Endemic and Epidemic Lineages of Escherichia coli that Cause Urinary Tract Infections

Manges, Amee R.; Tabor, Helen; Tellis, Patricia; Vincent, Caroline; Tellier, Pierre-Paul

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Endemic and Epidemic Lineages of Escherichia coli that Cause Urinary Tract Infections

Published Date:

Oct 2008

Source:

Emerg Infect Dis. 14(10):1575-1583.

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Details:

Personal Authors:

Manges, Amee R. ; Tabor, Helen ; Tellis, Patricia ; Vincent, Caroline ; Tellier, Pierre-Paul ;

Keywords:

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Description:

Women with urinary tract infections (UTIs) in California, USA (1999-2001), were infected with closely related or indistinguishable strains of Escherichia coli (clonal groups), which suggests point source dissemination. We compared strains of UTI-causing E. coli in California with strains causing such infections in Montréal, Québec, Canada. Urine specimens from women with community-acquired UTIs in Montréal (2006) were cultured for E. coli. Isolates that caused 256 consecutive episodes of UTI were characterized by antimicrobial drug susceptibility profile, enterobacterial repetitive intergenic consensus 2 PCR, serotyping, XbaI and NotI pulsed-field gel electrophoresis, multilocus sequence typing, and phylogenetic typing. We confirmed the presence of drug-resistant, genetically related, and temporally clustered E. coli clonal groups that caused community-acquired UTIs in unrelated women in 2 locations and 2 different times. Two clonal groups were identified in both locations. Epidemic transmission followed by endemic transmission of UTI-causing clonal groups may explain these clusters of UTI cases.

Document Type:

Journal Article

Collection(s):

Emerging Infectious Diseases

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