The Frequency of Enteroaggregative Escherichia Coli and Important Virulence Genes Isolated from Children with Diarrhea

Background: Enteroaggregative Escherichia coli (EAEC) has recently been identified as the cause of epidemic and endemic chronic watery diarrhea worldwide, especially in developing countries. The aim of this study was to determine the frequency of this strain and its important virulence genes in diar...

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Main Authors: Tahereh Alipour, Farkhondeh Poursina
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2021-03-01
Series:مجله دانشکده پزشکی اصفهان
Subjects:
Online Access:http://jims.mui.ac.ir/index.php/jims/article/view/13756
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author Tahereh Alipour
Farkhondeh Poursina
author_facet Tahereh Alipour
Farkhondeh Poursina
author_sort Tahereh Alipour
collection DOAJ
description Background: Enteroaggregative Escherichia coli (EAEC) has recently been identified as the cause of epidemic and endemic chronic watery diarrhea worldwide, especially in developing countries. The aim of this study was to determine the frequency of this strain and its important virulence genes in diarrhea samples. Methods: This study was performed on 80 Escherichia coli isolates from children with diarrhea referred to Imam Hossein hospital, Isfahan, Iran. The bacteria were confirmed using biochemical tests and multiplex polymerase chain reaction (multiplex PCR) was performed to detect aggR, aap, aatA genes in EAEC strains. Findings: The frequency of EAEC was 21 (26.6%). According to multiplex PCR results, the aggR, aap, and aatA genes were detected in 21 (100%), 7 (33%), and 3 (14.3%) of strains, respectively. Moreover, 7 strains (33.3%) harbored two aggR and aap genes, 3 (14.3%) carried the aatA and aggR genes, and aatA and aap genes were presented in 2 strains (9.5%). None of the strains had 3 genes simultaneously. Conclusion: This study provides the first report of a relatively high frequency of typical EAEC strains in children under 5 years of age with symptoms of diarrheal disease in Isfahan. Moreover, we found that the EAEC strains not only exhibited high frequency, but also showed a high frequency of carrying virulence genes especially aggR that indicated the importance of identifying this strain in patients showing the symptoms of acute and chronic diarrhea, especially in our country, as the diagnosis of this strain is not done routinely.
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spelling doaj.art-6be979d0f46f49f3981c7c3520fec2202023-08-02T03:22:10ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2021-03-0139609131910.22122/jims.v39i609.137563769The Frequency of Enteroaggregative Escherichia Coli and Important Virulence Genes Isolated from Children with DiarrheaTahereh Alipour0Farkhondeh Poursina1MSc Student, Department of Bacteriology and Virology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranAssistant Professor, Department of Bacteriology and Virology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranBackground: Enteroaggregative Escherichia coli (EAEC) has recently been identified as the cause of epidemic and endemic chronic watery diarrhea worldwide, especially in developing countries. The aim of this study was to determine the frequency of this strain and its important virulence genes in diarrhea samples. Methods: This study was performed on 80 Escherichia coli isolates from children with diarrhea referred to Imam Hossein hospital, Isfahan, Iran. The bacteria were confirmed using biochemical tests and multiplex polymerase chain reaction (multiplex PCR) was performed to detect aggR, aap, aatA genes in EAEC strains. Findings: The frequency of EAEC was 21 (26.6%). According to multiplex PCR results, the aggR, aap, and aatA genes were detected in 21 (100%), 7 (33%), and 3 (14.3%) of strains, respectively. Moreover, 7 strains (33.3%) harbored two aggR and aap genes, 3 (14.3%) carried the aatA and aggR genes, and aatA and aap genes were presented in 2 strains (9.5%). None of the strains had 3 genes simultaneously. Conclusion: This study provides the first report of a relatively high frequency of typical EAEC strains in children under 5 years of age with symptoms of diarrheal disease in Isfahan. Moreover, we found that the EAEC strains not only exhibited high frequency, but also showed a high frequency of carrying virulence genes especially aggR that indicated the importance of identifying this strain in patients showing the symptoms of acute and chronic diarrhea, especially in our country, as the diagnosis of this strain is not done routinely.http://jims.mui.ac.ir/index.php/jims/article/view/13756childrendiarrheaenteroaggregative escherichia coligenesmultiplex polymerase chain reaction
spellingShingle Tahereh Alipour
Farkhondeh Poursina
The Frequency of Enteroaggregative Escherichia Coli and Important Virulence Genes Isolated from Children with Diarrhea
مجله دانشکده پزشکی اصفهان
children
diarrhea
enteroaggregative escherichia coli
genes
multiplex polymerase chain reaction
title The Frequency of Enteroaggregative Escherichia Coli and Important Virulence Genes Isolated from Children with Diarrhea
title_full The Frequency of Enteroaggregative Escherichia Coli and Important Virulence Genes Isolated from Children with Diarrhea
title_fullStr The Frequency of Enteroaggregative Escherichia Coli and Important Virulence Genes Isolated from Children with Diarrhea
title_full_unstemmed The Frequency of Enteroaggregative Escherichia Coli and Important Virulence Genes Isolated from Children with Diarrhea
title_short The Frequency of Enteroaggregative Escherichia Coli and Important Virulence Genes Isolated from Children with Diarrhea
title_sort frequency of enteroaggregative escherichia coli and important virulence genes isolated from children with diarrhea
topic children
diarrhea
enteroaggregative escherichia coli
genes
multiplex polymerase chain reaction
url http://jims.mui.ac.ir/index.php/jims/article/view/13756
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