Zangenah S, Andersson A F, Özenci V, Bergman P
Department of Laboratory Medicine, Division of Clinical Microbiology, Karolinska Institutet and Karolinska University Hospital, Huddinge, Sweden.
Science for Life Laboratory, School of Biotechnology, Division of Gene Technology, KTH Royal Institute of Technology, Stockholm, Sweden.
Eur J Clin Microbiol Infect Dis. 2017 Apr;36(4):657-662. doi: 10.1007/s10096-016-2842-2. Epub 2016 Dec 1.
Capnocytophga canimorsus and Capnocytophga cynodegmi can be transmitted from cats and dogs to humans, and can cause a wide range of infections including wound infections, sepsis, or endocarditis. We and others recently discovered two new Capnocytophaga species, C. canis and C. stomatis, mainly associated with wound infections. The first-line treatment of animal bite related infections is penicillin, and in case of allergy, doxycycline and trimethoprim/sulfamethoxazole. However, there is a lack of antibiotic susceptibility patterns for animal bite associated Capnocytophaga species. Thus, we set out to study the antibiotic profiles against animal bite associated Capnocytophaga species isolated from wound and blood cultures after cat and dog bites and coupled the findings to whole genome sequencing data. A total of 24 strains were included in the study. Phenotypic analysis of antibiotic resistance was performed with E-tests. The web-based tool 'Resfinder' was used to identify resistance genes in the whole genome dataset. Two strains of C. cynodegmi and two strains of the recently discovered C. stomatis were resistant to penicillin (MIC > 24 mg/L) and cephalosporins (MIC > 24 mg/L), and three out of these strains also exhibited resistance to imipenem (MIC = 32 mg/L). Genomic analysis revealed that these strains carried a class D beta-lactamase gene, which has not previously been found in Capnocytophaga spp. A class D beta lactamase with broad substrate specificity was found in animal bite associated Capnocytophaga species, which could have important implications when treating wound infections after cat and dog bites. It also suggests that pet animal bacteria can harbour resistance genes with relevance for human infections.
犬咬二氧化碳嗜纤维菌和犬龈二氧化碳嗜纤维菌可从猫和狗传播给人类,并可引起多种感染,包括伤口感染、败血症或心内膜炎。我们和其他人最近发现了两种新的二氧化碳嗜纤维菌物种,即犬二氧化碳嗜纤维菌和口腔二氧化碳嗜纤维菌,主要与伤口感染有关。动物咬伤相关感染的一线治疗药物是青霉素,对青霉素过敏时,使用强力霉素和甲氧苄啶/磺胺甲恶唑。然而,目前缺乏针对动物咬伤相关二氧化碳嗜纤维菌物种的抗生素敏感性模式。因此,我们着手研究从猫和狗咬伤后的伤口和血培养物中分离出的动物咬伤相关二氧化碳嗜纤维菌物种的抗生素谱,并将研究结果与全基因组测序数据相结合。该研究共纳入了24株菌株。采用E-test法进行抗生素耐药性的表型分析。利用基于网络的工具“Resfinder”在全基因组数据集中鉴定耐药基因。两株犬龈二氧化碳嗜纤维菌和两株最近发现的口腔二氧化碳嗜纤维菌对青霉素(MIC>24mg/L)和头孢菌素(MIC>24mg/L)耐药,其中三株对亚胺培南也耐药(MIC=32mg/L)。基因组分析表明,这些菌株携带一个D类β-内酰胺酶基因,该基因此前未在二氧化碳嗜纤维菌属中发现。在动物咬伤相关的二氧化碳嗜纤维菌物种中发现了一种具有广泛底物特异性的D类β-内酰胺酶,这在治疗猫和狗咬伤后的伤口感染时可能具有重要意义。这也表明宠物细菌可能携带与人类感染相关的耐药基因。