OBJECTIVES:This study investigated the prevalence of Escherichia coli (E. coli) colistin resistance and mcr-1 and mcr-2 genes among extended-spectrum β-lactamase (ESBL)/AmpC-producing E. coli isolates recovered from chicken feces in Canada (Quebec), Senegal and Vietnam, and evaluated the susceptibility pattern of the colistin-resistant E. coli isolates to other clinically relevant antimicrobials. METHODS:A total of 327 potential ESBL/AmpC-producing E. coli isolates from chicken farms in Canada (Quebec), Senegal and Vietnam were analysed for colistin susceptibility by broth microdilution method and for the presence of mcr (1-2) genes by PCR. The pmrA and pmrB genes of colistin-resistant E. coli isolates, in the absence of mcr (1-2) genes, were sequenced. Antimicrobial resistance phenotypes of colistin-resistant E. coli isolates were determined by disk diffusion. RESULTS:None of the 108 potential ESBL/AmpC-producing E. coli isolates from seven farms in Canada were colistin-resistant or possessed mcr-1 or mcr-2 gene. A low prevalence of 2.2% of colistin resistance was observed in 93 Senegalese isolates from the 15 sampled farms, although neither mcr-1 nor mcr-2 gene was found. A prevalence of 8.7% of colistin resistance was observed among 126 Vietnamese isolates from two of the four sampled farms. The mcr-1 gene was detected in 85% of the 13 phenotypically colistin-resistant isolates. Moreover, all colistin-resistant isolates presented a multidrug-resistant phenotype. CONCLUSIONS:The co-existence of the mcr-1 and ESBL/AmpC genes and the very high level of multiple drug resistance in all colistin-resistant E. coli isolates obtained from sampled chicken farms in Vietnam is a major concern.

译文

目的:本研究调查了加拿大鸡粪中分离出的广谱β-内酰胺酶(ESBL)/ AmpC产生大肠杆菌中大肠埃希菌(E. coli)大肠菌素耐药性以及mcr-1和mcr-2基因的患病率。 (魁北克),塞内加尔和越南,并评估了对大肠菌素耐药的大肠杆菌分离株对其他临床相关抗菌药的敏感性模式。
方法:通过肉汤微稀释法分析了来自加拿大(魁北克),塞内加尔和越南养鸡场的327种潜在的ESBL / AmpC大肠杆菌分离株的肉汤菌素敏感性,并通过肉汤法分析了mcr(1-2)基因的存在PCR。在没有mcr(1-2)基因的情况下,对大肠菌素抗性大肠杆菌分离株的pmrA和pmrB基因进行了测序。通过盘扩散确定大肠菌素抗性大肠杆菌分离株的抗药性表型。
结果:来自加拿大七个农场的108个潜在的ESBL / AmpC大肠杆菌分离株均没有大肠菌素抗性或具有mcr-1或mcr-2基因。尽管未发现mcr-1和mcr-2基因,但在15个采样农场的93个塞内加尔分离株中观察到低的2.2%的大肠菌素抗性。在四个采样农场中的两个农场的126个越南分离株中,观察到大肠菌素抗性的流行率为8.7%。在13个表型大肠菌素抗性分离株中,有85%检出了mcr-1基因。此外,所有对大肠菌素具有抗性的分离株均表现出多药抗性表型。
结论:从越南采样养鸡场获得的所有对大肠菌素具有抗药性的大肠杆菌中,mcr-1和ESBL / AmpC基因的共存以及很高的多重耐药性是一个主要问题。

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