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某兽医大学医院分离出的凝固酶阳性菌株的抗菌耐药性

Antimicrobial Resistance of Coagulase-Positive Isolates Recovered in a Veterinary University Hospital.

作者信息

Pérez-Sancho Marta, Alvarez-Perez Sergio, Garcia-Seco Teresa, Hernandez Marta, Rodríguez-Lázaro David, Domínguez Lucas, García Marta Eulalia, Blanco Jose Luis

机构信息

Department of Animal Health, Faculty of Veterinary Medicine, Complutense University of Madrid, 28040 Madrid, Spain.

VISAVET Health Surveillance Centre. Complutense University, 28040 Madrid, Spain.

出版信息

Antibiotics (Basel). 2020 Oct 29;9(11):752. doi: 10.3390/antibiotics9110752.

Abstract

The group (SIG) is an emerging threat in veterinary medicine, particularly methicillin-resistant (MRSP) isolates, which are frequently associated with multidrug resistance. Reliable identification of SIG members is critical to establish correct antimicrobial treatments. However, information on the molecular epidemiology and antimicrobial resistance patterns of MRSP in some regions is still limited. This study aimed to assess the antimicrobial resistance of SIG isolates recovered from animals at the Veterinary Teaching Hospital of Complutense University of Madrid (Spain) during a 10-year period (2007-2016). A total of 139 selected isolates were subjected to species-level identification by different bioanalytical techniques (PCR, VITEK, MALDI-TOF) and subsequent antimicrobial susceptibility testing. Methicillin-resistant isolates ( = 20) were subjected to whole genome sequencing for further characterization of their antibiotic resistance determinants. Our results showed that there was a good correlation between PCR and MALDI-TOF identification, whereas VITEK showed very divergent results, thus confirming MALDI-TOF as a good alternative for species-level identification of coagulase-positive staphylococci. Notably, , including the epidemic MRSP genotype ST71, was the only SIG species found among canine isolates. In addition, we found a high prevalence of multidrug resistance and resistance to fluoroquinolones, cephalosporins and macrolides. Finally, diverse genes associated with antibiotic resistance were detected among MRSP isolates, although the genetic basis of some of the resistant phenotypes (particularly to fluoroquinolones) could not be determined. In conclusion, our study reveals the circulation of MRSP in the veterinary setting in Spain, thus highlighting the emerging threat posed by this bacterial group and the need for further epidemiological surveillance.

摘要

葡萄球菌属(SIG)是兽医学中一种新出现的威胁,尤其是耐甲氧西林葡萄球菌(MRSP)分离株,它们常常与多重耐药性相关。可靠鉴定SIG成员对于确立正确的抗菌治疗至关重要。然而,一些地区关于MRSP的分子流行病学和抗菌耐药模式的信息仍然有限。本研究旨在评估马德里康普顿斯大学兽医学院教学医院(西班牙)在10年期间(2007 - 2016年)从动物中分离出的SIG分离株的抗菌耐药性。总共139株选定的分离株通过不同的生物分析技术(PCR、VITEK、基质辅助激光解吸电离飞行时间质谱)进行种水平鉴定,并随后进行抗菌药敏试验。对耐甲氧西林分离株(n = 20)进行全基因组测序,以进一步表征其抗生素耐药决定因素。我们的结果表明,PCR与基质辅助激光解吸电离飞行时间质谱鉴定之间具有良好的相关性,而VITEK显示出非常不同的结果,从而证实基质辅助激光解吸电离飞行时间质谱是凝固酶阳性葡萄球菌种水平鉴定的良好替代方法。值得注意的是,包括流行的MRSP基因型ST71在内,是犬分离株中发现的唯一SIG菌种。此外,我们发现多重耐药性以及对氟喹诺酮类、头孢菌素类和大环内酯类耐药的发生率很高。最后,在MRSP分离株中检测到了与抗生素耐药相关的多种基因,尽管某些耐药表型(特别是对氟喹诺酮类)的遗传基础无法确定。总之,我们的研究揭示了MRSP在西班牙兽医环境中的传播,从而突出了该细菌群体构成的新出现威胁以及进一步进行流行病学监测的必要性。

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