2009
DOI: 10.1111/j.1469-0691.2009.02803.x
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Prevalence and diversity of extended-spectrum ß-lactamases in faecal Escherichia coli isolates from healthy humans in Spain

Abstract: Extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli isolates were detected in seven of 105 faecal samples from healthy humans, from two Spanish cities, during 2007. In these isolates, five ESBLs were detected, CTX-M-14 (n = 2), CTX-M-1 (n = 2), CTX-M-32 (n = 1), CTX-M-8 (n = 1) and TEM-52 (n = 1). Both bla(CTX-M-14a) (surrounded by ISEcp1-IS903) and bla(CTX-M-14b) variants (included in an integron structure) were identified in this study. This is the first time that the bla(CTX-M-8) gene and ESB… Show more

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Cited by 79 publications
(59 citation statements)
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“…bla CTX-M genes were often found in plasmids of different sizes (from 78 kb to 138 kb), implying that a diversity of bla CTX-M genetic environments exist. The ISEcp1 element is known to play an important role in bla CTX-M expression and gene transfer and is frequently located upstream of bla CTX-M genes (18,36,37). Surprisingly, such an element was not detected upstream of the bla CTX-M gene in these conjugative plasmids.…”
Section: Discussionmentioning
confidence: 82%
“…bla CTX-M genes were often found in plasmids of different sizes (from 78 kb to 138 kb), implying that a diversity of bla CTX-M genetic environments exist. The ISEcp1 element is known to play an important role in bla CTX-M expression and gene transfer and is frequently located upstream of bla CTX-M genes (18,36,37). Surprisingly, such an element was not detected upstream of the bla CTX-M gene in these conjugative plasmids.…”
Section: Discussionmentioning
confidence: 82%
“…Fecal colonization by ESBL-producing E. coli in healthy individuals has been previously detected in Spain, with rates from 3.7% to 7.7% (10,11,12). A higher prevalence was found among the household contacts of patients infected with ESBLPE (12,13).…”
mentioning
confidence: 80%
“…All these strains were classified as Escherichia coli 8 . The authors of another Spanish study published in 2007 focused on assessing the prevalence of GIT colonization by ESBL-positive Enterobacteriaceae in a group of healthy persons and found 7% prevalence, with bacteria producing CTX-M enzymes being most frequent 26 . Janvier et al compared the prevalence of ESBL-positive Enterobacteriaceae in asymptomatic young subjects in the community over a period of 10 years (1999-2009) to detect an increase from 0% to 2%.…”
Section: Discussionmentioning
confidence: 99%