Meunier Danièle, Jouy Eric, Lazizzera Corinne, Kobisch Marylène, Madec Jean-Yves
Agence Française de Sécurité Sanitaire des Aliments, Unité de Bactériologie Bovine et Sécurité des Viandes, 31 avenue Tony Garnier, 69364 Lyon, France.
Int J Antimicrob Agents. 2006 Nov;28(5):402-7. doi: 10.1016/j.ijantimicag.2006.08.016. Epub 2006 Oct 5.
Clinical Escherichia coli strains with resistance or variable susceptibility to third-generation cephalosporins were detected in cattle, swine and poultry in France. These strains were shown to produce extended-spectrum beta-lactamases (ESBLs), with CTX-M-1- and CTX-M-15-type beta-lactamases being responsible for this phenotype. The bla(CTX-M-1) gene was encountered most commonly and was characterised in seven E. coli strains isolated from cattle, swine and poultry, whereas bla(CTX-M-15) was identified in one E. coli isolated from cattle. These genes were located on a conjugative plasmid and were linked to the insertion sequence ISEcp1, which could have contributed to dissemination of the resistance gene. No epidemiological link between the strains was determined by pulsed-field gel electrophoresis, although two plasmids were identical in two strains isolated from swine and in two strains isolated from cattle and poultry. Thus, this study describes the emergence of ESBLs in animals in France, with a probable similar prevalence rate to that observed in humans. This is a major concern because of the possibility of transfer of these genes between animal species as well as to humans, leading to treatment failures in veterinary and human medicine.
在法国的牛、猪和家禽中检测到了对第三代头孢菌素具有耐药性或敏感性可变的临床大肠杆菌菌株。这些菌株被证明能产生超广谱β-内酰胺酶(ESBLs),其中CTX-M-1型和CTX-M-15型β-内酰胺酶导致了这种表型。bla(CTX-M-1)基因最为常见,在从牛、猪和家禽中分离出的7株大肠杆菌中得到了鉴定,而bla(CTX-M-15)则在从牛中分离出的1株大肠杆菌中被鉴定出来。这些基因位于接合质粒上,并与插入序列ISEcp1相连,这可能有助于耐药基因的传播。尽管从猪中分离出的两株菌株以及从牛和家禽中分离出的两株菌株中的两个质粒是相同的,但通过脉冲场凝胶电泳未确定这些菌株之间的流行病学联系。因此,本研究描述了法国动物中ESBLs的出现,其流行率可能与在人类中观察到的相似。这是一个主要问题,因为这些基因有可能在动物物种之间以及向人类转移,从而导致兽医和人类医学中的治疗失败。