Phenotypic and genotypic within-host diversity of Pseudomonas aeruginosa urinary isolates
Abstract This study aimed to assess phenotypic and molecular inter-patient and within-host diversity of Pseudomonas aeruginosa isolates responsible for urinary tract infection (UTI) or asymptomatic bacteriuria (AB). Clinical data of 120 consecutive P. aeruginosa UTI (n = 40) and AB (n = 80) were pro...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-03-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-09234-5 |
| _version_ | 1819049929820078080 |
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| author | Agnès Cottalorda Sandrine Dahyot Anaïs Soares Kevin Alexandre Isabelle Zorgniotti Manuel Etienne Estelle Jumas-Bilak Martine Pestel-Caron |
| author_facet | Agnès Cottalorda Sandrine Dahyot Anaïs Soares Kevin Alexandre Isabelle Zorgniotti Manuel Etienne Estelle Jumas-Bilak Martine Pestel-Caron |
| author_sort | Agnès Cottalorda |
| collection | DOAJ |
| description | Abstract This study aimed to assess phenotypic and molecular inter-patient and within-host diversity of Pseudomonas aeruginosa isolates responsible for urinary tract infection (UTI) or asymptomatic bacteriuria (AB). Clinical data of 120 consecutive P. aeruginosa UTI (n = 40) and AB (n = 80) were prospectively analyzed. Up to five P. aeruginosa isolates per sample were collected. Antimicrobial susceptibility testing (AST) was determined for all isolates (n = 591); a subset of 358 was characterized by multilocus sequence typing. 444 isolates (75%) were non-multidrug resistant (MDR), 113 (19%) were MDR, and 34 (6%) were extensively drug resistant. A genetically highly diverse population was observed (64 sequence types [STs]), without strict correlation between genotypes and clinical settings. 35 patients (28%; 12 UTIs and 23 ABs) presented distinct antimicrobial resistance (AMR) profiles within a given urine sample, significantly associated with previous carbapenem and fluroquinolones exposure; five of them also exhibited polyclonal UTI or AB (with isolates belonging to two STs). P. aeruginosa urinary isolates of these 120 patients were highly diverse, in terms of AMR as well as genetic background. Both within-host AMR and molecular diversity can complicate AST, treatment and control of P. aeruginosa UTI. |
| first_indexed | 2024-12-21T11:39:58Z |
| format | Article |
| id | doaj.art-28f0f2444a8741a98ffe2fc35f823d1a |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-21T11:39:58Z |
| publishDate | 2022-03-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-28f0f2444a8741a98ffe2fc35f823d1a2022-12-21T19:05:20ZengNature PortfolioScientific Reports2045-23222022-03-011211810.1038/s41598-022-09234-5Phenotypic and genotypic within-host diversity of Pseudomonas aeruginosa urinary isolatesAgnès Cottalorda0Sandrine Dahyot1Anaïs Soares2Kevin Alexandre3Isabelle Zorgniotti4Manuel Etienne5Estelle Jumas-Bilak6Martine Pestel-Caron7GRAM 2.0, Normandie Univ, UNIROUEN, UNICAENGRAM 2.0, CHU Rouen, Department of Microbiology, Normandie Univ, UNIROUEN, UNICAENGRAM 2.0, CHU Rouen, Department of Microbiology, Normandie Univ, UNIROUEN, UNICAENGRAM 2.0, CHU Rouen, Department of Infectious Diseases, Normandie Univ, UNIROUEN, UNICAENTeam Pathogènes Hydriques Santé Environnement, UMR 5569 HydroSciences Montpellier, University of MontpellierGRAM 2.0, CHU Rouen, Department of Infectious Diseases, Normandie Univ, UNIROUEN, UNICAENTeam Pathogènes Hydriques Santé Environnement, UMR 5569 HydroSciences Montpellier, University of MontpellierGRAM 2.0, CHU Rouen, Department of Microbiology, Normandie Univ, UNIROUEN, UNICAENAbstract This study aimed to assess phenotypic and molecular inter-patient and within-host diversity of Pseudomonas aeruginosa isolates responsible for urinary tract infection (UTI) or asymptomatic bacteriuria (AB). Clinical data of 120 consecutive P. aeruginosa UTI (n = 40) and AB (n = 80) were prospectively analyzed. Up to five P. aeruginosa isolates per sample were collected. Antimicrobial susceptibility testing (AST) was determined for all isolates (n = 591); a subset of 358 was characterized by multilocus sequence typing. 444 isolates (75%) were non-multidrug resistant (MDR), 113 (19%) were MDR, and 34 (6%) were extensively drug resistant. A genetically highly diverse population was observed (64 sequence types [STs]), without strict correlation between genotypes and clinical settings. 35 patients (28%; 12 UTIs and 23 ABs) presented distinct antimicrobial resistance (AMR) profiles within a given urine sample, significantly associated with previous carbapenem and fluroquinolones exposure; five of them also exhibited polyclonal UTI or AB (with isolates belonging to two STs). P. aeruginosa urinary isolates of these 120 patients were highly diverse, in terms of AMR as well as genetic background. Both within-host AMR and molecular diversity can complicate AST, treatment and control of P. aeruginosa UTI.https://doi.org/10.1038/s41598-022-09234-5 |
| spellingShingle | Agnès Cottalorda Sandrine Dahyot Anaïs Soares Kevin Alexandre Isabelle Zorgniotti Manuel Etienne Estelle Jumas-Bilak Martine Pestel-Caron Phenotypic and genotypic within-host diversity of Pseudomonas aeruginosa urinary isolates Scientific Reports |
| title | Phenotypic and genotypic within-host diversity of Pseudomonas aeruginosa urinary isolates |
| title_full | Phenotypic and genotypic within-host diversity of Pseudomonas aeruginosa urinary isolates |
| title_fullStr | Phenotypic and genotypic within-host diversity of Pseudomonas aeruginosa urinary isolates |
| title_full_unstemmed | Phenotypic and genotypic within-host diversity of Pseudomonas aeruginosa urinary isolates |
| title_short | Phenotypic and genotypic within-host diversity of Pseudomonas aeruginosa urinary isolates |
| title_sort | phenotypic and genotypic within host diversity of pseudomonas aeruginosa urinary isolates |
| url | https://doi.org/10.1038/s41598-022-09234-5 |
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