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加拿大、塞内加尔和越南的鸡源产超广谱β-内酰胺酶/头孢菌素酶大肠埃希菌中黏菌素耐药性和 mcr-1/mcr-2 基因的流行情况。

Prevalence of colistin resistance and mcr-1/mcr-2 genes in extended-spectrum β-lactamase/AmpC-producing Escherichia coli isolated from chickens in Canada, Senegal and Vietnam.

机构信息

Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Canada.

Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Canada.

出版信息

J Glob Antimicrob Resist. 2019 Dec;19:222-227. doi: 10.1016/j.jgar.2019.05.002. Epub 2019 May 14.

DOI:10.1016/j.jgar.2019.05.002
PMID:31100501
Abstract

OBJECTIVES

This study investigated the prevalence of Escherichia coli (E. coli) colistin resistance and mcr-1 and mcr-2 genes among extended-spectrum β-lactamase (ESBL)/AmpC-producing E. coli isolates recovered from chicken feces in Canada (Quebec), Senegal and Vietnam, and evaluated the susceptibility pattern of the colistin-resistant E. coli isolates to other clinically relevant antimicrobials.

METHODS

A total of 327 potential ESBL/AmpC-producing E. coli isolates from chicken farms in Canada (Quebec), Senegal and Vietnam were analysed for colistin susceptibility by broth microdilution method and for the presence of mcr (1-2) genes by PCR. The pmrA and pmrB genes of colistin-resistant E. coli isolates, in the absence of mcr (1-2) genes, were sequenced. Antimicrobial resistance phenotypes of colistin-resistant E. coli isolates were determined by disk diffusion.

RESULTS

None of the 108 potential ESBL/AmpC-producing E. coli isolates from seven farms in Canada were colistin-resistant or possessed mcr-1 or mcr-2 gene. A low prevalence of 2.2% of colistin resistance was observed in 93 Senegalese isolates from the 15 sampled farms, although neither mcr-1 nor mcr-2 gene was found. A prevalence of 8.7% of colistin resistance was observed among 126 Vietnamese isolates from two of the four sampled farms. The mcr-1 gene was detected in 85% of the 13 phenotypically colistin-resistant isolates. Moreover, all colistin-resistant isolates presented a multidrug-resistant phenotype.

CONCLUSIONS

The co-existence of the mcr-1 and ESBL/AmpC genes and the very high level of multiple drug resistance in all colistin-resistant E. coli isolates obtained from sampled chicken farms in Vietnam is a major concern.

摘要

目的

本研究调查了加拿大(魁北克)、塞内加尔和越南鸡粪便中分离的产超广谱β-内酰胺酶(ESBL)/AmpC 大肠杆菌对黏菌素的耐药率以及 mcr-1 和 mcr-2 基因的流行情况,并评估了耐黏菌素大肠杆菌分离株对其他临床相关抗菌药物的敏感性模式。

方法

采用肉汤微量稀释法检测来自加拿大(魁北克)、塞内加尔和越南鸡场的 327 株潜在 ESBL/AmpC 产大肠杆菌对黏菌素的敏感性,并采用 PCR 检测 mcr(1-2)基因的存在。对无 mcr(1-2)基因的耐黏菌素大肠杆菌分离株的 pmrA 和 pmrB 基因进行测序。采用纸片扩散法测定耐黏菌素大肠杆菌分离株的抗菌药物耐药表型。

结果

加拿大 7 个农场的 108 株潜在 ESBL/AmpC 产大肠杆菌中均未发现耐黏菌素或携带 mcr-1 或 mcr-2 基因。在从 15 个采样农场中分离的 93 株塞内加尔分离株中,观察到黏菌素耐药率较低(2.2%),但未发现 mcr-1 或 mcr-2 基因。在从 4 个采样农场中的 2 个农场中分离的 126 株越南分离株中,观察到黏菌素耐药率为 8.7%。在 13 株表型耐黏菌素的分离株中,检测到 mcr-1 基因的比例为 85%。此外,所有耐黏菌素的分离株均表现出多重耐药表型。

结论

在从越南采样鸡场分离的所有耐黏菌素大肠杆菌分离株中,mcr-1 基因与 ESBL/AmpC 基因共存,且对所有抗菌药物的耐药率非常高,这令人严重关切。

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