Álvarez-Pérez Sergio, Blanco José L, Harmanus Celine, Kuijper Ed J, García Marta E
Department of Animal Health, Faculty of Veterinary, Universidad Complutense de Madrid, Madrid, Spain.
Department of Animal Health, Faculty of Veterinary, Universidad Complutense de Madrid, Madrid, Spain.
Anaerobe. 2017 Dec;48:47-55. doi: 10.1016/j.anaerobe.2017.06.023. Epub 2017 Jul 5.
Despite extensive research on the epidemiology of pathogenic clostridia in dogs and cats, most published studies focus on a selected animal population and/or a single veterinary medical centre. We assessed the burden of Clostridium perfringens and C. difficile shedding by small animals in 17 veterinary clinics located within the Madrid region (Spain) and differing in size, number and features of animals attended and other relevant characteristics. In addition, we studied the genetic diversity and antibiotic susceptibility of recovered isolates. Selective culture of all fecal specimens collected during a single week from dogs (n = 105) and cats (n = 37) attended in participating clinics yielded C. perfringens/C. difficile from 31%, 4.8% of the dogs, and 20%, 0% of the cats analyzed, respectively, and three dogs yielded both species. Furthermore, 17 animals (15 dogs and two cats) that yielded a positive culture for either species were recruited for a follow-up survey and C. perfringens was again obtained from nine dogs. Considerable differences in prevalence were observed among participating clinics for both clostridial species. C. perfringens isolates (n = 109) belonged to toxinotypes A (97.2%) and E (three isolates from one dog), whereas C. difficile isolates (n = 18) belonged to the toxigenic ribotypes 106 (33.3%) and 154 (16.7%), a 009-like ribotype (33.3%) and an unknown non-toxigenic ribotype (16.7%). Amplified fragment length polymorphism-based fingerprinting classified C. perfringens and C. difficile isolates into 105 and 15 genotypes, respectively, and tested isolates displayed in vitro resistance to benzylpenicillin (2.8%, 88.8%), clindamycin (0%, 16.7%), erythromycin (0.9%, 16.7%), imipenem (1.8%, 100%), levofloxacin (0.9%, 100%), linezolid (5.5%, 0%), metronidazole (4.6%, 0%) and/or tetracycline (7.3%, 0%). All animals from which multiple isolates were retrieved yielded ≥2 different genotypes and/or antimicrobial susceptibility profiles. Future studies should focus on the seasonal and geographical variations of prevalence and diversity patterns of clostridial species in small animals.
尽管对犬猫致病性梭菌的流行病学进行了广泛研究,但大多数已发表的研究都集中在特定的动物群体和/或单一的兽医医疗中心。我们评估了西班牙马德里地区17家兽医诊所中小动物产气荚膜梭菌和艰难梭菌的携带情况,这些诊所的规模、就诊动物的数量和特征以及其他相关特征各不相同。此外,我们还研究了分离株的遗传多样性和抗生素敏感性。在参与研究的诊所,对一周内收集的所有犬(n = 105)和猫(n = 37)的粪便样本进行选择性培养,结果显示,产气荚膜梭菌/艰难梭菌在分析的犬中检出率分别为31%、4.8%,在猫中分别为20%、0%,有3只犬同时检出这两种菌。此外,对17只(15只犬和2只猫)培养结果为阳性的动物进行了随访调查,其中9只犬再次检出产气荚膜梭菌。参与研究的诊所中,两种梭菌的患病率存在显著差异。产气荚膜梭菌分离株(n = 109)属于毒素型A(97.2%)和E(来自1只犬的3株分离株),而艰难梭菌分离株(n = 18)属于产毒核糖型106(33.3%)和154(16.7%)、一种009样核糖型(33.3%)和一种未知的非产毒核糖型(16.7%)。基于扩增片段长度多态性的指纹图谱分析将产气荚膜梭菌和艰难梭菌分离株分别分为105种和15种基因型,检测的分离株对苄青霉素(2.8%,88.8%)、克林霉素(0%,16.7%)、红霉素(0.9%,16.7%)、亚胺培南(1.8%,100%)、左氧氟沙星(0.9%,100%)、利奈唑胺(5.5%,0%)、甲硝唑(4.6%,0%)和/或四环素(7.3%,0%)表现出体外耐药性。所有检出多个分离株的动物均产生了≥2种不同的基因型和/或抗菌药物敏感性谱。未来的研究应关注小动物中梭菌物种患病率和多样性模式的季节和地理变化。