K1 Antigen Is Associated with Different AST Profile in <i>Escherichia coli</i>: A One-Month-Long Pilot Study

<i>Escherichia coli</i> is responsible for diseases of varying severity. The “K” antigen designates the capsular polysaccharides on the bacterial surface, which are mostly similar to those of highly pathogenic bacteria. The K1 antigen is often found in pathogenic <i>E. coli</i&g...

Full description

Bibliographic Details
Main Authors: Maelys Proquot, Lovasoa Najaraly Jamal, Chloe Plouzeau-Jayle, Anthony Michaud, Lauranne Broutin, Christophe Burucoa, Julie Cremniter, Maxime Pichon
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/9/9/1884
_version_ 1797518177057374208
author Maelys Proquot
Lovasoa Najaraly Jamal
Chloe Plouzeau-Jayle
Anthony Michaud
Lauranne Broutin
Christophe Burucoa
Julie Cremniter
Maxime Pichon
author_facet Maelys Proquot
Lovasoa Najaraly Jamal
Chloe Plouzeau-Jayle
Anthony Michaud
Lauranne Broutin
Christophe Burucoa
Julie Cremniter
Maxime Pichon
author_sort Maelys Proquot
collection DOAJ
description <i>Escherichia coli</i> is responsible for diseases of varying severity. The “K” antigen designates the capsular polysaccharides on the bacterial surface, which are mostly similar to those of highly pathogenic bacteria. The K1 antigen is often found in pathogenic <i>E. coli</i>. Aim: While the published studies on the AST profile of K1-positive <i>E. coli</i> have focused on pregnant women or newborns, this study aimed to characterize the AST profile of K1-positive <i>E. coli</i> independently of the clinical sample of isolation. Over a 4-week-long period, all patients hospitalized/consulting at the Poitiers University Hospital presenting a determined AST on <i>E. coli</i> were prospectively included to define their K1-status (Pastorex Meningitis) and to collect the clinical (age/sex) or biological metadata (AST/MIC). Among the 296 included samples, no differential representation was observed between K1 results regarding sample nature. K1-negative results were associated with multiple antibiotic-resistance (12.3% vs. 33.0%; <i>p</i> < 0.01). AST phenotypes differed between these groups, with a higher proportion of K1-negativity among resistant strains, especially on β-lactams (ureidopenicillin, 25.8% vs. 14.9%; and ampicillin/inhibitor, 50.0% vs. 26.8%; <i>p</i> < 0.05) or quinolone (19.8% vs. 7.0%) and sulfamethoxazole-trimethoprim (30.2% vs. 12.3%) (<i>p</i> < 0.01). This study analyzed <i>E. coli</i> ASTs in clinical samples of all types, regarding their K1-antigen status.
first_indexed 2024-03-10T07:25:30Z
format Article
id doaj.art-d0df31d797734ca88526206c54d76f0e
institution Directory Open Access Journal
issn 2076-2607
language English
last_indexed 2024-03-10T07:25:30Z
publishDate 2021-09-01
publisher MDPI AG
record_format Article
series Microorganisms
spelling doaj.art-d0df31d797734ca88526206c54d76f0e2023-11-22T14:18:35ZengMDPI AGMicroorganisms2076-26072021-09-0199188410.3390/microorganisms9091884K1 Antigen Is Associated with Different AST Profile in <i>Escherichia coli</i>: A One-Month-Long Pilot StudyMaelys Proquot0Lovasoa Najaraly Jamal1Chloe Plouzeau-Jayle2Anthony Michaud3Lauranne Broutin4Christophe Burucoa5Julie Cremniter6Maxime Pichon7Bacteriology and Infection Control Laboratory, Infectious Agents Department, University Hospital of Poitiers, 86021 Poitiers, FranceBacteriology and Infection Control Laboratory, Infectious Agents Department, University Hospital of Poitiers, 86021 Poitiers, FranceBacteriology and Infection Control Laboratory, Infectious Agents Department, University Hospital of Poitiers, 86021 Poitiers, FranceBacteriology and Infection Control Laboratory, Infectious Agents Department, University Hospital of Poitiers, 86021 Poitiers, FranceBacteriology and Infection Control Laboratory, Infectious Agents Department, University Hospital of Poitiers, 86021 Poitiers, FranceBacteriology and Infection Control Laboratory, Infectious Agents Department, University Hospital of Poitiers, 86021 Poitiers, FranceBacteriology and Infection Control Laboratory, Infectious Agents Department, University Hospital of Poitiers, 86021 Poitiers, FranceBacteriology and Infection Control Laboratory, Infectious Agents Department, University Hospital of Poitiers, 86021 Poitiers, France<i>Escherichia coli</i> is responsible for diseases of varying severity. The “K” antigen designates the capsular polysaccharides on the bacterial surface, which are mostly similar to those of highly pathogenic bacteria. The K1 antigen is often found in pathogenic <i>E. coli</i>. Aim: While the published studies on the AST profile of K1-positive <i>E. coli</i> have focused on pregnant women or newborns, this study aimed to characterize the AST profile of K1-positive <i>E. coli</i> independently of the clinical sample of isolation. Over a 4-week-long period, all patients hospitalized/consulting at the Poitiers University Hospital presenting a determined AST on <i>E. coli</i> were prospectively included to define their K1-status (Pastorex Meningitis) and to collect the clinical (age/sex) or biological metadata (AST/MIC). Among the 296 included samples, no differential representation was observed between K1 results regarding sample nature. K1-negative results were associated with multiple antibiotic-resistance (12.3% vs. 33.0%; <i>p</i> < 0.01). AST phenotypes differed between these groups, with a higher proportion of K1-negativity among resistant strains, especially on β-lactams (ureidopenicillin, 25.8% vs. 14.9%; and ampicillin/inhibitor, 50.0% vs. 26.8%; <i>p</i> < 0.05) or quinolone (19.8% vs. 7.0%) and sulfamethoxazole-trimethoprim (30.2% vs. 12.3%) (<i>p</i> < 0.01). This study analyzed <i>E. coli</i> ASTs in clinical samples of all types, regarding their K1-antigen status.https://www.mdpi.com/2076-2607/9/9/1884<i>Escherichia coli</i>K1 antigenvirulencematernal-fetal infectionantibiotic susceptibility testingresistance to antimicrobial agents
spellingShingle Maelys Proquot
Lovasoa Najaraly Jamal
Chloe Plouzeau-Jayle
Anthony Michaud
Lauranne Broutin
Christophe Burucoa
Julie Cremniter
Maxime Pichon
K1 Antigen Is Associated with Different AST Profile in <i>Escherichia coli</i>: A One-Month-Long Pilot Study
Microorganisms
<i>Escherichia coli</i>
K1 antigen
virulence
maternal-fetal infection
antibiotic susceptibility testing
resistance to antimicrobial agents
title K1 Antigen Is Associated with Different AST Profile in <i>Escherichia coli</i>: A One-Month-Long Pilot Study
title_full K1 Antigen Is Associated with Different AST Profile in <i>Escherichia coli</i>: A One-Month-Long Pilot Study
title_fullStr K1 Antigen Is Associated with Different AST Profile in <i>Escherichia coli</i>: A One-Month-Long Pilot Study
title_full_unstemmed K1 Antigen Is Associated with Different AST Profile in <i>Escherichia coli</i>: A One-Month-Long Pilot Study
title_short K1 Antigen Is Associated with Different AST Profile in <i>Escherichia coli</i>: A One-Month-Long Pilot Study
title_sort k1 antigen is associated with different ast profile in i escherichia coli i a one month long pilot study
topic <i>Escherichia coli</i>
K1 antigen
virulence
maternal-fetal infection
antibiotic susceptibility testing
resistance to antimicrobial agents
url https://www.mdpi.com/2076-2607/9/9/1884
work_keys_str_mv AT maelysproquot k1antigenisassociatedwithdifferentastprofileiniescherichiacoliiaonemonthlongpilotstudy
AT lovasoanajaralyjamal k1antigenisassociatedwithdifferentastprofileiniescherichiacoliiaonemonthlongpilotstudy
AT chloeplouzeaujayle k1antigenisassociatedwithdifferentastprofileiniescherichiacoliiaonemonthlongpilotstudy
AT anthonymichaud k1antigenisassociatedwithdifferentastprofileiniescherichiacoliiaonemonthlongpilotstudy
AT laurannebroutin k1antigenisassociatedwithdifferentastprofileiniescherichiacoliiaonemonthlongpilotstudy
AT christopheburucoa k1antigenisassociatedwithdifferentastprofileiniescherichiacoliiaonemonthlongpilotstudy
AT juliecremniter k1antigenisassociatedwithdifferentastprofileiniescherichiacoliiaonemonthlongpilotstudy
AT maximepichon k1antigenisassociatedwithdifferentastprofileiniescherichiacoliiaonemonthlongpilotstudy