Seier-Petersen Maria Amalie, Nielsen Lene Nørby, Ingmer Hanne, Aarestrup Frank Møller, Agersø Yvonne
1 Division for Epidemiology and Microbial Genomics, National Food Institute, Technical University of Denmark , Lyngby, Denmark .
2 Department of Veterinary Disease Biology, Faculty of Health, University of Copenhagen , Copenhagen, Denmark .
Microb Drug Resist. 2015 Oct;21(5):527-36. doi: 10.1089/mdr.2014.0215. Epub 2015 Jun 1.
Methicillin-resistant Staphylococcus aureus (MRSA), in particular clonal complex (CC) 398, is increasingly found in livestock. Recently, MRSA CC30 was identified in Danish pigs. We determined the susceptibility of porcine S. aureus isolates of CC398 and CC30 to disinfectants used in pig farming (benzalkonium chloride, hydrogen peroxide, formaldehyde, sodium hypochlorite, and caustic soda). Furthermore, efflux pump activity, antimicrobial resistance profiles, hemolysis properties, and the presence of toxic shock syndrome toxin-1 (TSST-1) and Panton-Valentine Leukocidin (PVL)-encoding virulence factors were investigated.
Susceptibilities to biocides and antimicrobial agents of 79 porcine S. aureus isolates were determined by the microdilution method. Isolates comprised 21 methicillin-sensitive S. aureus (MSSA) and 40 MRSA isolates belonging to CC398 and 13 MSSA and 5 MRSA isolates belonging to CC30. The presence of quaternary ammonium compound (QAC) resistance efflux pumps was analyzed using an ethidium bromide accumulation assay. The presence of qac resistance genes in active efflux pump positive isolates was determined by whole-genome sequencing data. All isolates were screened for lukPV and tst genes with PCR, and hemolytic activities were determined using an agar plate assay.
S. aureus isolates did not show reduced susceptibility to the biocides tested. However, the QAC resistance gene, qacG, was detected in three MRSA CC30 isolates and the qacC in one MRSA CC30 isolate. CC30 isolates were generally more susceptible to non-beta-lactam antibiotics than CC398. Isolates generally had low hemolytic activity and none encoded PVL or TSST-1.
The presence of qac genes in European porcine S. aureus isolates and in livestock-associated MRSA CC30 is for the first time described in this study. This finding is concerning as it ultimately may compromise disinfection with QACs and thereby contribute to the selection and spread of MRSA CC30.
耐甲氧西林金黄色葡萄球菌(MRSA),尤其是克隆复合体(CC)398,在牲畜中越来越常见。最近,丹麦猪中发现了MRSA CC30。我们测定了CC398和CC30的猪源金黄色葡萄球菌分离株对养猪场中使用的消毒剂(苯扎氯铵、过氧化氢、甲醛、次氯酸钠和苛性钠)的敏感性。此外,还研究了外排泵活性、抗菌药物耐药谱、溶血特性以及毒性休克综合征毒素-1(TSST-1)和杀白细胞素(PVL)编码毒力因子的存在情况。
采用微量稀释法测定79株猪源金黄色葡萄球菌分离株对杀菌剂和抗菌药物的敏感性。分离株包括21株甲氧西林敏感金黄色葡萄球菌(MSSA)、40株属于CC398的MRSA分离株、13株MSSA和5株属于CC30的MRSA分离株。使用溴化乙锭积累试验分析季铵化合物(QAC)耐药外排泵的存在情况。通过全基因组测序数据确定活性外排泵阳性分离株中qac耐药基因的存在情况。所有分离株均通过PCR筛选lukPV和tst基因,并使用琼脂平板试验测定溶血活性。
金黄色葡萄球菌分离株对所测试的杀菌剂未显示出敏感性降低。然而,在3株MRSA CC30分离株中检测到QAC耐药基因qacG,在1株MRSA CC30分离株中检测到qacC。CC30分离株通常比CC398对非β-内酰胺类抗生素更敏感。分离株的溶血活性普遍较低,且均未编码PVL或TSST-1。
本研究首次描述了欧洲猪源金黄色葡萄球菌分离株和与牲畜相关的MRSA CC30中qac基因的存在情况。这一发现令人担忧,因为它最终可能会影响QAC的消毒效果,从而导致MRSA CC30的选择和传播。