Issue
Molecular analysis of integron gene cassette arrays associated multi-drug resistant Enterobacteriaceae isolates from poultry
Corresponding Author(s) : Azza S El-Demerdash
Cellular and Molecular Biology,
Vol. 64 No. 5: Issue 5
Abstract
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- Torres C, Zarazaga M. Antibiotics as growth promoters in animals: Are we going down the right road? Gaceta Sanitaria. 2002;16(2):109-112.
- Hyytiä-Trees EK, Cooper K, Ribot EM, Gerner-Smidt P. Recent developments and future prospects in subtyping of foodborne bacterial pathogens. 2007.
- Yanhong MA, Wei QI. Research progress of integron in Gram-positive bacteria. World Notes Antibiot. 2009;30:131-134.
- Leverstein-van Hall MA, Blok HEM, Donders ART, Paauw A, Fluit AC, Verhoef J. Multidrug resistance among Enterobacteriaceae is strongly associated with the presence of integrons and is independent of species or isolate origin. Journal of infectious diseases. 2003;187(2):251-259.
- Carattoli A. Importance of integrons in the diffusion of resistance. Veterinary research. 2001;32(3-4):243-259.
- DeLappe N, O'Halloran F, Fanning S, Corbett-Feeney G, Cheasty T, Cormican M. Antimicrobial Resistance and Genetic Diversity of Shigella sonnei Isolates from Western Ireland, an Area of Low Incidence of Infection. Journal of clinical microbiology. 2005;43(8):4309.
- Rodr'iguez-Minguela CM, Apajalahti JHA, Chai B, Cole JR, Tiedje JM. Worldwide prevalence of class 2 integrases outside the clinical setting is associated with human impact. Applied and environmental microbiology. 2009;75(15):5100-5110.
- Gillings MR. Integrons: past, present, and future. Microbiology and Molecular Biology Reviews. 2014;78(2):257-277.
- Manual BA. US Food and Drug Administration 8th Edition, Rev. 1998.
- Cockerill FR. Performance Standards for Antimicrobial Susceptibility Testing: Twenty-First Informational Supplement. Clinical and Laboratory Standards Institute (CLSI); 2011.
- White PA, McIver CJ, Rawlinson WD. Integrons and Gene Cassettes in theEnterobacteriaceae. Antimicrobial agents and chemotherapy. 2001;45(9):2658-2661.
- White PA, McIver CJ, Deng Y-M, Rawlinson WD. Characterisation of two new gene cassettes, aadA5 and dfrA17. FEMS Microbiology Letters. 2000;182(2):265-269.
- Karlowsky JA, Jones ME, Thornsberry C, Friedland IR, Sahm DF. Trends in antimicrobial susceptibilities among Enterobacteriaceae isolated from hospitalized patients in the United States from 1998 to 2001. Antimicrobial agents and chemotherapy. 2003;47(5):1672-1680.
- Uwaezuoke JC, Ogbbulie JN, Njoku JN, others. Antibiotic sensitivity patterns of bacterial isolates from poultry feed. Int J Environ Health Hum Dev. 2000;1:23-28.
- Okoli IC, Ozoh PTE, Udedibie ABI. Epizootiological and microbiological methodologies for monitoring anti-microbial resistance among enterobactericeae of animal origin: a review. Nigerian Veterinary Journal. 2002;23(2):23-39.
- Ezekiel CN, Olarinmoye AO, Jnr JMAO, Olaoye OB, Edun AO. Distribution, antibiogram and multidrug resistance in Enterobacteriaceae from commercial poultry feeds in Nigeria. African journal of microbiology research. 2011;5(3):294-301.
- Barbour EK, Ayyash DB, Alturkistni W, et al. Impact of sporadic reporting of poultry Salmonella serovars from selected developing countries. The Journal of Infection in Developing Countries. 2015;9(1):1-7.
- Abd El Tawab AA, Ammar AM, Nasef SA, Reda RM. Prevalence of E. Coli in diseased chickens with its antibiogram pattern.
- Ojo OE, Ogunyinka OG, Agbaje M, et al. Antibiogram of Enterobacteriaceae isolated from free-range chickens in Abeokuta, Nigeria. Veterinarski Arhiv. 2012;82(6):577-589.
- Chah KF, Okafor SC, Oboegbulem SI. Antimicrobial resistance of non-clinical Escherichia coli strains from chicken in Nsukka, South-east Nigeria. Nigerian Journal of animal production. 2003;30(1):101-106.
- Al-Sultan IIA, Fazlina F, others. Antibiotic sensitivity of pathogenic bacteria isolated from beef samples obtained from Kota Bharu and its surrounding provinces. Journal of Advanced Medical Research. 2012;2:8-11.
- Ahmed AM, Shimabukuro H, Shimamoto T. Isolation and Molecular Characterization of Multidrug-Resistant Strains of Escherichia coli and Salmonella from Retail Chicken Meat in Japan. Journal of food science. 2009;74(7):M405--M410.
- Li M-C, Wang F, Li F. Identification and molecular characterization of antimicrobial-resistant shiga toxin--producing Escherichia coli isolated from retail meat products. Foodborne pathogens and disease. 2011;8(4):489-493.
- Hoge CW, Gambel JM, Srijan A, Pitarangsi C, Echeverria P. Trends in antibiotic resistance among diarrheal pathogens isolated in Thailand over 15 years. Clinical infectious diseases. 1998;26(2):341-345.
- Kurutepe S, Surucuoglu S, Sezgin C, Gazi H, Gulay M, Ozbakkaloglu B. Increasing antimicrobial resistance in Escherichia coli isolates from community-acquired urinary tract infections during 1998-2003 in Manisa, Turkey. Japanese journal of infectious diseases. 2005;58(3):159.
- Yang H, Chen S, White DG, et al. Characterization of multiple-antimicrobial-resistant Escherichia coli isolates from diseased chickens and swine in China. Journal of clinical microbiology. 2004;42(8):3483-3489.
- Dessie HK, Bae DH, Lee YJ. Characterization of integrons and their cassettes in Escherichia coli and Salmonella isolates from poultry in Korea. Poultry science. 2013;92(11):3036-3043.
- Siqueira AK, Michael GB, Domingos DF, et al. Diversity of class 1 and 2 integrons detected in Escherichia coli isolates from diseased and apparently healthy dogs. Veterinary Microbiology. 2016.
- Malek MM, Amer FA, Allam AA, El-Sokkary RH, Gheith T, Arafa MA. Occurrence of classes I and II integrons in Enterobacteriaceae collected from Zagazig University Hospitals, Egypt. Frontiers in microbiology. 2015;6.
- Sung JY, Oh J-E. Distribution and characterization of integrons in enterobacteriaceae isolates from chickens in Korea. J Microbiol Biotechnol. 2014;24(7):1008-1013.
- Goldstein C, Lee MD, Sanchez S, et al. Incidence of class 1 and 2 integrases in clinical and commensal bacteria from livestock, companion animals, and exotics. Antimicrobial agents and chemotherapy. 2001;45(3):723-726.
- Firoozeh F, Zahraei-Salehi T, Shahcheraghi F, Karimi V, Aslani MM. Characterization of class I integrons among Salmonella enterica serovar Enteritidis isolated from humans and poultry. FEMS Immunology & Medical Microbiology. 2012;64(2):237-243.
- 1, Ammar AM, 1, Attia, A. M., El-aziz A, Hamid, Abd El, El-Demerdash AS. Class 1 integron and associated gene cassettes mediating multiple-drug resistance in some food borne pathogens. 2016;23(1):332-339.
- Taherikalani M, Maleki A, Sadeghifard N, et al. Dissemination of class 1, 2 and 3 integrons among different multidrug resistant isolates of Acinetobacter baumannii in Tehran hospitals, Iran. Iran Pol J Microbiol. 2011;60(2):169-174.
- Pan J-C, Ye R, Meng D-M, Zhang W, Wang H-Q, Liu K-Z. Molecular characteristics of class 1 and class 2 integrons and their relationships to antibiotic resistance in clinical isolates of Shigella sonnei and Shigella flexneri. Journal of Antimicrobial Chemotherapy. 2006;58(2):288-296.
- Mattiello SP, Drescher G, Barth Jr VC, Ferreira CAS, Oliveira SD. Characterization of antimicrobial resistance in Salmonella enterica strains isolated from Brazilian poultry production. Antonie van Leeuwenhoek. 2015;108(5):1227-1238.
- Cavicchio L, Dotto G, Giacomelli M, et al. Class 1 and class 2 integrons in avian pathogenic Escherichia coli from poultry in Italy. Poultry science. 2015;94(6):1202-1208.
- Grape M, Farra A, Kronvall G, Sundström L. Integrons and gene cassettes in clinical isolates of co-trimoxazole-resistant Gram-negative bacteria. Clinical microbiology and infection. 2005;11(3):185-192.
- Japoni A, Gudarzi M, Farshad S, et al. Assay for integrons and pattern of antibiotic resistance in clinical Escherichia coli strains by PCR-RFLP in Southern Iran. Japanese journal of infectious diseases. 2008;61(1):85.
- Machado E, Ferreira J, Novais í‚, et al. Preservation of integron types among Enterobacteriaceae producing extended-spectrum $β$-lactamases in a Spanish hospital over a 15-year period (1988 to 2003). Antimicrobial agents and chemotherapy. 2007;51(6):2201-2204.
- Kargar M, Mohammadalipour Z, Doosti A, Lorzadeh S, Japoni-Nejad A. High prevalence of class 1 to 3 integrons among multidrug-resistant diarrheagenic Escherichia coli in Southwest of Iran. Osong public health and research perspectives. 2014;5(4):193-198.
- Vasilakopoulou A, Psichogiou M, Tzouvelekis L, et al. Prevalence and characterization of class 1 integrons in Escherichia coli of poultry and human origin. Foodborne pathogens and disease. 2009;6(10):1211-1218.
- Bakhshi B, Fallahzad S, Pourshafie MR. The occurrence of atypical enteropathogenic Escherichia coli strains among children with diarrhea in Iran. Journal of Infection and Chemotherapy. 2013;19(4):615-620.
- Ahmed AM, Shimamoto T. Genetic analysis of multiple antimicrobial resistance in Salmonella isolated from diseased broilers in Egypt. Microbiology and immunology. 2012;56(4):254-261.
- Ram'irez MS, Piñeiro S, Centrón D, Group AIS, others. Novel insights about class 2 integrons from experimental and genomic epidemiology. Antimicrobial agents and chemotherapy. 2010;54(2):699-706.
- W W. Impact of antibiotic use in animal feeding on resistance of bacterial pathogens in humans. Ciba Found Symp. 1997:61–71.
- Barlow RS, Gobius KS. Diverse class 2 integrons in bacteria from beef cattle sources. Journal of Antimicrobial Chemotherapy. 2006;58(6):1133-1138.
- Xia R, Ren Y, Guo X, Xu H. Molecular diversity of class 2 integrons in antibiotic-resistant gram-negative bacteria found in wastewater environments in China. Ecotoxicology. 2013;22(2):402-414.
- Leverstein-van Hall MA, Paauw A, Box ATA, Blok HEM, Verhoef J, Fluit AC. Presence of integron-associated resistance in the community is widespread and contributes to multidrug resistance in the hospital. Journal of clinical microbiology. 2002;40(8):3038-3040.
- Su J, Shi L, Yang L, Xiao Z, Li X, Yamasaki S. Analysis of integrons in clinical isolates of Escherichia coli in China during the last six years. FEMS microbiology letters. 2006;254(1):75-80.
- Barlow RS, Pemberton JM, Desmarchelier PM, Gobius KS. Isolation and characterization of integron-containing bacteria without antibiotic selection. Antimicrobial agents and chemotherapy. 2004;48(3):838-842.
- Kor S-B, Choo Q-C, Chew C-H. New integron gene arrays from multiresistant clinical isolates of members of the Enterobacteriaceae and Pseudomonas aeruginosa from hospitals in Malaysia. Journal of medical microbiology. 2013;62(3):412-420.
- Li B, Hu Y, Wang Q, et al. Structural diversity of class 1 integrons and their associated gene cassettes in Klebsiella pneumoniae isolates from a hospital in China. PloS one. 2013;8(9):e75805.
- Miles TD, McLaughlin W, Brown PD. Antimicrobial resistance of Escherichia coli isolates from broiler chickens and humans. BMC veterinary research. 2006;2(1):1.
- Randall LP, Clouting CS, Gradel KO, Clifton-Hadley FA, Davies RD, Woodward MJ. Farm disinfectants select for cyclohexane resistance, a marker of multiple antibiotic resistance, in Escherichia coli. Journal of applied microbiology. 2005;98(3):556-563.
- Sáenz Y, Briñas L, Dom'inguez E, et al. Mechanisms of resistance in multiple-antibiotic-resistant Escherichia coli strains of human, animal, and food origins. Antimicrobial agents and chemotherapy. 2004;48(10):3996-4001.
References
Torres C, Zarazaga M. Antibiotics as growth promoters in animals: Are we going down the right road? Gaceta Sanitaria. 2002;16(2):109-112.
Hyytiä-Trees EK, Cooper K, Ribot EM, Gerner-Smidt P. Recent developments and future prospects in subtyping of foodborne bacterial pathogens. 2007.
Yanhong MA, Wei QI. Research progress of integron in Gram-positive bacteria. World Notes Antibiot. 2009;30:131-134.
Leverstein-van Hall MA, Blok HEM, Donders ART, Paauw A, Fluit AC, Verhoef J. Multidrug resistance among Enterobacteriaceae is strongly associated with the presence of integrons and is independent of species or isolate origin. Journal of infectious diseases. 2003;187(2):251-259.
Carattoli A. Importance of integrons in the diffusion of resistance. Veterinary research. 2001;32(3-4):243-259.
DeLappe N, O'Halloran F, Fanning S, Corbett-Feeney G, Cheasty T, Cormican M. Antimicrobial Resistance and Genetic Diversity of Shigella sonnei Isolates from Western Ireland, an Area of Low Incidence of Infection. Journal of clinical microbiology. 2005;43(8):4309.
Rodr'iguez-Minguela CM, Apajalahti JHA, Chai B, Cole JR, Tiedje JM. Worldwide prevalence of class 2 integrases outside the clinical setting is associated with human impact. Applied and environmental microbiology. 2009;75(15):5100-5110.
Gillings MR. Integrons: past, present, and future. Microbiology and Molecular Biology Reviews. 2014;78(2):257-277.
Manual BA. US Food and Drug Administration 8th Edition, Rev. 1998.
Cockerill FR. Performance Standards for Antimicrobial Susceptibility Testing: Twenty-First Informational Supplement. Clinical and Laboratory Standards Institute (CLSI); 2011.
White PA, McIver CJ, Rawlinson WD. Integrons and Gene Cassettes in theEnterobacteriaceae. Antimicrobial agents and chemotherapy. 2001;45(9):2658-2661.
White PA, McIver CJ, Deng Y-M, Rawlinson WD. Characterisation of two new gene cassettes, aadA5 and dfrA17. FEMS Microbiology Letters. 2000;182(2):265-269.
Karlowsky JA, Jones ME, Thornsberry C, Friedland IR, Sahm DF. Trends in antimicrobial susceptibilities among Enterobacteriaceae isolated from hospitalized patients in the United States from 1998 to 2001. Antimicrobial agents and chemotherapy. 2003;47(5):1672-1680.
Uwaezuoke JC, Ogbbulie JN, Njoku JN, others. Antibiotic sensitivity patterns of bacterial isolates from poultry feed. Int J Environ Health Hum Dev. 2000;1:23-28.
Okoli IC, Ozoh PTE, Udedibie ABI. Epizootiological and microbiological methodologies for monitoring anti-microbial resistance among enterobactericeae of animal origin: a review. Nigerian Veterinary Journal. 2002;23(2):23-39.
Ezekiel CN, Olarinmoye AO, Jnr JMAO, Olaoye OB, Edun AO. Distribution, antibiogram and multidrug resistance in Enterobacteriaceae from commercial poultry feeds in Nigeria. African journal of microbiology research. 2011;5(3):294-301.
Barbour EK, Ayyash DB, Alturkistni W, et al. Impact of sporadic reporting of poultry Salmonella serovars from selected developing countries. The Journal of Infection in Developing Countries. 2015;9(1):1-7.
Abd El Tawab AA, Ammar AM, Nasef SA, Reda RM. Prevalence of E. Coli in diseased chickens with its antibiogram pattern.
Ojo OE, Ogunyinka OG, Agbaje M, et al. Antibiogram of Enterobacteriaceae isolated from free-range chickens in Abeokuta, Nigeria. Veterinarski Arhiv. 2012;82(6):577-589.
Chah KF, Okafor SC, Oboegbulem SI. Antimicrobial resistance of non-clinical Escherichia coli strains from chicken in Nsukka, South-east Nigeria. Nigerian Journal of animal production. 2003;30(1):101-106.
Al-Sultan IIA, Fazlina F, others. Antibiotic sensitivity of pathogenic bacteria isolated from beef samples obtained from Kota Bharu and its surrounding provinces. Journal of Advanced Medical Research. 2012;2:8-11.
Ahmed AM, Shimabukuro H, Shimamoto T. Isolation and Molecular Characterization of Multidrug-Resistant Strains of Escherichia coli and Salmonella from Retail Chicken Meat in Japan. Journal of food science. 2009;74(7):M405--M410.
Li M-C, Wang F, Li F. Identification and molecular characterization of antimicrobial-resistant shiga toxin--producing Escherichia coli isolated from retail meat products. Foodborne pathogens and disease. 2011;8(4):489-493.
Hoge CW, Gambel JM, Srijan A, Pitarangsi C, Echeverria P. Trends in antibiotic resistance among diarrheal pathogens isolated in Thailand over 15 years. Clinical infectious diseases. 1998;26(2):341-345.
Kurutepe S, Surucuoglu S, Sezgin C, Gazi H, Gulay M, Ozbakkaloglu B. Increasing antimicrobial resistance in Escherichia coli isolates from community-acquired urinary tract infections during 1998-2003 in Manisa, Turkey. Japanese journal of infectious diseases. 2005;58(3):159.
Yang H, Chen S, White DG, et al. Characterization of multiple-antimicrobial-resistant Escherichia coli isolates from diseased chickens and swine in China. Journal of clinical microbiology. 2004;42(8):3483-3489.
Dessie HK, Bae DH, Lee YJ. Characterization of integrons and their cassettes in Escherichia coli and Salmonella isolates from poultry in Korea. Poultry science. 2013;92(11):3036-3043.
Siqueira AK, Michael GB, Domingos DF, et al. Diversity of class 1 and 2 integrons detected in Escherichia coli isolates from diseased and apparently healthy dogs. Veterinary Microbiology. 2016.
Malek MM, Amer FA, Allam AA, El-Sokkary RH, Gheith T, Arafa MA. Occurrence of classes I and II integrons in Enterobacteriaceae collected from Zagazig University Hospitals, Egypt. Frontiers in microbiology. 2015;6.
Sung JY, Oh J-E. Distribution and characterization of integrons in enterobacteriaceae isolates from chickens in Korea. J Microbiol Biotechnol. 2014;24(7):1008-1013.
Goldstein C, Lee MD, Sanchez S, et al. Incidence of class 1 and 2 integrases in clinical and commensal bacteria from livestock, companion animals, and exotics. Antimicrobial agents and chemotherapy. 2001;45(3):723-726.
Firoozeh F, Zahraei-Salehi T, Shahcheraghi F, Karimi V, Aslani MM. Characterization of class I integrons among Salmonella enterica serovar Enteritidis isolated from humans and poultry. FEMS Immunology & Medical Microbiology. 2012;64(2):237-243.
1, Ammar AM, 1, Attia, A. M., El-aziz A, Hamid, Abd El, El-Demerdash AS. Class 1 integron and associated gene cassettes mediating multiple-drug resistance in some food borne pathogens. 2016;23(1):332-339.
Taherikalani M, Maleki A, Sadeghifard N, et al. Dissemination of class 1, 2 and 3 integrons among different multidrug resistant isolates of Acinetobacter baumannii in Tehran hospitals, Iran. Iran Pol J Microbiol. 2011;60(2):169-174.
Pan J-C, Ye R, Meng D-M, Zhang W, Wang H-Q, Liu K-Z. Molecular characteristics of class 1 and class 2 integrons and their relationships to antibiotic resistance in clinical isolates of Shigella sonnei and Shigella flexneri. Journal of Antimicrobial Chemotherapy. 2006;58(2):288-296.
Mattiello SP, Drescher G, Barth Jr VC, Ferreira CAS, Oliveira SD. Characterization of antimicrobial resistance in Salmonella enterica strains isolated from Brazilian poultry production. Antonie van Leeuwenhoek. 2015;108(5):1227-1238.
Cavicchio L, Dotto G, Giacomelli M, et al. Class 1 and class 2 integrons in avian pathogenic Escherichia coli from poultry in Italy. Poultry science. 2015;94(6):1202-1208.
Grape M, Farra A, Kronvall G, Sundström L. Integrons and gene cassettes in clinical isolates of co-trimoxazole-resistant Gram-negative bacteria. Clinical microbiology and infection. 2005;11(3):185-192.
Japoni A, Gudarzi M, Farshad S, et al. Assay for integrons and pattern of antibiotic resistance in clinical Escherichia coli strains by PCR-RFLP in Southern Iran. Japanese journal of infectious diseases. 2008;61(1):85.
Machado E, Ferreira J, Novais í‚, et al. Preservation of integron types among Enterobacteriaceae producing extended-spectrum $β$-lactamases in a Spanish hospital over a 15-year period (1988 to 2003). Antimicrobial agents and chemotherapy. 2007;51(6):2201-2204.
Kargar M, Mohammadalipour Z, Doosti A, Lorzadeh S, Japoni-Nejad A. High prevalence of class 1 to 3 integrons among multidrug-resistant diarrheagenic Escherichia coli in Southwest of Iran. Osong public health and research perspectives. 2014;5(4):193-198.
Vasilakopoulou A, Psichogiou M, Tzouvelekis L, et al. Prevalence and characterization of class 1 integrons in Escherichia coli of poultry and human origin. Foodborne pathogens and disease. 2009;6(10):1211-1218.
Bakhshi B, Fallahzad S, Pourshafie MR. The occurrence of atypical enteropathogenic Escherichia coli strains among children with diarrhea in Iran. Journal of Infection and Chemotherapy. 2013;19(4):615-620.
Ahmed AM, Shimamoto T. Genetic analysis of multiple antimicrobial resistance in Salmonella isolated from diseased broilers in Egypt. Microbiology and immunology. 2012;56(4):254-261.
Ram'irez MS, Piñeiro S, Centrón D, Group AIS, others. Novel insights about class 2 integrons from experimental and genomic epidemiology. Antimicrobial agents and chemotherapy. 2010;54(2):699-706.
W W. Impact of antibiotic use in animal feeding on resistance of bacterial pathogens in humans. Ciba Found Symp. 1997:61–71.
Barlow RS, Gobius KS. Diverse class 2 integrons in bacteria from beef cattle sources. Journal of Antimicrobial Chemotherapy. 2006;58(6):1133-1138.
Xia R, Ren Y, Guo X, Xu H. Molecular diversity of class 2 integrons in antibiotic-resistant gram-negative bacteria found in wastewater environments in China. Ecotoxicology. 2013;22(2):402-414.
Leverstein-van Hall MA, Paauw A, Box ATA, Blok HEM, Verhoef J, Fluit AC. Presence of integron-associated resistance in the community is widespread and contributes to multidrug resistance in the hospital. Journal of clinical microbiology. 2002;40(8):3038-3040.
Su J, Shi L, Yang L, Xiao Z, Li X, Yamasaki S. Analysis of integrons in clinical isolates of Escherichia coli in China during the last six years. FEMS microbiology letters. 2006;254(1):75-80.
Barlow RS, Pemberton JM, Desmarchelier PM, Gobius KS. Isolation and characterization of integron-containing bacteria without antibiotic selection. Antimicrobial agents and chemotherapy. 2004;48(3):838-842.
Kor S-B, Choo Q-C, Chew C-H. New integron gene arrays from multiresistant clinical isolates of members of the Enterobacteriaceae and Pseudomonas aeruginosa from hospitals in Malaysia. Journal of medical microbiology. 2013;62(3):412-420.
Li B, Hu Y, Wang Q, et al. Structural diversity of class 1 integrons and their associated gene cassettes in Klebsiella pneumoniae isolates from a hospital in China. PloS one. 2013;8(9):e75805.
Miles TD, McLaughlin W, Brown PD. Antimicrobial resistance of Escherichia coli isolates from broiler chickens and humans. BMC veterinary research. 2006;2(1):1.
Randall LP, Clouting CS, Gradel KO, Clifton-Hadley FA, Davies RD, Woodward MJ. Farm disinfectants select for cyclohexane resistance, a marker of multiple antibiotic resistance, in Escherichia coli. Journal of applied microbiology. 2005;98(3):556-563.
Sáenz Y, Briñas L, Dom'inguez E, et al. Mechanisms of resistance in multiple-antibiotic-resistant Escherichia coli strains of human, animal, and food origins. Antimicrobial agents and chemotherapy. 2004;48(10):3996-4001.