title: Comparison of expression of virulence factors by Escherichia coli causing cystitis and E. coli colonizing the periurethra of healthy girls.
abstract: The prevalence of virulence factors possessed by Escherichia coli colonizing the periurethra was examined and compared with that of E. coli causing urinary tract infection. One hundred two E. coli isolates obtained from the periurethra and urine of 7 non-sexually active girls at risk for cystitis were characterized for genetic relatedness and examined for expression of six virulence factors. Expression of virulence factors in colonizing clones of E. coli were compared with expression in clones from symptomatic infection. All virulence factors except P adhesin were commonly expressed by colonizing clones of E. coli that did not go on to infect the urinary tract. Although P adhesin-expressing E. coli were commonly isolated from episodes of cystitis, the presence of P adhesin on periurethral E. coli did not usually predict subsequent infection. By itself, expression of virulence factors on periurethral E. coli is not enough to predict subsequent infection.
authors.affiliation: Department of Pediatrics, University of Virginia, Charlottesville 22908, USA.
authors.forename: T A
authors.initials: TA
authors.lastname: Schlager
authors.forename: T S
authors.initials: TS
authors.lastname: Whittam
authors.forename: J O
authors.initials: JO
authors.lastname: Hendley
authors.forename: R J
authors.initials: RJ
authors.lastname: Hollis
authors.forename: M A
authors.initials: MA
authors.lastname: Pfaller
authors.forename: R A
authors.initials: RA
authors.lastname: Wilson
authors.forename: A
authors.initials: A
authors.lastname: Stapleton
mesh_terms: D000372:Agglutination Tests; D002240:Carbohydrate Sequence; D002648:Child; D002675:Child, Preschool; D003556:Cystitis / Q000382:microbiology*; D004926:Escherichia coli / Q000235:genetics / Q000302:isolation & purification* / Q000472:pathogenicity*; D005260:Female; D014644:Genetic Variation; D006388:Hemagglutinins / Q000737:chemistry; D006801:Humans; D008969:Molecular Sequence Data; D011110:Polymorphism, Genetic; D012016:Reference Values; D014521:Urethra / Q000382:microbiology*; D014552:Urinary Tract Infections / Q000382:microbiology*; D014556:Urine / Q000382:microbiology; D014774:Virulence
chemical_list: D006388:Hemagglutinins