Skip to main content
The Journal of Hygiene logoLink to The Journal of Hygiene
. 1985 Apr;94(2):181–191. doi: 10.1017/s0022172400061386

Escherichia coli 0142.H6; a drug-resistant enteropathogenic clone?

R J Gross, B Rowe, E J Threlfall
PMCID: PMC2129407  PMID: 3886783

Abstract

For many years strains of Escherichia coli belonging to particular serotypes (EPEC) were a common cause of outbreaks of infantile enteritis in Europe and North America. E. coli 0142.H6 was first isolated from infants with diarrhoea in Indonesia in 1960 and a further outbreak occurred in Mexico in 1965. Between 1967 and 1972 outbreaks of infantile enteritis caused by E. coli 0142 were reported in hospitals in Scotland, England, Northern Ireland and Eire. Sporadic cases occurred in Canada in 1972 and a further outbreak occurred in Arizona, U.S.A. in 1975. Strains from all these incidents were examined by biochemical and serological methods. Their resistance to antimicrobial drugs was determined and their resistance plasmids characterized; their plasmid profiles were visualized by agarose gel electrophoresis. The cumulative evidence suggests that strains isolated in the British Isles all belonged to a single clone and were related to those isolated in Indonesia, the U.S.A. and Canada. However, the strains from Mexico appeared to be unrelated. This study demonstrates that single clones of enteropathogenic E. coli may spread throughout the world, causing outbreaks of diarrhoeal disease and acquiring resistance to antimicrobial drugs.

Full text

PDF
181

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baldini M. M., Kaper J. B., Levine M. M., Candy D. C., Moon H. W. Plasmid-mediated adhesion in enteropathogenic Escherichia coli. J Pediatr Gastroenterol Nutr. 1983;2(3):534–538. doi: 10.1097/00005176-198302030-00023. [DOI] [PubMed] [Google Scholar]
  2. Bhat P., Macaden R. Outbreak of gastroenteritis due to multidrug resistant Salmonella typhimurium phage type 66/122 UT in Bangalore. Indian J Med Res. 1983 Oct;78:454–458. [PubMed] [Google Scholar]
  3. Birnboim H. C., Doly J. A rapid alkaline extraction procedure for screening recombinant plasmid DNA. Nucleic Acids Res. 1979 Nov 24;7(6):1513–1523. doi: 10.1093/nar/7.6.1513. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Boyer K. M., Petersen N. J., Farzaneh I., Pattison C. P., Hart M. C., Maynard J. E. An outbreak og gastroenteritis due to E. coli 0142 in a neonatal nursery. J Pediatr. 1975 Jun;86(6):919–927. doi: 10.1016/s0022-3476(75)80230-7. [DOI] [PubMed] [Google Scholar]
  5. Frost J. A., Rowe B., Ward L. R., Threlfall E. J. Characterization of resistance plasmids and carried phages in an epidemic clone of multi-resistant Salmonella typhimurium in India. J Hyg (Lond) 1982 Apr;88(2):193–204. doi: 10.1017/s0022172400070066. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Gross R. J., Scotland S. M., Rowe B. Enterotoxin testing of Escherichia coli causing epidemic infantile enteritis in the U.K. Lancet. 1976 Mar 20;1(7960):629–631. doi: 10.1016/s0140-6736(76)90429-3. [DOI] [PubMed] [Google Scholar]
  7. Gurwith M. J., Williams T. W. Gastroenteritis in children: a two-year review in Manitoba. I. Etiology. J Infect Dis. 1977 Aug;136(2):239–247. doi: 10.1093/infdis/136.2.239. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hone R., Fitzpatrick S., Keane C., Gross R. J., Rowe B. Infantile enteritis in Dublin caused by Escherichia coli 0142. J Med Microbiol. 1973 Nov;6(4):505–510. doi: 10.1099/00222615-6-4-505. [DOI] [PubMed] [Google Scholar]
  9. Levine M. M., Bergquist E. J., Nalin D. R., Waterman D. H., Hornick R. B., Young C. R., Sotman S. Escherichia coli strains that cause diarrhoea but do not produce heat-labile or heat-stable enterotoxins and are non-invasive. Lancet. 1978 May 27;1(8074):1119–1122. doi: 10.1016/s0140-6736(78)90299-4. [DOI] [PubMed] [Google Scholar]
  10. Love W. C., Gordon A. M., Gross R. J., Rowe B. Infantile gastroenteritis due to Escherichia coli 0142. Lancet. 1972 Aug 19;2(7773):355–357. doi: 10.1016/s0140-6736(72)91738-2. [DOI] [PubMed] [Google Scholar]
  11. Maiya P. P., Pereira S. M., Mathan M., Bhat P., Albert M. J., Baker S. J. Aetiology of acute gastroenteritis in infancy and early childhood in southern India. Arch Dis Child. 1977 Jun;52(6):482–485. doi: 10.1136/adc.52.6.482. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. McConnell M. M., Smith H. R., Leonardopoulos J., Anderson E. S. The value of plasmid studies in the epidemiology of infections due to drug-resistant Salmonella wien. J Infect Dis. 1979 Feb;139(2):178–190. doi: 10.1093/infdis/139.2.178. [DOI] [PubMed] [Google Scholar]
  13. OLARTE J., RAMOS-ALVAREZ M. EPIDEMIC DIARRHEA IN PREMATURE INFANTS. ETIOLOGICAL SIGNIFICANCE OF A NEWLY RECOGNIZED TYPE OF ESCHERICHIA COLI (0142:K86(B):H6). Am J Dis Child. 1965 May;109:436–438. [PubMed] [Google Scholar]
  14. ORSKOV F., ORSKOV I., REES T. A., SAHAB K. Two new E. coli O-antigens: 0141 and 0142 and two new coli K-antigens: K85 and K86. Acta Pathol Microbiol Scand. 1960;48:48–50. doi: 10.1111/j.1699-0463.1960.tb04736.x. [DOI] [PubMed] [Google Scholar]
  15. Rangnekar V. M., Banker D. D., Jhala H. I. Genetic characters of R-plasmids in Salmonella typhimurium isolated during a protracted outbreak at Bombay. Indian J Med Res. 1983 Feb;77:169–171. [PubMed] [Google Scholar]
  16. Roberts W., Shrivastava S. C., Emslie J. A., Ingham H. R. E. Coli 0142 and infantile enteritis in Scotland. Lancet. 1971 Apr 10;1(7702):757–758. doi: 10.1016/s0140-6736(71)92032-0. [DOI] [PubMed] [Google Scholar]
  17. Rowe B., Frost J. A., Threlfall E. J., Ward L. R. Spread of a multiresistant clone of Salmonella typhimurium phage type 66/122 in South-East Asia and the Middle East. Lancet. 1980 May 17;1(8177):1070–1071. doi: 10.1016/s0140-6736(80)91509-3. [DOI] [PubMed] [Google Scholar]
  18. Willshaw G. A., Threlfall E. J., Ward L. R., Ashley A. S., Rowe B. Plasmid studies of drug-resistant epidemic strains of Salmonella typhimurium belonging to phage types 204 and 193. J Antimicrob Chemother. 1980 Nov;6(6):763–773. doi: 10.1093/jac/6.6.763. [DOI] [PubMed] [Google Scholar]

Articles from The Journal of Hygiene are provided here courtesy of Cambridge University Press

RESOURCES