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德国小型伴侣动物中的人畜共患病耐药微生物。

Zoonotic multidrug-resistant microorganisms among small companion animals in Germany.

机构信息

Institute of Medical Microbiology, University Hospital Münster, Münster, Germany.

Institute for Animal Hygiene and Environmental Health, FU Berlin, Department of Veterinary Medicine, Berlin, Germany.

出版信息

PLoS One. 2018 Dec 7;13(12):e0208364. doi: 10.1371/journal.pone.0208364. eCollection 2018.

DOI:10.1371/journal.pone.0208364
PMID:30532196
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6285998/
Abstract

Antimicrobial multidrug-resistant microorganisms (MDRO) can be transmitted between companion animals and their human owners. Aim of this study was to determine the prevalence of extended spectrum beta-lactamase-producing Enterobacteriaceae (ESBL-E) and Staphylococcus aureus including methicillin-resistant S. aureus (MRSA) in different companion animal species. Dogs (n = 192), cats (n = 74), and rabbits (n = 17), treated in a veterinary practice and hospital or living in an animal shelter and private households, were sampled. All facilities were located in a region characterized by a high density of pig production. Nasal, buccal and perianal swabs were enriched and cultured on solid chromogenic selective media. A subgroup of 20 animals (13 dogs, 3 cats, 4 rabbits) was analyzed for the presence of staphylococci other than S. aureus. Amongst all animals (n = 283), twenty dogs (10.4%) and six cats (8.1%) carried S. aureus. MRSA was found in five dogs (2.6%) and two cats (2.7%). Isolates were of spa types t011, t034, t108 (all mecA-positive, ST398), and t843 (mecC-positive, ST130), typical for livestock-associated (LA)-MRSA. Except for one dog, MRSA-positive animals did not have direct contact to husbandry. ESBL-Escherichia coli (blaCTX-M/blaTEM/blaSHV genes) were present in seven dogs (3.6%), one cat (1.4%) possessed a cefotaxime-resistant Citrobacter freundii isolate (blaTEM/blaCMY-2 genes). MDRO carriage was associated with animals from veterinary medical settings (p<0.05). One dog and one rabbit carried methicillin-resistant coagulase-negative staphylococci. The exclusive occurrence of MRSA lineages typically described for livestock stresses the impact of MDRO strain dissemination across species barriers in regional settings. Presence of ESBL-E and LA-MRSA among pets and probable dissemination in clinical settings support the necessity of a "One Health" approach to address the potential threats due to MDRO-carrying companion animals.

摘要

抗菌多药耐药微生物(MDRO)可在伴侣动物与其人类主人之间传播。本研究旨在确定不同伴侣动物物种中产生扩展谱β-内酰胺酶的肠杆菌科(ESBL-E)和金黄色葡萄球菌(包括耐甲氧西林金黄色葡萄球菌(MRSA))的流行率。在兽医诊所和医院接受治疗或居住在动物收容所和私人家庭中的 192 只狗、74 只猫和 17 只兔子进行了采样。所有设施均位于猪生产密度较高的地区。鼻、口腔和肛周拭子在固体显色选择性培养基中进行富集和培养。对 20 只动物(13 只狗、3 只猫、4 只兔子)进行了除金黄色葡萄球菌以外的葡萄球菌分析。在所有动物(n = 283)中,有 20 只狗(10.4%)和 6 只猫(8.1%)携带金黄色葡萄球菌。在 5 只狗(2.6%)和 2 只猫(2.7%)中发现了 MRSA。分离株的 spa 型为 t011、t034、t108(均 mecA-阳性,ST398)和 t843(mecC-阳性,ST130),与牲畜相关(LA)-MRSA 典型。除一只狗外,MRSA 阳性动物与畜牧业没有直接接触。在 7 只狗(3.6%)中存在 blaCTX-M/blaTEM/blaSHV 基因的 ESBL-Escherichia coli,1 只猫(1.4%)携带头孢噻肟耐药柠檬酸杆菌分离株(blaTEM/blaCMY-2 基因)。MDRO 携带与兽医医疗环境中的动物有关(p<0.05)。1 只狗和 1 只兔子携带耐甲氧西林凝固酶阴性葡萄球菌。MRSA 谱系仅在牲畜中发现,强调了区域环境中 MDRO 菌株跨越物种屏障传播的影响。宠物中存在 ESBL-E 和 LA-MRSA 以及临床环境中可能的传播支持采取“同一健康”方法来应对携带 MDRO 的伴侣动物带来的潜在威胁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17c5/6285998/fcb64f4e1511/pone.0208364.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17c5/6285998/fcb64f4e1511/pone.0208364.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17c5/6285998/fcb64f4e1511/pone.0208364.g001.jpg

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