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桥下水 troubled:对默尔河河水的筛查揭示了携带 CTX-M 的大肠杆菌占主导地位,这也是奥地利首次发现环境 VIM-1 生产者。

Troubled water under the bridge: Screening of River Mur water reveals dominance of CTX-M harboring Escherichia coli and for the first time an environmental VIM-1 producer in Austria.

机构信息

Institute of Hygiene, Microbiology and Environmental Medicine, Medical University Graz, Graz, Austria.

Institute of Hygiene, Microbiology and Environmental Medicine, Medical University Graz, Graz, Austria.

出版信息

Sci Total Environ. 2017 Sep 1;593-594:399-405. doi: 10.1016/j.scitotenv.2017.03.138. Epub 2017 Mar 27.

DOI:10.1016/j.scitotenv.2017.03.138
PMID:28351808
Abstract

Antibiotic resistant bacteria (ARB) in the aquatic environment are reported from all over the world and their presence in the environment has become quite common. The current most prominent example is the presence of beta-lactamases harboring Enterobacteriaceae. The aim of this study was to investigate the presence and diversity (on the genetic and phenotypic levels) of extended spectrum beta-lactamases (ESBL) and carbapenemases harboring Enterobacteriaceae from the River Mur in the center of Graz, Austria's second largest city. Thus over a period of four months water samples were taken, filtrated and screened for these bacteria. All samples revealed ESBL harboring Enterobacteriaceae, of which all with only one exception were Escherichia coli. Dominant ESBL gene family was CTX-M, represented by subgroups CTX-M-1 group, CTX-M-2 group and CTX-M-9 group. Surprisingly co-resistances to non-beta-lactam antibiotics were low, only resistance to trimethoprim was detected in 50% of all (70) isolates. One Klebsiella oxytoca with GES-1 was isolated. To date, GES ESBL has never been reported from Austria before and only rarely from other European countries. Screening for carbapenemase harboring Enterobacteriaceae revealed one Enterobacter cloacae with the gene for VIM-1. Members sharing the same multi-locus-sequence-type (MLST) as well as members of the same rep PCR clusters occurred at different sampling time points. ESBL-harboring Enterobacteriaceae are common in Austrian river water, is dominated by Escherichia coli and CTX-M enzymes. Furthermore, some of the isolates could be linked to different origins.

摘要

抗药性细菌(ARB)在世界各地的水生环境中均有报道,其在环境中的存在已变得相当普遍。目前最突出的例子是携带β-内酰胺酶的肠杆菌科的存在。本研究的目的是调查奥地利第二大城市格拉茨中心的默尔河中携带超广谱β-内酰胺酶(ESBL)和碳青霉烯酶的肠杆菌科的存在和多样性(遗传和表型水平)。因此,在四个月的时间里,采集了水样、过滤并筛选了这些细菌。所有样本均显示出携带 ESBL 的肠杆菌科,其中除一例外均为大肠杆菌。占主导地位的 ESBL 基因家族是 CTX-M,由 CTX-M-1 组、CTX-M-2 组和 CTX-M-9 组亚群组成。令人惊讶的是,对非β-内酰胺类抗生素的共同耐药性较低,仅在 50%(70 株)的分离株中检测到对甲氧苄啶的耐药性。分离到一株产 GES-1 的肺炎克雷伯菌。迄今为止,GES ESBL 从未在奥地利报道过,在其他欧洲国家也很少报道过。对携带碳青霉烯酶的肠杆菌科的筛选显示,有一株阴沟肠杆菌携带 VIM-1 基因。具有相同多位点序列型(MLST)的成员以及相同 rep-PCR 聚类的成员出现在不同的采样时间点。携带 ESBL 的肠杆菌科在奥地利河水中很常见,以大肠杆菌和 CTX-M 酶为主。此外,一些分离株可能与不同的来源有关。

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