Abstract
In recent years, there have been several pandemics of E. coli strains which are highly virulent and antibiotics resistant. Here, we discuss one recent pandemic strain, ST131. These E. coli strains are members of the virulence-associated phylogenetic group B2 and exhibit extraintestinal virulence factors, including various adhesins, toxins, siderophores, and protectins. This group often also harbors a diverse range of antimicrobial resistance types and mechanisms and may have particular metabolic capacities that enable it to colonize many individuals asymptomatically, while out competing other E. coli strains. Here, we discuss this clonal group in the context of other pathogenic E. coli and focus on its specific characteristics in terms of resistance, virulence, and metabolism.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Banerjee R, Johnson JR (2014) A new clone sweeps clean: the enigmatic emergence of Escherichia coli sequence type 131. Antimicrob Agents Chemother 58(9):4997–5004
Banerjee R et al (2013a) Escherichia coli sequence type 131 is a dominant, antimicrobial-resistant clonal group associated with healthcare and elderly hosts. Infect Control Hosp Epidemiol 34(4):361–369
Banerjee R et al (2013b) Molecular epidemiology of Escherichia coli sequence type 131 and Its H30 and H30-Rx subclones among extended-spectrum-beta-lactamase-positive and -negative E. coli clinical isolates from the Chicago Region, 2007–2010. Antimicrob Agents Chemother 57(12):6385–6388
Banerjee R et al (2013c) The clonal distribution and diversity of extraintestinal Escherichia coli isolates vary according to patient characteristics. Antimicrob Agents Chemother 57(12):5912–5917
Begum N, Shamsuzzaman S (2016) Emergence of CTX-M-15 producing E. coli O25b-ST131 clone in a tertiary care hospital of Bangladesh. Malays J Pathol 38(3):241
Blanco J et al (2013) Four main virotypes among extended-spectrum-β-lactamase-producing isolates of Escherichia coli O25b: H4-B2-ST131: bacterial, epidemiological, and clinical characteristics. J Clin Microbiol 51(10):3358–3367
Bonnet R (2003) Growing group of extended-spectrum-lactamases: the CTX-M enzymes. Antimicrob Agents Chemother 48(1):1–14
Chattaway MA et al (2016) Fluoroquinolone-resistant enteric bacteria in Sub-Saharan Africa: clones, implications and research needs. Front Microbiol 7:558
Claesson MJ et al (2012) Gut microbiota composition correlates with diet and health in the elderly. Nature 488(7410):178–184
Clermont O, Bonacorsi S, Bingen E (2000) Rapid and simple determination of theEscherichia coli phylogenetic group. Appl Environ Microbiol 66(10):4555–4558
Clermont O et al (2008) The CTX-M-15-producing Escherichia coli diffusing clone belongs to a highly virulent B2 phylogenetic subgroup. J Antimicrob Chemother 61(5):1024–1028
Coelho A et al (2011) Spread of Escherichia coli O25b:H4-B2-ST131 producing CTX-M-15 and SHV-12 with high virulence gene content in Barcelona (Spain). J Antimicrob Chemother 66(3):517–526
Coque TM (2008) Dissemination of clonally related Escherichia coli strains expressing extended-spectrum β-Lactamase CTX-M-15. Emer Infect Dis J-CDC 14(2)
Cortes P et al (2010) Isolation and characterization of potentially pathogenic antimicrobial-resistant Escherichia coli strains from chicken and pig farms in Spain. Appl Environ Microbiol 76(9):2799–2805
Dahbi G et al (2013) Emergence of new variants of ST131 clonal group among extraintestinal pathogenic Escherichia coli producing extended-spectrum beta-lactamases. Int J Antimicrob Agents 42(4):347–351
Ebrahimi F et al (2016) Asymptomatic faecal carriage of ESBL producing enterobacteriaceae in Hungarian healthy individuals and in long-term care applicants: a shift towards CTX-M producers in the community. Infect Dis (Lond) 48(7):557–559
Eckburg PB et al (2005) Diversity of the human intestinal microbial flora. science. 308(5728):1635–1638
Eibach D et al (2016) Extended spectrum beta-lactamase producing Enterobacteriaceae causing bloodstream infections in rural Ghana, 2007-2012. Int J Med Microbiol 306(4):249–254
Elixhauser A, Friedman B, Stranges E (2006) Septicemia in US hospitals, 2009: statistical brief# 122. 2006: Agency for Health Care Policy and Research (US), Rockville (MD)
Ewers C et al (2010) Emergence of human pandemic O25:H4-ST131 CTX-M-15 extended-spectrum-beta-lactamase-producing Escherichia coli among companion animals. J Antimicrob Chemother 65(4):651–660
Gibreel TM et al (2012) High metabolic potential may contribute to the success of ST131uropathogenicEscherichia coli. J Clin Microbiol p. JCM. 01423–12
Giufrè M et al (2017) Colonization by multidrug-resistant organisms in long-term care facilities in Italy: a point-prevalence study. Clin Microbiol Infect
Green SI et al (2017) Bacteriophages from ExPEC Reservoirs Kill Pandemic Multidrug-Resistant Strains of Clonal Group ST131 in Animal Models of Bacteremia. Scientific Reports, vol 7
Guenther S et al (2010) Detection of pandemic B2-O25-ST131 Escherichia coli harbouring the CTX-M-9 extended-spectrum beta-lactamase type in a feral urban brown rat (Rattus norvegicus). J Antimicrob Chemother 65(3):582–584
Guo S et al (2013) Fluoroquinolone-resistant extraintestinal pathogenic Escherichia coli, including O25b-ST131, isolated from faeces of hospitalized dogs in an Australian veterinary referral centre. J Antimicrob Chemother 68(5):1025–1031
Hernandez J et al (2010) Globally disseminated human pathogenic Escherichia coli of O25b-ST131 clone, harbouring blaCTX-M-15, found in Glaucous-winged gull at remote Commander Islands, Russia. Environ Microbiol Rep 2(2):329–332
Hristea A et al (2015) Characterization of ESBL-producing Escherichia coli and Klebsiella pneumoniae from bloodstream infections in three hospitals in Bucharest, Romania: a preliminary study. Infect Dis (Lond) 47(1):46–51
Jackson LA et al (2005) Burden of community-onset Escherichia coli bacteremia in seniors. J Infect Dis 191(9):1523–1529
Johnson JR, Russo TA (2002) Extraintestinal pathogenic Escherichia coli: “The other bad E coli”. J Lab Clin Med 139(3):155–162
Johnson JR, Stell AL (2000) Extended virulence genotypes of Escherichia coli strains from patients with urosepsis in relation to phylogeny and host compromise. J Infect Dis 181(1):261–272
Johnson JR et al (2009) Sharing of Escherichia coli sequence type ST131 and other multidrug-resistant and Urovirulent E. coli strains among dogs and cats within a household. J Clin Microbiol 47(11):3721–3725
Johnson JR et al (2010) Escherichia coli sequence type ST131 as the major cause of serious multidrug-resistant E. coli infections in the United States. Clin Infect Dis 51(3):286–294
Johnson JR et al (2012a) Comparison of Escherichia coli ST131 pulsotypes, by epidemiologic traits, 1967–2009. Emerg Infect Dis 18(4):598–607
Johnson JR et al (2012b) Virulence of Escherichia coli clinical isolates in a murine sepsis model in relation to sequence type ST131 status, fluoroquinolone resistance, and virulence genotype. Infect Immun 80(4):1554–1562
Johnson JR et al (2013) Abrupt emergence of a single dominant multidrug-resistant strain of Escherichia coli. J Infect Dis 207(6):919–928
Johnson JR et al (2014) Rapid and specific detection, molecular epidemiology, and experimental virulence of the O16 subgroup within Escherichia coli sequence type 131. J Clin Microbiol 52(5):1358–1365
Johnson JR et al (2016) The Pandemic H30 Subclone of Escherichia coli Sequence Type 131 Is Associated With Persistent Infections and Adverse Outcomes Independent From Its Multidrug Resistance and Associations With Compromised Hosts. Clin Infect Dis 62(12):1529–1536
Kaper JB, Nataro JP, Mobley HL (2004) Pathogenic Escherichia coli. Nat Rev Microbiol 2(2):123–140
De Kraker M et al (2013) The changing epidemiology of bacteraemias in Europe: trends from the European antimicrobial resistance surveillance system. Clin Microbiol Infect 19(9):860–868
Lange D et al (2009) Bacterial sepsis after prostate biopsy—a new perspective. Urology 74(6):1200–1205
Lavigne JP et al (2012) Virulence potential and genomic mapping of the worldwide clone Escherichia coli ST131. PLoS ONE 7(3):e34294
Leflon-Guibout V et al (2008) Absence of CTX-M enzymes but high prevalence of clones, including clone ST131, among fecal Escherichia coli isolates from healthy subjects living in the area of Paris, France. J Clin Microbiol 46(12):3900–3905
Markovska R et al (2017) Isolation of Escherichia coli ST131 producing KPC-2 in Bulgaria. Infect Dis (Lond) 49(5):429–431
Martinez-Medina M et al (2009) Similarity and divergence among adherent-invasive Escherichia coli and extraintestinal pathogenic E. coli strains. J Clin Microbiol 47(12):3968–3979
Mathers AJ, Peirano G, Pitout JD (2015) The role of epidemic resistance plasmids and international high-risk clones in the spread of multidrug-resistant Enterobacteriaceae. Clin Microbiol Rev 28(3):565–591
McNally A et al (2016) Combined analysis of variation in core, accessory and regulatory genome regions provides a super-resolution view into the evolution of bacterial populations. PLoS Genet 12(9):e1006280
Mora A et al (2010) Recent emergence of clonal group O25b:K1:H4-B2-ST131 ibeA strains among Escherichia coli poultry isolates, including CTX-M-9-producing strains, and comparison with clinical human isolates. Appl Environ Microbiol 76(21):6991–6997
Mora A et al (2014) Virulence patterns in a murine sepsis model of ST131 Escherichia coli clinical isolates belonging to serotypes O25b:H4 and O16:H5 are associated to specific virotypes. PLoS ONE 9(1):e87025
Morales-Barroso I et al (2017) Bacteraemia due to non-ESBL-producing Escherichia coli O25b:H4 sequence type 131: insights into risk factors, clinical features and outcomes. Int J Antimicrob Agents
Nguyen HB et al (2006) Severe sepsis and septic shock: review of the literature and emergency department management guidelines. Ann Emerg Med 48(1):28–54
Nicolas-Chanoine MH et al (2008) Intercontinental emergence of Escherichia coli clone O25:H4-ST131 producing CTX-M-15. J Antimicrob Chemother 61(2):273–281
Nicolas-Chanoine MH, Bertrand X, Madec JY (2014) Escherichia coli ST131, an intriguing clonal group. Clin Microbiol Rev 27(3):543–574
Nordmann P, Poirel L (2014) The difficult-to-control spread of carbapenemase producers among Enterobacteriaceae worldwide. Clin Microbiol Infect 20(9):821–830
Novais A et al (2012) Characterization of globally spread Escherichia coli ST131 isolates (1991–2010). Antimicrob Agents Chemother 56(7):3973–3976
Ørskov F, Ørskov I (1984) 2 Serotyping of Escherichia coli. Methods Microbiol 14:43–112
Ouedraogo AS et al (2016) High prevalence of extended-spectrum ss-lactamase producing enterobacteriaceae among clinical isolates in Burkina Faso. BMC Infect Dis 16:326
Peirano G, Pitout JD (2014) Fluoroquinolone-resistant Escherichia coli sequence type 131 isolates causing bloodstream infections in a canadian region with a centralized laboratory system: rapid emergence of the H30-Rx sublineage. Antimicrob Agents Chemother 58(5):2699–2703
Peirano G et al (2010) High prevalence of ST131 isolates producing CTX-M-15 and CTX-M-14 among extended-spectrum-beta-lactamase-producing Escherichia coli isolates from Canada. Antimicrob Agents Chemother 54(3):1327–1330
Peirano G et al (2014a) Global incidence of carbapenemase-producing Escherichia coli ST131. Emerg Infect Dis 20(11):1928–1931
Peirano G et al (2014b) Characteristics of Escherichia coli sequence type 131 isolates that produce extended-spectrum β-lactamases: global distribution of the H30-Rx sublineage. Antimicrob Agents Chemother 58(7):3762–3767
Pitout JD et al (2005) Emergence of Enterobacteriaceae producing extended-spectrum beta-lactamases (ESBLs) in the community. J Antimicrob Chemother 56(1):52–59
Pitout JDD, Laupland KB (2008) Extended-spectrum β-lactamase-producing Enterobacteriaceae: an emerging public-health concern. Lancet Infect Dis 8(3):159–166
Platell JL et al (2011) Commonality among fluoroquinolone-resistant sequence type ST131 extraintestinal Escherichia coli isolates from humans and companion animals in Australia. Antimicrob Agents Chemother 55(8):3782–3787
Pomba C et al (2009) Detection of the pandemic O25-ST131 human virulent Escherichia coli CTX-M-15-producing clone harboring the qnrB2 and aac(6′)-Ib-cr genes in a dog. Antimicrob Agents Chemother 53(1):327–328
Poolman JT, Wacker M (2016) Extraintestinal pathogenic Escherichia coli, a common human pathogen: challenges for vaccine development and progress in the field. J Infect Dis 213(1):6–13
Poolman JT, Wacker M (2015) Extra-intestinal pathogenic Escherichia coli (ExPEC), a common human pathogen: challenges for vaccine development and progress in the field. J Infect Dis jiv429
Pouillot F et al (2012) Efficacy of bacteriophage therapy in experimental sepsis and meningitis caused by a clone O25b: H4-ST131 Escherichia coli strain producing CTX-M-15. Antimicrob Agents Chemother 56(7):3568–3575
Price LB et al (2013) The epidemic of extended-spectrum-beta-lactamase-producing Escherichia coli ST131 is driven by a single highly pathogenic subclone, H30-Rx. MBio 4(6):e00377-13
Rasko DA et al (2011) Origins of the E. coli strain causing an outbreak of hemolytic–uremic syndrome in Germany. N Engl J Med 365(8):709–717
Rogers BA, Sidjabat HE, Paterson DL (2011) Escherichia coli O25b-ST131: a pandemic, multiresistant, community-associated strain. J Antimicrob Chemother 66(1):1–14
Russo T (2003) Medical and economic impact of extraintestinal infections due to Escherichia coli: focus on an increasingly important endemic problem. Microbes Infect 5(5):449–456
Russo TA, Johnson JR (2000) Proposal for a new inclusive designation for extraintestinal pathogenic isolates of Escherichia coli: ExPEC. J Infect Dis 181(5):1753–1754
Schaufler K (2017) Functional plasmid analysis of ESBL-producing Escherichia coli of pandemic sequence types ST131 and ST648. Freie Universität, Berlin
Severin JA et al (2010) Molecular characterization of extended-spectrum beta-lactamases in clinical Escherichia coli and Klebsiella pneumoniae isolates from Surabaya, Indonesia. J Antimicrob Chemother 65(3):465–469
Simoes RR et al (2010) Seagulls and beaches as reservoirs for multidrug-resistant Escherichia coli. Emerg Infect Dis 16(1):110–112
Soriano G et al (1995) Escherichia coli capsular polysaccharide and spontaneous bacterial peritonitis in cirrhosis. Hepatology 21(3):668–673
Suzuki S et al (2009) Change in the prevalence of extended-spectrum-beta-lactamase-producing Escherichia coli in Japan by clonal spread. J Antimicrob Chemother 63(1):72–79
Vignoli R et al (2016) Extended-spectrum beta-lactamases, transferable quinolone resistance, and virulotyping in extra-intestinal E. coli in Uruguay. J Infect Dev Ctries 10(1):43–52
Vimont S et al (2012) The CTX-M-15-producing Escherichia coli clone O25b: H4-ST131 has high intestine colonization and urinary tract infection abilities. PLoS ONE 7(9):e46547
Williamson DA et al (2012) Escherichia coli bloodstream infection after transrectal ultrasound–guided prostate biopsy: implications of fluoroquinolone-resistant sequence type 131 as a major causative pathogen. Clin Infect Dis cis194
Wirth T et al (2006) Sex and virulence in Escherichia coli: an evolutionary perspective. Mol Microbiol 60(5):1136–1151
Yahiaoui M et al (2015) Antibiotic resistance, virulence, and genetic background of community-acquired Uropathogenic Escherichia coli from Algeria. Microb Drug Resist 21(5):516–526
Acknowledgements
We thank Eliora Z. Ron and Leah Reshef for critical reading of the manuscript and many constructive comments. The authors were supported by the German-Israeli Project Cooperation (DIP).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Yair, Y., Gophna, U. (2018). Pandemic Bacteremic Escherichia Coli Strains: Evolution and Emergence of Drug-Resistant Pathogens. In: Frankel, G., Ron, E. (eds) Escherichia coli, a Versatile Pathogen. Current Topics in Microbiology and Immunology, vol 416. Springer, Cham. https://doi.org/10.1007/82_2018_109
Download citation
DOI: https://doi.org/10.1007/82_2018_109
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-99663-9
Online ISBN: 978-3-319-99664-6
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)