Belas A, Salazar A S, Gama L T da, Couto N, Pomba C
Laboratory of Antimicrobial and Biocide Resistance, Interdisciplinary Centre of Research in Animal Health, Faculdade de Medicina Veterinária, Universidade de Lisboa (FMV-UL), Av. da Universidade Técnica - Polo Universitário Alto da Ajuda, 1300-477 Lisboa, Portugal;
Vet Rec. 2014 Aug 30;175(8):202. doi: 10.1136/vr.101978. Epub 2014 Jun 18.
The aim of this study was to assess the prevalence and risk factors for faecal carriage of extended-spectrum β-lactamase (ESBL) and plasmidic AmpC β-lactamase (pAmpC) Escherichia coli producers in dogs. A three-month cross-sectional study was conducted and 151 rectal swabs were obtained from healthy dogs. ESBL and pAmpC genes were detected by PCR and were sequenced. Logistic regression models were used to investigate risk factors for the carriage of ESBL and pAmpC-producing E. coli. About 15 per cent of the isolates carried ESBL genes (blaCTX-M-32 n=8, blaCTX-M-15 n=5, blaCTX-M-1 n=3, blaCTX-M-9-like n=4) and 20 per cent carried pAmpC genes (blaCMY-2 n=23, blaCMY-2-like n=2). Thirteen dogs carried an E. coli isolate with both an ESBL and a pAmpC gene. One E. coli isolate harboured the human blaDHA-1 pAmpC gene, which has not been previously reported in companion animals in Europe. Dogs with a history of antimicrobial therapy in the past year had a higher risk of being carriers of ESBL-producing (P=0.003, OR =7.85) and pAmpC-producing (P=0.005, OR=6.28) E. coli. Dogs from shelter/breeders were approximately three times more likely to have an ESBL- or a pAmpC-producing E. coli than dogs from private owners. Males have a reduced risk of carrying a pAmpC-producing E. coli than females (P=0.017, OR =0.28). The knowledge of potential risk factors may help to limit the impact of resistance through implementation of effective control measures and judicious antimicrobial therapy.
本研究旨在评估犬类中携带超广谱β-内酰胺酶(ESBL)和质粒介导的AmpCβ-内酰胺酶(pAmpC)的大肠埃希菌的粪便携带率及危险因素。开展了一项为期三个月的横断面研究,从健康犬只采集了151份直肠拭子。通过聚合酶链反应(PCR)检测ESBL和pAmpC基因并进行测序。采用逻辑回归模型研究携带产ESBL和pAmpC大肠埃希菌的危险因素。约15%的分离株携带ESBL基因(blaCTX-M-32,n = 8;blaCTX-M-15,n = 5;blaCTX-M-1,n = 3;blaCTX-M-9-like,n = 4),20%携带pAmpC基因(blaCMY-2,n = 23;blaCMY-2-like,n = 2)。13只犬携带的大肠埃希菌分离株同时具有ESBL和pAmpC基因。一株大肠埃希菌分离株携带人源blaDHA-1 pAmpC基因,此前在欧洲伴侣动物中尚未见报道。过去一年有抗菌治疗史的犬,携带产ESBL大肠埃希菌(P = 0.003,比值比[OR]=7.85)和产pAmpC大肠埃希菌(P = 0.005,OR = 6.28)的风险更高。来自收容所/繁殖场的犬携带产ESBL或产pAmpC大肠埃希菌的可能性比来自私人饲养主的犬高约三倍。雄性犬携带产pAmpC大肠埃希菌的风险低于雌性犬(P = (此处原文有误,推测为0.017),OR = 0.28)。了解潜在危险因素可能有助于通过实施有效控制措施和合理使用抗菌药物来限制耐药性的影响。