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日本野生动物中非结核分枝杆菌的分离与抗菌药敏分析

ISOLATION AND ANTIMICROBIAL SUSCEPTIBILITIES OF NONTUBERCULOUS MYCOBACTERIA FROM WILDLIFE IN JAPAN.

机构信息

Department of Applied Veterinary Sciences, United Graduate School of Veterinary Sciences, Gifu University, 1-1 Yanagido, Gifu 501-1193, Japan.

Faculty of Applied Biological Sciences, Gifu University, 1-1 Yanagido, Gifu 501-1193, Japan.

出版信息

J Wildl Dis. 2020 Oct 1;56(4):851-862. doi: 10.7589/2019-10-261.

Abstract

Nontuberculous mycobacteria (NTM) are opportunistic pathogens of humans and animals and are transmitted among the environment, wildlife, livestock, and humans. The aim of this study was to investigate the rate of isolation and antimicrobial susceptibility of NTM in wildlife. In total, 178 samples of feces (n=131) and tissues (n=47) were collected from 11 wildlife species in Gifu Prefecture and Mie Prefecture, Japan, between June 2016 and October 2018. We isolated NTM from 15.3% (20/ 131) of fecal samples using Ogawa medium, and isolates were identified by sequencing the rpoB and hsp65 genes. The rpoB sequences were compared with those from other strains of human and environmental origin. The NTM isolates were obtained from sika deer (Cervus nippon), wild boar (Sus scrofa), Japanese monkey (Macaca fuscata), raccoon dog (Nyctereutes procyonoides), masked palm civet (Paguma larvata), and Japanese weasel (Mustela itatsi) and were classified as rapidly growing mycobacteria (RGM) and slowly growing mycobacteria (SGM). The 12 RGM identified were Mycolicibacterium peregrinum (n=5), Mycolicibacterium fortuitum (n=3), Mycolicibacterium septicum (n=3), and Mycolicibacterium thermoresistibile (n=1), and the eight SGM were Mycobacterium paraense (n=4), Mycolicibacter arupensis (n=2), Mycolicibacter virginiensis (n=1), and Mycobacterium nebraskense (n=1). The NTM from wildlife showed ≥99% similarity with strains from different sources including humans. The RGM were susceptible to the antimicrobial agents tested except for M. fortuitum, which was resistant to azithromycin and clarithromycin. The SGM showed multiple drug resistance qualities but were susceptible to amikacin, clarithromycin, and rifabutin. These results indicate that wildlife may be reservoir hosts of NTM in Japan. The presence of antimicrobial-resistant NTM in wildlife suggests that the trends of NTM antimicrobial susceptibility in wildlife should be monitored.

摘要

非结核分枝杆菌(NTM)是人类和动物的机会性病原体,存在于环境、野生动物、家畜和人类之间。本研究旨在调查野生动物中 NTM 的分离率和药敏率。2016 年 6 月至 2018 年 10 月,我们从日本岐阜县和三重县的 11 种野生动物中采集了 178 份粪便(n=131)和组织(n=47)样本。我们使用 Ogawa 培养基从 15.3%(20/131)的粪便样本中分离出 NTM,并通过测序 rpoB 和 hsp65 基因对分离株进行鉴定。rpoB 序列与其他来源的人类和环境菌株进行了比较。从梅花鹿(Cervus nippon)、野猪(Sus scrofa)、日本猕猴(Macaca fuscata)、浣熊(Nyctereutes procyonoides)、大灵猫(Paguma larvata)和日本黄鼠狼(Mustela itatsi)中获得了 NTM 分离株,分为快速生长分枝杆菌(RGM)和缓慢生长分枝杆菌(SGM)。鉴定出的 12 株 RGM 分别为:Mycolicibacterium peregrinum(n=5)、Mycolicibacterium fortuitum(n=3)、Mycolicibacterium septicum(n=3)和 Mycolicibacterium thermoresistibile(n=1),8 株 SGM 分别为:Mycobacterium paraense(n=4)、Mycolicibacter arupensis(n=2)、Mycolicibacter virginiensis(n=1)和 Mycobacterium nebraskense(n=1)。野生动物中的 NTM 与包括人类在内的不同来源的菌株具有≥99%的相似性。RGM 对测试的抗菌药物敏感,除了 M. fortuitum 对阿奇霉素和克拉霉素耐药。SGM 表现出多种耐药特性,但对阿米卡星、克拉霉素和利福布汀敏感。这些结果表明,野生动物可能是日本 NTM 的储存宿主。野生动物中存在抗微生物药物耐药性的 NTM 表明,应监测野生动物中 NTM 抗微生物药物敏感性的趋势。

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