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氟喹诺酮类耐药性在泰国屠宰猪中分离的非伤寒沙门氏菌。

Fluoroquinolone resistance in non-typhoidal isolated from slaughtered pigs in Thailand.

机构信息

Faculty of Public Health, Kasetsart University, Chalermphrakiat Sakon Nakhon Province Campus, Sakon Nakhon, Thailand.

Faculty of Science and Engineering, Kasetsart University, Chalermphrakiat Sakon Nakhon Province Campus, Sakon Nakhon, Thailand.

出版信息

J Med Microbiol. 2021 Jul;70(7). doi: 10.1099/jmm.0.001386.

Abstract

The emergence and spread of non-typhoidal (NTS) serovars resistant to fluoroquinolones and third- and higher-generation cephalosporins is a matter of great concern. Antimicrobial-resistant NTS is increasingly being discovered in humans, animals, food animals, food products, and agricultural environments. Pigs are considered a major reservoir of antimicrobial-resistant spp. Fluoroquinolone-resistant spp. warrant further surveillance and characterization for a better understanding of the bacteria isolated from animals. NTS isolated from pork from slaughterhouses across Thailand were characterized in terms of their serovars; resistance to fluoroquinolones, third-generation cephalosporins, and carbapenems; and antimicrobial resistance genes. A total of 387 NTS isolates, collected from slaughtered pigs in ten provinces across Thailand between 2014 and 2015, were characterized based on their serovars, antimicrobial resistance genes, and susceptibility to fluoroquinolones, third-generation cephalosporins, and carbapenems. Among all NTS isolates, serovar Rissen was predominant. Antimicrobial resistance was exhibited in 93/387 isolates (24 %). Although 24 (6.2 %) isolates were susceptible to all the tested antimicrobials, they were found to possess β-lactamase genes, such as , , or . Mobilized colistin-resistant genes () and resistance to colistin were not observed in any tested isolate. Carbapenem resistance was detected in ten isolates (10.7 %); however, , , , and were not present. Among the 93 antimicrobial-resistant isolates, 87.1 % showed fluoroquinolone resistance with the quinolone resistance gene () combined with topoisomerase genes (T57S) or (S83E/Y and D124E/G) substitutions, or topoisomerase gene substitutions alone. We found high fluoroquinolone resistance rates among the NTS isolates from pigs from slaughterhouses. The fluoroquinolone resistance mechanism in NTS was associated with the combination of and substitutions in , or both. To prevent the transmission of antimicrobial-resistant NTS between animals and humans, continuous monitoring, surveillance, and regulation of in the pork supply chain are pivotal.

摘要

非伤寒血清型(NTS)对氟喹诺酮类和第三代及更高代头孢菌素的耐药性的出现和传播令人深感担忧。在人类、动物、食用动物、食品和农业环境中,越来越多地发现了具有抗药性的 NTS。猪被认为是抗药性 spp 的主要储存库。氟喹诺酮类耐药 spp 需要进一步监测和鉴定,以更好地了解从动物中分离出的细菌。对来自泰国各地屠宰场的猪肉中分离出的 NTS 进行了血清型鉴定;对氟喹诺酮类、第三代头孢菌素和碳青霉烯类的耐药性;以及抗菌药物耐药基因。2014 年至 2015 年期间,从泰国 10 个省的屠宰猪中采集了 387 株 NTS 分离株,根据血清型、抗菌药物耐药基因以及对氟喹诺酮类、第三代头孢菌素和碳青霉烯类的敏感性对其进行了特征描述。在所有 NTS 分离株中,Rissen 血清型占主导地位。93/387 株(24%)表现出抗菌药物耐药性。尽管有 24 株(6.2%)分离株对所有测试的抗菌药物均敏感,但它们被发现携带β-内酰胺酶基因,如 、 或 。未在任何测试的分离株中发现可移动的多粘菌素耐药基因()和对多粘菌素的耐药性。在 10 株(10.7%)分离株中检测到碳青霉烯类耐药性;然而, 、 、 和 不存在。在 93 株抗菌药物耐药分离株中,87.1%表现出氟喹诺酮类耐药性,与喹诺酮类耐药基因()结合拓扑异构酶基因 (T57S)或 (S83E/Y 和 D124E/G)取代,或拓扑异构酶基因取代单独。我们发现来自屠宰场猪的 NTS 分离株中存在高氟喹诺酮类耐药率。NTS 中的氟喹诺酮类耐药机制与 和 中的取代或两者结合有关。为了防止动物和人类之间传播具有抗药性的 NTS,必须对猪肉供应链中的进行持续监测、监测和监管。

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