Frequency of pap and pil operons in Escherichia coli strains associated with urinary infections

RESUMO

Strains of E. coli isolated from patients with urinary tract infection were examined for P and type 1 adhesin production by colony hybridization with pap and pil operons. The P pili probe detected 45 (46.4 per cent) of the total of 97 strains studied and the type 1 pili probe detected 83 (85.6 per cent). The pap operon was detected in 39 (53.4 per cent) of 73 strains isolated from urine of patients with urinary disease and in 6 (25.0 per cent) of 24 strains isolated from feces of healthy individuals employed as controls (P = 0.029), and the pil operon was detected in 67 (91.8 per cent) of the urinary strains and in 16 (66.6 per cent) of the fecal strains (P = 0.007). Our data did not show significant differences in frequency of P pili among isolates from pyelonephritis (78.5 per cent), cystitis (45.8 per cent) and asymptomatic bacteriuria (54.5 per cent). Type 1 pili were not associated with the different types of infection; the frequency of these pili was 100 per cent in pyelonephritis and in asymptomatic bacteriuria, and 87.5 per cent in cystitis. The incidence of pap operon in strains isolated from pyelonephritis and from asymptomatic bacteriuria was higher in 11-to 40-year old women. These data show a high frequency of pap and pil operons among uropathogenic strains of E. coli, which seems to be an important factor in the development of urinary infection.