Gebreyes Wondwossen A, Thakur Siddhartha
Department of Population Health and Pathobiology, College of Veterinary Medicine, North Carolina State University, 4700 Hillsborough St., Raleigh, NC 27606, USA.
Antimicrob Agents Chemother. 2005 Feb;49(2):503-11. doi: 10.1128/AAC.49.2.503-511.2005.
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 bla(OXA-30) on a class 1 integron. Genes specific to the human strain included bla(TEM), strA, strB, cmlA, tetA(A), and aadA2. No bla(CMY-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.
沙门氏菌血清型是抗菌素耐药性的重要储存库。最近,我们报告了猪体内耐多药(MDR)肠炎沙门氏菌鼠伤寒血清型菌株,它们对氨苄青霉素、卡那霉素、链霉素、磺胺甲恶唑和四环素耐药(耐药 [R] 型AKSSuT),以及对阿莫西林 - 克拉维酸、氨苄青霉素、氯霉素、链霉素、磺胺甲恶唑和四环素耐药(R型AxACSSuT)。在本研究中,对具有临床重要性的沙门氏菌慕尼黑血清型的67株分离株(39株来自人类,28株来自猪)进行了特征分析。在猪分离株中,75% 对七种抗菌素耐药:氨苄青霉素、氯霉素、链霉素、磺胺甲恶唑、四环素、阿莫西林 - 克拉维酸和卡那霉素(R型ACSSuTAxK)。一株来自人类的分离株对12种抗菌素中的10种耐药: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、头孢噻吩和头孢曲松(R型ACSSuTAxKGCfCro)。脉冲场凝胶电泳显示猪源和人源菌株之间没有克隆性。猪源和人源MDR菌株分别携带2.0 kb和1.0 kb的1类整合子。猪源菌株特有的基因包括aadA2、aphA1 - Iab和tetA(B)。DNA测序显示猪分离株在1类整合子上携带bla(OXA - 30)。人源菌株特有的基因包括bla(TEM)、strA、strB、cmlA、tetA(A)和aadA2。未检测到bla(CMY - 2)基因。猪源和人源的慕尼黑血清型菌株能够通过接合将耐药基因转移到实验室菌株大肠杆菌MG1655。用四种限制性内切酶EcoRI、BamHI、HindIII和PstI对质粒进行酶切,结果显示,同一时间从同一农场分离的猪源沙门氏菌慕尼黑血清型和鼠伤寒血清型R型MDR菌株的接合性质粒,在条带大小和数量以及Southern杂交的基础上是相似的。来自两种宿主物种的沙门氏菌慕尼黑血清型分离株之间的质粒图谱不同。这是第一份报告显示猪源多药耐药沙门氏菌慕尼黑血清型菌株的高频率以及一株与人源多药耐药分离株相似的菌株,该人源分离株具有先前在沙门氏菌纽波特血清型和鼠伤寒血清型菌株中报道的AmpC酶。来自两种宿主物种的多药耐药菌株独立地构成了公共卫生问题,因为沙门氏菌慕尼黑血清型是人类沙门氏菌病的十大病因之一。