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伴侣动物中产超广谱β-内酰胺酶和pAmpC的细菌的多样性、毒力及临床意义

Diversity, Virulence, and Clinical Significance of Extended-Spectrum β-Lactamase- and pAmpC-Producing From Companion Animals.

作者信息

Bortolami Alessio, Zendri Flavia, Maciuca Elena Iuliana, Wattret Andy, Ellis Christine, Schmidt Vanessa, Pinchbeck Gina, Timofte Dorina

机构信息

Department of Veterinary Pathology and Public Health, Institute of Veterinary Science, University of Liverpool, Neston, United Kingdom.

Department of Epidemiology and Population Health, Institute of Infection and Global Health, University of Liverpool, Neston, United Kingdom.

出版信息

Front Microbiol. 2019 Jun 5;10:1260. doi: 10.3389/fmicb.2019.01260. eCollection 2019.

Abstract

are opportunistic pathogens with the potential to cause a variety of infections in both humans and animals and in many cases have developed antimicrobial resistance. In this study, we characterized extended-spectrum cephalosporin resistant (ESCR) isolates from diseased companion animals (dogs, cats, and horses) and related the results to clinical findings. ESCR clinical isolates obtained over a 6-year period were screened for extended-spectrum β-lactamase (ESBL) and/or plasmid mediated AmpC (pAmpC) and virulence markers likely to be associated with extraintestinal pathogenic (ExPEC). ESBL and/or pAmpC genetic determinants were identified in 79.9% of the ESCR isolates with genes being the most common ESBL genotype of which , , and were the most prevalent. In addition, was the most common genotype identified amongst pAmpC producing isolates. Phylogenetic group typing showed that B2 was the most prevalent phylogroup among the ESCR isolates, followed by the closely related phylogroups D and F which are also associated with extra-intestinal infections. ESCR was also identified in phylogroups commonly regarded as commensals (B1, A, and C). Virulence factor (VF) scores >2 were mostly present amongst isolates in phylogroup B2. Higher virulence scores were found in isolates lacking ESBL/pAmpC resistance genes compared with those carrying both genes ( < 0.05). Five of phylogroup B2 isolates, were typed to the pandemic virulent O25b-ST131 clone and three ST131 isolates carrying belonged to the subclade C2/H30Rx whilst one isolate carrying typed to the recently described sub-clade C1-M27. MLST typing also identified other sequence types commonly associated with infections in humans (ST410, ST10, and ST648). Most ESCR isolates obtained in pure growth were cultured from normally sterile body sites (mostly from urinary tract infections, UTIs) whilst only a small proportion were obtained from body sites populated with commensal flora ( < 0.0001). Our study has shown that ExPEC ESBL/pAmpC producing isolates are common amongst companion animal isolates and are associated with colonization and infection. In addition, their isolation from a normally sterile site is likely to be clinically significant and warrants antimicrobial treatment.

摘要

是机会致病菌,有可能在人类和动物中引起多种感染,并且在许多情况下已产生抗菌药物耐药性。在本研究中,我们对来自患病伴侣动物(狗、猫和马)的超广谱头孢菌素耐药(ESCR)分离株进行了特征分析,并将结果与临床发现相关联。对在6年期间获得的ESCR临床分离株进行超广谱β-内酰胺酶(ESBL)和/或质粒介导的AmpC(pAmpC)以及可能与肠外致病性(ExPEC)相关的毒力标记物的筛选。在79.9%的ESCR分离株中鉴定出ESBL和/或pAmpC遗传决定因素,其中基因是最常见的ESBL基因型,其中,和最为普遍。此外,是在产pAmpC分离株中鉴定出的最常见基因型。系统发育群分型显示,B2是ESCR分离株中最普遍的系统发育群,其次是密切相关的系统发育群D和F,它们也与肠外感染有关。在通常被视为共生菌的系统发育群(B1、A和C)中也鉴定出了ESCR。毒力因子(VF)评分>2大多存在于系统发育群B2的分离株中。与同时携带这两种基因的分离株相比,在缺乏ESBL/pAmpC耐药基因的分离株中发现了更高的毒力评分(<0.05)。系统发育群B2的五个分离株被分型为大流行毒力O25b-ST131克隆,三个携带的ST131分离株属于C2/H30Rx亚分支,而一个携带的分离株被分型为最近描述的C1-M27亚分支。多位点序列分型(MLST)也鉴定出了其他通常与人类感染相关的序列类型(ST410、ST10和ST648)。大多数以纯培养物形式获得的ESCR分离株是从通常无菌的身体部位培养出来的(主要来自尿路感染,UTIs),而只有一小部分是从有共生菌群的身体部位获得的(<0.0001)。我们的研究表明,产ExPEC ESBL/pAmpC的分离株在伴侣动物分离株中很常见,并且与定植和感染有关。此外,从通常无菌的部位分离出它们可能具有临床意义,需要进行抗菌治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6577/6560200/6d2989899504/fmicb-10-01260-g001.jpg

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