Suay-García Beatriz, Galán Fátima, Rodríguez-Iglesias Manuel A, Pérez-Gracia María Teresa
1 Área de Microbiología, Facultad de Ciencias de la Salud, Departamento de Farmacia, Instituto de Ciencias Biomédicas , Universidad CEU Cardenal Herrera, Valencia, España.
2 Servicio de Microbiología, Hospital Universitario Puerta del Mar , Cádiz, España.
Vector Borne Zoonotic Dis. 2019 Feb;19(2):115-120. doi: 10.1089/vbz.2018.2333. Epub 2018 Aug 21.
The detection of multidrug-resistant bacteria is a growing problem; however, the role of domesticated animals in the propagation of antimicrobial resistance has barely been studied. The aim of this study was to identify extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli strains in domestic animal feces to assess their antimicrobial resistance profile and carry out molecular characterization of the β-lactamases. A total of 325 samples were collected from eight animal species. Of these, 34 bacterial isolates were identified as E. coli. The antibiotic resistance profile of the E. coli strains was as follows: 100% resistant to amoxicillin, aztreonam, and cephalosporins; 58.8% resistant to nalidixic acid, ciprofloxacin, and trimethoprim/sulfamethoxazole; 41.2% resistant to gentamicin and tobramycin; 11.8% resistant and 32.4% intermediate to cefoxitin; 97.1% sensible and 2.9% intermediate to amoxicillin/clavulanate; and 100% sensible to ertapenem, minocycline, imipenem, meropenem, amikacin, nitrofurantoin, fosfomycin, and colistin. All 34 E. coli strains met criteria for ESBL production. In total, 46 β-lactamase genes were detected: 43.5% bla, 30.4% bla (23.9% bla and 6.5% bla), and 26.1% bla (17.4% bla and 8.7% bla). All the β-lactamases were found in dogs except for four bla found in falcons. No plasmidic AmpC genes were found. The high prevalence of ESBL-producing E. coli strains in animals could become a zoonotic transmission vector.
多重耐药菌的检测是一个日益严重的问题;然而,家畜在抗菌药物耐药性传播中的作用几乎未得到研究。本研究的目的是在家畜粪便中鉴定产超广谱β-内酰胺酶(ESBL)的大肠杆菌菌株,以评估其抗菌药物耐药谱,并对β-内酰胺酶进行分子特征分析。共从8个动物物种中采集了325份样本。其中,34株细菌分离物被鉴定为大肠杆菌。大肠杆菌菌株的抗生素耐药谱如下:对阿莫西林、氨曲南和头孢菌素的耐药率为100%;对萘啶酸、环丙沙星和甲氧苄啶/磺胺甲恶唑的耐药率为58.8%;对庆大霉素和妥布霉素的耐药率为41.2%;对头孢西丁耐药率为11.8%,中介率为32.4%;对阿莫西林/克拉维酸敏感率为97.1%,中介率为2.9%;对厄他培南、米诺环素、亚胺培南、美罗培南、阿米卡星、呋喃妥因、磷霉素和黏菌素的敏感率为100%。所有34株大肠杆菌菌株均符合产ESBL的标准。共检测到46个β-内酰胺酶基因:bla占43.5%,bla(bla占23.9%,bla占6.5%)占30.4%,bla(bla占17.4%,bla占8.7%)占26.1%。除在猎鹰中发现4个bla外,所有β-内酰胺酶均在犬中发现。未发现质粒介导的AmpC基因。动物中产ESBL大肠杆菌菌株的高流行率可能成为人畜共患病传播媒介。