Arisoy M, Aysev D, Ekim M, Ozel D, Köse S K, Ozsoy E D, Akar N
Ankara University, Faculty of Health Education, Department of Basic Health Sciences, Ankara, Turkey.
Int J Clin Pract. 2006 Feb;60(2):170-3. doi: 10.1111/j.1742-1241.2005.00668.x.
A total of 161 Escherichia coli (E. coli) strains isolated from children with urinary tract infection (UTI) were analysed for the genes encoding the virulence factors such as pyelonephritis (pap), s fimbriae (sfa), afimbrial adhesin I (afaI), haemolysin (hly), cytotoxic necrotising factor I (cnf I) and aerobactin (aer) by multiplex PCR. Ninety-four E. coli strains were found to carry at least one virulence factor. Therefore, 58.38% of total population was positive for one virulence gene at least. Percentage of genes within the total population for pap, sfa, afaI, hly, cnf I and aer was found as 22.98, 6.21, 9.94, 1.24, 9.94 and 39.75, respectively. Our analysis showed that sfa-pap (p < 0.001); pap-aer, afaI-aer and cnf I-pap (P < 0.05) and hly-sfa (p < 0.01) significantly co-occurred in their respective samples. In the light of these findings, we suggest an important role of pap causing UTI.
采用多重聚合酶链反应(PCR)对从患尿路感染(UTI)的儿童中分离出的161株大肠杆菌(E. coli)菌株进行分析,以检测编码诸如肾盂肾炎(pap)、S菌毛(sfa)、无纤毛黏附素I(afaI)、溶血素(hly)、细胞毒性坏死因子I(cnf I)和气杆菌素(aer)等毒力因子的基因。发现94株大肠杆菌菌株携带至少一种毒力因子。因此,总菌株数中有58.38%至少对一种毒力基因呈阳性。在总菌株数中,pap、sfa、afaI、hly、cnf I和aer基因的百分比分别为22.98%、6.21%、9.94%、1.24%、9.94%和39.75%。我们的分析表明,sfa与pap(p < 0.001);pap与aer、afaI与aer以及cnf I与pap(P < 0.05)以及hly与sfa(p < 0.01)在各自样本中显著共现。根据这些发现,我们认为pap在引起UTI中起重要作用。