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在巴西一个大都市地区,接受康复治疗的野生鸟类的肠道微生物群是多重耐药肠球菌的一个储存库。

The gut microbiota of wild birds undergoing rehabilitation as a reservoir of multidrug-resistant enterococci in a metropolitan area in Brazil.

作者信息

Freitas Andrea de Andrade Rangel, Faria Adriana Rocha, Mendes Luiza Tomé, Merquior Vânia Lúcia Carreira, Neves Daniel Marchesi, Pires Jeferson Rocha, Teixeira Lúcia Martins

机构信息

Instituto de Microbiologia Paulo de Góes, Universidade Federal Do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

Departamento de Microbiologia, Imunologia E Parasitologia, Universidade Do Estado Do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

出版信息

Braz J Microbiol. 2024 Dec;55(4):3849-3861. doi: 10.1007/s42770-024-01527-3. Epub 2024 Oct 2.

Abstract

Enterococci are ubiquitous usually commensal bacteria that can act as opportunistic pathogens frequently associated with resistance to multiple antimicrobial classes. A variety of animals may carry potentially harmful enterococci. In the present work, the occurrence and characteristics of enterococci recovered from the fecal microbiota of wild birds belonging to four families (Accipitridae, Cathartidae, Falconidae and Strigidae) were investigated. Enterococci were recovered from 104 (92.0%) fecal samples obtained from 113 birds, and 260 strains were selected for additional characterization. Enterococcus faecalis was the predominant species (63.8%), followed by Enterococcus hirae (16.2%), Enterococcus faecium (11.5%), Enterococcus gallinarum (5.4%), Enterococcus avium (1.5%), Enterococcus casseliflavus (0.8%), and Enterococcus raffinosus and Enterococcus cecorum (0.4% each). Major percentages (11.9% 75.0%) of nonsusceptibility were observed to quinolones (particularly to enrofloxacin), erythromycin, rifampin, nitrofurantoin, tetracycline and streptomycin. Gentamicin and ampicillin resistances (13.3% each) were only detected among E. faecium. A total of 133 (51.2%) strains were MDR, showing a large variety of MDR profiles, composed by simultaneous resistance encompassing 3 to 12 antimicrobials. MDR strains were found in 68.2% of the birds. Antimicrobial resistance was associated with the presence of the aac(6')-aph(2″)-Ia, aph(2″)-Id, ant(6)-Ia, ant(9)-Ia, ant(9)-Ib, tet(M), tet(L), tet(S), erm(B), mef(A/E), msrC, and vat(D) genes. The most common virulence genes were efaA, gelE, ace, eeP, and asa1. PFGE analysis revealed a large genetic diversity among most of the strains. MLST performed for 35 E. faecalis strains revealed 23 different STs, whereas 14 STs were found among 18 E. faecium strains. Hospital-associated lineages ST22, ST25, ST56, ST1274 were identified. The results show that the wild birds investigated can carry a diversity of potentially hazardous enterococcal strains displaying multiple antimicrobial resistance and virulence genes, reinforcing the assumption that these animals provide an important target to monitor the circulation of microorganisms that deserve consideration under the One Health perspective.

摘要

肠球菌是普遍存在的通常共生的细菌,可作为机会性病原体,常与对多种抗菌药物类别的耐药性相关。多种动物可能携带潜在有害的肠球菌。在本研究中,调查了从四个科(鹰科、美洲鹫科、隼科和鸱鸮科)野生鸟类粪便微生物群中分离出的肠球菌的发生情况和特征。从113只鸟的104份(92.0%)粪便样本中分离出肠球菌,并选择260株菌株进行进一步鉴定。粪肠球菌是主要菌种(63.8%),其次是希拉肠球菌(16.2%)、屎肠球菌(11.5%)、鹑鸡肠球菌(5.4%)、鸟肠球菌(1.5%)、卡氏肠球菌(0.8%)以及棉子糖肠球菌和盲肠肠球菌(各0.4%)。观察到对喹诺酮类(尤其是恩诺沙星)、红霉素、利福平、呋喃妥因、四环素和链霉素有较高比例(11.9% - 75.0%)的不敏感。仅在屎肠球菌中检测到庆大霉素和氨苄西林耐药性(各13.3%)。共有133株(51.2%)菌株为多重耐药,显示出多种多重耐药谱,包括同时对3至12种抗菌药物耐药。在68.2%的鸟类中发现了多重耐药菌株。抗菌药物耐药性与aac(6')-aph(2″)-Ia、aph(2″)-Id、ant(6)-Ia、ant(9)-Ia、ant(9)-Ib、tet(M)、tet(L)、tet(S)、erm(B)、mef(A/E)、msrC和vat(D)基因的存在有关。最常见的毒力基因是efaA、gelE、ace、eeP和asa1。脉冲场凝胶电泳分析显示大多数菌株之间存在很大的遗传多样性。对35株粪肠球菌菌株进行多位点序列分型显示有23种不同的序列型,而在18株屎肠球菌菌株中发现了14种序列型。鉴定出了与医院相关的序列型ST22、ST25、ST56、ST1274。结果表明,所调查的野生鸟类可携带多种具有潜在危害的肠球菌菌株,这些菌株具有多重抗菌药物耐药性和毒力基因,强化了这样一种假设,即这些动物是监测微生物传播的重要目标,在“同一健康”视角下值得关注。

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