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High prevalence of multidrug-resistant Escherichia coli isolates from children with and without diarrhoea and their susceptibility to the antibacterial activity of extracts/fractions of fruits native to Mexico.

Abstract This paper aims to evaluate the antimicrobial resistance of Esherichia coli isolates from children under 5 years old, with and without diarrhoea, who were hospital outpatients in Culiacan, Sinaloa, Mexico. It also looks at the antimicrobial activity of fruit extracts against selected multidrug-resistant (MDR) E. coli strains.
PMID
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Authors

Mayor MeshTerms

Drug Resistance, Multiple, Bacterial

Keywords
Journal Title journal of medical microbiology
Publication Year Start




PMID- 28742000
OWN - NLM
STAT- MEDLINE
DA  - 20170725
DCOM- 20170809
LR  - 20170809
IS  - 1473-5644 (Electronic)
IS  - 0022-2615 (Linking)
VI  - 66
IP  - 7
DP  - 2017 Jul
TI  - High prevalence of multidrug-resistant Escherichia coli isolates from children
      with and without diarrhoea and their susceptibility to the antibacterial activity
      of extracts/fractions of fruits native to Mexico.
PG  - 972-980
LID - 10.1099/jmm.0.000548 [doi]
AB  - PURPOSE: This paper aims to evaluate the antimicrobial resistance of Esherichia
      coli isolates from children under 5 years old, with and without diarrhoea, who
      were hospital outpatients in Culiacan, Sinaloa, Mexico. It also looks at the
      antimicrobial activity of fruit extracts against selected multidrug-resistant
      (MDR) E. coli strains. METHODOLOGY: A total of 205 E. coli isolates from stool
      samples were collected from 94 children under 5 years old who were outpatients
      from two hospitals in the city of Culiacan, Sinaloa, Mexico, during the
      autumn/winter of 2003/04; their resistance profiles to 19 commercial
      antimicrobials were investigated using the Kirby-Bauer method. The antibacterial 
      activities of extracts/fractions of fruits (i.e. uvalama, Vitex mollis; ayale,
      Crescentia alata; and arrayan, Psidium sartorianum) were evaluated using the
      broth microdilution method. RESULTS: All E. coli isolates were susceptible to
      amikacin, nitrofurantoin and meropenem, and approximately 96 % were resistant to 
      at least one antimicrobial, especially carbenicillin (93.2 %), cefuroxime sodium 
      (53.7 %), ampicillin (40 %) and trimethoprim/sulfamethoxazole (35.1 %). Likewise,
      the frequency of MDR strains (44.9 %) was high, and no significant association
      with diarrhoea symptoms was found. Remarkably, all fruit extracts/fractions
      showed antibacterial activity against some, but not all, MDR isolates. The lowest
      minimal inhibitory concentration values were for the hexane fraction of arrayan
      (0.25 mg ml-1). CONCLUSION: A high number of antimicrobial-resistant E. coli
      (especially to beta-lactams and sulfonamides) and MDR isolates were detected in
      children under 5 years old, irrespective of diarrhoea symptoms; this is novel
      information for Culiacan, Sinaloa, Mexico. Moreover, our results showed that the 
      studied fruit extracts/fractions are potential alternative or complementary
      treatments for MDR E. coli strains.
FAU - Uribe-Beltran, Magdalena de Jesus
AU  - Uribe-Beltran MJ
AD  - 1School of Chemical and Biological Sciences, Autonomous University of Sinaloa,
      Ciudad Universitaria, Culiacan, Sinaloa, Mexico.
FAU - Ahumada-Santos, Yesmi Patricia
AU  - Ahumada-Santos YP
AD  - 1School of Chemical and Biological Sciences, Autonomous University of Sinaloa,
      Ciudad Universitaria, Culiacan, Sinaloa, Mexico.
FAU - Diaz-Camacho, Sylvia Paz
AU  - Diaz-Camacho SP
AD  - 1School of Chemical and Biological Sciences, Autonomous University of Sinaloa,
      Ciudad Universitaria, Culiacan, Sinaloa, Mexico.
FAU - Eslava-Campos, Carlos Alberto
AU  - Eslava-Campos CA
AD  - 2School of Medicine, National Autonomous University of Mexico, Ciudad
      Universitaria, Coyoacan, 04510 Ciudad de Mexico, Mexico 3Laboratory of Bacterial 
      Pathogenicity, Hemato Oncology and Research Unit, Hospital Infantil de Mexico
      Federico Gomez, 06720 Ciudad de Mexico, Mexico.
FAU - Reyes-Valenzuela, Jesus Ernesto
AU  - Reyes-Valenzuela JE
AD  - 1School of Chemical and Biological Sciences, Autonomous University of Sinaloa,
      Ciudad Universitaria, Culiacan, Sinaloa, Mexico.
FAU - Baez-Flores, Maria Elena
AU  - Baez-Flores ME
AD  - 1School of Chemical and Biological Sciences, Autonomous University of Sinaloa,
      Ciudad Universitaria, Culiacan, Sinaloa, Mexico.
FAU - Osuna-Ramirez, Ignacio
AU  - Osuna-Ramirez I
AD  - 1School of Chemical and Biological Sciences, Autonomous University of Sinaloa,
      Ciudad Universitaria, Culiacan, Sinaloa, Mexico.
FAU - Delgado-Vargas, Francisco
AU  - Delgado-Vargas F
AD  - 1School of Chemical and Biological Sciences, Autonomous University of Sinaloa,
      Ciudad Universitaria, Culiacan, Sinaloa, Mexico.
LA  - eng
PT  - Journal Article
DEP - 20170726
PL  - England
TA  - J Med Microbiol
JT  - Journal of medical microbiology
JID - 0224131
RN  - 0 (Anti-Bacterial Agents)
RN  - 0 (Plant Extracts)
SB  - IM
MH  - Anti-Bacterial Agents/*pharmacology
MH  - Bignoniaceae/chemistry
MH  - Carrier State/epidemiology/*microbiology
MH  - Child, Preschool
MH  - Diarrhea/epidemiology/*microbiology
MH  - *Drug Resistance, Multiple, Bacterial
MH  - Escherichia coli/*drug effects/isolation & purification
MH  - Escherichia coli Infections/epidemiology/*microbiology
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - Mexico
MH  - Microbial Sensitivity Tests
MH  - Plant Extracts/*pharmacology
MH  - Prevalence
MH  - Psidium/chemistry
MH  - Vitex/chemistry
EDAT- 2017/07/26 06:00
MHDA- 2017/08/10 06:00
CRDT- 2017/07/26 06:00
AID - 10.1099/jmm.0.000548 [doi]
PST - ppublish
SO  - J Med Microbiol. 2017 Jul;66(7):972-980. doi: 10.1099/jmm.0.000548. Epub 2017 Jul
      26.