: enteroaggregative (EAEC), enteroinvasive (EIEC), enterohaemorrhagic (EHEC), enteropathogenic (EPEC) and enterotoxigenic (ETEC). The Clermont quadruplex PCR method was used to identify phylogroups of isolates. Results: : From the 133 isolates tested, 79 were confirmed as E. coli. Of these, 19.0% (15/79) were commensals and 81.0% (64/79) were positive for at least one pathotype, of which ETEC was predominant (16.5%, 13/79), followed by EAEC (10.1%, 8/79), EPEC (7.6%, 6/79) and EHEC (2.5%, 2/79). Hybrid pathotypes were also detected and EAEC/ETEC was predominant (25.3%, 20/79). Phylogroup B2 was predominant (30.4%, 24/79), followed by phylogroup B1 (22.8%, 18/79), and phylogroups C and E (both 12.7%, 10/79). Just over 6% (5/79) of isolates were non-typable. Conclusion: : There was a high distribution of diarrhoeagenic E. coli associated with different phylogroups among children living in Limpopo Province, South Africa. This emphasizes the importance of future monitoring of virulence and phylogroup distribution of E. coli isolates in this province in particular and in South Africa as a whole.
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spelling doaj.art-1df1dc67cde54e8985992dcd27d448132022-12-21T21:20:07ZengElsevierInternational Journal of Infectious Diseases1201-97122022-01-01114226232Virulence and phylogenetic analysis of enteric pathogenic Escherichia coli isolated from children with diarrhoea in South AfricaNtando W. Alfinete0John Y. Bolukaoto1Lee Heine2Natasha Potgieter3Tobias G. Barnard4Water and Health Research Centre, University of Johannesburg, Doornfontein, South AfricaWater and Health Research Centre, University of Johannesburg, Doornfontein, South AfricaWater and Health Research Centre, University of Johannesburg, Doornfontein, South AfricaSchool of Mathematical and Natural Sciences, University of Venda, Limpopo Province, South AfricaWater and Health Research Centre, University of Johannesburg, Doornfontein, South Africa; Corresponding author. Address: Water and Health Research Centre, University of Johannesburg, PO Box 17011, Doornfontein, 2028, South Africa. Tel.: +27 115596342; fax: +27 115596329ABSTRACT: Background: : Diarrhoeagenic Escherichia coli pose a significant risk to human health. As such, determining the source(s) of these bacteria when isolated from patients with diarrhoea is an important step in disease prevention. Objectives: : To identify the presence of genes coding for virulence and phylogroups among E. coli isolated from children hospitalized due to diarrhoea in Limpopo Province, South Africa. Methods: : E. coli isolates were identified using the VITEK-2 automated system. An 11-gene multiplex polymerase chain reaction (PCR) was used to differentiate five pathogenic types of E. coli: enteroaggregative (EAEC), enteroinvasive (EIEC), enterohaemorrhagic (EHEC), enteropathogenic (EPEC) and enterotoxigenic (ETEC). The Clermont quadruplex PCR method was used to identify phylogroups of isolates. Results: : From the 133 isolates tested, 79 were confirmed as E. coli. Of these, 19.0% (15/79) were commensals and 81.0% (64/79) were positive for at least one pathotype, of which ETEC was predominant (16.5%, 13/79), followed by EAEC (10.1%, 8/79), EPEC (7.6%, 6/79) and EHEC (2.5%, 2/79). Hybrid pathotypes were also detected and EAEC/ETEC was predominant (25.3%, 20/79). Phylogroup B2 was predominant (30.4%, 24/79), followed by phylogroup B1 (22.8%, 18/79), and phylogroups C and E (both 12.7%, 10/79). Just over 6% (5/79) of isolates were non-typable. Conclusion: : There was a high distribution of diarrhoeagenic E. coli associated with different phylogroups among children living in Limpopo Province, South Africa. This emphasizes the importance of future monitoring of virulence and phylogroup distribution of E. coli isolates in this province in particular and in South Africa as a whole.http://www.sciencedirect.com/science/article/pii/S1201971221008626Escherichia coli11-plex PCRPhylogroupsQuadruplex PCRVirulence genes
spellingShingle Ntando W. Alfinete
John Y. Bolukaoto
Lee Heine
Natasha Potgieter
Tobias G. Barnard
Virulence and phylogenetic analysis of enteric pathogenic Escherichia coli isolated from children with diarrhoea in South Africa
International Journal of Infectious Diseases
Escherichia coli
11-plex PCR
Phylogroups
Quadruplex PCR
Virulence genes
title Virulence and phylogenetic analysis of enteric pathogenic Escherichia coli isolated from children with diarrhoea in South Africa
title_full Virulence and phylogenetic analysis of enteric pathogenic Escherichia coli isolated from children with diarrhoea in South Africa
title_fullStr Virulence and phylogenetic analysis of enteric pathogenic Escherichia coli isolated from children with diarrhoea in South Africa
title_full_unstemmed Virulence and phylogenetic analysis of enteric pathogenic Escherichia coli isolated from children with diarrhoea in South Africa
title_short Virulence and phylogenetic analysis of enteric pathogenic Escherichia coli isolated from children with diarrhoea in South Africa
title_sort virulence and phylogenetic analysis of enteric pathogenic escherichia coli isolated from children with diarrhoea in south africa
topic Escherichia coli
11-plex PCR
Phylogroups
Quadruplex PCR
Virulence genes
url http://www.sciencedirect.com/science/article/pii/S1201971221008626
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