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葡萄牙从家畜和加工食品中分离出的肠炎沙门氏菌血清型的抗菌药物耐药性和超广谱β-内酰胺酶:最新情况

Antimicrobial resistance and extended-spectrum β-lactamases of Salmonella enterica serotypes isolated from livestock and processed food in Portugal: an update.

作者信息

Figueiredo Rui, Henriques Ana, Sereno Rui, Mendonça Nuno, da Silva Gabriela Jorge

机构信息

1 Faculty of Pharmacy and Center for Neuroscience and Cell Biology, University of Coimbra , Coimbra, Portugal .

出版信息

Foodborne Pathog Dis. 2015 Feb;12(2):110-7. doi: 10.1089/fpd.2014.1836. Epub 2014 Dec 16.

Abstract

As Salmonella is a common foodborne pathogen, the present study aimed to determine the distribution of Salmonella enterica serotypes isolated during 2011-2012 from poultry, swine, cattle, and processed food in Portugal, and to characterize the antimicrobial susceptibility and the extended-spectrum β-lactamases (ESBLs). Results were also compared with data obtained before the implementation of the National Control Program in Poultry and the ban of antimicrobial agents in animal feed in the European Union (EU). A total of 14 serotypes were identified, from 258 isolates recovered, with Salmonella Typhimurium (32.6%, n=84) and Salmonella Enteritidis (10.1%, n=26) being the most common. Salmonella Enteritidis in poultry was less frequent than in previous studies, which might be associated with the implementation of the National Control Program for Salmonella in poultry. Nevertheless, other serotypes seem to occupy this biological niche, and may be more common in human salmonellosis in the future. The majority of isolates (70.2%, n=181) were resistant to at least one class of antimicrobial agent and exhibited higher frequency of resistance to tetracycline (47.7%, n=123) and ampicillin (36.0%, n=93), with Salmonella Typhimurium being the more resistant serotype. Resistance to fluoroquinolones was shown in 8% (n=21) of isolates, a lower value compared to data obtained before 2004. ESBLs producers Salmonella Typhimurium bla(CTX-M-1) and Salmonella Enteritidis bla(SHV-12) were isolated from swine and poultry, respectively. The bla(CTX-M-1) and bla(SHV-12) genes were carried on conjugative plasmids of IncHI2replicon types and IncI1, respectively. This was the first report of a bla(CTX-M-1) in Salmonella Typhimurium in Portugal. Overall, the results revealed changes in animal origin Salmonella serotypes, mainly emerging serotypes, in frequency of resistance, and in occurrence of ESBLs-producing Salmonella. The control measures taken by the EU seem to have some impact on the resistance rate of some antibiotics such as quinolones. The emergence of ESBLs and its potential spread among animal reservoirs and the food chain highlight the continuous antimicrobial surveillance at the animal level.

摘要

由于沙门氏菌是一种常见的食源性病原体,本研究旨在确定2011 - 2012年期间从葡萄牙的家禽、猪、牛和加工食品中分离出的肠炎沙门氏菌血清型的分布情况,并对其抗菌药敏性和超广谱β-内酰胺酶(ESBLs)进行特征分析。研究结果还与在葡萄牙实施家禽国家控制计划以及欧盟禁止在动物饲料中使用抗菌剂之前获得的数据进行了比较。从回收的258株分离物中总共鉴定出14种血清型,其中鼠伤寒沙门氏菌(32.6%,n = 84)和肠炎沙门氏菌(10.1%,n = 26)最为常见。家禽中的肠炎沙门氏菌比以往研究中的频率更低,这可能与实施家禽沙门氏菌国家控制计划有关。然而,其他血清型似乎占据了这一生态位,并且在未来人类沙门氏菌病中可能更为常见。大多数分离物(70.2%,n = 181)对至少一类抗菌剂耐药,对四环素(47.7%,n = 123)和氨苄青霉素(36.0%,n = 93)的耐药频率较高,鼠伤寒沙门氏菌是耐药性更强的血清型。8%(n = 21)的分离物对氟喹诺酮类耐药,这一数值低于2004年之前获得的数据。分别从猪和家禽中分离出了产ESBLs的鼠伤寒沙门氏菌bla(CTX-M-1)和肠炎沙门氏菌bla(SHV-12)。bla(CTX-M-1)和bla(SHV-12)基因分别位于IncHI2复制子类型和IncI1的接合质粒上。这是葡萄牙首次关于鼠伤寒沙门氏菌中bla(CTX-M-1)的报道。总体而言,结果揭示了动物源沙门氏菌血清型、主要是新兴血清型在耐药频率以及产ESBLs沙门氏菌出现情况方面的变化。欧盟采取的控制措施似乎对某些抗生素如喹诺酮类的耐药率产生了一定影响。ESBLs的出现及其在动物宿主和食物链中的潜在传播凸显了在动物层面持续进行抗菌监测的重要性。

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