Messi Patrizia, Guerrieri Elisa, de Niederhäusern Simona, Sabia Carla, Bondi Moreno
Department of Biomedical Sciences, University of Modena and Reggio E., Via Campi 287, 41100 Modena, Italy.
Int J Food Microbiol. 2006 Mar 15;107(2):218-22. doi: 10.1016/j.ijfoodmicro.2005.08.026. Epub 2005 Nov 8.
We investigated the spread of vancomycin-resistant enterococci (VRE) in strains from meat and environmental samples and the location of glycopeptide-resistance determinants in VanA isolates. VRE and VSE (vancomycin-sensitive enterococci) resistance patterns to six antimicrobials were also evaluated. A total of 59 meat isolates (35%) and 119 environmental isolates (26.5%) were glycopeptide resistant enterococci. In particular, 10.7% meat isolates belonged to the VanA, 8.3% to VanB and 16% to VanC phenotypes. Environmental samples presented 0.7% VanA, 14.5% VanB, and 11.4% VanC strains. Evident differences were not observed among the resistance patterns of VRE and VSE isolates. Neither an important difference was observed comparing the resistance patterns in enterococci from meat and environment. In particular a low incidence of beta-lactamic resistant strains was found, whereas high rates of resistance were observed for streptomycin (85.7% and 92.8%), kanamycin (79.7% and 96%) and gentamycin (85.1% and 91.7%). An intermediate rate of resistant bacteria emerged for erythromycin (35.1% and 10.5%). All VanA isolates independent of origin had more plasmids with different molecular weights. PCR amplification of the 732 bp fragment in plasmids from the VanA strains confirmed affiliation to the vanA gene cluster and the extrachromosomal location of the glycopeptide-resistance determinants. Our study suggests that food and environment play a potential role as reservoirs of resistance determinants, prompting the need to undertake epidemiological and molecular studies to evaluate the mobility of these genes.
我们研究了耐万古霉素肠球菌(VRE)在肉类和环境样本菌株中的传播情况以及VanA分离株中糖肽抗性决定簇的位置。还评估了VRE和万古霉素敏感肠球菌(VSE)对六种抗菌药物的耐药模式。共有59株肉类分离株(35%)和119株环境分离株(26.5%)为耐糖肽肠球菌。特别是,10.7%的肉类分离株属于VanA表型,8.3%属于VanB表型,16%属于VanC表型。环境样本中VanA菌株占0.7%,VanB菌株占14.5%,VanC菌株占11.4%。VRE和VSE分离株的耐药模式之间未观察到明显差异。比较来自肉类和环境的肠球菌的耐药模式也未观察到重要差异。特别是发现β-内酰胺耐药菌株的发生率较低,而链霉素(85.7%和92.8%)、卡那霉素(79.7%和96%)和庆大霉素(85.1%和91.7%)的耐药率较高。红霉素的耐药菌出现率中等(35.1%和10.5%)。所有VanA分离株,无论来源如何,都有更多不同分子量的质粒。对VanA菌株质粒中732 bp片段的PCR扩增证实其与vanA基因簇相关,且糖肽抗性决定簇位于染色体外。我们的研究表明,食物和环境作为抗性决定簇的储存库可能发挥作用,这促使有必要进行流行病学和分子研究,以评估这些基因的流动性。