Institut für Hygiene und Umweltmedizin, Charité-Universitätsmedizin Berlin, Berlin, Germany.
J Antimicrob Chemother. 2012 Nov;67(11):2631-4. doi: 10.1093/jac/dks295. Epub 2012 Aug 6.
To determine the prevalence of extended-spectrum β-lactamase (ESBL) production in Enterobacteriaceae in retail chicken meat in Germany.
A total of 399 chicken meat samples from nine supermarket chains, four organic food stores and one butcher's shop in two geographically distinct regions (Berlin and Greifswald) were screened for ESBL production using selective agar. Phenotypic ESBL isolates were tested for bla(TEM), bla(CTX-M) and bla(SHV) genes using PCR and DNA sequencing. Antibiotic coresistances were determined and strain typing was performed using PCR-based phylogenetic grouping and XbaI-PFGE.
A total of 185 confirmed ESBL isolates were obtained from 175 samples (43.9%) from all tested sources. The majority of isolates were Escherichia coli producing ESBL types SHV-12 (n = 82), CTX-M-1 (n = 77) and TEM-52 (n = 16). No differences could be observed in the prevalence of ESBL producers between organic and conventional samples. 73.0% of the ESBL producers showed coresistance to tetracycline, 35.7% to co-trimoxazole and 7.6% to ciprofloxacin. Strain typing of selected E. coli isolates from Berlin revealed identical macrorestriction patterns for several isolates from samples taken from the same stores.
This is the first comprehensive study from Germany showing a high prevalence of TEM-, CTX-M- and SHV-type ESBLs in Enterobacteriaceae isolated from retail chicken meat. The high rate of coresistance to different classes of antibiotics in the ESBL producers might reflect the common veterinary usage of these and related substances. There is an urgent need to further evaluate the role of poultry in the transmission of highly resistant ESBL-producing bacteria in humans.
检测德国零售鸡肉中肠杆菌科中扩展谱β-内酰胺酶(ESBL)的产生情况。
从柏林和格赖夫斯瓦尔德两个地理位置不同的地区的 9 家连锁超市、4 家有机食品店和 1 家肉店共采集 399 份鸡肉样本,使用选择性琼脂筛选 ESBL 的产生情况。使用 PCR 和 DNA 测序对表型 ESBL 分离株进行 bla(TEM)、bla(CTX-M)和 bla(SHV)基因检测。使用基于 PCR 的系统发育分组和 XbaI-PFGE 进行抗生素抗药性和菌株分型。
从所有来源的 175 个样本中(占 43.9%)总共获得了 185 株确认的 ESBL 分离株。分离株主要为产 ESBL 型 SHV-12(n=82)、CTX-M-1(n=77)和 TEM-52(n=16)的大肠杆菌。在有机和常规样本中,ESBL 产生者的流行率没有差异。73.0%的 ESBL 产生者对四环素表现出协同耐药,35.7%对复方新诺明耐药,7.6%对环丙沙星耐药。对来自柏林的选择的大肠杆菌分离株进行的菌株分型显示,来自同一商店的几个样本的分离株具有相同的宏限制模式。
这是德国首次进行的全面研究,表明零售鸡肉中肠杆菌科分离株中 TEM、CTX-M 和 SHV 型 ESBL 的流行率很高。ESBL 产生者对不同类别的抗生素的高协同耐药率可能反映了兽医对这些和相关物质的常用用法。迫切需要进一步评估家禽在人类中传播高耐药性产 ESBL 细菌的作用。