Bibbal D, Dupouy V, Prère M F, Toutain P L, Bousquet-Mélou A
UMR181 Physiopathologie et Toxicologie Expérimentales, INRA, ENVT, Ecole Nationale Vétérinaire de Toulouse, 23 Chemin des Capelles, BP 87 614, 31076 Toulouse Cedex 3, France.
Appl Environ Microbiol. 2009 May;75(10):2999-3006. doi: 10.1128/AEM.02143-08. Epub 2009 Mar 6.
The aim of this study was to examine the dynamics of the development of resistance in fecal Escherichia coli populations during treatment with ampicillin for 7 days in pigs. Before treatment, only 6% of the isolates were ampicillin resistant, whereas more than 90% of the isolates were resistant after days 4 and 7 of treatment. Ampicillin-resistant E. coli isolates were mainly multiresistant, and 53% of the isolates from the treated pigs had one phenotype that included resistance to six antibiotics (ampicillin, chloramphenicol, sulfonamides, tetracycline, trimethoprim, and streptomycin) at day 7. Determination of the frequency of the four phylogenetic groups showed that there was a shift in the E. coli population in ampicillin-treated pigs; before treatment 75% of the isolates belonged to phylogroup B1, whereas at day 7 85% of the isolates belonged to phylogroup A. Pulsed-field gel electrophoresis (PFGE) typing revealed that ampicillin treatment selected ampicillin-resistant isolates with genotypes which were present before treatment. Comparison of antimicrobial phenotypes and PFGE genotypes showed that resistance traits were disseminated by vertical transmission through defined strains. One PFGE genotype, associated with the six-antibiotic-resistant phenotype and including a specific combination of resistance determinants, was predominant among the ampicillin-resistant strains before treatment and during treatment. These data indicate that ampicillin administration selected various ampicillin-resistant isolates that were present in the digestive tract before any treatment and that E. coli isolates belonging to one specific PFGE genotype encoding resistance to six antibiotics became the predominant strains as soon as ampicillin was present in the digestive tract.
本研究的目的是检测猪用氨苄西林治疗7天期间粪便中大肠杆菌群体耐药性发展的动态变化。治疗前,仅6%的分离株对氨苄西林耐药,而在治疗第4天和第7天后,超过90%的分离株耐药。耐氨苄西林的大肠杆菌分离株主要为多重耐药,在治疗第7天,来自治疗猪的分离株中有53%具有一种表型,包括对六种抗生素(氨苄西林、氯霉素、氯霉素、磺胺类、四环素、甲氧苄啶和链霉素)耐药。对四个系统发育组频率的测定表明,用氨苄西林治疗的猪的大肠杆菌群体发生了变化;治疗前75%的分离株属于B1系统发育组,而在第7天85%的分离株属于A系统发育组。脉冲场凝胶电泳(PFGE)分型显示,氨苄西林治疗选择了治疗前就已存在的具有特定基因型的耐氨苄西林分离株。抗菌表型和PFGE基因型的比较表明,耐药性状通过特定菌株的垂直传播得以扩散。一种与六种抗生素耐药表型相关且包含特定耐药决定因素组合的PFGE基因型,在治疗前和治疗期间的耐氨苄西林菌株中占主导地位。这些数据表明,氨苄西林的使用选择了治疗前就存在于消化道中的各种耐氨苄西林分离株,并且一旦消化道中存在氨苄西林,属于一种编码对六种抗生素耐药的特定PFGE基因型的大肠杆菌分离株就成为了优势菌株。