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泰国猫和狗中耐广谱头孢菌素及携带广谱头孢菌素的致病性尿路病原体的多重和高风险克隆

Multiple and High-Risk Clones of Extended-Spectrum Cephalosporin-Resistant and -Harbouring Uropathogenic from Cats and Dogs in Thailand.

作者信息

Nittayasut Naiyaphat, Yindee Jitrapa, Boonkham Pongthai, Yata Teerapong, Suanpairintr Nipattra, Chanchaithong Pattrarat

机构信息

Department of Veterinary Microbiology, Faculty of Veterinary Science, Chulalongkorn University, Bangkok 10330, Thailand.

Veterinary Diagnostic Laboratory, Faculty of Veterinary Science, Chulalongkorn University, Bangkok 10330, Thailand.

出版信息

Antibiotics (Basel). 2021 Nov 10;10(11):1374. doi: 10.3390/antibiotics10111374.

Abstract

Resistance to extended-spectrum cephalosporins (ESC) and carbapenems in (), increasingly identified in small animals, indicates a crisis of an antimicrobial resistance situation in veterinary medicine and public health. This study aimed to characterise the genetic features of ESC-resistant isolated from cats and dogs with urinary tract infections in Thailand. Of 72 ESC-resistant isolated from diagnostic samples (2016-2018), including group 1 (CTX-M-55, -15 and -173) and group 9 (CTX-M-14, -27, -65 and -90) variants were detected in 47 isolates (65.28%) using PCR and DNA sequencing. Additional antimicrobial resistance genes, including plasmid-mediated AmpC (CIT and DHA), , , (A) and , were detected in these isolates. Using a broth microdilution assay, all the strains exhibited multidrug-resistant phenotypes. The phylogroups were F (36.11%), A (20.83%), B1 (19.44%), B2 (19.44%) and D (4.17%), with several virulence genes, plasmid replicons and an integrase gene. The DNA fingerprinting using a repetitive extragenic palindromic sequence-PCR presented clonal relationships within phylogroups. Multiple human-associated, high-risk ExPEC clones associated with multidrug resistance, including sequence type (ST) 38, ST131, ST224, ST167, ST354, ST410, ST617 and ST648, were identified, suggesting clonal dissemination. Dogs and cats are a potential reservoir of ESC-resistant and significant antimicrobial resistance genes.

摘要

在小动物中越来越多地发现对超广谱头孢菌素(ESC)和碳青霉烯类药物的耐药性,这表明兽医学和公共卫生领域的抗菌药物耐药情况面临危机。本研究旨在表征从泰国患有尿路感染的猫和狗中分离出的耐ESC大肠杆菌的遗传特征。在从诊断样本(2016 - 2018年)中分离出的72株耐ESC大肠杆菌中,使用PCR和DNA测序在47株(65.28%)中检测到了包括第1组(CTX - M - 55、- 15和 - 173)和第9组(CTX - M - 14、- 27、- 65和 - 90)变体。在这些分离株中还检测到了其他抗菌耐药基因,包括质粒介导的AmpC(CIT和DHA)、、、(A)和。使用肉汤微量稀释法,所有菌株均表现出多重耐药表型。系统发育群为F(36.11%)、A(20.83%)、B1(19.44%)、B2(19.44%)和D(4.17%),带有多个毒力基因、质粒复制子和一个整合酶基因。使用重复外显子回文序列 - PCR进行的DNA指纹分析显示了系统发育群内的克隆关系。鉴定出了多个与多重耐药相关的人类相关高风险ExPEC克隆,包括序列类型(ST)38、ST131、ST224、ST167、ST354、ST410、ST617和ST648,提示克隆传播。猫和狗是耐ESC大肠杆菌及重要抗菌耐药基因的潜在储存宿主。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf79/8614778/ce9790e000eb/antibiotics-10-01374-g001.jpg

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