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2009年至2018年间从西班牙猪身上分离出的耐甲氧西林金黄色葡萄球菌(MRSA)菌株的抗菌耐药性增强。

Increased Antimicrobial Resistance of MRSA Strains Isolated from Pigs in Spain between 2009 and 2018.

作者信息

Abreu Rossana, Rodríguez-Álvarez Cristobalina, Lecuona María, Castro Beatriz, González Juan Carlos, Aguirre-Jaime Armando, Arias Ángeles

机构信息

Department of Preventive Medicine and Public Health. Universidad de La Laguna. Campus de Ofra S/N., 38071 Santa Cruz de Tenerife, Spain.

Microbiology and Infection Control Service of the University Hospital of the Canary Islands (HUC), 38004 Tenerife, Spain.

出版信息

Vet Sci. 2019 Apr 4;6(2):38. doi: 10.3390/vetsci6020038.

Abstract

The problem of emerging resistant microorganisms such as Methicillin-Resistant (MRSA) associated to livestock is closely linked to improper use of antimicrobial agents. The aim of this study is to find out the prevalence and characteristics of these strains, as well as their evolution in healthy pigs on the Island of Tenerife, Spain. Between October 2009 and December 2010, 300 pigs from 15 wean-to-finishing farms were screened. Between 1 September 2017 and 31 March 2018, a new sampling was performed collecting 125 nasal swabs from pigs belonging to the same farms and under the same conditions as the previous study. MRSA antibiotic resistant patterns were studied. Results: Prevalence of MRSA isolates was 89.6%. All isolates belonged to Sequence Type 398 (ST398), a livestock related strain. All strains studied were resistant to beta-lactamic non-carbapenemic antibiotics and sensitive to teicoplanin, linezolid, vancomycin, rifampicin, quinupristin-dalfospristin, and mupirocine. Between 2009/2010-2017/2018 a significant increase in resistance to gentamicin, tobramycin, trimethoprim-sulfomethoxazole, clindamycin, Fosfomycin, and tigecycline antibiotics was observed in isolated MRSA strains compared to the previous period. We consider a major control and surveillance program of antibiotic use in veterinary care is needed in order to reduce the presence of MRSA strains in livestock and control this significant multi-resistance increase.

摘要

与牲畜相关的新兴耐药微生物问题,如耐甲氧西林金黄色葡萄球菌(MRSA),与抗菌药物的不当使用密切相关。本研究的目的是查明这些菌株在西班牙特内里费岛健康猪中的流行情况、特征及其演变。在2009年10月至2010年12月期间,对来自15个断奶至育肥农场的300头猪进行了筛查。在2017年9月1日至2018年3月31日期间,进行了一次新的采样,从与先前研究相同农场且条件相同的猪中采集了125份鼻拭子。对MRSA的抗生素耐药模式进行了研究。结果:MRSA分离株的流行率为89.6%。所有分离株均属于序列型398(ST398),这是一种与牲畜相关的菌株。所有研究菌株均对非碳青霉烯类β-内酰胺抗生素耐药,而对替考拉宁、利奈唑胺、万古霉素、利福平、奎奴普丁-达福普汀和莫匹罗星敏感。与上一时期相比,在2009/2010 - 2017/2018期间,分离出的MRSA菌株对庆大霉素、妥布霉素、甲氧苄啶-磺胺甲恶唑、克林霉素、磷霉素和替加环素抗生素的耐药性显著增加。我们认为需要在兽医护理中实施一项主要的抗生素使用控制和监测计划,以减少牲畜中MRSA菌株的存在,并控制这种显著的多重耐药性增加。

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