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在挪威检测到首例含有质粒介导的耐黏菌素产超广谱β-内酰胺酶大肠杆菌的环境样本。

First environmental sample containing plasmid-mediated colistin-resistant ESBL-producing Escherichia coli detected in Norway.

作者信息

Jørgensen Silje Bakken, Søraas Arne, Arnesen Lotte Stenfors, Leegaard Truls, Sundsfjord Arnfinn, Jenum Pål A

机构信息

Department of Laboratory Medicine, Section for Medical Microbiology, Vestre Viken Hospital Trust, Baerum, Norway.

Department of Clinical Microbiology and Infection Control, Akershus University Hospital, Lørenskog, Norway.

出版信息

APMIS. 2017 Sep;125(9):822-825. doi: 10.1111/apm.12720. Epub 2017 Jun 22.

Abstract

We hereby report the detection of the plasmid borne mcr-1 gene conferring colistin resistance in an extended-spectrum β-lactamase (ESBL) producing Escherichia coli ST10 strain retrieved from seawater at a public beach in Norway. The sample was collected in September 2010 and was investigated by whole-genome sequencing in 2016. This report illustrates that E. coli strains carrying plasmid-mediated colistin resistance genes have also reached areas where this drug is hardly used at all. Surveillance of colistin resistance in environmental, veterinary, and human strains is warranted also in countries where colistin resistance is rare in clinical settings.

摘要

我们在此报告,在从挪威一个公共海滩海水里分离出的一株产超广谱β-内酰胺酶(ESBL)的大肠杆菌ST10菌株中,检测到携带赋予黏菌素抗性的质粒介导mcr-1基因。该样本于2010年9月采集,并于2016年通过全基因组测序进行研究。本报告表明,携带质粒介导黏菌素抗性基因的大肠杆菌菌株也已传播到几乎完全不使用该药物的地区。在临床环境中黏菌素耐药性罕见的国家,也有必要对环境、兽医和人类菌株中的黏菌素耐药性进行监测。

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