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简短通讯:葡萄牙奶牛乳房炎病例中耐甲氧西林葡萄球菌分离株的抗菌药物耐药性及毒力特征

Short communication: Antimicrobial resistance and virulence characterization of methicillin-resistant staphylococci isolates from bovine mastitis cases in Portugal.

作者信息

Seixas R, Santos J P, Bexiga R, Vilela C L, Oliveira M

机构信息

Immunology and Microbiology Laboratory, Interdisciplinary Centre of Research in Animal Health (CIISA)/Faculdade de Medicina Veterinária da Universidade de Lisboa, Avenida da Universidade Técnica, 1300-477 Lisboa, Portugal.

Immunology and Microbiology Laboratory, Interdisciplinary Centre of Research in Animal Health (CIISA)/Faculdade de Medicina Veterinária da Universidade de Lisboa, Avenida da Universidade Técnica, 1300-477 Lisboa, Portugal.

出版信息

J Dairy Sci. 2014;97(1):340-4. doi: 10.3168/jds.2013-7130. Epub 2013 Nov 13.

DOI:10.3168/jds.2013-7130
PMID:24239071
Abstract

Methicillin-resistant staphylococci (MRS) have already been reported as mastitis agents. Such bacterial species are a public health concern, and the characterization of their antimicrobial resistance and virulence profile is important to better control their dissemination. The present work evaluated the distribution of methicillin-resistance among 204 staphylococci from clinical (n=50) and subclinical (n=154) bovine mastitis. The presence ofthe mecA gene was determined by PCR. Phenotypic expression of coagulase, DNase, lipase, gelatinase, hemolytic enzymes, and biofilm production was evaluated. The presence of biofilm-related genes, icaA, icaD, and bap, was also determined. Antimicrobial resistance patterns for aminoglycosides, lincosamides, macrolides, fluoroquinolones, sulphonamides, tetracyclines, and fusidic acid were determined. Nineteen (9.3%) isolates were identified as MRS, and the presence of mecA in these isolates was confirmed by PCR. Virulence factors evaluation revealed that gelatinase was the most frequently detected (94.7%), followed by hemolysins (73.7%) and lipase (68.4%); 84.2% of the MRS isolates produced biofilm and icaA and icaD were detected in almost half of the MRS isolates (52.6%), but all were bap-negative. Resistance against other antimicrobial agents ranged from 0 (fusidic acid, ciprofloxacin, norfloxacin, enrofloxacin) to 100% (nalidixic acid). Resistance to nalidixic acid and nalidixic acid-tetracycline were the most common antimicrobial resistance profiles (31.6%). This study confirms that despite the low prevalence of MRS, isolates frequently express other virulence traits, especially biofilm, that may represent a serious challenge to clinicians.

摘要

耐甲氧西林葡萄球菌(MRS)已被报道为乳腺炎病原体。这类细菌是公共卫生问题,对其抗菌耐药性和毒力特征进行表征对于更好地控制其传播很重要。本研究评估了204株来自临床(n = 50)和亚临床(n = 154)牛乳腺炎葡萄球菌的耐甲氧西林分布情况。通过PCR检测mecA基因的存在。评估了凝固酶、DNA酶、脂肪酶、明胶酶、溶血酶的表型表达以及生物膜的产生情况。还检测了生物膜相关基因icaA、icaD和bap的存在。测定了对氨基糖苷类、林可酰胺类、大环内酯类、氟喹诺酮类、磺胺类、四环素类和夫西地酸的抗菌耐药模式。19株(9.3%)分离株被鉴定为MRS,通过PCR证实这些分离株中存在mecA。毒力因子评估显示,明胶酶检测频率最高(94.7%),其次是溶血素(73.7%)和脂肪酶(68.4%);84.2%的MRS分离株产生生物膜,近一半的MRS分离株(52.6%)检测到icaA和icaD,但所有分离株均为bap阴性。对其他抗菌药物的耐药率从0(夫西地酸、环丙沙星、诺氟沙星、恩诺沙星)到100%(萘啶酸)不等。对萘啶酸和萘啶酸 - 四环素的耐药是最常见的抗菌耐药模式(31.6%)。本研究证实,尽管MRS的患病率较低,但分离株经常表达其他毒力特征,尤其是生物膜,这可能对临床医生构成严峻挑战。

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