Department of Microbiology, Faculty of Veterinary Medicine, Kafkas University, Kars, Turkey.
Department of Medical Microbiology, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey.
Microb Pathog. 2023 Sep;182:106261. doi: 10.1016/j.micpath.2023.106261. Epub 2023 Jul 23.
Brucellosis is a chronic disease caused by Brucella species with a wide range of hosts, from marine mammals to terrestrial species, but with strict host preferences. With the zoonotic character, the prevalence of human brucellosis cases is a reflection of animal infections. This study aimed to identify 192 Brucella isolates obtained from various sources by Bruce-ladder PCR and to determine their antibiotic susceptibilities by gradient diffusion method (E-test). As a result of the PCR, all human isolates (n = 57) were identified as B. melitensis. While 58 (82.9%) of the cattle isolates were identified as B. abortus, 59 (90.8%) of the sheep isolates were identified as B. melitensis. In addition, 12 (17.1%) of the cattle isolates and 6 (9.2%) of the sheep isolates were determined as B. melitensis and B. abortus, respectively. The primary host change behavior of B. melitensis was 1.9 times higher than that of B. abortus. While gentamicin and ciprofloxacin susceptibilities of Brucella isolates were 100%, tetracycline, doxycycline, streptomycin, trimethoprim/sulfamethoxazole and rifampicin susceptibilities were 99%, 99%, 97.4%, 91.7% and 83.9%, respectively. The lowest sensitivity of the isolates was determined against to cefoperazone as 26%. A triple-drug resistance was detected in 1 B. abortus isolate that included simultaneous resistance to cefoperazone, rifampicin, and trimethoprim/sulfamethoxazole. The high susceptibility profiles we found against to antibiotics such as tetracycline, doxycycline gentamicin and ciprofloxacin, used widely in treatment, are encouraging. However, the change in the canonical Brucella species-primary host preference suggests the need to reconsider eradication program, including updating vaccine formulations.
布鲁氏菌病是一种由布鲁氏菌属引起的慢性疾病,宿主范围广泛,从海洋哺乳动物到陆地物种,但具有严格的宿主偏好。由于具有人畜共患特征,人类布鲁氏菌病病例的流行反映了动物感染情况。本研究旨在通过 Bruce-ladder PCR 鉴定从各种来源获得的 192 株布鲁氏菌,并通过梯度扩散法(E 试验)确定其抗生素敏感性。PCR 结果显示,所有人类分离株(n=57)均鉴定为 B. melitensis。58 株(82.9%)牛分离株鉴定为 B. abortus,59 株(90.8%)绵羊分离株鉴定为 B. melitensis。此外,12 株(17.1%)牛分离株和 6 株(9.2%)绵羊分离株分别鉴定为 B. melitensis 和 B. abortus。B. melitensis 的主要宿主变化行为是 B. abortus 的 1.9 倍。布鲁氏菌分离株对庆大霉素和环丙沙星的敏感性为 100%,对四环素、强力霉素、链霉素、甲氧苄啶/磺胺甲恶唑和利福平的敏感性分别为 99%、99%、97.4%、91.7%和 83.9%。分离株对头孢哌酮的敏感性最低,为 26%。在 1 株 B. abortus 分离株中检测到三重耐药性,包括对头孢哌酮、利福平、甲氧苄啶/磺胺甲恶唑的同时耐药性。我们发现对四环素、强力霉素、庆大霉素和环丙沙星等抗生素的高敏感性谱令人鼓舞,这些抗生素广泛用于治疗。然而,典型布鲁氏菌种-主要宿主偏好的变化表明需要重新考虑根除计划,包括更新疫苗配方。