Pontificia Universidad Católica del Ecuador, Facultad de Medicina, Quito, Ecuador; Unidad de Investigaciones en Biomedicina, Zurita & Zurita Laboratorios, Quito, Ecuador.
Unidad de Investigaciones en Biomedicina, Zurita & Zurita Laboratorios, Quito, Ecuador.
Int J Food Microbiol. 2018 Sep 2;280:41-45. doi: 10.1016/j.ijfoodmicro.2018.04.037. Epub 2018 Apr 30.
Dissemination of Extended spectrum β-lactamases (ESBL) Enterobacteriaceae is a major medical threat. Vegetables and fruits, which are usually consumed raw, are a very suitable pathway for the spread of these bacteria from farm-to-fork. However, limited information exists regarding resistant bacteria and epidemic clones that are disseminated in vegetables and tap water in South America. We processed a total of 90 samples in triplicate of nine typically consumed raw vegetables from a central municipal market, and tap water samples were processed from twenty-one locations in Quito, Ecuador. The samples were analyzed for total coliforms and ESBL Enterobacteriaceae contamination using the dilution filtration method. ESBL Escherichia coli isolates were phenotypically and genotypically characterized. The water was free of Enterobacteriaceae, but all the vegetables and fruits (except for blackberries) presented total coliform counts. Watercress had the highest load of total coliforms (3.3 × 10E4). ESBL E. coli was detected in alfalfa, leaf lettuce and parsley/cilantro samples. Alfalfa had the highest load of ESBL E. coli/total coliforms (1/3.3 × 10E2). We identified E. coli ST44-A and ST410-A harboring bla downstream of ISEcp1. Alfalfa and parsley/cilantro were contaminated with hyperepidemic E. coli ST410-A, which was resistant to quinolones and harbored bla. For the first time, we report ESBL E. coli ST410-A from vegetables and express an alert regarding the health risk this could represent.
产Extended spectrum β-lactamases (ESBL) 的肠杆菌科的传播是一个主要的医学威胁。蔬菜和水果通常是生食的,因此非常适合这些细菌从农场到餐桌传播。然而,关于在南美洲的蔬菜和自来水中传播的耐药细菌和流行克隆,信息有限。我们对来自厄瓜多尔基多的一个中心市政市场的九种常见生食蔬菜的 90 个样本进行了一式三份处理,并且对 21 个地点的自来水样本进行了处理。使用稀释过滤法对总大肠菌群和产 ESBL 的肠杆菌科污染进行了分析。对 ESBL 大肠杆菌分离株进行了表型和基因型特征分析。水中没有肠杆菌科,但所有的蔬菜和水果(黑莓除外)都呈现总大肠菌群计数。豆瓣菜的总大肠菌群负荷最高(3.3×10E4)。在紫花苜蓿、生菜和欧芹/芫荽样品中检测到产 ESBL 的大肠杆菌。紫花苜蓿的 ESBL 大肠杆菌/总大肠菌群负荷最高(1/3.3×10E2)。我们鉴定出携带 bla 的 E. coli ST44-A 和 ST410-A 下游的 ISEcp1。紫花苜蓿和欧芹/芫荽受到超流行的大肠杆菌 ST410-A 的污染,该菌对喹诺酮类药物具有耐药性,并携带 bla。我们首次从蔬菜中报告了产 ESBL 的大肠杆菌 ST410-A,并对这可能代表的健康风险发出警报。