Emerg Infect Dis. 2017 Dec;23(12):2023-2029. doi: 10.3201/eid2312.170883.
The mcr-1 (mobile colistin resistance 1) gene, which encodes phosphoethanolamine transferase, has been recently identified as a source of acquired resistance to polymyxins in Escherichia coli. Using the SuperPolymyxin selective medium, we prospectively screened 100 pigs at 2 farms in Portugal for polymyxin-resistant Enterobacteriaceae and recovered 98 plasmid-mediated MCR-1-producing isolates. Most isolates corresponded to nonclonally related E. coli belonging to many sequence types; we also found 2 Klebsiella pneumoniae sequence types. The mcr-1 gene was carried on IncHI2 or IncP plasmid backbones. Our finding of a high rate of MCR-1 producers on 2 pig farms in Portugal highlights the diffusion of that colistin-resistance determinant at the farm level. The fact that the pigs received colistin as metaphylaxis in their feed during the 6 weeks before sampling suggests selective pressure.
mcr-1(移动多粘菌素耐药 1)基因,编码磷酸乙醇胺转移酶,最近被确定为大肠杆菌中多粘菌素获得性耐药的来源。使用 SuperPolymyxin 选择性培养基,我们前瞻性地在葡萄牙的 2 个农场筛选了 100 头猪,以检测多粘菌素耐药肠杆菌科,共分离出 98 株质粒介导的 MCR-1 产生菌。大多数分离株与非克隆相关的大肠杆菌属于许多序列类型;我们还发现了 2 种肺炎克雷伯菌序列类型。mcr-1 基因位于 IncHI2 或 IncP 质粒骨架上。我们在葡萄牙的 2 个养猪场发现了高比例的 MCR-1 产生菌,这突显了该黏菌素耐药决定因子在农场层面的扩散。在采样前的 6 周内,猪只饲料中使用黏菌素作为预防用药,这表明存在选择压力。