Section of Clinical Microbiology and Infectious Diseases, Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
PLoS One. 2013 Sep 30;8(9):e76150. doi: 10.1371/journal.pone.0076150. eCollection 2013.
We investigated the general level of antibiotic resistance with further analysis of extended-spectrum beta-lactamase (ESBL) prevalence, as well as the population structure of E. coli in fecal flora of humans and Franklin's gulls (Leucophaeus pipixcan) in central parts of Chile. We found a surprisingly high carriage rate of ESBL-producing E. coli among the gulls 112/372 (30.1%) as compared to the human population 6/49 (12.2%.) Several of the E. coli sequence types (STs) identified in birds have previously been reported as Multi Drug Resistant (MDR) human pathogens including the ability to produce ESBLs. This means that not only commensal flora is shared between birds and humans but also STs with pathogenic potential. Given the migratory behavior of Franklin's gulls, they and other migratory species, may be a part of ESBL dissemination in the environment and over great geographic distances. Apart from keeping the antibiotic use low, breaking the transmission chains between the environment and humans must be a priority to hinder the dissemination of resistance.
我们研究了抗生素耐药的总体水平,并进一步分析了扩展谱β-内酰胺酶(ESBL)的流行情况,以及智利中部地区人类粪便菌群和富兰克林氏鸥(Leucophaeus pipixcan)中大肠杆菌的种群结构。我们发现,与人类人群(12.2%)相比,鸥类中产生 ESBL 的大肠杆菌的携带率惊人地高,为 112/372(30.1%)。在鸟类中鉴定出的几种大肠杆菌序列类型(ST)以前曾被报道为多药耐药(MDR)人类病原体,包括产生 ESBL 的能力。这意味着不仅鸟类和人类之间存在共生菌群,而且具有致病潜力的 ST 也存在。鉴于富兰克林氏鸥的迁徙行为,它们和其他迁徙物种可能是环境中 ESBL 传播和远距离传播的一部分。除了降低抗生素的使用量外,打破环境和人类之间的传播链必须是优先事项,以阻止耐药性的传播。