Emerg Infect Dis. 2024 Apr;30(4):701-710. doi: 10.3201/eid3004.231031.
Salmonella enterica serovar Infantis presents an ever-increasing threat to public health because of its spread throughout many countries and association with high levels of antimicrobial resistance (AMR). We analyzed whole-genome sequences of 5,284 Salmonella Infantis strains from 74 countries, isolated during 1989-2020 from a wide variety of human, animal, and food sources, to compare genetic phylogeny, AMR determinants, and plasmid presence. The global Salmonella Infantis population structure diverged into 3 clusters: a North American cluster, a European cluster, and a global cluster. The levels of AMR varied by Salmonella Infantis cluster and by isolation source; 73% of poultry isolates were multidrug resistant, compared with 35% of human isolates. This finding correlated with the presence of the pESI megaplasmid; 71% of poultry isolates contained pESI, compared with 32% of human isolates. This study provides key information for public health teams engaged in reducing the spread of this pathogen.
婴儿沙门氏菌血清型由于其在许多国家的传播以及与高水平的抗菌素耐药性(AMR)相关联,对公共卫生构成了日益严重的威胁。我们分析了 1989 年至 2020 年间从 74 个国家的各种人类、动物和食物来源中分离出的 5284 株婴儿沙门氏菌的全基因组序列,以比较遗传系统发育、AMR 决定因素和质粒的存在。全球婴儿沙门氏菌种群结构分为 3 个群:北美群、欧洲群和全球群。沙门氏菌血清型的 AMR 水平因群和分离源而异;73%的家禽分离株为多药耐药株,而 35%的人类分离株为多药耐药株。这一发现与 pESI 大型质粒的存在有关;71%的家禽分离株含有 pESI,而 32%的人类分离株含有 pESI。本研究为参与减少该病原体传播的公共卫生团队提供了关键信息。