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从土耳其安纳托利亚西部农村地区奶牛场及其周边分离出的大肠杆菌和沙门氏菌的抗生素耐药性概况

Antibiotic Resistance Profiles of Escherichia coli and Salmonella spp. Isolated From Dairy Farms and Surroundings in a Rural Area of Western Anatolia, Turkey.

作者信息

Aslan Savaş, Demir Cengiz, Kurtoğlu Elçin L, Altındiş Mustafa

机构信息

Health Policy, Medical Laboratory Techniques Program, Şuhut Vocational School of Health Services, Afyonkarahisar Health Sciences University, Afyonkarahisar, TUR.

Medical Microbiology, Afyonkarahisar Health Sciences University, Afyonkarahisar, TUR.

出版信息

Cureus. 2024 Aug 2;16(8):e65996. doi: 10.7759/cureus.65996. eCollection 2024 Aug.

Abstract

Background Antibiotic resistance is a significant public health issue worldwide. Antibiotic-resistant zoonotic bacteria such as (), , , , , and can be particularly isolated from biofertilizers. Epidemiological studies have shown that cases of foodborne infections and intoxications are significantly related to animal-derived foods. The presence of these species in aquatic environments indicates areas or organisms contaminated with animal or human feces. Especially, the presence of in aquatic environments has become a serious problem worldwide. Pathogenic strains of cause waterborne and foodborne diseases. Materials and methods This study included a total of 290 samples collected from five different dairy farms between April and September 2023 which comprised 20 samples of cow manure, 20 samples of milk, three samples of dairy workers' hand washing water, five samples of soil, five samples of water, and five samples of vegetables. The samples taken from the farms were homogenized with 0.1% peptone water at a ratio of 1/10. They were then cultured on xylose lysine deoxycholate (XLD), eosin methylene blue agar (EMB), and blood agar media, and gram-negative colonies were identified using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) and the VITEK2 automated system (BioMerieux Inc., Durham, NC). Amplification of the isolated DNA extracts was performed with A.B.T.™ 2X HS-PCR MasterMix (A.B.T Laboratory Industry, Arnavutköy, Turkey) in the SimpliAmp™ thermal cycler (Thermo Fischer Scientific Inc., Waltham, MA) and visualized by agarose gel electrophoresis. Results Among the 52  strains isolated in our study, the highest antibiotic sensitivity rate was observed in meropenem, while the lowest sensitivity rates were determined in cefazolin and cefuroxime. While two of the spp. (n = 2) isolates were found to be resistant to tetracycline, and one was found to be resistant to penicillin and ampicillin. No resistance to trimethoprim/sulfamethoxazole was detected in either isolate. Extended-spectrum beta-lactamases (ESBLs) were detected in only four (7.7%) strains. While tetA, tetB, and TEM genes were seen in almost all strains, they were not found in spp. Conclusion In conclusion, our study revealed the presence of antimicrobial resistance genes in and spp. isolates collected from various farms and environmental samples, which render the antimicrobials used for disease treatment ineffective. Consequently, research should be undertaken to prevent the development of new resistance genes in our country, as creating new medications and treatment strategies for these diseases is costly and time-intensive.

摘要

背景 抗生素耐药性是全球一个重大的公共卫生问题。可从生物肥料中特别分离出抗生素耐药性人畜共患病细菌,如()、、、、、和。流行病学研究表明,食源性感染和中毒病例与动物源性食品密切相关。这些物种在水生环境中的存在表明存在被动物或人类粪便污染的区域或生物体。特别是,在全球范围内,在水生环境中的存在已成为一个严重问题。的致病菌株会引发水源性和食源性疾病。

材料与方法 本研究共收集了2023年4月至9月期间从五个不同奶牛场采集的290份样本,其中包括20份牛粪样本、20份牛奶样本、3份奶工洗手水样本、5份土壤样本、5份水样和5份蔬菜样本。从农场采集的样本以1/10的比例与0.1%蛋白胨水匀浆。然后将它们接种在木糖赖氨酸脱氧胆酸盐(XLD)、伊红美蓝琼脂(EMB)和血琼脂培养基上,并使用基质辅助激光解吸/电离飞行时间质谱(MALDI-TOF MS)和VITEK2自动化系统(BioMerieux公司,北卡罗来纳州达勒姆)鉴定革兰氏阴性菌落。使用A.B.T.™ 2X HS-PCR MasterMix(土耳其阿纳武特科伊A.B.T实验室工业公司)在SimpliAmp™ 热循环仪(赛默飞世尔科技公司,马萨诸塞州沃尔瑟姆)中对分离的DNA提取物进行扩增,并通过琼脂糖凝胶电泳进行可视化分析。

结果 在我们研究中分离出的52株菌株中,美罗培南的抗生素敏感性率最高,而头孢唑林和头孢呋辛的敏感性率最低。在分离的2株(n = 2)菌株中,有2株对四环素耐药,1株对青霉素和氨苄西林耐药。在任何一株分离株中均未检测到对甲氧苄啶/磺胺甲恶唑的耐药性。仅在4株(7.7%)菌株中检测到超广谱β-内酰胺酶(ESBLs)。虽然几乎所有菌株中都发现了tetA、tetB和TEM基因,但在菌株中未发现。

结论 总之,我们的研究揭示了从不同农场和环境样本中分离出的和菌株中存在抗菌耐药基因,这使得用于疾病治疗的抗菌药物无效。因此,我国应开展研究以防止新耐药基因的产生,因为为这些疾病研发新药物和治疗策略成本高昂且耗时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2070/11366177/7af282c96cf4/cureus-0016-00000065996-i01.jpg

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