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从巴西猪身上分离出的大肠杆菌和肠炎沙门氏菌菌株中的黏菌素耐药性

Colistin resistance in Escherichia coli and Salmonella enterica strains isolated from swine in Brazil.

作者信息

Morales Adriano Savoia, Fragoso de Araújo Juliana, de Moura Gomes Vasco Túlio, Reis Costa Adrienny Trindade, dos Prazeres Rodrigues Dália, Porfida Ferreira Thais Sebastiana, de Lima Filsner Pedro Henrique Nogueira, Felizardo Maria Roberta, Micke Moreno Andrea

机构信息

Laboratório de Sanidade Suína e Virologia, Faculdade de Medicina Veterinária e Zootecnia-FMVZ, Universidade de São Paulo-USP, 05508270 São Paulo, SP, Brazil.

出版信息

ScientificWorldJournal. 2012;2012:109795. doi: 10.1100/2012/109795. Epub 2012 Aug 22.

Abstract

Reports about acquired resistance to colistin in different bacteria species are increasing, including E. coli of animal origin, but reports of resistance in wild S. enterica of different serotypes from swine are not found in the literature. Results obtained with one hundred and twenty-six E. coli strains from diseased swine and one hundred and twenty-four S. enterica strains from diseased and carrier swine showed a frequency of 6.3% and 21% of colistin-resistant strains, respectively. When comparing the disk diffusion test with the agar dilution test to evaluate the strains, it was confirmed that the disk diffusion test is not recommended to evaluate colistin resistance as described previously. The colistin MIC 90 and MIC 50 values obtained to E. coli were 0.25 μg/mL and 0.5 μg/mL, the MIC 90 and MIC 50 to S. enterica were 1 μg/mL and 8 μg/mL. Considering the importance of colistin in control of nosocomial human infections with Gram-negative multiresistant bacteria, and the large use of this drug in animal production, the colistin resistance prevalence in enterobacteriaceae of animal origin must be monitored more closely.

摘要

关于不同细菌物种对黏菌素获得性耐药的报道日益增多,包括动物源大肠杆菌,但文献中未发现来自猪的不同血清型野生肠炎沙门氏菌耐药的报道。对来自患病猪的126株大肠杆菌和来自患病及携带病菌猪的124株肠炎沙门氏菌的检测结果显示,黏菌素耐药菌株的频率分别为6.3%和21%。在比较纸片扩散法和琼脂稀释法评估菌株时,证实如前所述,不建议用纸片扩散法评估黏菌素耐药性。对大肠杆菌获得的黏菌素MIC90和MIC50值分别为0.25μg/mL和0.5μg/mL,对肠炎沙门氏菌的MIC90和MIC50分别为1μg/mL和8μg/mL。鉴于黏菌素在控制医院内革兰氏阴性多重耐药菌感染中的重要性,以及该药物在动物生产中的大量使用,必须更密切地监测动物源肠杆菌科细菌中黏菌素耐药性的流行情况。

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