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动物源鲍曼不动杆菌的流行病学。

Epidemiology of Acinetobacter baumannii of animal origin.

机构信息

Molecular Chemotherapy, Centre for Infectious Diseases, University of Edinburgh, Edinburgh, UK.

出版信息

Int J Antimicrob Agents. 2011 Oct;38(4):314-8. doi: 10.1016/j.ijantimicag.2011.06.007. Epub 2011 Aug 9.

Abstract

Acinetobacter baumannii is an opportunistic pathogen responsible for nosocomial infections, however the origins of these bacteria remain unclear. Sixteen A. baumannii strains collected from animals slaughtered for human consumption were investigated for their susceptibility profiles, resistance islands (RIs), class 1 integrons, insertion sequence ISAba1, and bla(OXA-51)-like and bla(AmpC) genes. Polymerase chain reaction (PCR) and sequencing approaches were used to identify and type the isolates using the intrinsic gene bla(OXA-51)-like genes. Genotyping was also performed by pulsed-field gel electrophoresis (PFGE) to establish whether there was a genetic relationship between animal isolates and the main human isolates of European clones I, II and III (ECI, ECII and ECIII) known to cause major hospital outbreaks. All 16 isolates (100%) were sensitive to carbapenems, gentamicin, ciprofloxacin and piperacillin/tazobactam but were resistant to amoxicillin, cefradine, trimethoprim and chloramphenicol. Moreover, all isolates had a baseline resistance to ceftazidime, with a minimum inhibitory concentration of 4 mg/L. All isolates lacked RIs, ISAba1 and class 1 integrons but harboured bla(OXA-51)-like and bla(AmpC) genes. In addition, this study reports for the first time three new bla(OXA-51)-like genes (bla(OXA-148), bla(OXA-149) and bla(OXA-150)) isolated from bacteria in cattle, which have not been found previously in human isolates. However, all isolates recovered from pig faecal samples harboured one type of bla(OXA-51)-like (bla(OXA-51) itself), which has already been reported in human clinical isolates. From sequencing of the bla(OXA-51)-like genes from animal isolates, it was possible to identify four different clusters similar to those identified by PFGE, which in turn also distinguished these four groups from the human ECI, ECII and ECIII strains.

摘要

鲍曼不动杆菌是一种机会性病原体,可导致医院感染,但这些细菌的来源尚不清楚。从屠宰供人类食用的动物中收集了 16 株鲍曼不动杆菌菌株,对其药敏谱、耐药岛(RIs)、类 1 整合子、插入序列 ISAba1 以及 bla(OXA-51)-样和 bla(AmpC)基因进行了研究。采用聚合酶链反应(PCR)和测序方法,使用固有基因 bla(OXA-51)-样基因对分离株进行鉴定和分型。通过脉冲场凝胶电泳(PFGE)进行基因分型,以确定动物分离株与已知引起主要医院暴发的欧洲克隆 I、II 和 III(ECI、ECII 和 ECIII)主要人分离株之间是否存在遗传关系。所有 16 株分离株(100%)对碳青霉烯类、庆大霉素、环丙沙星和哌拉西林/他唑巴坦敏感,但对阿莫西林、头孢菌素、甲氧苄啶和氯霉素耐药。此外,所有分离株对头孢他啶均有基线耐药性,最低抑菌浓度为 4mg/L。所有分离株均缺乏 RIs、ISAba1 和类 1 整合子,但携带 bla(OXA-51)-样和 bla(AmpC)基因。此外,本研究首次报道了从牛细菌中分离到的三种新的 bla(OXA-51)-样基因(bla(OXA-148)、bla(OXA-149)和 bla(OXA-150)),这些基因以前未在人类分离株中发现。然而,从猪粪便样本中回收的所有分离株都携带一种 bla(OXA-51)-样(bla(OXA-51)本身),这种基因已在人类临床分离株中报道过。通过对动物分离株 bla(OXA-51)-样基因的测序,可以鉴定出与 PFGE 鉴定出的四个不同簇相似的基因簇,反过来也可以将这四个簇与人类 ECI、ECII 和 ECIII 菌株区分开来。

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