Virulence and Antimicrobial Resistance inCampylobacterspp. from a Peruvian Pediatric Cohort
The presence of virulence factors (VFs) and mechanisms of quinolones and macrolide resistance was analyzed inCampylobacterspp. from a pediatric cohort study in Lima. In 149 isolates (39Campylobacter jejuniand 24Campylobacter colifrom diarrheic cases; 57C. jejuniand 29C. colifrom controls), the presence of thecdtABCandcadFgenes andiammarker was established. Nalidixic acid, ciprofloxacin, erythromycin, and azithromycin susceptibilities were established in 115 isolates and tetracycline-susceptibility was established in 100 isolates. The presence of mutations in thegyrA,parC,and23S rRNAgenes was determined. ThecadFgene and all genes from thecdtABCoperon were significantly more frequent amongC. jejuni(P<0.0001); theiammarker was more frequent inC. coli(P<0.0001). No differences were observed in VFs between cases and controls. Almost all isolates were tetracycline-resistant; nalidixic acid and ciprofloxacin resistance reached levels of 90.4% and 88.7%, respectively. Resistance to macrolides was 13% (C. jejuni4.3%;C. coli26.1%). Resistance to ciprofloxacin was related to GyrA Thr86 substitutions, while 13 of 15 macrolide-resistant isolates possessed a23S rRNAmutation (A2075G). Differences in the presence of VFs and alarming levels of resistance to tested antimicrobial agents were observed amongC. jejuniandC. coli.