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绵羊和屠宰环境是多重耐药沙门氏菌和产extended-spectrum beta-lactamase 大肠杆菌的重要储存库。

Evidence of sheep and abattoir environment as important reservoirs of multidrug resistant Salmonella and extended-spectrum beta-lactamase Escherichia coli.

机构信息

Department of Population Health and Pathobiology, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607, USA.

Department of Veterinary Preventive Medicine, The Ohio State University, 1920 Coffey Rd., Columbus, OH 43210, USA.

出版信息

Int J Food Microbiol. 2022 Feb 16;363:109516. doi: 10.1016/j.ijfoodmicro.2021.109516. Epub 2021 Dec 30.

DOI:10.1016/j.ijfoodmicro.2021.109516
PMID:34990883
Abstract

The increase in antimicrobial-resistant (AMR) foodborne pathogens, including E. coli and Salmonella in animals, humans, and the environment, is a growing public health concern. Among animals, cattle, pigs, and chicken are reservoirs of these pathogens worldwide. There is a knowledge gap on the prevalence and AMR of foodborne pathogens in small ruminants (i.e., sheep and goats). This study investigates the prevalence and antimicrobial resistance of extended-spectrum beta-lactamase (ESBL) E. coli and Salmonella from sheep and their abattoir environment in North Carolina. We conducted a year-round serial cross-sectional study and collected a total of 1128 samples from sheep (n = 780) and their abattoir environment (n = 348). Sheep samples consisted of feces, cecal contents, carcass swabs, and abattoir resting area feces. Environmental samples consisted of soil samples, lairage swab, animal feed, and drinking water for animals. We used CHROMAgar EEC with 4 μg/ml of Cefotaxime for isolating ESBL E. coli, and ESBL production was confirmed by double-disk diffusion test. Salmonella was isolated and confirmed using standard methods. All of the confirmed isolates were tested against a panel of 14 antimicrobials to elucidate susceptibility profiles. The prevalence of ESBL E. coli and Salmonella was significantly higher in environmental samples (47.7% and 65.5%) compared to the sheep samples (19.5% and 17.9%), respectively (P < 0.0001). We recovered 318 ESBL E. coli and 368 Salmonella isolates from sheep and environmental samples. More than 97% (310/318) of ESBL E. coli were multidrug-resistant (MDR; resistant to ≥3 classes of antimicrobials). Most Salmonella isolates (77.2%, 284/368) were pansusceptible, and 10.1% (37/368) were MDR. We identified a total of 24 different Salmonella serotypes by whole genome sequencing (WGS). The most common serotypes were Agona (19.8%), Typhimurium (16.2%), Cannstatt (13.2%), Reading (13.2%), and Anatum (9.6%). Prevalence and percent resistance of ESBL E. coli and Salmonella isolates varied significantly by season and sample type (P < 0.0001). The co-existence of ESBL E. coli in the same sample was associated with increased percent resistance of Salmonella to Ampicillin, Chloramphenicol, Sulfisoxazole, Streptomycin, and Tetracycline. We presumed that the abattoir environment might have played a great role in the persistence and dissemination of resistant bacteria to sheep as they arrive at the abattoir. In conclusion, our study reaffirms that sheep and their abattoir environment act as important reservoirs of AMR ESBL E. coli and MDR Salmonella in the U.S. Further studies are required to determine associated public health risks.

摘要

食品源耐抗生素(AMR)病原体,包括动物、人类和环境中的大肠杆菌和沙门氏菌的增加,是一个日益严重的公共卫生问题。在动物中,牛、猪和鸡是这些病原体在全球的储存宿主。关于小型反刍动物(即绵羊和山羊)中食源性病原体的流行情况和 AMR ,我们的了解还存在空白。本研究调查了北卡罗来纳州绵羊及其屠宰环境中扩展谱β-内酰胺酶(ESBL)大肠杆菌和沙门氏菌的流行情况和抗生素耐药性。我们进行了为期一年的横断面研究,共从绵羊(n=780)及其屠宰环境(n=348)中采集了 1128 份样本。绵羊样本包括粪便、盲肠内容物、胴体拭子和屠宰场休息区粪便。环境样本包括土壤样本、滞留区拭子、动物饲料和动物饮用水。我们使用 CHROMAgar EEC 加 4 μg/ml 的头孢噻肟分离 ESBL 大肠杆菌,并用双碟扩散试验确认 ESBL 产生。使用标准方法分离和确认沙门氏菌。将所有确认的分离株用 14 种抗生素进行药敏试验,以阐明药敏谱。ESBL 大肠杆菌和沙门氏菌在环境样本中的流行率明显高于绵羊样本(分别为 47.7%和 65.5%)(P<0.0001)。我们从绵羊和环境样本中分离出 318 株 ESBL 大肠杆菌和 368 株沙门氏菌。超过 97%(310/318)的 ESBL 大肠杆菌是多药耐药(MDR;对≥3 类抗生素耐药)。大多数沙门氏菌分离株(77.2%,284/368)为全敏,10.1%(37/368)为 MDR。我们通过全基因组测序(WGS)总共鉴定出 24 种不同的沙门氏菌血清型。最常见的血清型是阿贡纳(19.8%)、肠炎沙门氏菌(16.2%)、坎纳特(13.2%)、雷丁(13.2%)和阿纳图姆(9.6%)。ESBL 大肠杆菌和沙门氏菌分离株的流行率和耐药率因季节和样本类型而异(P<0.0001)。同一样本中 ESBL 大肠杆菌的共存与沙门氏菌对氨苄西林、氯霉素、磺胺甲噁唑、链霉素和四环素的耐药率增加有关。我们推测,屠宰场环境可能在携带耐药菌到达屠宰场时对绵羊的持续存在和传播起到了重要作用。总之,我们的研究证实,绵羊及其屠宰场环境是美国食品源耐抗生素 ESBL 大肠杆菌和多药耐药沙门氏菌的重要储存宿主。需要进一步研究来确定相关的公共卫生风险。

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