Istituto Zooprofilattico Sperimentale della Sardegna 'G. Pegreffi', 07100Sassari, Italy.
Ospedale 'San Francesco', 08100Nuoro, Italy.
Epidemiol Infect. 2021 Jan 29;149:e45. doi: 10.1017/S0950268821000212.
We present the comparative characterisation of 195 non-aureus staphylococci (NAS) isolates obtained from sheep (n = 125) and humans (n = 70) in Sardinia, Italy, identified at the species level by gap gene polymerase chain reaction (PCR) followed by restriction fragment length polymorphism analysis with AluI. Isolates were tested phenotypically with a disc diffusion method and genotypically by PCR, for resistance to 11 antimicrobial agents including cationic antiseptic agents. Among the ovine isolates, Staphylococcus epidermidis (n = 57), S. chromogenes (n = 29), S. haemolyticus (n = 17), S. simulans (n = 8) and S. caprae (n = 6) were the most prevalent species, while among human isolates, S. haemolyticus (n = 28) and S. epidermidis (n = 26) were predominant, followed by S. lugdunensis and S. hominis (n = 4). Of the 125 ovine isolates, 79 (63.2%) did not carry any of the resistance genes tested, while the remainder carried resistance genes for at least one antibiotic. The highest resistance rates among ovine isolates were recorded against tetracycline (20.8%), and penicillin (15.2%); none was resistant to methicillin and two exhibited multidrug resistance (MDR); one of which was positive for the antiseptic resistance smr gene. By contrast, most human isolates (59/70, 84.3%) were resistant to ⩾1 antimicrobials, and 41 (58.6%) were MDR. All 52 (74.3%) penicillin-resistant isolates possessed the blaZ gene, and 33 of 70 (47.1%) harboured the mec gene; of these, seven were characterised by the Staphylococcal Chromosomal Cassette (SCCmec) type IV, 6 the type V, 5 of type III and one representative each of type I and type II. The majority (57.1%) was erythromycin-resistant and 17 isolates carried only the efflux msrA gene, 11 the methylase ermC gene and an equal number harboured both of the latter genes. Moreover, 23 (32.8%) were tetracycline-resistant and all but one possessed only the efflux tetK gene. qacA/B and smr genes were detected in 27 (38.6%) and 18 (25.7%) human NAS, respectively. These results underline a marked difference in species distribution and antimicrobial resistance between ovine and human-derived NAS.
我们展示了在意大利撒丁岛从绵羊(n = 125)和人类(n = 70)中获得的 195 株非金黄色葡萄球菌(NAS)的比较特征,这些菌株通过 gap 基因聚合酶链反应(PCR)在物种水平上进行鉴定,然后用 AluI 进行限制性片段长度多态性分析。分离株通过纸片扩散法进行表型测试,并通过 PCR 进行基因型测试,以测试对 11 种抗菌药物的耐药性,包括阳离子防腐剂。在绵羊分离株中,表皮葡萄球菌(n = 57)、产色葡萄球菌(n = 29)、溶血葡萄球菌(n = 17)、模仿葡萄球菌(n = 8)和山羊葡萄球菌(n = 6)是最常见的物种,而在人类分离株中,溶血葡萄球菌(n = 28)和表皮葡萄球菌(n = 26)是主要的,其次是路邓葡萄球菌和人葡萄球菌(n = 4)。在 125 株绵羊分离株中,79 株(63.2%)未携带任何测试的耐药基因,而其余分离株携带至少一种抗生素的耐药基因。绵羊分离株的最高耐药率为四环素(20.8%)和青霉素(15.2%);没有对甲氧西林耐药,有两株表现出多药耐药(MDR);其中一株对防腐剂耐药 smr 基因呈阳性。相比之下,大多数人类分离株(59/70,84.3%)对 ⩾1 种抗菌药物耐药,41 株(58.6%)为 MDR。所有 52 株(74.3%)青霉素耐药分离株均携带 blaZ 基因,70 株中有 33 株携带 mec 基因;其中,7 株为 SCCmec 型 IV,6 株为 V 型,5 株为 III 型,I 型和 II 型各有 1 株。大多数(57.1%)对红霉素耐药,17 株仅携带外排 msrA 基因,11 株携带甲基酶 ermC 基因,数量相等的菌株携带这两种基因。此外,23 株(32.8%)对四环素耐药,除一株外,其余均仅携带外排 tetK 基因。qacA/B 和 smr 基因分别在 27 株(38.6%)和 18 株(25.7%)人类 NAS 中检测到。这些结果表明,绵羊和人类来源的 NAS 之间在物种分布和抗菌药物耐药性方面存在显著差异。