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印度恰蒂斯加尔邦动物源性食品和人类临床样本中产生超广谱β-内酰胺酶的情况及特征

Occurrence and characteristics of extended-spectrum β-lactamases producing in foods of animal origin and human clinical samples in Chhattisgarh, India.

作者信息

Shakya Sanjay, Patyal Anil, Gade Nitin Eknath

机构信息

Department of Veterinary Public Health and Epidemiology, College of Veterinary Science and Animal Husbandry, Chhattisgarh Kamdhenu Vishwa Vidyalaya, Anjora, Durg, Chhattisgarh, India.

Department of Veterinary Physiology and Biochemistry, College of Veterinary Science and Animal Husbandry, Chhattisgarh Kamdhenu Vishwa Vidyalaya, Anjora, Durg, Chhattisgarh, India.

出版信息

Vet World. 2016 Sep;9(9):996-1000. doi: 10.14202/vetworld.2016.996-1000. Epub 2016 Sep 21.

DOI:10.14202/vetworld.2016.996-1000
PMID:27733802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5057040/
Abstract

AIM

To assess the prevalence of antimicrobial resistance producing extended-spectrum β-lactamases (ESBL) (, , and ) genes in isolated from chicken meat, chevon meat, raw milk, and human urine and stool samples collected from tribal districts of Chhattisgarh, ., Jagdalpur, Dantewada, Kondagaon, and Kanker.

MATERIALS AND METHODS

A total of 330 samples, comprising 98 chicken meat, 82 chevon meat, 90 raw milk, and 60 human urine and stool samples, were processed for isolation of . Isolates were confirmed biochemically and further tested against commonly used antibiotics to know their resistant pattern. The resistant isolates were tested for ESBL production by phenotypic method followed by characterization with molecular method using multiplex-polymerase chain reaction technique.

RESULTS

Overall 57.87% (191/330) samples were found positive for , which include 66.32% (65/98) chicken meat, 46.34% (38/82) chevon meat, 81.11% (73/90) raw milk, and 25% (15/60) human urine and stool samples. Isolates showed the highest resistance against cefotaxime (41.36%) followed by oxytetracycline (34.03%), ampicillin (29.31%), cephalexin (24.60%), cefixime (16.75%), and ceftazidime (13.08%). Phenotypic method detected 10.99% (21/191) isolates as presumptive ESBL producers, however, molecular method detected 3.66% (7/191), 2.09% (4/191), and 0.00% (0/191) prevalence of , , and , respectively.

CONCLUSION

The present study indicates a high prevalence of in raw chicken meat, chevon meat, and milk due to poor hygienic practices. The antibiotic susceptibility test detected the presence of the resistance pattern against ESBL in isolated from raw chicken meat, chevon meat, milk, and also in human clinical samples is of great concern. The appearance of in the human food chain is alarming and requires adaptation of hygienic practices and stipulate use of antibiotics.

摘要

目的

评估从恰蒂斯加尔邦部落地区(即贾格dalpur、丹特瓦达、孔达冈和坎克尔)收集的鸡肉、山羊肉、生牛奶以及人类尿液和粪便样本中分离出的大肠埃希菌产生超广谱β-内酰胺酶(ESBL)(blaCTX-M、blaTEM和blaSHV)基因的流行情况。

材料与方法

共处理330份样本,包括98份鸡肉、82份山羊肉、90份生牛奶以及60份人类尿液和粪便样本,用于分离大肠埃希菌。通过生化方法对分离株进行确认,并进一步针对常用抗生素进行测试以了解其耐药模式。对耐药分离株采用表型方法检测ESBL产生情况,随后使用多重聚合酶链反应技术通过分子方法进行特征鉴定。

结果

总体而言,57.87%(191/330)的样本大肠埃希菌检测呈阳性,其中鸡肉样本阳性率为66.32%(65/98),山羊肉样本为46.34%(38/82),生牛奶样本为81.11%(73/90),人类尿液和粪便样本为25%(15/60)。分离株对头孢噻肟的耐药率最高(41.36%),其次是土霉素(34.03%)、氨苄西林(29.31%)、头孢氨苄(24.60%)、头孢克肟(16.75%)和头孢他啶(13.08%)。表型方法检测出10.99%(21/191)的分离株为推定ESBL产生菌,然而,分子方法检测出blaCTX-M、blaTEM和blaSHV的流行率分别为3.66%(7/191)、2.09%(4/191)和0.00%(0/191)。

结论

本研究表明,由于卫生习惯不佳,生鸡肉、山羊肉和牛奶中大肠埃希菌的流行率较高。抗生素敏感性测试检测到从生鸡肉、山羊肉、牛奶以及人类临床样本中分离出的大肠埃希菌存在对ESBL的耐药模式,这令人高度担忧。人类食物链中出现ESBL令人震惊,需要调整卫生习惯并规范抗生素的使用。

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