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土耳其零售肉类中产β-内酰胺酶大肠杆菌的流行情况。

Prevalence of β-Lactamase Producing Escherichia coli from Retail Meat in Turkey.

作者信息

Pehlivanlar Önen Sevda, Aslantaş Özkan, Şebnem Yılmaz Ebru, Kürekci Cemil

机构信息

Dept. of Food Hygiene and Technology, Faculty of Veterinary Medicine, Mustafa Kemal Univ, Hatay, Turkey.

Dept. of Microbiology, Faculty of Veterinary Medicine, Mustafa Kemal Univ, Hatay, Turkey.

出版信息

J Food Sci. 2015 Sep;80(9):M2023-9. doi: 10.1111/1750-3841.12984. Epub 2015 Aug 7.

Abstract

Extended spectrum β-lactamase (ESBL) and plasmid-mediated AmpC β-lactamase (pAmpC) producing Escherichia coli have been shown to be present in humans and animals representing a significant problem worldwide. This study aimed to search the presence of ESBL and/or AmpC-producing E. coli in retail meats (chicken and beef) in Turkey. A total of 88 β-lactamase-producing E. coli were isolated from chicken (n = 81/100) and beef meat (n = 7/100) samples and their susceptibility to several antimicrobials were tested using disc diffusion method. E. coli isolates were further characterized for their phylogenetic groups. β-Lactamase encoding (blaTEM , blaSHV , blaOXA , blaCTX-M , and blaAmpC ) and quinolone resistance genes (qnrA, qnrB, qnrS, qepA, and acc(6')-Ib-cr) were also secreened by polymerase chain reaction (PCR). However, in regard to β-lactamase genes, 84 of 88 isolates were positive for blaCTX-M-1 (n = 39), blaCTX-M-3 (n = 5), blaCTX-M-15 (n = 4), blaTEM-1b (n = 2), blaSHV-12 (n = 1), blaCTX-M-1 /blaTEM-1b (n = 10), blaCTX-M-1 /blaTEM-1b /blaSHV-5 (n = 1), blaCTX-M-1 /blaCMY-2 (n = 1) and blaTEM-1b /blaCMY-2 (n = 6), blaCTX-M-15 /blaSHV-12 (n = 1), blaCTX-M-15 /blaTEM-1b (n = 1), blaTEM-1b /blaSHV-12 (n = 1), and blaCMY-2 (n = 12) genes. Resistance to cefuroxime (75.6% and 85.7%), nalidixic acid (89% and 85.7%), tetracycline (91.4% and 100%), streptomycin (40.2% and 100%), and trimethoprim-sulfamethoxazole (36.6% and 85.7%) was observed among strains isolated from chicken and beef, respectively. However, all isolates were found to be susceptible to amikacin, imipenem, and cefepime. Resistance to ampicillin and cefoxitin was significantly linked to blaCMY-2 gene, while there was a significant correlation between CTX-M type ESBL and antimicrobial resistance to cefuroxime and streptomycin (P < 0.05). The results of this study suggest that raw chicken retail meats are highly contaminated with ESBL-producing E. coli implementing a great risk to human health in Turkey.

摘要

产超广谱β-内酰胺酶(ESBL)和质粒介导的AmpCβ-内酰胺酶(pAmpC)的大肠杆菌已被证明存在于人类和动物中,这在全球范围内都是一个重大问题。本研究旨在探寻土耳其零售肉类(鸡肉和牛肉)中是否存在产ESBL和/或AmpC的大肠杆菌。从鸡肉(n = 81/100)和牛肉(n = 7/100)样本中总共分离出88株产β-内酰胺酶的大肠杆菌,并使用纸片扩散法检测了它们对几种抗菌药物的敏感性。对大肠杆菌分离株进一步进行系统发育组特征分析。还通过聚合酶链反应(PCR)筛选了β-内酰胺酶编码基因(blaTEM、blaSHV、blaOXA、blaCTX-M和blaAmpC)和喹诺酮耐药基因(qnrA、qnrB、qnrS、qepA和acc(6')-Ib-cr)。然而,就β-内酰胺酶基因而言,88株分离株中有84株对blaCTX-M-1(n = 39)、blaCTX-M-3(n = 5)、blaCTX-M-15(n = 4)、blaTEM-1b(n = 2)、blaSHV-12(n = 1)、blaCTX-M-1/blaTEM-1b(n = 10)、blaCTX-M-1/blaTEM-1b/blaSHV-5(n = 1)、blaCTX-M-1/blaCMY-2(n = 1)和blaTEM-1b/blaCMY-2(n = 6)、blaCTX-M-15/blaSHV-12(n = 1)、blaCTX-M-15/blaTEM-1b(n = 1)、blaTEM-1b/blaSHV-12(n = 1)以及blaCMY-2(n = 12)基因呈阳性。从鸡肉和牛肉中分离出的菌株分别对头孢呋辛(75.6%和85.7%)、萘啶酸(89%和85.7%)、四环素(91.4%和100%)、链霉素(40.2%和100%)以及甲氧苄啶-磺胺甲恶唑(36.6%和85.7%)耐药。然而,所有分离株均对阿米卡星、亚胺培南和头孢吡肟敏感。对氨苄西林和头孢西丁的耐药性与blaCMY-2基因显著相关,而CTX-M型ESBL与对头孢呋辛和链霉素的抗菌药物耐药性之间存在显著相关性(P < 0.05)。本研究结果表明,土耳其零售生鸡肉受到产ESBL大肠杆菌的高度污染,对人类健康构成巨大风险。

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