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智利一家兽医教学医院中凝固酶阳性葡萄球菌的特征及药敏分析。

Characterization and antimicrobial susceptibility of coagulase-positive Staphylococcus isolated in a veterinary teaching hospital in Chile.

机构信息

Departamento de Ciencias Clínicas, Facultad de Ciencias Veterinarias y Pecuarias, FAVET, Universidad de Chile, Santiago, Chile.

Departamento de Medicina Preventiva Animal, Facultad de Ciencias Veterinarias y Pecuarias, FAVET, Universidad de Chile, Santiago, Chile.

出版信息

Rev Argent Microbiol. 2022 Jul-Sep;54(3):192-202. doi: 10.1016/j.ram.2021.12.001. Epub 2022 Mar 21.

Abstract

There is limited information about the prevalence and antimicrobial susceptibility of coagulase-positive Staphylococcus (CoPS) strains in veterinary settings in Chile. The aim of this observational study was to identify and characterize CoPS strains from dogs, owners, veterinary professionals and surfaces in a veterinary teaching hospital at Universidad de Chile to determine the presence of methicillin-resistant strains and evaluate the genetic relationship among the strains. Veterinarians (n=24), surfaces (n=10), and healthy dogs (n=40) and their respective owners (n=40) were sampled for CoPS. Isolates were identified by PCR and antimicrobial susceptibility was assessed by the disk diffusion method and MIC. The presence of the mecA gene was evaluated by PCR, and the genetic relationship among the strains was established by PFGE. A total of 45 CoPS strains were obtained, eight from veterinary professionals, three from hospital surfaces, eight from owners and 26 from dogs. Nine of the strains were resistant to methicillin (20%), and all of them carried the mecA gene. A high percentage of the strains was resistant to clindamycin (33.3%). Additionally, the isolated CoPS showed high genetic diversity. This study suggests that veterinarians are in high risk of harboring methicillin-resistant CoPS (25% versus 2.5% from owners) and our results provide evidence that clindamycin could not be an empiric alternative for CoPS in the analyzed hospital. This is the first report of methicillin-resistant CoPS in veterinary settings in Chile, considering humans, pets and surfaces.

摘要

关于智利兽医环境中凝固酶阳性葡萄球菌(CoPS)菌株的流行情况和抗生素敏感性的信息有限。本观察性研究的目的是从智利大学兽医教学医院的狗、主人、兽医专业人员和表面中识别和表征 CoPS 菌株,以确定耐甲氧西林菌株的存在并评估菌株之间的遗传关系。兽医(n=24)、表面(n=10)和健康犬(n=40)及其各自的主人(n=40)被采样用于 CoPS。通过 PCR 鉴定分离株,通过纸片扩散法和 MIC 评估抗生素敏感性。通过 PCR 评估 mecA 基因的存在,并通过 PFGE 确定菌株之间的遗传关系。共获得 45 株 CoPS 菌株,8 株来自兽医专业人员,3 株来自医院表面,8 株来自主人,26 株来自狗。9 株菌株对甲氧西林耐药(20%),且均携带 mecA 基因。有很高比例的菌株对克林霉素耐药(33.3%)。此外,分离出的 CoPS 表现出很高的遗传多样性。本研究表明,兽医携带耐甲氧西林 CoPS 的风险较高(25%比主人的 2.5%),我们的结果表明,克林霉素可能不是所分析医院中 CoPS 的经验性替代药物。这是智利兽医环境中首次报告耐甲氧西林 CoPS,涉及人类、宠物和表面。

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