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波兰屠宰的食用动物中非致病性大肠杆菌头孢菌素耐药性的流行情况及特征。

Prevalence and characterization of cephalosporin resistance in nonpathogenic Escherichia coli from food-producing animals slaughtered in Poland.

机构信息

Department of Microbiology, National Veterinary Research Institute, Pulawy, Poland.

出版信息

Microb Drug Resist. 2012 Feb;18(1):79-82. doi: 10.1089/mdr.2011.0033. Epub 2011 Jul 1.

Abstract

The prevalence of Escherichia coli with putative extended-spectrum cephalosporin resistance was assessed in cattle, pigs, broilers, layers, and turkey slaughtered in Poland. The occurrence of random E. coli isolates recovered from MacConkey agar plates with non-wild-type minimal inhibitory concentrations for cefotaxime and ceftazidime reached 0.6% in layers, 2.3% in turkey, and 4.7% in broilers, whereas all cattle and pigs isolates fell into the wild-type subpopulation. The use of MacConkey agar supplemented with cefotaxime (2 mg/L) increased the recovery of resistant strains up to 33.3% of samples from pigs, 42.3% from layers, 48.0% from turkey, and 54.5% from broilers. Still, no cephalosporin-resistant E. coli was found in cattle. E-test identified extended-spectrum beta-lactamase (ESBL) and ampC-type resistance phenotypes in 15 and 33 strains, respectively. Molecular characterization identified CTX-M-1 gene in 13 ESBL strains, 5 of which possessed also TEM-1b. One strain harbored SHV-12 gene. CMY-2 was found in all of 20 tested ampC-type cephalosporinase-positive strains either alone (n = 14) or in combination with mutations in ampC promoter region (n = 6). CTX-M-1 and CMY-2 genes were noted also in five strains from laying hens and broilers originated from Belgium and Germany. Nosocomial infections in Poland are caused by E. coli carrying other determinants than those found in our study. Thus, our results indicate that animals colonized with cephalosporin-resistant strains might not be the major source of human infections in Poland. However, the contribution to community-acquired infections by spread of resistant clones or resistance genes may not be excluded.

摘要

在波兰屠宰的牛、猪、肉鸡、蛋鸡和火鸡中,评估了具有潜在的头孢菌素类药物耐药性的大肠杆菌的流行情况。从头孢噻肟和头孢他啶非野生型最低抑菌浓度的麦康凯琼脂平板上回收的随机大肠杆菌分离株的发生率在蛋鸡中为 0.6%,在火鸡中为 2.3%,在肉鸡中为 4.7%,而所有牛和猪分离株均属于野生型亚群。在麦康凯琼脂中添加头孢噻肟(2 mg/L)可将耐药菌株的回收率提高至猪样本的 33.3%、蛋鸡样本的 42.3%、火鸡样本的 48.0%和肉鸡样本的 54.5%。然而,在牛中未发现头孢菌素耐药的大肠杆菌。E 试验分别鉴定出 15 株和 33 株的超广谱β-内酰胺酶(ESBL)和 AmpC 型耐药表型。分子特征鉴定出 13 株 ESBL 菌株中的 CTX-M-1 基因,其中 5 株还携带 TEM-1b。1 株携带 SHV-12 基因。在 20 株检测到的 AmpC 型头孢菌素酶阳性菌株中,均发现了 CMY-2 基因,单独存在(n=14)或存在于 AmpC 启动子区域突变(n=6)中。在来自比利时和德国的蛋鸡和肉鸡的 5 株分离株中也发现了 CTX-M-1 和 CMY-2 基因。波兰的医院感染是由携带本研究未发现的其他决定因素的大肠杆菌引起的。因此,我们的研究结果表明,携带头孢菌素耐药株的动物可能不是波兰人类感染的主要来源。然而,不能排除耐药克隆或耐药基因传播导致社区获得性感染的可能性。

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