Abstract
Listeria monocytogenes, a life-threatening pathogen, poses
severe risk during pregnancy, may cause abortion, fetal death
or neonatal morbidity in terms of septicemia and meningitis.
The present study aimed at characterizing L. monocytogenes
isolated from pregnant women based on serotyping, antibiotic
susceptibility, virulence genes, in vivo pathogenicity test and
ERIC- and REP-PCR fingerprint analyses. The results revealed
that out of 3700 human clinical samples, a total of 30 (0.81%)
isolates [12 (0.80%) from placental bit (1500), 18 (0.81%) from
vaginal swab (2200)] were positive for L. monocytogenes. All
the isolates belonged to serogroup 4b, and were + ve for
virulence genes tested i.e. inlA, inlC, inlJ, plcA, prfA, actA,
hlyA, and iap. Based on the mice inoculation tests, 20 isolates
showed 100% and 4 isolates 60% relative virulence while
6 isolates were non-pathogenic. Moreover, 2 and 10 isolates
were resistant to ciprofloxacin and cefoxitin, respectively,
while the rest susceptible to other antibiotics used in this
study. ERIC- and REP-PCR collectively depicted that the isolates
from placental bit and vaginal swab had distinct PCR
fingerprints except a few isolates with identical patterns. This
study demonstrates prevalence of pathogenic strains mostly
resistant to cefoxitin and/or ciprofloxacin. The results indicate
the importance of isolating and characterizing the pathogen
from human clinical samples as the pre-requisite for accurate
epidemiological investigations.
Citations
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