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Isolation of enteroinvasive Escherichia coli (EIEC) from diarrhea  in children by polymerase chain reaction (PCR) technique
A Akbari, Mr Pourmand, Mk Sharifi Yazdi, M Hosseini, Mm Soltan Dallal,
Volume 3, Issue 3 (3-2010)
Abstract

Background and Aim: Enteroinvasive Escherichia coli (EIEC) strains include a group of diarrheagenic Escherichia coli (DEC) and are known to cause shigellosis-like symptoms in both adults and children. They belong to a limited number of serotypes and their somatic (O) antigens are identical with, or related to, certain Shigella antigens. EIEC strains are confirmed by demonstration of invasiveness by polymerase chain reaction (PCR) for detection of the ipaH (invasive plasmid antigen H)  gene that is specific for these strains among DEC.Since in our country,Iran study for detection of  these strains. hasnot been carried out therefore the aim of this study was detection of EIEC in diarrheal under 5 year old children in Tehran.

Materials and Methods: During the descriptive study,300stool samples were collected from children with diarrhea in Ali Asghar Hospital and children medicinal center of Tehran during 4 months (April-Jul 2008). E.coli species were isolated by standard bacteriological and biochemical tests. Presence of invasive plasmid antigen H (ipaH) gene in confirmed colonies was investigated by PCR technique.

Results: Among 300 stool specimens studied using culture method and biochemical tests,39(13%) E.coli species were isolated. Among these 39 strains,7(2.3%) strains containing ipaH gene (EIEC) were detected by PCR technique.

Conclusions: Enteroinvasive Escherichia coli (EIEC) in our country, Iran, may be as bacterial pathogen causing childhood diarrhea. Therefore we should apply new techniques for investigation of these strains.


Serotyping and Multiple Antibiotic Resistance Patterns of Shigella Sonnei Isolated from Diarrhea in Children’s Medical Center of Tehran
Mohammad Mehdi Soltan Dallal , Bahram Nikmanesh, Mohammad Taghi Haghi-Ashtiani , Arash Okazi , Mohammad Kazem Sharifi Yazdi ,
Volume 11, Issue 5 (1-2018)
Abstract
Background and Aim: In today’s world, antibiotic resistance is inevitable. This has been the case since the discovery of antibiotics. The aim of this research is to study serotyping and multiple antibiotic resistance pattern of Shigella sonnei isolated from diarrheal stool of patients hospitalized in Children’s Medical Center in Tehran.
Materials and Methods: In this descriptive study, 600  diarrheal  stool specimens were obtained from patients hospitalized  in Children’s Medical Center in Tehran over a period of twelve months. The stool samples were collected in Cary-Blair transport medium and transferred to the laboratory. The identification was carried out according to the standard cultivation method, and the antibiotic susceptibility test was performed by Kerry Bauer disk method according to with CLSI procedure.
Results: Out of 600 samples, only 18 (3%) were found to be contaminated with Shigella sonnei. The results of  antibiotic resistance patterns of these isolates showed that they were resistant to tetracycline; streptomycin, clindamycin and cortimoxazol. Furthermore, 66.67% of isolates had multiple resistance to tetracycline, cortimoxazol, streptomycin, ticarcillin and clindamycin antibiotics.
Conclusion: The results of this study showed that multiple resistance of Shigella sonnei to tested antibiotics is increasing. This  is alarming; necessary steps should be taken to prevent such a phenomenon.

The Study of Enteropathogenic Escherichia Coli Prevalence by PCR Method in Under-5-Year-Old Children’s Diarrheal Samples Caused by the Country’s Food
Rashin Bahmanabadi , Mohammad Bagher Khalili , Mohammad Mehdi Soltan Dallal,
Volume 11, Issue 6 (3-2018)
Abstract
Background and Aim: Enteropathogenic Escherichia coli (EPEC) pathotypes belong to Enterobacteriaceae family that is known as the cause of gastroenteritis and diarrhea in under-5-year-old children. These bacteria have high prevalence in developed and developing countries that may cause severe illness or even death. The aim of this study was to examine EPEC prevalence in diarrheal samples of children under 5 years -- caused by the country’s food -- by PCR method.
Materials and Methods: In a cross-sectional study, 45diarrheal samples of children suffering from country food outbreaks were transferred to the Department of Microbiology, School of Public Health, Tehran University of Medical Sciences (TUMS). E. coli strain was identified using standard methods and biochemical tests. For the detection of Enteropathogenic E. coli, the presence of eae gene was checked by PCR method, and serologic test using specific antiserum (Mast company, England) was checked by agglutination method on slide.
Results: Of the 45 outbreaks, 28 Escherichia coli were identified, among which 1 isolate (3.6%) was identified as E. coli EPEC. This isolate contained eae gene. Based on the serological response of somatic antigen (O) and flagella (H), the isolated Escherichia coli serotype was EPEC O119B14.
Conclusion: Although the prevalence of EPEC E. coli in children’s diarrheal samples from food outbreaks is low, the presence of these isolates is important and should be considered.

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