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从印度东北部的家畜和家禽中传播和鉴定产生超广谱β-内酰胺酶、AmpC β-内酰胺酶和金属β-内酰胺酶的大肠杆菌:一种分子监测方法。

Dissemination and characterisation of Escherichia coli producing extended-spectrum β-lactamases, AmpC β-lactamases and metallo-β-lactamases from livestock and poultry in Northeast India: A molecular surveillance approach.

机构信息

ICAR-National Institute of Veterinary Epidemiology and Disease Informatics, Bengaluru 560064, India; Department of Microbiology, Jain University, Bengaluru 560011, India.

ICAR-National Institute of Veterinary Epidemiology and Disease Informatics, Bengaluru 560064, India; School of Basic and Applied Sciences, Dayananda Sagar University, Bengaluru 560078, India.

出版信息

J Glob Antimicrob Resist. 2019 Jun;17:209-215. doi: 10.1016/j.jgar.2018.12.025. Epub 2019 Jan 8.

Abstract

OBJECTIVES

The aim of this study was to identify and characterise probable extended-spectrum β-lactamase (ESBL)-, AmpC lactamase- and/or metallo-β-lactamase (MBL)-producing Escherichia coli variants circulating in the livestock and poultry environment to establish their epidemiological significance, genetic diversity, antimicrobial resistance (AMR) trends and virulence.

METHODS

The culture method and E. coli-specific multiplex PCR identified 78 E. coli strains from faecal samples of healthy livestock and poultry. The antibiogram was determined by the disk diffusion and minimum inhibitory concentration (MIC) methods. Antimicrobial-resistant E. coli isolates were screened for the presence of ESBL, AmpC and MBL genes. Isolates were further characterised by plasmid replicon typing, integron assay and virulence gene analysis. Genetic diversity was assessed by random amplification of polymorphic DNA (RAPD) analysis and multilocus sequence typing (MLST).

RESULTS

ESBL (CTX-M group 1, CTX-M group 4, TEM), AmpC (EBC, FOX, CMY, DHA) and MBL (IMP, SIM) resistance determinants were identified in 75%, 19% and 6% of isolates, respectively. Nine plasmid replicon types were distributed among resistant E. coli strains, with the most common plasmid replicon types being L/M and Y. Integrons were detected in 19% of E. coli isolates. RAPD analysis categorised the E. coli isolates into three clusters. MLST revealed seven different sequence types (STs), with ST10 being the most common.

CONCLUSIONS

This study demonstrated a high prevalence of animals carrying potential ESBL- and AmpC-producing E. coli and emphasises the need for rigorous surveillance in the animal sector to identify critical control points conducive to prevent the rapid dissemination of AMR.

摘要

目的

本研究旨在鉴定和描述在畜牧环境中循环的可能产超广谱β-内酰胺酶(ESBL)、AmpC 内酰胺酶和/或金属β-内酰胺酶(MBL)的大肠杆菌变体,以确定其流行病学意义、遗传多样性、抗菌药物耐药性(AMR)趋势和毒力。

方法

采用培养法和大肠杆菌特异性多重 PCR 从健康畜牧粪便样本中鉴定出 78 株大肠杆菌。采用纸片扩散法和最低抑菌浓度(MIC)法测定药敏谱。筛选出具有 ESBL、AmpC 和 MBL 基因的耐抗菌大肠杆菌分离株。进一步通过质粒复制子分型、整合子检测和毒力基因分析对分离株进行鉴定。通过随机扩增多态性 DNA(RAPD)分析和多位点序列分型(MLST)评估遗传多样性。

结果

75%、19%和 6%的分离株分别检出 ESBL(CTX-M 组 1、CTX-M 组 4、TEM)、AmpC(EBC、FOX、CMY、DHA)和 MBL(IMP、SIM)耐药决定因子。耐药大肠杆菌菌株分布 9 种质粒复制子类型,最常见的质粒复制子类型为 L/M 和 Y。19%的大肠杆菌分离株检测到整合子。RAPD 分析将大肠杆菌分离株分为 3 个聚类。MLST 显示 7 种不同的序列类型(ST),其中 ST10 最为常见。

结论

本研究表明,动物携带潜在产 ESBL 和 AmpC 的大肠杆菌的比例较高,强调需要在动物领域进行严格监测,以确定有利于防止 AMR 快速传播的关键控制点。

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