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1997 年至 2010 年,从小牛中分离的大肠埃希菌中产 ESBL/AmpC 型β-内酰胺酶基因的流行率和多样性不断增加。

Increasing prevalence and diversity of ESBL/AmpC-type β-lactamase genes in Escherichia coli isolated from veal calves from 1997 to 2010.

机构信息

Department of Infectious Diseases and Immunology, Faculty of Veterinary Medicine, Utrecht University, PO Box 80.165, 3508 TD Utrecht, The Netherlands.

出版信息

J Antimicrob Chemother. 2013 Sep;68(9):1970-3. doi: 10.1093/jac/dkt132. Epub 2013 May 8.

Abstract

OBJECTIVES

Several studies on faecal carriage of extended-spectrum β-lactamase (ESBL)/AmpC-producing Escherichia coli have been performed in cattle, but little is known about faecal carriage in veal calves. This study describes the prevalence and molecular characteristics of ESBL/AmpC genes in E. coli isolated from faecal samples of veal calves from 1997 to 2010.

METHODS

Pooled faecal samples were inoculated using selective enrichment broth and subsequently selective MacConkey agar. All isolates with reduced susceptibility to cefotaxime were screened by PCR and sequencing analysis for the presence of ESBL/AmpC genes.

RESULTS

The prevalence of E. coli with reduced susceptibility to cefotaxime showed a discontinuous increasing trend, ranging from 4% in 1998 and 1999 to 39% in 2010. Promoter mutations of the chromosomal ampC gene were present in all years. In 2000, ESBL genes blaCTX-M-1, blaTEM-52 and blaTEM-20 were first observed. Before 2005 the majority of E. coli with reduced susceptibility to cefotaxime harboured ampC promoter mutations. From 2005 onwards the majority harboured blaCTX-M genes, of which blaCTX-M-1 was the most abundant, followed by blaCTX-M-14 and blaCTX-M-15. The diversity of blaCTX-M genes gradually increased from one variant in 2000 to six variants in 2010. The prevalence of blaTEM-52 was relatively low, but it was detected from 2000 onwards. blaCMY and blaSHV were found sporadically.

CONCLUSIONS

The prevalence and molecular diversity of genes encoding cefotaxime resistance in E. coli isolated from veal calves over a 14 year period showed an increasing trend. From 2005 onwards, blaCTX-M genes were most abundant, especially blaCTX-M-1.

摘要

目的

已有多项关于产超广谱β-内酰胺酶(ESBL)/AmpC 型大肠埃希菌在牛中的粪便携带情况的研究,但关于犊牛粪便携带情况的研究则知之甚少。本研究描述了 1997 年至 2010 年间从犊牛粪便样本中分离的大肠埃希菌中 ESBL/AmpC 基因的流行情况和分子特征。

方法

使用选择性增菌肉汤和随后的选择性麦康凯琼脂对混合粪便样本进行接种。所有对头孢噻肟敏感性降低的分离株均通过 PCR 和测序分析筛选 ESBL/AmpC 基因的存在。

结果

对头孢噻肟敏感性降低的大肠埃希菌的流行率呈不连续上升趋势,从 1998 年和 1999 年的 4%到 2010 年的 39%。所有年份均存在染色体 ampC 基因的启动子突变。2000 年首次观察到 blaCTX-M-1、blaTEM-52 和 blaTEM-20 型 ESBL 基因。2005 年之前,大多数对头孢噻肟敏感性降低的大肠埃希菌携带 ampC 启动子突变。自 2005 年以来,大多数携带 blaCTX-M 基因,其中 blaCTX-M-1 最为丰富,其次是 blaCTX-M-14 和 blaCTX-M-15。blaCTX-M 基因的多样性从 2000 年的一个变体逐渐增加到 2010 年的六个变体。blaTEM-52 的流行率相对较低,但从 2000 年开始检测到。blaCMY 和 blaSHV 则偶有发现。

结论

14 年来,从犊牛粪便中分离的大肠埃希菌中编码头孢噻肟耐药性的基因的流行率和分子多样性呈上升趋势。自 2005 年以来,blaCTX-M 基因最为丰富,尤其是 blaCTX-M-1。

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