Backgrounds and Objectives: Despite the widespread availability of antibiotics, antibiotic resistance uropathogens are increasing. The most common mechanism of antibiotic resistance is production of extended spectrum B-lactamas (ESBL). ESBLs are derived from TEM-1 ,TEM-2 and SHV-1 ancestoral plasmids. Currently, according to a variety of mutations in these plasmids, there are more than 90 types for TEM and 25 types for SHV plasmids.Materials and Methods: In this study, 146 uropathogenic Escherichia coli (UPEC) isolates were collected. Isolated organisms were identified by standard biochemical and microbial tests. Antibiotic susceptibility was examined by disc diffusion method and isolates with ESBL, were recognized. The presence of TEM and SHV plasmids in isolates were examined by PCR method.Results: According to molecular estimations, TEM and SHV plasmids would be detected in 68.1% of isolates. But, TEM and SHV plasmids were detected in 18.1% and 13.6% of isolates, Separately. It seems that a chromosomal gene of beta lactam resistance was responsible in 52.1% of samples.Conclusion: According to increase level of antibiotic resistance among UEPC isolates, complete recognition of ESBLs is necessary and also trying to understand who they affect antibiotics resistance.

Introduction: One of the most important factors in Urinary Tract Infection caused by Uropathogenic Escherichia coli, is the attachment of bacteria to the host cell surface. Thus, inhibition of bacterial attachment is the appropriate action to prevent infection. The aim of this study was to investigate the antimicrobial and especially anti adhesive characteristics of probiotic bacteria against Escherichia coli by using microbial techniques.Materials and methods: In this study two strains of Lactobacillus acidophilus PTCC 1643 and Lactobacillus casei PTCC 1608 were used.40 Uropathogenic Escherichia coli were collected from Semnan province hospitals.20 samples with the more capability of biofilm production were selected for microbial tests. To evaluate the antimicrobial activity of complete culture and supernatant of probiotic lactobacilli, modified double layer method and dilution of supernatant were used, respectively. The mechanism of co- aggregation of lactobacilli with pathogens was examined. The microtitre plate method was used to detect anti-adhesive activity of Lactobacilli supernatant.Results: The antimicrobial and anti-adhesive effects of probiotic lactobacilli on Uropathogenic Escherichia coli were confirmed in all tests. In this study, Lactobacillus casie with the growth inhibitory (42.7 mm) and anti-adhesive (46.7 mm) effects were reported as a proper probiotic bacterium.Discussion and conclusion: According to the results, the probiotic lactobacilli have spectacular effects to prevent attachment, biofilm formation and pathogenicity of UPEC, so using them to prevent and treat Urinary tract infection is a practical, reasonable and acceptable method.

Background and Objectives: A wide range of extraintestinal infections in humans and vertebrate animals are created by the extraintestinal E. coli strains (EXPEC), including APEC (Avian pathogenic Escherichia coli) and UPEC (urinary tract infection in humans). This study aimed to survey presence of eight involving virulent genes of APEC and UPEC strains in human extraintestinal E.coli strains to support the hypothesis that these genes in human APEC and UPEC were originated from avian APEC and UPEC strains.Materials and Methods: A total of 100 and 105 Escherichia coli samples were collected from patients with urinary tract infection and the infected chickens with colibacillose, respectively. After DNA extraction, Multiplex PCR was used for the presence of genes astA, iss, papC, iucD, tsh, vat, cva / cvi (related to strain APEC). Correlation between APEC and UPEC were analyzed by chi-square test.Results: The frequency of astA, iss, irp2 and papC genes in UPEC strains isolated from patients with urinary tract infection were 13%, 11%, 33% and 3%, respectively. The genes iucD, tsh, vat, and cva / cvi were observed in only one of the isolated strains. All genes were observed in all avian strains.Conclusion: presence of astA, iss, irp2, papC genes in both APEC and UPEC strains confirmed their role in extraintestinal infections. Between them, iss gene (the most common isolated gene) and irp2 gene (with 33% frequency in of UPEC) are more likely the most important pathogenic factors in the E. coli strains.

Background: Inhibition of biofilm formation is essential for the prevention and treatment of urinary tract infection. This study was aimed to identify the probiotic potential of Lactobacillus strains isolated from kefir and evaluate their antimicrobial and antibiofilm activities against Uropathogenic Escherichia coli (UPEC). Methods: Twelve Lactobacillus strains were evaluated. Antimicrobial and antibiofilm activities of Cell Free Supernatant (CFS) of the Lactobacillus strains against UPEC isolates were evaluated by agar well diffusion method and crystal violet assay, respectively. Probiotic potential of selected isolates was assessed by analyzing their tolerance to acidic pH and bile salts, auto-aggregation ability, co-aggregation with Escherichia coli (E. coli) and hemolytic activity. The isolates were identified by phenotypic and 16S rRNA gene sequencing. Results: The CFS of all lactobacilli strains was able to inhibit UPEC isolates even after neutralization. Four out of 12 isolates inhibited the biofilm formation by UPEC in the range 62-75%. The viability under acidic condition varied among the isolates ranging from 6-89. 8%. All the isolates could tolerate the 0. 3% bile and eight isolates showed the adaptation time of less than 1 hr. All the strains exhibited co-aggregation with E. coli. Auto-aggregation was highly correlated with co-aggregation of all lactobacilli strains with E. coli (r=0. 889, p<0. 001). The isolates with satisfactory probiotic potential and higher ability of biofilm inhibition and antibacterial activity belonged to the species Lactobacillus rhamnosus and Lactobacillus paracasei. Conclusion: All four selected probiotic strains exhibited antimicrobial and antibiofilm activities, which suggest potential applications for controlling or preventing infections caused by UPEC.

Specialized Escherichia coli (E. coli) isolates, called uropathogenic E. coli (UPEC), cause most of urinary tract infections (UITs). Once bacteria reached the urinary tract of the host, they have to adhere to the host cell for the colonization. For this purpose, bacteria have different structures including fimbrial adhesins. Most of the UPECs contain type 1 fimbriae encoded by fim operon (fimB, E, A, I, C, D, F, G, H) which is responsible for the adhesive ability in these isolates. Ninety-four isolates of UPEC were obtained from UTI patients in Baghdad hospitals and their diagnosis were confirmed by the PCR method using 16srDNA as a housekeeping gene. The UPEC isolates were tested for their ability of adherence to the urothelial cells obtained from the mid-stream urine from healthy women. Fifty isolates were subjected to detect type1 fimbriae genes (fimA operon) using specific primers followed by sequencing the amplified fragment which they were analyzed by Geneious software. The results confirm that all the isolates were E. coli according to the genetic analysis by the PCR test, and also, the ability of attachment for all isolates were approved (100%). For type 1 fimbriae, the findings figured out that 100% of the isolates harbored fimA, fimI, fimC, fimD, fimG and fimH genes,while 96% of them were positive for fimB, fimF, and 82% of the isolates were positive for fimE. This result exhibited a higher prevalence of fim genes, as the attachment ability was 100%. Approximately, all UPEC have type 1fimbrial genes, so it could be used as a genetic marker in the investigation of E. coli adhesion ability.