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An ST131 clade and a phylogroup A clade bearing an O101-like O-antigen cluster predominate among bloodstream Escherichia coli isolates from South-West Nigeria hospitals.


ABSTRACT: Escherichia coli bloodstream infections are typically attributed to a limited number of lineages that carry virulence factors associated with invasiveness. In Nigeria, the identity of circulating clones is largely unknown and surveillance of their antimicrobial resistance has been limited. We verified and whole-genome sequenced 68 2016-2018 bloodstream E. coli isolates from three sentinel sites in South-Western Nigeria and susceptibility tested 67 of them. Resistance to antimicrobials commonly used in Nigeria was high, with 67 (100 %), 62 (92.5 %), 53 (79.1 %) and 37 (55.2 %) showing resistance to trimethoprim, ampicillin, ciprofloxacin and aminoglycosides, respectively. Thirty-five (51 %) isolates carried extended-spectrum β-lactamase genes and 32 (91 %) of these were multidrug resistant. All the isolates were susceptible to carbapenems and colistin. The strain set included globally disseminated high-risk clones from sequence type (ST)12 (2), ST131 (12) and ST648 (4). Twenty-three (33.8 %) of the isolates clustered within two clades. The first of these consisted of ST131 strains, comprising O16:H5 and O25:H4 sub-lineages. The second was an ST10-ST167 complex clade comprising strains carrying O-antigen and capsular genes of likely Klebsiella origin, identical to those of avian pathogenic E. coli Sanji, and serotyped in silico as O89, O101 or ONovel32, depending on the tool used. Four temporally associated ST90 strains from one sentinel were closely related enough to suggest that at least some of them represented a retrospectively detected outbreak cluster. Our data implicate a broad repertoire of E. coli isolates associated with bloodstream infections in South-West Nigeria. Continued genomic surveillance is valuable for tracking clones of importance and for outbreak identification.

SUBMITTER: Afolayan AO 

PROVIDER: S-EPMC9837563 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature

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An ST131 clade and a phylogroup A clade bearing an O101-like O-antigen cluster predominate among bloodstream <i>Escherichia coli</i> isolates from South-West Nigeria hospitals.

Afolayan Ayorinde O AO   Aboderin A Oladipo AO   Oaikhena Anderson O AO   Odih Erkison Ewomazino EE   Ogunleye Veronica O VO   Adeyemo Adeyemi T AT   Adeyemo Abolaji T AT   Bejide Oyeniyi S OS   Underwood Anthony A   Argimón Silvia S   Abrudan Monica M   Egwuenu Abiodun A   Ihekweazu Chikwe C   Aanensen David M DM   Okeke Iruka N IN  

Microbial genomics 20221201 12


<i>Escherichia coli</i> bloodstream infections are typically attributed to a limited number of lineages that carry virulence factors associated with invasiveness. In Nigeria, the identity of circulating clones is largely unknown and surveillance of their antimicrobial resistance has been limited. We verified and whole-genome sequenced 68 2016-2018 bloodstream <i>E. coli</i> isolates from three sentinel sites in South-Western Nigeria and susceptibility tested 67 of them. Resistance to antimicrobi  ...[more]

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