Evidence map›Paper›PMID 39905357›Full record

ArticleBMC pediatrics2025

Prevalence of β-lactam antibiotic resistance of Escherichia coli isolated from a neonatal intensive care unit.

Jian Zhou, Jingqian Zhou, Min Chen, Pan Lü, Chunming Jiang

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Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Jian ZhouZhejiang University School of Medicine, Hangzhou, China.
Jingqian ZhouZhejiang University School of Medicine, Hangzhou, China.
Min ChenDepartment of Neonatology, The First People's Hospital of Yongkang, Jinhua, China.
Pan LüDepartment of Clinical Laboratory, The First People's Hospital of Yongkang, Jinhua, China.
Chunming JiangDepartment of Pediatrics, Hangzhou First People's Hospital, Hangzhou, China. jiangsy1112@zju.edu.cn.

Funding

Medical Science and Technology Project of Zhejiang Province 2020ZH068
6 · The paper itself

Abstract

introductionEscherichia coli (E. coli) causes infections in neonates admitted to neonatal intensive care units (NICUs). Although β-lactam antibiotics are commonly used for neonatal infectious diseases, E. coli has exhibited resistance to them. Therefore, we investigated the resistance of E. coli strains isolated from a NICU to β-lactam antibiotics.

methodsE. coli isolates were collected from patients admitted to a NICU from 2020-2023. The clinical characteristics of the patients were analyzed. The antimicrobial susceptibility was determined using the agar dilution method, and the distribution of β-lactamase genes was analyzed using PCR. Conjugation experiments were conducted to analyze the horizontal transferability of resistance genes on plasmids. Genomic DNA was extracted for whole genome sequencing, construction of plasmid physical maps, locating resistance genes, and analyzing flanking regions and the resistance gene-related sequences.

resultsThroughout the study period, 110 distinct E. coli strains were collected. Among these, 62 cases presented strains, which were resistant against at least one of seven ß-lactam antibiotics associated with conditions such as ventilator-associated pneumonia (35/62), catheter-associated urinary tract infection (14/62), necrotizing enterocolitis (7/62), skin infection (1/62), and neonatal septicemia (5/62). Resistance of E. coli isolates to seven β-lactam antibiotics ranged from 2.73-56.36%. In 62 strains (56.36%, 62/110), six genotypes (11 sub-genotypes) of 111 β-lactamase genes were identified. Conjugation experiments revealed two transconjugants carrying the bla

Indexed as

Anti-Bacterial Agentsbeta-Lactam Resistancebeta-LactamsEscherichia coliEscherichia coli InfectionsIntensive Care Units, Neonatalbeta-LactamasesFemaleHumansInfant, NewbornMaleMicrobial Sensitivity TestsPrevalenceAnti-Bacterial Agentsbeta-Lactamasesbeta-LactamsAntimicrobial susceptibility testEscherichia coliNeonatal ICUResistanceβ-lactamase gene

Identifiers

PMID39905357
PMCPMC11796256

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