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从尼日利亚东南部的鸡中分离和鉴定对粘菌素耐药的肠杆菌科。

Isolation and characterisation of colistin-resistant Enterobacterales from chickens in Southeast Nigeria.

机构信息

Department of Veterinary Pathology and Microbiology, University of Nigeria, Nsukka 400001, Enugu State, Nigeria.

Clinical Microbiology Laboratory, IRCCS Arcispedale S. Maria Nuova, AUSL Reggio Emilia, Italy.

出版信息

J Glob Antimicrob Resist. 2021 Sep;26:93-100. doi: 10.1016/j.jgar.2021.04.030. Epub 2021 Jun 6.

Abstract

OBJECTIVES

Resistance to colistin (CST) mediated by mobile genetic elements has had a broad impact worldwide. There is an intensified call for epidemiological surveillance of mcr in different reservoirs to preserve CST for future generations. In Nigeria, the poultry industry is a key livestock sector. This study was undertaken to screen putative colistin-resistant Enterobacterales (CST-r-E) from poultry birds in Southeast Nigeria and to determine the genetic relatedness of mcr-harbouring isolates.

METHODS

Faecal and cloacal swab samples (n = 785) were collected from chickens in 17 farms located in three contiguous states in Southeast Nigeria between March-November 2018. Following selective culture, CST-r-E were isolated. Confirmation of CST resistance, antimicrobial susceptibility testing, molecular detection of genes mcr-1 to mcr-10, multilocus sequence typing (MLST) and randomly amplified polymorphic DNA (RAPD) analysis were performed on the isolates. A questionnaire was distributed to investigate the knowledge about CST and its use of chicken farm caretakers.

RESULTS

Of the 785 samples evaluated, 45 (5.7%) were positive for 48 CST-r-E, among which 23 harboured the mcr-1 gene (22 Escherichia coli and 1 Klebsiella pneumoniae). In two E.coli isolates, a new allelic variant (mcr-1.22) was detected. RAPD analysis allowed the identification of 11 different fingerprints. MLST also revealed 11 STs, with 3 of them being novel.

CONCLUSION

mcr has significantly spread in poultry birds of Southeast Nigeria, which poses a worrisome risk to veterinary and human health. Strategies to prevent indiscriminate use of CST in farms should be quickly adopted before CST resistance becomes a huge global health issue.

摘要

目的

移动遗传元件介导的对黏菌素(CST)的耐药性已在全球范围内产生广泛影响。人们强烈呼吁对不同储层中的 mcr 进行流行病学监测,以保护 CST 供后代使用。在尼日利亚,家禽业是一个关键的畜牧业部门。本研究旨在从东南部尼日利亚的家禽鸟类中筛选出推定的黏菌素耐药肠杆菌科(CST-r-E),并确定携带 mcr 基因的分离株的遗传相关性。

方法

2018 年 3 月至 11 月,在尼日利亚东南部三个相邻州的 17 个农场,从鸡群中采集了 785 份粪便和泄殖腔拭子样本。经过选择性培养,分离出 CST-r-E。对分离株进行 CST 耐药性确认、抗菌药物敏感性试验、mcr-1 至 mcr-10 基因的分子检测、多位点序列分型(MLST)和随机扩增多态性 DNA(RAPD)分析。向鸡场饲养员发放了一份调查问卷,以调查他们对 CST 及其使用的了解情况。

结果

在 785 个评估样本中,有 45 个(5.7%)样本对 48 株 CST-r-E 呈阳性,其中 23 株携带 mcr-1 基因(22 株为大肠杆菌,1 株为肺炎克雷伯菌)。在两个大肠杆菌分离株中,检测到一种新的等位基因变异(mcr-1.22)。RAPD 分析可识别 11 种不同的指纹图谱。MLST 也显示了 11 种 ST,其中 3 种为新型。

结论

mcr 已在尼日利亚东南部的家禽鸟类中广泛传播,这对兽医和人类健康构成了令人担忧的风险。在 CST 耐药性成为一个巨大的全球健康问题之前,应尽快采取措施防止在农场中滥用 CST。

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