Department of Microbiology, University of Ibadan, Ibadan, Nigeria.
BLINK AG, Jena, Germany.
BMC Vet Res. 2021 Jan 18;17(1):33. doi: 10.1186/s12917-020-02734-4.
Antimicrobial resistance (AMR) is an increasing global health concern reducing options for therapy of infections and also for perioperative prophylaxis. Many Enterobacteriaceae cannot be treated anymore with third generation cephalosporins (3GC) due to the production of certain 3GC hydrolysing enzymes (extended spectrum beta-lactamases, ESBLs). The role of animals as carriers and vectors of multi-resistant bacteria in different geographical regions is poorly understood. Therefore, we investigated the occurrence and molecular characteristics of ESBL-producing Escherichia coli (E. coli) in wild birds and slaughtered cattle in Ibadan, Nigeria. Cattle faecal samples (n = 250) and wild bird pooled faecal samples (cattle egrets, Bubulcus ibis, n = 28; white-faced whistling duck, Dendrocygna viduata, n = 24) were collected and cultured on cefotaxime-eosin methylene blue agar. Antimicrobial susceptibility was determined by agar diffusion assays and all 3GC resistant isolates were genotypically characterised for AMR genes, virulence associated genes (VAGs) and serotypes using DNA microarray-based assays.
All 3GC resistant isolates were E. coli: cattle (n = 53), egrets (n = 87) and whistling duck (n = 4); cultured from 32/250 (12.8%), 26/28 (92.9%), 2/24(8.3%), cattle, egrets and whistling duck faecal samples, respectively. blaCTX-M gene family was prevalent; blaCTX-M15 (83.3%) predominated over blaCTX-M9 (11.8%). All were susceptible to carbapenems. The majority of isolates were resistant to at least one of the other tested antimicrobials; multidrug resistance was highest in the isolates recovered from egrets. The isolates harboured diverse repositories of other AMR genes (including strB and sul2), integrons (predominantly class 1) and VAGs. The isolates recovered from egrets harboured more AMR genes; eight were unique to these isolates including tetG, gepA, and floR. The prevalent VAGs included hemL and iss; while 14 (including sepA) were unique to certain animal isolates. E. coli serotypes O9:H9, O9:H30 and O9:H4 predominated. An identical phenotypic microarray profile was detected in three isolates from egrets and cattle, indicative of a clonal relationship amongst these isolates.
Wild birds and cattle harbour diverse ESBL-producing E. coli populations with potential of inter-species dissemination and virulence. Recommended guidelines to balance public health and habitat conservation should be implemented with continuous surveillance.
抗菌药物耐药性(AMR)是一个日益严重的全球健康问题,它降低了治疗感染的选择,也降低了围手术期预防用药的选择。由于某些 3GC 水解酶(扩展谱β-内酰胺酶,ESBLs)的产生,许多肠杆菌科细菌已经不能再用第三代头孢菌素(3GC)治疗。动物作为不同地理区域多耐药菌的携带者和载体的作用知之甚少。因此,我们调查了尼日利亚伊巴丹市野生鸟类和屠宰牛中产 ESBL 的大肠杆菌(E. coli)的发生和分子特征。采集了牛粪便样本(n = 250)和野生鸟类混合粪便样本(牛鹭,Bubulcus ibis,n = 28;白脸哨鸭,Dendrocygna viduata,n = 24),并在头孢他啶-曙红亚甲基蓝琼脂上进行培养。通过琼脂扩散法测定了抗菌药物敏感性,并用基于 DNA 微阵列的方法对所有 3GC 耐药分离株进行了 AMR 基因、毒力相关基因(VAGs)和血清型的基因分型鉴定。
所有 3GC 耐药分离株均为大肠杆菌:牛(n = 53)、鹭(n = 87)和哨鸭(n = 4);分别从 32/250(12.8%)、26/28(92.9%)和 2/24(8.3%)牛、鹭和哨鸭粪便样本中培养。blaCTX-M 基因家族是优势基因;blaCTX-M15(83.3%)多于 blaCTX-M9(11.8%)。所有分离株均对碳青霉烯类药物敏感。大多数分离株至少对一种其他测试的抗菌药物耐药;从鹭中分离的分离株耐药性最高。这些分离株携带其他 AMR 基因(包括 strB 和 sul2)、整合子(主要是 1 类)和 VAGs 的不同储存库。从鹭中分离的分离株携带更多的 AMR 基因;其中 8 种基因是这些分离株所特有的,包括 tetG、gepA 和 floR。常见的 VAGs 包括 hemL 和 iss;而 14 种(包括 sepA)是某些动物分离株所特有的。大肠杆菌血清型 O9:H9、O9:H30 和 O9:H4 占优势。从鹭和牛中分离的 3 株分离株中检测到相同的表型微阵列图谱,表明这些分离株之间存在克隆关系。
野生鸟类和牛携带具有潜在种间传播和毒力的不同产 ESBL 的大肠杆菌种群。应实施平衡公共卫生和栖息地保护的推荐指南,并进行持续监测。