A relationship between antibiotic resistance and biological properties of Enterococcus faecalis isolated from children with urinary tract infection


DOI: https://dx.doi.org/10.18565/epidem.2018.4.39-44

Zaitseva E.A., Melnikova E.A., Komenkova T.S., Luchaninova V.N., Turyansky A.I.

1 Pacific State Medical University, Ministry of Health of Russia, Vladivostok, Russia; 2 Territorial Children’s Clinical Hospital One, Vladivostok, Russia; 3 I.I. Mechnikov North-Western State Medial University, Ministry of Health of Russia, Saint Petersburg, Russia; 4 Primorye Territorial Clinical Hospital One, Vladivostok, Russia
Objective. To identify the phenotypic characteristics of biological properties of antibiotic-resistant clinically relevant E. faecalis.
Materials and methods. E. faecalis cultures (n = 71) isolated from the urine samples of children with urinary tract infection were investigated during the study. The biological properties of enterococci were studied by classical microbiological techniques. The sensitivity of enterococci to antimicrobial agents was determined by the disc-diffusion method. The findings were statistically processed using the applied Statistica 10.0 software package.
Results. The majority of the enterococcal cultures tested had polyantibiotic resistance. A relationship was established between the sensitivity of E. faecalis to antimicrobial agents and its biological properties. Uropathogenic enterococci that had proteolytic activity were resistant to many antibacterial drugs with different mechanisms of action. E. faecalis resistant to linezolid and chloramphenicol had a great pathogenic potential (gelatinase, lecithinase and lipolytic activities).
Conclusions. E. faecalis isolated from the urine of children with urinary tract infection have polyantibiotic resistance and certain phenotypic manifestations of biological properties. The set of biological properties of E. faecalis, which has been established in the investigation, can serve as an in vitro diagnostic marker for its resistance to certain groups of antibacterial drugs.

Literature


1. Chang S.L., Shortliffe L.D. Pediatric urinary tract infections. Pediatr. Clin. N. Am. 2006; (53): 379–400.

2. Vyalkova A.A., Zykova L.S., Plotnikova S.V., Gordienko L.M., Ustinova O.O. [The use of cephalosporins in the treatment of urinary tract infection in children]. Pediatrics (Suppl. Consilium Medicum). 2017; 2: 43–50. (In Russ.).

3. Zagrubina A.N., Kalmykova A.S, Murav’eva V.N. [Monitoring of the sensitivity of infectious agents of the urinary tract infection in children of the first five years of life in the city of Stavropol]. Meditsinskiy vestnik Severnogo Kavkaza 2012; 25(1): 29–32. (In Russ.).

4. Lezhenko G.A., Pashkova E.E., Petrashina E.N., Rudova E.I. [Investigation of the bacterial spectrum of pathogens of urinary tract infection as a pledge of rational antibacterial therapy in children]. Zdorovye rebenka 2016; 75(7): 35–40. (In Russ.).

5. Skep’yan E.N., Vasilevskу I.V., Toptun P.D. [Analysis of the spectrum of pathogens of urinary tract infections and their sensitivity to antimicrobial medicines in children in the outpatient stage]. Meditsinskaya panorama 2013; (8): 35–8. (In Russ.).

6. Perepanova T.S., Kozlov R.S., Rudnov V.A., Sinyakova L.А. [Antimicrobial therapy and prevention of infection of the kidneys, urinary tract and male genital organs. Federal clinical recommendations]. Moscow, 2015. 72 p. (In Russ.).

7. Loyman E.. A.N. Tsygin A.N.. Sarkisyan A.A. (eds). [Pediatric nephrology: a practical guide]. Moscow: Littera, 2010. 400 p. (In Russ.).

8. Chugunova O.L., Shumihina M.V., Dumova S.V. [Modern concepts of urinary tract infection in newborns and young children]. Effectivnaya pharmacotherapiya 2013; 42: 38–47. (In Russ.).

9. Zaytseva E.A., Krukovich E.V., Melnikova E.A., Luchaninova V.N., Komenkova T.S., Vaysero N.S. [The role of pathogenicity factors of Enterococcus faecalis in the development of pyelonephritis in children]. Tikhookeanskiy meditsinskiy zhurnal 2017; (2): 58–61. (In Russ.).

10. Komenkova T.S., Zaytseva E.A., Melnikova E.A. [Phenotypic characteristics of pathogenicity factors of uropathogenic Enterococcus faecalis isolated from children]. Problemy meditsinskoy mikologii 2017; 19(2): 84–5. (In Russ.).

11. Baranov A.A. [Federal clinical recommendations for the Provision of Medical Care to Children with Urinary Tract Infection. Union of Pediatricians of Russia, 2015]. URL: https://ab.rumedo.ru/wp-content/uploads/2016/pdf/ (In Russ.).

12. Gilbert D.N., Chambers G.F., Eliopoulous J.M. et al. (eds). [Antimicrobial therapy according to Jay Sanford]. Moscow: GRANAT, 2016. 688 p. (In Russ.).

13. Козлов Р.С., Дехнич А.В. (ред.). Справочник по антимикробной терапии. Вып. 3. Смоленск: МАКМАХ, 2013. 479 с.

14. Miller W.R., Munita J.M., Arias C.A. Mechanisms of antibiotic resistance in enterococci. Expert. Rev. Anti-Infect. Ther. 2014; 12(10): 1221–36.

15. Banerjee T., Anupurba Sh. Prevalence of virulence factors and drug resistance in clinical isolates of Enterococci: a study from North India. J. Pathogenes. 2015. DOI: 10.1155/2015/692612

16. Mete E., Kaleli I., Cevahir N. et al. Evalution of virulence factors in Enterococcus species. Mikrobiyol. Bul. 2017; 51(2): 101–14.

17. Padilla C., Lobos O. Virulence, bacteriocin genes and antibacterial susceptibility in Enterococcus faecalis strains isolated from water wells for human consuptision. Springerplu 2013; 2 (1): 43. DOI: 10.1186/2193-1801-2–43. URL: http://www.springerplus.com/content/2/1/43

18. Shahraki Sh., Nezhad Mousavi M.R. Determination of virulence factors in clinical multidrug resistance Enterococci isolates at Southeast of Iran. Jundishapur J. Microbiology. 2017; 10(5): 45514. DOI: 10.5812/jim 4514

For citations: Zaitseva E.A., Melnikova E.A., Komenkova T.S., Luchaninova V.N., Turyansky A.I. A relationship between antibiotic resistance and biological properties of Enterococcus faecalis isolated from children with urinary tract infection. Èpidemiologiâ i infekcionnye bolezni. Аktual’nye voprosy 2018; (4):39–44 (In Russ.).


About the Autors


Elena A. Zaitseva, МD, МD, Associate Professor, Leading Researcher, Central Research Laboratory, Pacific State Medical University, Ministry of Health of Russia, Vladivostok, Russia;
е-mail: elza200707@mail.ru; ORCID: http://orcid.org/0000-0002-2625-8275
Elena A. Melnikova, Head, Regional Children’s Uronephrology Center, Territorial Children’s Clinical Hospital One; Assistant Lecturer, Department of Nursing and Social Work, Pacific State Medical University, Ministry of Health of Russia, Vladivostok, Russia; e-mail: melnikova.uro@ yandex.ru; ORCID: http://orcid.org/0000-0002-4253-2182
Tatiana S. Komenkova, Postgraduate Student, Pacific State Medical University, Ministry of Health of Russia, Vladivostok, Russia; e-mail: atstl@mail.ru; ORCID: http://orcid.org/0000-0001-5841-0369
Valentina N. Luchaninova, MD, Professor, I.I. Mechnikov North-Western State Medical University, Saint-Petersburg; e-mail: lvaln@mail.ru; ORCID: http://orcid.org/0000-0003-1910-6510
Anatoly I. Turyansky, Postgraduate Student, Pacific State Medical University, Ministry of Health of Russia; Urologist, Primorye Territorial Clinical Hospital One, Vladivostok Russia; e-mail: vlanatolii1@mail.ru; ORCID: http://orcid.org/0000-0003-2303-613X


Similar Articles


Бионика Медиа