Gay Emilie, Bour Maxime, Cazeau Géraldine, Jarrige Nathalie, Martineau Christophe, Madec Jean-Yves, Haenni Marisa
Université de Lyon - ANSES, Laboratoire de Lyon, Unité Épidémiologie et Appui à la Surveillance, Lyon, France.
Université de Lyon - ANSES, Laboratoire de Lyon, Unité Antibiorésistance et Virulence Bactériennes, Lyon, France.
Front Microbiol. 2019 Apr 12;10:792. doi: 10.3389/fmicb.2019.00792. eCollection 2019.
Extended-Spectrum-Cephalosporin (ESC)-resistant Enterobacteriaceae have widely spread in all settings worldwide. In animals, Extended-Spectrum Beta-Lactamase (ESBL) producers have been frequently identified in veal calves. The objectives of this study were to investigate the trends in the ESBL load and antimicrobial resistance (AMR) proportions, and antimicrobial usages (AMU) in veal calves during the fattening process. Ten fattening farms were selected and 50 animals per farm were sampled. AMR was assessed in bacteria from the dominant flora (collected on non-selective MacConckey agar) and in ESBL/AmpC-carrying bacteria from the subdominant flora (selected on ChromID ESBL selective plates) upon arrival and 5-6 months later before slaughter. The number and types of treatments during fattening were also collected. Rates of ESBL-producing from the subdominant flora significantly decreased in all farms (arrival: 67.7%; departure: 20.4%) whereas rates of multidrug-resistant from the dominant flora have significantly increased (arrival: 60.2%; departure: 67.2%; = 0.025). CTX-M-1 was the most frequently identified ESBL enzyme (arrival: 59.3%; departure: 52.0%). The plasmid-mediated gene was also identified occasionally. In parallel, levels of resistances to non-critically important antimicrobials were already high upon arrival but have still further increased over time until slaughter. Our study also highlighted that if only ESBL-producing isolates were monitored, it might have led to a partial (and partly false) picture of AMR rates globally decreasing during the fattening period. The mean number of antimicrobial treatments per calf (NTPC) was 8.75 but no association between AMU and AMR was evidenced. Most ESBL producers were clonally unrelated suggesting multiple sources and not cross-contaminations among calves during transportation. Feeding milk containing antimicrobial residues to veal calves is hypothesized to explain the high ESBL loads in animals at the entrance on farms.
耐超广谱头孢菌素(ESC)的肠杆菌科细菌已在全球所有环境中广泛传播。在动物中,产超广谱β-内酰胺酶(ESBL)的细菌在犊牛中经常被发现。本研究的目的是调查育肥过程中犊牛的ESBL负荷、抗菌药物耐药性(AMR)比例以及抗菌药物使用情况(AMU)的变化趋势。选择了10个育肥场,每个场抽取50头动物。在到达时以及屠宰前5至6个月,对优势菌群(在非选择性麦康凯琼脂上采集)中的细菌以及次优势菌群(在ChromID ESBL选择性平板上选择)中携带ESBL/AmpC的细菌进行AMR评估。还收集了育肥期间的治疗次数和类型。所有农场中,次优势菌群中产ESBL细菌的比例显著下降(到达时:67.7%;离开时:20.4%),而优势菌群中多重耐药菌的比例显著增加(到达时:60.2%;离开时:67.2%;P = 0.025)。CTX-M-1是最常鉴定出的ESBL酶(到达时:59.3%;离开时:52.0%)。质粒介导的AmpC基因也偶尔被鉴定出。同时,对非关键重要抗菌药物的耐药水平在到达时就已经很高,但直到屠宰时仍随着时间进一步增加。我们的研究还强调,如果仅监测产ESBL的分离株,可能会导致对育肥期AMR率全球下降的情况形成部分(且部分错误)的认识。每头犊牛的抗菌治疗平均次数(NTPC)为8.75,但未证明AMU与AMR之间存在关联。大多数产ESBL细菌在克隆上不相关,这表明有多个来源,而非犊牛在运输过程中的交叉污染。据推测,给犊牛喂食含有抗菌药物残留的牛奶可以解释农场入口处动物中ESBL负荷较高的现象。
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