Paterson G K, Morgan F J E, Harrison E M, Peacock S J, Parkhill J, Zadoks R N, Holmes M A
Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge CB3 0ES, UK.
J Antimicrob Chemother. 2014 Mar;69(3):598-602. doi: 10.1093/jac/dkt417. Epub 2013 Oct 23.
mecC methicillin-resistant Staphylococcus aureus (MRSA) represent a newly recognized form of MRSA, distinguished by the possession of a divergent mecA homologue, mecC. The first isolate to be identified came from bovine milk, but there are few data on the prevalence of mecC MRSA among dairy cattle. The aim of this study was to conduct a prevalence study of mecC MRSA among dairy farms in Great Britain.
Test farms were randomly selected by random order generation and bulk tank samples were tested for the presence of mecC MRSA by broth enrichment and plating onto chromogenic agar. All MRSA isolated were screened by PCR for mecA and mecC, and mecC MRSA were further characterized by multilocus sequence typing, spa typing and antimicrobial susceptibility testing.
mecC MRSA were detected on 10 of 465 dairy farms sampled in England and Wales (prevalence 2.15%, 95% CI 1.17%-3.91%), but not from 625 farms sampled in Scotland (95% CI of prevalence 0%-0.61%). Seven isolates belonged to sequence type (ST) 425, while the other three belonged to clonal complex 130. Resistance to non-β-lactam antibiotics was uncommon. All 10 isolates produced a negative result by slide agglutination for penicillin-binding protein 2a. mecA MRSA ST398 was detected on one farm in England.
mecC MRSA is widely distributed among dairy farms in Great Britain, but this distribution is not uniform across the whole country. These results provide an important baseline dataset to monitor the epidemiology of this emerging form of MRSA.
mecC 耐甲氧西林金黄色葡萄球菌(MRSA)是一种新发现的 MRSA 类型,其特征是拥有一种不同的 mecA 同源物 mecC。首个被鉴定的分离株来自牛乳,但关于奶牛中 mecC MRSA 的流行情况数据较少。本研究的目的是对英国奶牛场中 mecC MRSA 进行流行率研究。
通过随机生成顺序随机选择测试农场,并通过肉汤富集和接种到显色琼脂上检测大容量奶罐样本中是否存在 mecC MRSA。对所有分离出的 MRSA 进行 mecA 和 mecC 的 PCR 筛查,mecC MRSA 进一步通过多位点序列分型、spa 分型和抗菌药物敏感性测试进行特征分析。
在英格兰和威尔士采样的 465 个奶牛场中的 10 个检测到了 mecC MRSA(流行率 2.15%,95%可信区间 1.17%-3.91%),但在苏格兰采样的 625 个农场中未检测到(流行率 95%可信区间 0%-0.61%)。7 株分离株属于序列型(ST)425,另外 3 株属于克隆复合体 130。对非β-内酰胺类抗生素耐药并不常见。所有 10 株分离株青霉素结合蛋白 2a 的玻片凝集试验结果均为阴性。在英格兰的一个农场检测到了 mecA MRSA ST398。
mecC MRSA 在英国的奶牛场中广泛分布,但在全国范围内分布并不均匀。这些结果为监测这种新出现的 MRSA 形式的流行病学提供了重要的基线数据集。