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中国山东省肉鸡养殖场中产 ESBL 肺炎克雷伯菌的流行情况及药敏谱分析。

Prevalence and antimicrobial susceptibility profiles of ESBL-producing Klebsiella Pneumoniae from broiler chicken farms in Shandong Province, China.

机构信息

College of Veterinary Medicine & Shandong Provincial Key Laboratory of Animal Biotechnology and Disease Control and Prevention, Shandong Agricultural University, Shandong, 271018, PR China.

Department of Cardiology, Tai'an Central Hospital, Shandong, 271018, PR China.

出版信息

Poult Sci. 2022 Sep;101(9):102002. doi: 10.1016/j.psj.2022.102002. Epub 2022 Jun 12.

Abstract

Klebsiella pneumoniae (K. pneumoniae) is a conditionally pathogenic bacterium present in the intestinal or the respiratory tract of animals, and it is a common factor in acquired infections and a major threat to public health. Increased production of extended-spectrum β-lactamases (ESBLs) has become a serious issue in the treatment of K. pneumoniae infections. In this study, we examined the serotypes and antibiotic resistance profiles of K. pneumoniae isolated from broiler chickens on farms in Shandong Province, China. The K. pneumoniae isolation rate was 4.67% (33/707), and the serotype Capsular K54 (42.42%, 14/33) was the most prevalent serotype in broilers in Shandong. The antimicrobial susceptibility assay revealed that the 33 isolates were resistant to 28 antimicrobial drugs to varying degrees; among these, the highest resistance rate was observed for tetracyclines (90.91%), and the lowest rate of resistance was observed for moxifloxacin and fosfomycin (0%). The multidrug resistance (MDR) rate was 87.88% (29/33). The carrying rate of β-lactam-resistance genes was as high as 100%, with bla having the highest rate (93.94%). It is worth noting that one carbapenem-resistant K. pneumoniae (CRKP) isolate carrying bla and one colistin-resistant K. pneumoniae (COLR-KP) isolate carrying mcr-3 were found in broiler chickens. This study indicates that ESBL-producing CRKP isolates and COLR-KP isolates have emerged on poultry farms in Shandong and could be a potential threat to food safety and public health.

摘要

肺炎克雷伯菌(Klebsiella pneumoniae,K. pneumoniae)是一种条件致病菌,存在于动物的肠道或呼吸道中,是获得性感染的常见因素,也是对公共卫生的主要威胁。超广谱β-内酰胺酶(extended-spectrum β-lactamases,ESBLs)的产生增加已成为治疗肺炎克雷伯菌感染的严重问题。本研究检测了来自山东省农场肉鸡中肺炎克雷伯菌的血清型和抗生素耐药谱。肺炎克雷伯菌的分离率为 4.67%(33/707),血清型荚膜 K54(Capsular K54)(42.42%,14/33)是山东省肉鸡中最常见的血清型。药敏试验结果显示,33 株分离株对 28 种抗菌药物表现出不同程度的耐药性;其中,四环素的耐药率最高(90.91%),莫西沙星和磷霉素的耐药率最低(0%)。多重耐药(multidrug resistance,MDR)率为 87.88%(29/33)。β-内酰胺耐药基因的携带率高达 100%,bla 的携带率最高(93.94%)。值得注意的是,在肉鸡中发现了一株携带 bla 和一株携带 mcr-3 的耐碳青霉烯类肺炎克雷伯菌(carbapenem-resistant Klebsiella pneumoniae,CRKP)和一株粘菌素耐药肺炎克雷伯菌(colistin-resistant Klebsiella pneumoniae,COLR-KP)。本研究表明,产 ESBL 的 CRKP 分离株和 COLR-KP 分离株已在山东省家禽养殖场出现,可能对食品安全和公共卫生构成潜在威胁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eec3/9289847/0e827d8455d0/gr1.jpg

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