1 Faculty of Veterinary Medicine, Institute of Infectious Diseases and Microbiology, University of Veterinary and Pharmaceutical Sciences Brno, Brno, Czech Republic.
2 CEITEC VFU Brno, University of Veterinary and Pharmaceutical Sciences Brno, Brno, Czech Republic.
Foodborne Pathog Dis. 2019 Jan;16(1):42-53. doi: 10.1089/fpd.2018.2531.
The study aimed to monitor the fecal shedding of cefotaxime-resistant Escherichia coli (CREC) in a cohort of healthy calves on a dairy farm with documented antimicrobial usage and to characterize selected AmpC beta-lactamase-producing E. coli isolates. Fecal samples from 13 suckling calves (1-63 d of age; 113 samples in total) were repeatedly collected and cultivated on MacConkey agar with cefotaxime (2 mg/L). Resistant colonies were counted, and one colony obtained from the highest dilution of each fecal sample was identified by matrix-assisted laser desorption-ionization time-of-flight mass spectrometry. Susceptibility to antimicrobials and production of AmpC and extended-spectrum beta-lactamase (ESBL) were tested. No ESBL-producing E. coli was found, but representative AmpC-positive E. coli isolates were subjected to further typing and whole-genome sequencing (WGS) for the analysis of clonal relationships, resistance genes, virulence factors, and plasmid replicons. High amounts of CREC were detected in the feces of all 13 calves during the study. The number of CREC colonies varied from 1.0 log to 8.0 log colony-forming unit per gram. Drops in CREC density or its discontinued shedding were recorded at the end of the study period. A total of 82 (94%, n = 87) CREC isolates were confirmed as AmpC producers and all but one showed resistance to multiple antimicrobials. Twenty-nine selected AmpC-positive E. coli isolates belonged to 12 and 13 unique rep-PCR fingerprints and pulsed-field gel electrophoresis types, respectively, highlighting the variation in E. coli genotypes in individual calves. WGS of 10 selected isolates showed diverse antimicrobial resistance and virulence gene content and the presence of a bla gene carried by an IncK2 plasmid. Clinically important multiresistant E. coli isolates belonging to emerging extraintestinal pathogenic E. coli ST69 and ST648 lineages were found. Our findings reinforce the urgency of efforts to prevent the spread of ESBL-/AmpC-producing bacteria in dairy cow farms.
本研究旨在监测一个有记录的抗菌药物使用的奶牛场中健康小牛的粪便中产头孢噻肟耐药大肠杆菌(CREC)的排出情况,并对选定的产 AmpC 型β-内酰胺酶大肠杆菌分离株进行特征描述。从 13 头哺乳期小牛(1-63 日龄;共采集 113 个粪便样本)中反复采集粪便样本并接种于含有头孢噻肟(2mg/L)的麦康凯琼脂上进行培养。计算耐药菌的数量,并从每个粪便样本的最高稀释度获得一个菌落,通过基质辅助激光解吸电离飞行时间质谱进行鉴定。检测了对抗菌药物的敏感性和 AmpC 和超广谱β-内酰胺酶(ESBL)的产生情况。未发现产 ESBL 的大肠杆菌,但选择了代表性的 AmpC 阳性大肠杆菌分离株进行进一步的分型和全基因组测序(WGS),以分析克隆关系、耐药基因、毒力因子和质粒复制子。在研究期间,所有 13 头小牛的粪便中均检测到大量的 CREC。CREC 菌落数从每克 1.0 对数到 8.0 对数菌落形成单位不等。在研究期末,记录到 CREC 密度下降或停止排出。共确认 82 株(94%,n=87)CREC 分离株为 AmpC 生产者,除一株外,所有分离株均对多种抗菌药物耐药。29 株选定的 AmpC 阳性大肠杆菌分离株分别属于 12 种和 13 种独特的重复序列 PCR 指纹图谱和脉冲场凝胶电泳类型,突出了个体小牛中大肠杆菌基因型的多样性。对 10 株选定分离株的 WGS 显示了不同的抗菌药物耐药性和毒力基因含量,以及一个位于 IncK2 质粒上的 bla 基因的存在。发现了属于新兴的肠外致病性大肠杆菌 ST69 和 ST648 谱系的临床重要的多耐药大肠杆菌分离株。我们的研究结果强调了努力防止 ESBL-/AmpC 产生菌在奶牛场传播的紧迫性。
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