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美国俄亥俄州牛粪便中产 CTX-M 型超广谱β-内酰胺酶的大肠埃希菌。

CTX-M-type extended-spectrum β-lactamases present in Escherichia coli from the feces of cattle in Ohio, United States.

机构信息

Veterinary Preventive Medicine, The Ohio State University, Columbus, Ohio 43210, USA.

出版信息

Foodborne Pathog Dis. 2010 Dec;7(12):1575-9. doi: 10.1089/fpd.2010.0615. Epub 2010 Aug 14.

Abstract

CTX-M extended-spectrum β-lactamases are enzymes produced by bacteria that are capable of inhibiting the antimicrobial effects of cephalosporin drugs. Recently, the first domestically acquired Salmonella in the United States expressing bla(CTX-M) was reported. This is a concern because expanded-spectrum cephalosporins are the treatment of choice for invasive Gram-negative infections, including salmonellosis in children. Because Salmonella transmission is primarily foodborne, there is also concern that resistant enteric bacteria from livestock can be transferred through the food supply chain to consumers. bla(CTX-M) has not been previously identified in bacterial isolates from food animal populations in the United States. We report the recovery of CTX-M-type extended-spectrum β-lactamases from fecal Escherichia coli of sick and healthy dairy cattle in Ohio. Four individual fecal samples yielded E. coli isolates representing three clonal strains that carried bla(CTX-M) on transferable plasmids. Two distinguishable plasmids were identified, each encoding bla(CTX-M-1) or bla(CTX-M-79). Transferrable bla(CTX-M) genes in bovine E. coli have the potential to serve as a reservoir of resistance for pathogens and may represent a public health concern.

摘要

CTX-M 型超广谱β-内酰胺酶是由能够抑制头孢菌素类药物抗菌作用的细菌产生的酶。最近,据报道,美国出现了首例表达 bla(CTX-M)的本土获得性沙门氏菌。这令人担忧,因为扩展谱头孢菌素类药物是治疗侵袭性革兰氏阴性感染的首选药物,包括儿童沙门氏菌病。由于沙门氏菌传播主要是食源性的,因此还担心来自牲畜的耐药肠细菌可以通过食物链转移到消费者身上。bla(CTX-M)以前在美国的食品动物群体的细菌分离物中没有被发现。我们报告了从俄亥俄州患病和健康奶牛的粪便大肠杆菌中回收 CTX-M 型超广谱β-内酰胺酶。四个单独的粪便样本产生了代表三种克隆株的大肠杆菌分离株,这些克隆株在可转移质粒上携带 bla(CTX-M)。鉴定出两种可区分的质粒,每种质粒都编码 bla(CTX-M-1)或 bla(CTX-M-79)。牛大肠杆菌中的可转移 bla(CTX-M)基因有可能成为病原体的耐药性储存库,可能代表公共卫生问题。

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