Roschanski Nicole, Fischer Jennie, Falgenhauer Linda, Pietsch Michael, Guenther Sebastian, Kreienbrock Lothar, Chakraborty Trinad, Pfeifer Yvonne, Guerra Beatriz, Roesler Uwe H
Institute for Animal Hygiene and Environmental Health, Freie Universitaet Berlin, Berlin, Germany.
Department for Biological Safety, Federal Institute for Risk Assessment, Berlin, Germany.
Front Microbiol. 2018 Mar 27;9:538. doi: 10.3389/fmicb.2018.00538. eCollection 2018.
Carbapenems are last-resort antibiotics used in human medicine. The increased detection of carbapenem-resistant Enterobacteriaceae (CRE) is therefore worrying. In 2011 we reported the first livestock-associated VIM-1-producing (.) serovar Infantis (R3) isolate from dust, sampled in a German chicken fattening farm. Due to this observation we retrospectively investigated more than 536 stored bacterial cultures, isolated from 45 chicken fattening farms during the years 2011 and 2012. After a non-selective overnight incubation, the bacteria were transferred to selective media. and growing on these media were further investigated, including antibiotic susceptibility testing, carbapenemase gene screening and whole genome sequencing (WGS). In total, four CRE were found in three out of 45 investigated farms: Besides R3, one additional (G-336-1a) as well as two isolates (G-336-2, G-268-2). All but G-268-2 harbored the gene. isolates R3 and G-336-1 were closely related although derived from two different farms. All three -encoding isolates possessed identical plasmids and the containing transposon showed mobility at least . In isolate G-268-2, the AmpC beta-lactamase gene but no known carbapenemase gene was identified. However, a transfer of the phenotypic resistance was possible. Furthermore, G-268-2 contained the gene, combining phenotypical carbapenem- as well as colistin resistance in one isolate. Carbapenem-resistant Enterobacteriaceae have been found in three out of 45 investigated chicken flocks. This finding is alarming and emphasizes the importance of intervention strategies to contain the environmental spread of resistant bacteria in animals and humans.
碳青霉烯类抗生素是人类医学中使用的最后一道防线抗生素。因此,耐碳青霉烯类肠杆菌科细菌(CRE)检测率的增加令人担忧。2011年,我们报告了首例从德国一个养鸡场采集的灰尘中分离出的产VIM-1的家畜相关婴儿沙门氏菌(R3)菌株。基于这一观察结果,我们对2011年和2012年期间从45个养鸡场分离出的536株以上保存的细菌培养物进行了回顾性研究。经过非选择性过夜培养后,将细菌转移至选择性培养基上。在这些培养基上生长的细菌进一步接受调查,包括抗生素敏感性测试、碳青霉烯酶基因筛查和全基因组测序(WGS)。在45个调查农场中的3个农场共发现了4株CRE:除了R3外,还有另外一株(G-336-1a)以及两株沙门氏菌分离株(G-336-2、G-268-2)。除G-268-2外,所有菌株都携带该基因。分离株R3和G-336-1虽然来自两个不同的农场,但关系密切。所有三株编码该基因的分离株都拥有相同的质粒,并且含有该基因的转座子至少显示出移动性。在分离株G-268-2中,鉴定出了AmpCβ-内酰胺酶基因,但未发现已知的碳青霉烯酶基因。然而,这种表型抗性是可以转移的。此外,G-268-2含有该基因,在一个分离株中同时具有碳青霉烯类以及黏菌素抗性表型。在45个调查鸡群中的3个鸡群中发现了耐碳青霉烯类肠杆菌科细菌。这一发现令人震惊,并强调了采取干预策略以控制耐药菌在动物和人类环境中传播的重要性。