阿尔及利亚巴特纳市水生环境中碳青霉烯酶和产MCR-1革兰氏阴性菌的传播情况

Dissemination of Carbapenemases and MCR-1 Producing Gram-Negative Bacteria in Aquatic Environments in Batna, Algeria.

作者信息

Cherak Zineb, Loucif Lotfi, Bendjama Esma, Moussi Abdelhamid, Benbouza Amel, Grainat Nadia, Rolain Jean-Marc

机构信息

Faculté des Sciences de la Nature et de la Vie, Université de Batna 2, Batna 05078, Algeria.

Laboratoire de Biotechnologie des Molécules Bioactives et de la Physiopathologie Cellulaire (LBMBPC), Faculté des Sciences de la Nature et de la Vie, Université de Batna 2, Batna 05078, Algeria.

出版信息

Antibiotics (Basel). 2022 Sep 27;11(10):1314. doi: 10.3390/antibiotics11101314.

Abstract

Antibiotic-resistant-bacteria are being considered as emerging environmental contaminants where the importance of the surrounding environment in their emergence and dissemination has been emphasized. The aim of this study was to screen for the presence and diversity of carbapenem- and colistin-resistant Gram-negative bacteria (GNBs) in different aquatic environments. Water samples were collected in Batna, Algeria. Carbapenem- and colistin-resistant GNBs were selectively isolated and then identified using matrix-assisted laser desorption and ionization time-of-flight mass spectrometry. After phenotypic antibiotic susceptibility testing, the molecular mechanisms of β-lactams and colistin-resistance were investigated by PCR and sequencing. The clonality of positive was determined by multi-locus sequence typing. We noticed a high level of resistance in both tap water and wastewater. The most commonly found carbapenem-resistance mechanism was the OXA-48 enzyme, but other carbapenemases were also detected. In addition, the gene was detected in 18 of different sequence types. Our findings highlight the role of aquatic environments in the dissemination of resistant-bacteria, especially considering that water is a connecting medium between different ecological systems and can easily transmit resistant-bacteria and promote horizontal gene transfer. Thus, the development of effective treatment strategies for eliminating antibiotic-resistance is seriously needed.

摘要

抗生素耐药菌正被视为新出现的环境污染物,其出现和传播过程中周围环境的重要性已得到强调。本研究的目的是筛查不同水生环境中耐碳青霉烯类和耐黏菌素革兰氏阴性菌(GNBs)的存在情况及多样性。在阿尔及利亚的巴特纳采集了水样。选择性分离出耐碳青霉烯类和耐黏菌素的GNBs,然后使用基质辅助激光解吸电离飞行时间质谱进行鉴定。在进行表型抗生素敏感性测试后,通过PCR和测序研究β-内酰胺类和黏菌素耐药的分子机制。通过多位点序列分型确定阳性菌株的克隆性。我们注意到自来水和废水中都存在高水平耐药情况。最常见的碳青霉烯耐药机制是OXA-48酶,但也检测到了其他碳青霉烯酶。此外,在18株不同序列类型的菌株中检测到了mcr基因。我们的研究结果突出了水生环境在耐药菌传播中的作用,特别是考虑到水是不同生态系统之间的连接介质,能够轻易传播耐药菌并促进水平基因转移。因此,迫切需要制定有效的治疗策略来消除抗生素耐药性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a68/9598638/685760ad3991/antibiotics-11-01314-g001.jpg

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