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											Título:
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											Pathogenicity Island O-122 in enteropathogenic Escherichia coli strains is associated with diarrhea severity in children from Lima Peru
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													Autores:
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																				Mercado, Erik-H.																																							 ; 
																				Piscoche, Cristian																																							 ; 
																				Contreras, Carmen																																							 ; 
																				Durand, David																																							 ; 
																				Riveros, Maribel																																							 ; 
																				Ruiz, Joaquim																																							 ; 
																				Ochoa, Theresa-J.																							
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												Tipo de documento: 
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																											texto impreso
																									
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												Editorial: 
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												Elsevier, 2019-02-06T14:45:55Z
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												Nota general:
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												info:eu-repo/semantics/restrictedAccess 
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
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																																							Inglés
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												Resumen:
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												EPEC is an attaching and effacing diarrheal pathogen that carries a large pathogenicity island, locus for enterocyte effacement (LEE). Recently, the pathogenicity island PAI O-122 was described among non-LEE effectors and found to be associated with diarrhea among atypical EPEC strains. It is unknown if incomplete PAI O-122 could be associated with diarrhea duration and severity. To  identify these virulence determinants we analyzed 379 EPEC strains isolated from  Peruvian children. EPEC was diagnosed by PCR(eae+, stx-) and classified as typical(t-EPEC) or atypical(a-EPEC). To characterize PAI O-122 we amplified three modules by PCR: Module 1(pagC), Module 2(senA, nleB and nleE) and Module 3(lifA/efa-1). To characterize the large ORF lifA/efa-1 we amplified the regions  known as efa-N, efa-M and efa-C. Clinical information was obtained from the cohort study. A total of 379 EPEC strains were able to analyze PAI O-122 genes, 128 (10.4%) EPEC strains were isolated from 1235 diarrhea episodes and 251(9.2%)  from 2734 healthy controls. t-EPEC strains were isolated from 14.8% (19/128) of children with diarrhea and 25/251(10.0%) from healthy controls. The most frequent PAI O-122 genes were nleE(37.7%), senA(34.6%) and nleB(37.5%), with similar prevalence among diarrhea and control samples. However, lifA/efa-1 was more common among diarrhea cases than healthy control cases (30.5% vs. 21.1%, p
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										   			En línea:
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										   			http://doi.org/10.1016/j.ijmm.2016.05.005
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