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Multidrug-Resistant Salmonella enterica Serovar Muenchen from Pigs and Humans and Potential Interserovar Transfer of Antimicrobial Resistance

机译:猪和人的多药耐药小肠沙门氏菌血清学和潜在的血清间耐药性转移

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摘要

Salmonella serovars are important reservoirs of antimicrobial resistance. Recently, we reported on multidrug-resistant (MDR) Salmonella enterica serovar Typhimurium strains among pigs with resistance to ampicillin, kanamycin, streptomycin, sulfamethoxazole, and tetracycline (resistance [R] type AKSSuT) and resistance to amoxicillin-clavulanic acid, ampicillin, chloramphenicol, streptomycin, sulfamethoxazole, and tetracycline (R type AxACSSuT). In the present study, 67 isolates (39 from humans and 28 from pigs) of clinically important Salmonella serovar Muenchen were characterized. Among the porcine isolates, 75% showed resistance to seven antimicrobials: ampicillin, chloramphenicol, streptomycin, sulfamethoxazole, tetracycline, amoxicillin-clavulanic acid, and kanamycin (R type ACSSuTAxK). One isolate from humans showed resistance to 10 of the 12 antimicrobials: ampicillin, chloramphenicol, streptomycin, sulfamethoxazole, tetracycline, amoxicillin-clavulanic acid, kanamycin, gentamicin, cephalothin, and ceftriaxone (R type ACSSuTAxKGCfCro). Pulsed-field gel electrophoresis revealed no clonality between the porcine and the human strains. The porcine and the human MDR strains carried class 1 integrons of 2.0 and 1.0 kb, respectively. Genes specific to the porcine strain included aadA2, aphA1-Iab, and tetA(B). DNA sequencing revealed that the porcine isolates carried blaOXA-30 on a class 1 integron. Genes specific to the human strain included blaTEM, strA, strB, cmlA, tetA(A), and aadA2. No blaCMY-2 gene was detected. Serovar Muenchen strains of porcine and human origin were able to transfer resistance genes to laboratory strain Escherichia coli MG1655 by conjugation. Plasmid restriction with four restriction enzymes, EcoRI, BamHI, HindIII, and PstI, showed that the conjugative plasmids from porcine Salmonella serovar Muenchen and Typhimurium R-type MDR strains isolated from the same farms at the same time were similar on the basis of the sizes and the numbers of bands and Southern hybridization. The plasmid profiles among the Salmonella serovar Muenchen isolates from the two host species were different. This is the first report to show a high frequency of MDR Salmonella serovar Muenchen strains from pigs and a human strain that is similar to the MDR isolates with the AmpC enzyme previously reported among Salmonella serovars Newport and Typhimurium strains. The MDR strains from the two host species independently represent public health concerns, as Salmonella serovar Muenchen is among the top 10 causes of salmonellosis in humans.
机译:沙门氏菌血清是重要的抗药性储库。最近,我们报道了对氨苄青霉素,卡那霉素,链霉素,磺胺甲恶唑和四环素具有抗药性的猪中的多药耐药肠炎沙门氏菌菌株(抗性[R] AKSSuT型)以及对阿莫西林-克拉维酸,氨苄青霉素,氯霉素具有抗药性,链霉素,磺胺甲恶唑和四环素(R型AxACSSuT)。在本研究中,鉴定了临床上重要的沙门氏菌血清慕尼黑的67种分离株(人类39株,猪28株)。在猪分离株中,有75%对7种抗菌药具有抗药性:氨苄西林,氯霉素,链霉素,磺胺甲恶唑,四环素,阿莫西林-克拉维酸和卡那霉素(R型ACSSuTAxK)。来自人类的一种分离物显示出对12种抗菌药物中的10种有抗药性:氨苄青霉素,氯霉素,链霉素,磺胺甲恶唑,四环素,阿莫西林-克拉维酸,卡那霉素,庆大霉素,头孢菌素和头孢曲松(R型ACSSuTAxKGCfCro)。脉冲场凝胶电泳显示,猪和人之间没有克隆。猪和人MDR菌株分别携带2.0 kb和1.0 kb的1类整合素。猪株特异的基因包括aadA2,aphA1-Iab和tetA(B)。 DNA测序表明,猪分离株在1类整合子上带有blaOXA-30。对人类菌株特异的基因包括blaTEM,strA,strB,cmlA,tetA(A)和aadA2。没有检测到blaCMY-2基因。猪和人源性血清型Muenchen菌株能够通过结合将抗性基因转移到实验室菌株大肠杆菌MG1655中。用四种限制酶EcoRI,BamHI,HindIII和PstI进行质粒限制,结果表明,从猪场中同时分离自同一农场的鼠伤寒沙门氏菌和鼠伤寒R型MDR菌株的结合质粒在大小上相似以及乐队数量和Southern杂交。来自两种宿主物种的沙门氏菌慕尼黑分离株之间的质粒谱是不同的。这是第一个报告显示猪中MDR沙门氏菌血清型慕尼黑人菌株高发,而人类菌株与以前在沙门氏菌新港和鼠伤寒沙门氏菌中报道的具有AmpC酶的MDR分离株相似。来自两个寄主物种的MDR菌株独立代表公共卫生问题,因为血清沙门氏菌慕尼黑是人类沙门氏菌病的十大病因之一。

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