Isolation and Phenotypic Characterization of Virulent Bacteriophages Against Multidrug-Resistant Escherichia coli and Its Phage-Resistant Variant from Sewage Sources

Purpose

The use of lytic bacteriophages for the control or elimination of pathogenic multidrug-resistant (MDR) bacteria is the promising alternative. However, the emergence of resistant bacterial variants after phage application may challenge its therapeutic benefit. In this study, we aimed to isolate candidate phages from sewage samples against two MDR Escherichia coli as well as their phage-resistant variant.

Methods

MDR E. coli isolates (n = 10) obtained from Jimma Medical Center that had been properly identified and stored were used to isolate bacteriophages. Two lytic coliphages were isolated from hospital sewage samples following standard protocols. Upon single phage infection, phage-resistant variant quickly evolved serving as a new host for the isolation of a third lytic phage. This virulent phage's lytic activity against both its host and the wild host was investigated. The host infectivity of the various cocktails was assessed, and each phage's biological properties were studied.

Results

Out of the first round of phage isolation process, two lytic phages were identified as VBO-E. coli 4307 and VBW-E. coli 4194. When exposed to VBO-E. coli 4307, the wild-type E. coli 4307 developed resistant variants. A third phage (VBA-E. coli 4307R) was isolated specific to this resistant variant (E. coli 4307R) under optimum condition. For VBO-E. coli 4307, VBW-E. coli 4194, and VBA-E. coli 4307R, the plaque assays generated under comparable conditions were 2.13 × 1010 PFU mL-1, 9.17 × 1012 PFU mL-1, and 3.3 × 1010 PFU mL-1, respectively. These phages have nearly identical stability and lytic ability but differ greatly in their host ranges for VBA-E. coli 4307R.

Conclusion

While the wild-type MDR pathogen could easily evolve resistance when exposed to a single phage infection by VBO-E. coli 4307, it is still possible to isolate a novel bacteriophage from environmental samples that is effective against the phage-resistant variants. This indicates that it is possible to manage the effects of phage resistance pathogens even if they are MDR.

ABO and Rh (D) blood group phenotype distribution pattern among blood donors at the Nekemte Blood Bank, Oromia, West Ethiopia: a retrospective cross-sectional study

OBJECTIVE

To determine the distribution of ABO and Rh (D) blood group phenotypes among blood donors.

METHODS

This retrospective cross-sectional study enrolled blood donors whose socio-demographic and blood group phenotype data were collected from blood bank donor records. Descriptive statistics were used to summarise the number and percentage distribution of categorical variables. To determine if the distributions of the ABO and Rh phenotypes differed, a chi-square test was employed.

RESULTS

Of 14,887 blood donors with a median age of 20 years (interquartile range = 18-30 years), 72.8% were males, and young donors (age range = 18-24 years) accounted for 61.7%. Group O (45.6%) was the most prevalent ABO blood phenotype, followed by A (29.5%), B (20.2%), and AB (4.7%). The dominant blood group was O positive (42.4%), followed by A positive (27.4%), B positive (18.9%), AB positive (4.3%), O negative (3.2%), A negative (2.1%), B negative (1.3%), and AB negative (0.4%). The overall Rh (D)-negative distribution rate was 7.0%.

CONCLUSION

This study showed that blood group O was the most common ABO phenotype, followed by A, B, and AB. Overall, 93.0% of the donors were Rh (D)-positive. These findings may help guide blood transfusion programmes.