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基于基因型和表型的生牛奶中分离的耐甲氧西林葡萄球菌抗生素耐药性及葡萄球菌盒式染色体特征评估

Genotypic and Phenotypic-Based Assessment of Antibiotic Resistance and Profile of Staphylococcal Cassette Chromosome in the Methicillin-Resistant Recovered from Raw Milk.

作者信息

Rahi Azar, Kazemeini Hamidreza, Jafariaskari Sedigheh, Seif Ali, Hosseini Sahar, Safarpoor Dehkordi Farhad

机构信息

Department of Microbiology, Kazerun Branch, Islamic Azad University, Kazerun, Iran.

Department of Food Hygiene, Faculty of Veterinary Medicine, Amol University of Special Modern Technologies, Amol, Iran.

出版信息

Infect Drug Resist. 2020 Jan 30;13:273-283. doi: 10.2147/IDR.S229499. eCollection 2020.

Abstract

BACKGROUND

Multidrug resistant methicillin-resistant (MRSA) bacteria are determined to be one of the chief causes of foodborne diseases around the world.

PURPOSE

This research was done to assess the genotypic and phenotypic profiles of antibiotic resistance and distribution of Staphylococcus cassette chromosome (SCC) types amongst the MRSA bacteria recovered from raw milk.

METHODS

Five-hundred and ninety raw milk samples were collected and examined. MRSA bacteria were recognized using susceptibility evaluation toward oxacillin and cefoxitin disks. Profile of antibiotic resistance genes and SCC types were determined using the PCR. Antibiotic resistance pattern of isolates was examined using the disk diffusion.

RESULTS

Thirty-nine out of 590 raw milk samples (6.61%) were positive for . Twenty-eight out of 39 (71.79%) bacteria were defined as MRSA bacteria. Raw buffalo (80%) milk samples had the maximum incidence of MRSA, while raw camel (33.33%) had the minimum. MRSA bacteria harbored the maximum incidence of resistance toward penicillin (100%), tetracycline (100%), erythromycin (82.14%), gentamicin (78.57%) and trimethoprim-sulfamethoxazole (78.57%). Incidence of resistance toward more than eight classes of antibiotic agents was 28.57%. The most frequently distinguished antibiotic resistance markers were (100%), (85.71%), (71.42%), (67.85%), (50%) and (42.85%). SCC IVa (29.62%), V (25%), III (14.81%) and IVb (11.11%) were the most frequently distinguished types.

CONCLUSION

Raw milk of dairy animals maybe sources of multidrug resistant MRSA which pose a hygienic threat concerning the consumption of raw milk in Iran. Nevertheless, further investigations are necessary to understand supplementary epidemiological features of MRSA in raw milk.

摘要

背景

耐多药的耐甲氧西林金黄色葡萄球菌(MRSA)被确定为全球食源性疾病的主要病因之一。

目的

本研究旨在评估从生牛奶中分离出的MRSA细菌的抗生素耐药性的基因型和表型特征以及葡萄球菌盒式染色体(SCC)类型的分布。

方法

收集并检测了590份生牛奶样本。通过对苯唑西林和头孢西丁纸片的药敏试验来识别MRSA细菌。使用聚合酶链反应(PCR)确定抗生素耐药基因谱和SCC类型。采用纸片扩散法检测分离株的抗生素耐药模式。

结果

590份生牛奶样本中有39份(6.61%)呈阳性。39株细菌中有28株(71.79%)被定义为MRSA细菌。生水牛乳样本中MRSA的发生率最高(80%),而生骆驼乳样本中MRSA的发生率最低(33.33%)。MRSA细菌对青霉素(100%)、四环素(100%)、红霉素(82.14%)、庆大霉素(78.57%)和甲氧苄啶 - 磺胺甲恶唑(78.57%)的耐药发生率最高。对超过八类抗生素耐药的发生率为28.57%。最常检测到的抗生素耐药标记物为(100%)、(85.71%)、(71.42%)、(67.85%)、(50%)和(42.85%)。SCC IVa(29.62%)、V(25%)、III(14.81%)和IVb(11.11%)是最常检测到的类型。

结论

家畜的生牛奶可能是耐多药MRSA的来源,这对伊朗生牛奶的消费构成了卫生威胁。然而,有必要进一步调查以了解生牛奶中MRSA的其他流行病学特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/529f/6996610/803ebadc52e5/IDR-13-273-g0001.jpg

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