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动物源不动杆菌属的抗菌药物耐药模式显示出很高的多重耐药率。

Antimicrobial resistance patterns of Acinetobacter spp. of animal origin reveal high rate of multidrug resistance.

机构信息

Athens Veterinary Diagnostic Laboratory, University of Georgia, Athens, GA, USA.

Odum School of Ecology, University of Georgia, Athens, GA, USA.

出版信息

Vet Microbiol. 2020 Jun;245:108702. doi: 10.1016/j.vetmic.2020.108702. Epub 2020 May 1.

Abstract

Antimicrobial resistance has been declared by the World Health Organization as one of the biggest threats to public health and Acinetobacter baumannii is a notable example. A. baumannii is an important human nosocomial pathogen, being along with other multidrug resistant (MDR) bacteria, one of the biggest public health concerns worldwide. In Veterinary Medicine, resistance patterns of Acinetobacter species other than A. baumanii are unclear, and the scarce information available is limited and fragmented. We applied a statistical modeling approach to investigate the occurrence, clinical relevance and antimicrobial resistant phenotypes of Acinetobacter spp. originated from animals. Seven Acinetobacter species were identified in clinical specimens of more than 15 different domestic, zoo and exotic animal species. We found a high rate of MDR A. baumannii of canine origin with some of these isolates originating from serious systemic or wound infections, which highlights their potential pathogenic profile and spread in the human environment. Data also revealed different antimicrobial resistance patterns of animal-origin Acinetobacter species, emphasizing the necessity to implement specific antimicrobial susceptibility recommendations for animal isolates as there are no such clinical breakpoints currently in place. This study provides substantial advancing in our understanding of Acinetobacter spp. in animal clinical specimens, and highlights the role of animals in the dynamics of multidrug resistance in bacteria. The data presented here is a valuable source of information for further establishment of clinical breakpoints for susceptibility testing of animal-associated Acinetobacter isolates.

摘要

世界卫生组织已宣布,抗微生物药物耐药性是对公众健康的最大威胁之一,鲍曼不动杆菌就是一个显著的例子。鲍曼不动杆菌是一种重要的人类医院获得性病原体,与其他多种耐药(MDR)细菌一起,是全球公共卫生的最大关注点之一。在兽医领域,除鲍曼不动杆菌以外的不动杆菌种的耐药模式尚不清楚,并且现有的稀缺信息非常有限且分散。我们应用统计建模方法来研究源自动物的不动杆菌属的发生、临床相关性和抗微生物耐药表型。在 15 种以上不同的家养、动物园和外来动物的临床标本中鉴定出了 7 种不动杆菌。我们发现了一种高比例的犬源多重耐药鲍曼不动杆菌,其中一些分离株源自严重的全身或伤口感染,这突显了它们潜在的致病性和在人类环境中的传播。数据还揭示了动物源不动杆菌种的不同抗微生物耐药模式,强调了为动物分离株实施特定的抗微生物药敏建议的必要性,因为目前尚无此类临床折点。本研究为我们理解动物临床标本中的不动杆菌属提供了实质性的进展,并强调了动物在细菌多重耐药动态中的作用。这里呈现的数据为进一步建立与动物相关的不动杆菌属分离株药敏试验的临床折点提供了有价值的信息来源。

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