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Incidence of aerobactin-positive Escherichia coli strains in patients with symptomatic urinary tract infection.

Abstract
A total of 323 Escherichia coli strains from children with primary acute non-obstructive pyelonephritis (n = 144) or cystitis (n = 56) and from adults with acute non-obstructive pyelonephritis (n = 66) or cystitis (n = 57) were examined for presence of the aerobactin-mediated iron uptake system and expression of P-fimbriae. Overall, pyelonephritogenic Escherichia coli strains were significantly more often aerobactin-positive (72%) than cystitis strains (42%) (p less than 0.001). Seventy-three percent of the isolates from children with acute pyelonephritis were aerobactin-positive compared to 54% of the cystitis strains (p less than 0.05). Pyelonephritogenic Escherichia coli strains from adults were also significantly more often aerobactin-positive (70%) than cystitis strains (30%) (p less than 0.001). The cystitis strains from children were more often aerobactin-positive than cystitis strains from adult patients (p less than 0.05). There was a significant correlation between presence of the aerobactin-mediated iron uptake system and expression of P-fimbriae in all strains (p less than 0.001).
AuthorsS H Jacobson, M Hammarlind, K J Lidefeldt, E Osterberg, K Tullus, A Brauner
JournalEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology (Eur J Clin Microbiol Infect Dis) Vol. 7 Issue 5 Pg. 630-4 (Oct 1988) ISSN: 0934-9723 [Print] Germany
PMID2904370 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Hydroxamic Acids
  • Iron Chelating Agents
  • aerobactin
  • Iron
Topics
  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • Cystitis (microbiology)
  • Escherichia coli (growth & development, metabolism, ultrastructure)
  • Escherichia coli Infections (microbiology)
  • Female
  • Fimbriae, Bacterial (ultrastructure)
  • Humans
  • Hydroxamic Acids (biosynthesis)
  • Iron (metabolism)
  • Iron Chelating Agents (metabolism)
  • Middle Aged
  • Pyelonephritis (microbiology)
  • Urinary Tract Infections (microbiology)

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