Espigares E, Moreno Roldan E, Espigares M, Abreu R, Castro B, Dib A L, Arias Á
Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain.
Department of Preventive Medicine and Public Health, University of La Laguna, Canary Islands, Spain.
Zoonoses Public Health. 2017 Jun;64(4):272-280. doi: 10.1111/zph.12308. Epub 2016 Oct 20.
The aim of this research was to study the phenotypic resistances to disinfectants and antibiotics in strains of methicillin-resistant Staphylococcus aureus (MRSA) obtained from Canary black pigs. Analyses were performed on 54 strains of MRSA, isolated in Canary black pigs from the province of Tenerife (Spain); all of them carried the mecA gene. The strains were isolated by means of nasal swab samples of healthy pigs, collected under veterinarian supervision. Bactericidal activity of antiseptics and disinfectants was tested by means of the dilution-neutralization method. Susceptibility to the disinfectants glutaraldehyde, peracetic acid and silver nitrate was assessed, as well as to the antiseptics chlorhexidine, benzalkonium chloride and povidone iodine. Susceptibility to a wide array of antibiotics representing the main groups was determined by means of the disc diffusion method. All the strains demonstrated susceptibility to the disinfectants tested at the recommended concentration, and even to dilutions equal to or lesser than 1/16. The most effective antiseptic and disinfectant were, respectively, chlorhexidine and silver nitrate. With regard to the antibiotics, the strains proved to be multiresistant. All presented phenotypic resistance to the β-lactam antibiotics ampicillin, penicillin and cefoxitin, as well as to numerous aminoglycosides, tetracycline and trimethoprim-sulfamethoxazole. It was also observed that 61.1% of the strains were carriers of plasmids. Our results underline that in the strains such as MRSA, which show multiple resistances to antibiotics, the antiseptics and disinfectants show great efficacy. Moreover, as other authors also suggest, for the treatment and prevention of infections caused by MRSA, the use of β-lactam and aminoglycoside antibiotics may be less effective.
本研究的目的是研究从加那利黑猪中分离出的耐甲氧西林金黄色葡萄球菌(MRSA)菌株对消毒剂和抗生素的表型抗性。对从西班牙特内里费省的加那利黑猪中分离出的54株MRSA进行了分析;所有菌株均携带mecA基因。这些菌株是通过在兽医监督下采集健康猪的鼻拭子样本分离得到的。采用稀释中和法检测防腐剂和消毒剂的杀菌活性。评估了对戊二醛、过氧乙酸和硝酸银等消毒剂以及对洗必泰、苯扎氯铵和聚维酮碘等防腐剂的敏感性。采用纸片扩散法测定了对代表主要类别的多种抗生素的敏感性。所有菌株在推荐浓度下,甚至在等于或小于1/16的稀释度下,对所测试的消毒剂均表现出敏感性。最有效的防腐剂和消毒剂分别是洗必泰和硝酸银。关于抗生素,这些菌株表现出多重耐药性。所有菌株对β-内酰胺类抗生素氨苄西林、青霉素和头孢西丁,以及对多种氨基糖苷类、四环素和甲氧苄啶-磺胺甲恶唑均表现出表型抗性。还观察到61.1%的菌株携带质粒。我们的结果强调,在如MRSA这样对抗生素表现出多重耐药性的菌株中,防腐剂和消毒剂显示出很高的效力。此外,正如其他作者也指出的,对于治疗和预防由MRSA引起的感染,使用β-内酰胺类和氨基糖苷类抗生素可能效果较差。