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2012年至2015年从韩国患乳腺炎奶牛的乳汁中分离出的大肠杆菌的抗菌药敏性及超广谱β-内酰胺酶特性研究

Antimicrobial susceptibility and characterization of extended-spectrum β-lactamases in Escherichia coli isolated from bovine mastitic milk in South Korea from 2012 to 2015.

作者信息

Tark Dong-Seob, Moon Dong Chan, Kang Hee Young, Kim Su-Ran, Nam Hyang-Mi, Lee Hee-Soo, Jung Suk-Chan, Lim Suk-Kyung

机构信息

Korea Zoonosis Research Institute, Chonbuk National University, 820-120 Hana-ro, Iksan, Jeonbuk 54531, Republic of Korea.

Bacterial Disease Division, Animal and Plant Quarantine Agency, 177 Hyeksin 8-ro, Gimcheon-si, Gyeongsangbuk-do 39660, Republic of Korea.

出版信息

J Dairy Sci. 2017 May;100(5):3463-3469. doi: 10.3168/jds.2016-12276. Epub 2017 Mar 16.

Abstract

In this study, we aimed to assess trends in antimicrobial resistance and to investigate the characteristics of extended-spectrum β-lactamase (ESBL)-producing isolates from bovine mastitic milk from 2012 to 2015. A total of 374 Escherichia coli isolates were analyzed (154 in 2012, 113 in 2013, 76 in 2014, and 31 in 2015). No consistent trends in antimicrobial resistance of E. coli isolates occurred during the 4-yr period. The most frequently observed resistance was tetracycline (23.3%), followed by streptomycin (17.1%), ampicillin (16.6%), neomycin (11.8%), and trimethoprim/sulfamethoxazole (11.2%). Multidrug resistance was observed in 15.5% of isolates. Among these isolates, 15 (4.0%) carried one or more bla and AmpC ESBL genes from 11 different farms, including bla at 4 farms, bla at 2 farms, bla at 3 farms, and bla at 3 farms. This study is the first report of bla-producing E. coli in dairy milk. Transfer of ESBL was observed in 3 bla-producing isolates, 1 bla-producing isolate, and all 3 bla-producing isolates. Almost all bla and bla genes possessed an insertion sequence, ISECP1, upstream of the bla gene. Identical pulsed-field gel electrophoresis profiles were also observed in bla-producing E. coli from the same farm. These results suggested that ESBL might spread by both clonal and horizontal spread in dairy farms in South Korea. Although no significant changes occurred in the antimicrobial resistance of E. coli during the 4-yr study period, the resistance rates and presence of ESBL were high compared with those in other countries. Thus, these findings suggest the importance of control measures for E. coli, particularly ESBL-producing bacteria, on dairy farms to reduce treatment failure and transmission to humans.

摘要

在本研究中,我们旨在评估抗菌药物耐药性的趋势,并调查2012年至2015年来自牛乳腺炎乳汁中产超广谱β-内酰胺酶(ESBL)分离株的特征。共分析了374株大肠杆菌分离株(2012年154株,2013年113株,2014年76株,2015年31株)。在这4年期间,大肠杆菌分离株的抗菌药物耐药性没有出现一致的趋势。最常观察到的耐药性是四环素(23.3%),其次是链霉素(17.1%)、氨苄西林(16.6%)、新霉素(11.8%)和甲氧苄啶/磺胺甲恶唑(11.2%)。15.5%的分离株观察到多重耐药性。在这些分离株中,15株(4.0%)携带来自11个不同农场的一个或多个bla和AmpC ESBL基因,包括4个农场的bla、2个农场的bla、3个农场的bla和3个农场的bla。本研究是关于牛奶中产生bla的大肠杆菌的首次报告。在3株产生bla的分离株、1株产生bla的分离株和所有3株产生bla的分离株中观察到ESBL的转移。几乎所有的bla和bla基因在bla基因上游都有一个插入序列ISECP1。在来自同一农场的产生bla的大肠杆菌中也观察到相同的脉冲场凝胶电泳图谱。这些结果表明,ESBL可能在韩国奶牛场通过克隆传播和水平传播。尽管在4年的研究期间大肠杆菌的抗菌药物耐药性没有发生显著变化,但与其他国家相比,耐药率和ESBL的存在率较高。因此,这些发现表明在奶牛场控制大肠杆菌,特别是产ESBL细菌,对于减少治疗失败和传播给人类的重要性。

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