Chen Yanyun, Liu Zhihai, Zhang Yaru, Zhang Zhenbiao, Lei Lei, Xia Zhaofei
Department of Veterinary Internal Medicine, College of Veterinary Medicine, China Agricultural University, Beijing, China.
College of Chemistry and Pharmaceutical Sciences, Qingdao Agricultural University, Qingdao, China.
Front Microbiol. 2019 Dec 10;10:2852. doi: 10.3389/fmicb.2019.02852. eCollection 2019.
We investigated antimicrobial resistance trends and characteristics of ESBL-producing isolates from pets and whether this correlates with antibiotic usage in the clinic. Clinical samples containing from diseased cats and dogs were screened for antibiotic sensitivity and associated genotypic features. We identified 127 isolates from 1886 samples from dogs ( = 1565) and cats ( = 321) with the majority from urinary tract infections ( = 108, 85%). High rates of resistance were observed for β-lactams and fluoroquinolones and resistance to > 3 antibiotic classes (MDR) increased from 67% in 2012 to 75% in 2017 ( < 0.0001). This was especially true for strains resistant to 6-9 antibiotics that increased from 26.67 to 60.71%. Increased rates in β-lactam use for clinical treatment accompanied these increasing resistance rates. Accordingly, the most frequently encountered subtypes were ( = 44, 34.65%), ( = 19) and ( = 18) and ( = 119, 93.70%). The -isolates possessed 36 unique pulsed field electrophoretic types (PFGEs) and 28 different sequence types (STs) in ST405 (7, 15.9%), ST131 (3, 6.8%), ST73, ST101, ST372, and ST827 (2, 4.5% each) were the most prevalent. This data demonstrated a high level of diversity for the -positive isolates. Additionally, was detected in three isolates ( = 3, 2.36%), comprised of two ST101 and one ST405 isolates, and was also observed in three colistin-resistant with three different STs (ST6316, ST405, and ST46). Our study demonstrates an increasing trend in MDR and ESBL-producing and this correlated with β-lactam antibiotic usage for treatment of these animals. This data indicates that there is significant risk for the spread of resistant bacteria from pets to humans and antibiotic use for pets should be more strictly regulated.
我们调查了宠物中产超广谱β-内酰胺酶(ESBL)菌株的耐药性趋势和特征,以及这是否与临床抗生素使用相关。对来自患病猫和狗的临床样本进行抗生素敏感性和相关基因型特征筛查。我们从1886份来自狗(n = 1565)和猫(n = 321)的样本中鉴定出127株菌株,其中大多数来自尿路感染(n = 108,85%)。观察到β-内酰胺类和氟喹诺酮类药物的耐药率较高,对超过3类抗生素耐药(多重耐药,MDR)的比例从2012年的67%上升至2017年的75%(P < 0.0001)。对6 - 9种抗生素耐药的菌株尤其如此,其比例从26.67%增至60.71%。临床治疗中β-内酰胺类药物使用比例的增加伴随着这些耐药率的上升。相应地,最常遇到的亚型是CTX-M(n = 44,34.65%)、TEM(n = 19)和SHV(n = 18),并且blaCTX-M-15(n = 119,93.70%)。CTX-M分离株拥有36种独特的脉冲场凝胶电泳类型(PFGE),28种不同的序列类型(ST),其中ST405(7株,15.9%)、ST131(3株,6.8%)、ST73、ST101、ST372和ST827(各2株,4.5%)最为常见。该数据表明CTX-M阳性分离株具有高度多样性。此外,在3株分离株(n = 3,2.36%)中检测到blaNDM-1,包括2株ST101和1株ST405分离株,并且在3株对黏菌素耐药的菌株(ST6316、ST405和ST46)中也观察到blaNDM-1。我们的研究表明多重耐药和产ESBL菌株呈上升趋势,这与用于治疗这些动物的β-内酰胺类抗生素使用相关。该数据表明耐药菌从宠物传播至人类存在重大风险,宠物抗生素的使用应受到更严格的监管。