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从美国牛源多药耐药大肠杆菌转移至大肠杆菌和纽波特沙门氏菌受体的抗生素耐药性。

Transferability of antimicrobial resistance from multidrug-resistant Escherichia coli isolated from cattle in the USA to E. coli and Salmonella Newport recipients.

机构信息

USDA/ARS/SPARC, 2881 F&B Road, College Station, TX 77845, USA.

USDA/ARS/SPARC, 2881 F&B Road, College Station, TX 77845, USA.

出版信息

J Glob Antimicrob Resist. 2017 Dec;11:123-132. doi: 10.1016/j.jgar.2017.08.001. Epub 2017 Aug 8.

Abstract

OBJECTIVES

This study aimed to evaluate conjugative transfer of cephalosporin resistance among 100 strains of multidrug-resistant Escherichia coli (MDRE) to Salmonella enterica serotype Newport and E. coli DH5α recipients.

METHODS

Phenotypic and genotypic profiles were determined for MDRE as well as for Salmonella Newport (trSN) and E. coli DH5α (trDH) transconjugants.

RESULTS

Of 95 MDRE donor isolates, 26 (27%) and 27 (28%) transferred resistance to trSN and trDH recipients, respectively. A total of 27 MDRE (27%) were confirmed as extended-spectrum β-lactamase (ESBL)-producers based on the double-disk synergy assay and whole-genome sequencing (WGS). WGS was performed on 25 of the ESBL-producing isolates, showing that 2 isolates carried bla, 22 possessed bla and 1 was negative for bla genes. Fourteen of the ESBLs sequenced were qnrB19. Differential transfer of IncA/C and IncN from MDRE32 was observed between trSN32 and trDH32. IncN-positive trDH32 displayed an ESBL phenotype, whereas IncA/C-positive trSN32 displayed an AmpC phenotype. The rate of ESBL transfer to trSN and trDH recipients was 11% and 96%, respectively.

CONCLUSIONS

Twenty-seven MDRE were phenotypically identified as ESBL-producers. WGS of 25 MDRE revealed that 2 and 22 isolates carried bla and bla, respectively. One multidrug-resistant isolate exhibited conversion from an AmpC phenotype to an ESBL phenotype with the transfer of only the IncN plasmid. The rate of resistance transfer to Salmonella or E. coli recipients was nearly identical. However, the ESBL phenotype was transferred with significantly greater prevalence to E. coli compared with Salmonella Newport (96% and 11%, respectively).

摘要

目的

本研究旨在评估 100 株多药耐药大肠杆菌(MDRE)对肠炎沙门氏菌纽波特血清型和大肠杆菌 DH5α 受体的头孢菌素耐药性的共轭转移。

方法

对 MDRE 以及肠炎沙门氏菌纽波特(trSN)和大肠杆菌 DH5α(trDH)转导体进行表型和基因型分析。

结果

在 95 株 MDRE 供体分离株中,分别有 26(27%)和 27(28%)株将耐药性转移至 trSN 和 trDH 受体。根据双盘协同试验和全基因组测序(WGS),共有 27 株 MDRE(27%)被确认为产超广谱β-内酰胺酶(ESBL)。对 25 株产 ESBL 的分离株进行了 WGS 分析,结果显示,2 株携带 blaCTX-M-15 基因,22 株携带 blaCTX-M-15 和 blaTEM-1 基因,1 株 blaCTX-M-15 基因阴性。测序的 14 种 ESBL 中有 qnrB19。在 trSN32 和 trDH32 之间观察到 MDRE32 中 IncA/C 和 IncN 的差异转移。IncN 阳性 trDH32 表现出 ESBL 表型,而 IncA/C 阳性 trSN32 表现出 AmpC 表型。ESBL 对 trSN 和 trDH 受体的转移率分别为 11%和 96%。

结论

27 株 MDRE 被表型鉴定为 ESBL 产生菌。对 25 株 MDRE 的 WGS 显示,2 株和 22 株分别携带 blaCTX-M-15 和 blaCTX-M-15 和 blaTEM-1 基因。一株多药耐药菌仅通过转移 IncN 质粒,从 AmpC 表型转变为 ESBL 表型。对肠炎沙门氏菌或大肠杆菌受体的耐药性转移率几乎相同。然而,与肠炎沙门氏菌纽波特相比,ESBL 表型向大肠杆菌的转移更为普遍(分别为 96%和 11%)。

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