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2008-2009 年和 2018 年期间,从西班牙西北部健康猪群中分离的沙门氏菌中,对黏菌素的耐药性以及产超广谱β-内酰胺酶和/或 AmpC 酶的情况。

Resistance to colistin and production of extended-spectrum β-lactamases and/or AmpC enzymes in Salmonella isolates collected from healthy pigs in Northwest Spain in two periods: 2008-2009 and 2018.

机构信息

Dpto. de Patología Animal y, Facultad de Veterinaria, Instituto Agroalimentario de Aragón - IA2 - (Universidad de Zaragoza-CITA), Zaragoza, Spain.

IRNASUS-CONICET-Universidad Católica de Córdoba, Córdoba, Argentina.

出版信息

Int J Food Microbiol. 2021 Jan 2;338:108967. doi: 10.1016/j.ijfoodmicro.2020.108967. Epub 2020 Nov 10.

Abstract

Salmonellosis is a common subclinical infection in pigs and therefore apparently healthy animals may represent a reservoir of antibiotic-resistant Salmonella for humans. This study estimates and characterizes resistance to two classes of antimicrobials considered of the highest priority within the critically important antimicrobials for humans, i.e. colistin (CR) and 3rd generation cephalosporins (3GC), on a collection of Salmonella isolates from pigs from two periods: between 2008 and 09, when colistin was massively used; and in 2018, after three years under a National Plan against Antibiotic Resistance. Prevalence of CR was low (6 out of 625; 0.96%; 95%CI: 0.44-2.1) in 2008-09 and associated mostly to the mcr-1 gene, which was detected in four S. 4,5,12:i:- isolates. Polymorphisms in the pmrAB genes were detected in a S. 9,12:-:- isolate. No CR was detected in 2018 out of 59 isolates tested. Among 270 Salmonella isolates considered for the assessment of resistance to 3GC in the 2008-2009 sampling, only one Salmonella Bredeney (0.37%; 95%CI: 0.07-2.1) showed resistance to 3GC, which was associated with the bla gene (AmpC producer). In 2018, six isolates out of 59 (10.2%; 95%CI: 4.7-20.5) showed resistance to 3GC, but only two different strains were identified (S. 4,12:i:- and S. Rissen), both confirmed as extended-spectrum β-lactamases (ESBL) producers. The bla and bla genes in S. 4,12:i:- and the bla gene in S. Rissen seemed to be associated with this resistance. Overall, the prevalence of CR in Salmonella appeared to be very low in 2008-2009 despite the considerable use of colistin in pigs at that time, and seemed to remain so in 2018. Resistance to 3GC was even lower in 2008-2009 but somewhat higher in 2018. Resistance was mostly coded by genes associated with mobile genetic elements. Most serotypes involved in these antimicrobial resistances displayed a multidrug resistance pattern and were considered zoonotic.

摘要

沙门氏菌病是猪的一种常见亚临床感染,因此,表面健康的动物可能是人类对抗生素耐药沙门氏菌的储主。本研究估计并描述了 2008 年至 09 年期间(当时大量使用粘菌素)和 2018 年(在国家抗生素耐药计划实施三年后)从猪中分离的沙门氏菌分离株对两类被认为对人类最重要的关键重要抗菌药物的耐药性,即粘菌素(CR)和第三代头孢菌素(3GC)。2008-09 年 CR 的流行率较低(625 株中有 6 株;0.96%;95%CI:0.44-2.1),主要与 mcr-1 基因有关,在 4 株 S. 4,5,12:i:- 分离株中检测到该基因。在一株 S. 9,12:-:- 分离株中检测到 pmrAB 基因的多态性。2018 年,在 59 株测试的分离株中未检出 CR。在 2008-2009 年采样中评估对 3GC 耐药性的 270 株沙门氏菌分离株中,只有一株沙门氏菌 Bredeney(0.37%;95%CI:0.07-2.1)对 3GC 具有耐药性,与 bla 基因(AmpC 产生菌)有关。2018 年,在 59 株分离株中有 6 株(10.2%;95%CI:4.7-20.5)对 3GC 耐药,但只鉴定出两种不同的菌株(S. 4,12:i:-和 S. Rissen),均确认为产超广谱β-内酰胺酶(ESBL)的细菌。S. 4,12:i:-中的 bla 和 bla 基因以及 S. Rissen 中的 bla 基因似乎与这种耐药性有关。总体而言,尽管当时在猪中大量使用粘菌素,但 2008-2009 年沙门氏菌的 CR 流行率似乎非常低,2018 年似乎仍然如此。2008-2009 年 3GC 的耐药性甚至更低,但在 2018 年略高。耐药性主要由与移动遗传元件相关的基因编码。参与这些抗菌药物耐药性的大多数血清型表现出多药耐药模式,被认为是人畜共患病。

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