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携带 bla 的嗜麦芽寡养单胞菌在娱乐性沿海海域的频率和多样性。

Frequency and diversity of Stenotrophomonas spp. carrying bla in recreational coastal waters.

机构信息

Laboratório de Investigação em Microbiologia Médica - Instituto de Microbiologia Paulo de Góes - Centro de Ciência da Saúde - Universidade Federal do Rio de Janeiro - Rio de Janeiro, Brazil.

Laboratório de Investigação em Microbiologia Médica - Instituto de Microbiologia Paulo de Góes - Centro de Ciência da Saúde - Universidade Federal do Rio de Janeiro - Rio de Janeiro, Brazil; Laboratório de Microbiologia Clínica - Departamento de Ciências Farmacêuticas - Centro de Ciência da Saúde - Universidade Federal da Paraíba - João Pessoa, Brazil.

出版信息

Water Res. 2020 Oct 15;185:116210. doi: 10.1016/j.watres.2020.116210. Epub 2020 Jul 20.

Abstract

Stenotrophomonas can survive in a wide range of environments and is considered an opportunistic pathogen. Because of its intrinsic resistance to beta-lactams, this genus is considered irrelevant in studies addressing the environmental spread of antimicrobial resistance genes of medical importance. Consequently, studies on environmental Stenotrophomonas carrying acquired carbapenemase-encoding genes are scarce, though not inexistent. Here, we investigated the frequency and diversity of Stenotrophomonas spp. carrying genes encoding carbapenemases of medical relevance in coastal waters with distinct pollution degrees over one year. Among 319 isolates recovered, 220 (68.9%) showed bla. The frequency of bla-positive Stenotrophomonas spp. was not correlated with thermotolerant counts in coastal waters evaluated. All isolates were susceptible to minocycline, levofloxacin, and trimethoprim-sulfamethoxazole. PFGE typing of 101 bla-positive isolates revealed 55 pulsotypes with 5 subtypes, all of which carried the bla variant. Interspecies differentiation of pulsotypes' representatives revealed 55 isolates belonging to the S. maltophilia complex (91.7%) and 5 S. acidaminiphila (8.3%). The bla gene was more frequently harbored on transposable elements found in enterobacteria of clinical origin, especially Tn4401b. Even though beta-lactams are no therapeutic options to treat Stenotrophomonas infections, the occurrence of a highly relevant antimicrobial resistance determinant harbored on mobile genetic elements in a diverse collection of these ubiquitous microorganisms is noteworthy. Therefore, Stenotrophomonas may act as acceptor, stable reservoirs, and potential vectors of antimicrobial resistance in environmental settings, especially aquatic matrices, and should not be neglected.

摘要

嗜麦芽窄食单胞菌能够在广泛的环境中生存,被认为是一种机会致病菌。由于其对β-内酰胺类药物的固有耐药性,该属在研究具有医学重要性的环境中抗生素耐药基因的传播时被认为是无关紧要的。因此,尽管并非不存在,但关于携带获得性碳青霉烯酶编码基因的环境嗜麦芽窄食单胞菌的研究仍然很少。在这里,我们在一年的时间里,调查了不同污染程度的沿海水域中携带具有医学相关性的碳青霉烯酶编码基因的嗜麦芽窄食单胞菌的频率和多样性。在回收的 319 株分离株中,有 220 株(68.9%)携带 bla 基因。bla 阳性嗜麦芽窄食单胞菌的频率与沿海水域中耐热菌计数无关。所有分离株均对米诺环素、左氧氟沙星和复方磺胺甲噁唑敏感。对 101 株 bla 阳性分离株的 PFGE 分型显示,有 55 个脉冲型,其中 5 个亚型均携带 bla 变体。脉冲型代表种间分化显示,55 株分离株属于嗜麦芽窄食单胞菌复合体(91.7%),5 株属于嗜氨单胞菌(8.3%)。bla 基因更频繁地存在于临床来源的肠杆菌中发现的可移动元件上,尤其是 Tn4401b。尽管β-内酰胺类药物不是治疗嗜麦芽窄食单胞菌感染的方法,但在这些无处不在的微生物的多样化集合中,存在着与高度相关的抗生素耐药决定因素,这值得关注。因此,嗜麦芽窄食单胞菌在环境中,特别是在水生基质中,可能作为抗生素耐药性的接受者、稳定的储库和潜在的载体,不应被忽视。

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