The genetic relationship between human and pet isolates: a core genome multilocus sequence analysis of multidrug-resistant bacteria.

IF 4.8 2区 医学 Q1 INFECTIOUS DISEASES
Antonia Genath, Carolin Hackmann, Luisa Denkel, Anna Weber, Friederike Maechler, Axel Kola, Stefan Schwarz, Petra Gastmeier, Rasmus Leistner
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引用次数: 0

Abstract

Introduction: The global increase of multidrug-resistant organisms (MDROs) is one of the most urgent public health threats affecting both humans and animals. The One Health concept emphasizes the interconnectedness of human, animal and environmental health and highlights the need for integrated approaches to combat antimicrobial resistance (AMR). Although the sharing of environments and antimicrobial agents between companion animals and humans poses a risk for MDRO transmission, companion animals have been studied to a lesser extent than livestock animals. This study therefore used core genome multilocus sequence typing (cgMLST) to investigate the genetic relationships and putative transmission of MDROs between humans and pets.

Methods: This descriptive integrated typing study included 252 human isolates, 53 dog isolates and 10 cat isolates collected from 2019 to 2022 at the Charité University Hospital in Berlin, Germany. CgMLST was performed to characterize methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci and multidrug-resistant gram-negative bacteria. The genetic diversity of the MDROs of the different host populations was determined and compared based on sequence type and core genome complex type.

Results: Within this study the majority of samples from pets and humans was genetically distinct. However, for some isolates, the number of allelic differences identified by cgMLST was low. Two cases of putative household transmission or shared source of VR E. faecium and MDR E. coli between humans and pets were documented.

Conclusions: The interaction between humans and their pets appears to play a minor role in the spread of the MDROs studied. However, further research is needed. This study emphasizes the importance of comprehensive molecular surveillance and a multidisciplinary One Health approach to understand and contain the spread of MDROs in human and animal populations.

Trial registration: The study is registered with the German Clinical Trials Register (DRKS00030009).

人类与宠物分离物之间的遗传关系:耐多药细菌的核心基因组多焦点序列分析。
导言:全球耐多药生物(MDROs)的增加是影响人类和动物的最紧迫的公共卫生威胁之一。一体健康 "概念强调了人类、动物和环境健康之间的相互联系,并强调需要采取综合方法来对抗抗菌药耐药性(AMR)。虽然伴侣动物与人类共用环境和抗菌药物会带来 MDRO 传播的风险,但对伴侣动物的研究却少于家畜。因此,本研究使用核心基因组多焦点序列分型(cgMLST)来调查人类与宠物之间的遗传关系和假定的 MDRO 传播:这项描述性综合分型研究包括 2019 年至 2022 年期间在德国柏林夏里特大学医院收集的 252 份人类分离物、53 份狗分离物和 10 份猫分离物。CgMLST 用于鉴定耐甲氧西林金黄色葡萄球菌、耐万古霉素肠球菌和耐多药革兰氏阴性菌。根据序列类型和核心基因组复合类型确定并比较了不同宿主群体中 MDRO 的遗传多样性:在这项研究中,来自宠物和人类的大多数样本在基因上是不同的。然而,在某些分离物中,通过 cgMLST 鉴定出的等位基因差异数量较少。有两例假定的家庭传播或人类与宠物之间共享 VR 粪肠球菌和 MDR 大肠杆菌来源的病例:结论:人类与宠物之间的互动在所研究的 MDROs 传播中似乎只起了很小的作用。然而,还需要进一步的研究。这项研究强调了全面分子监测和多学科 "一体健康 "方法对于了解和遏制 MDROs 在人类和动物群体中传播的重要性:该研究已在德国临床试验注册中心(DRKS00030009)注册。
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来源期刊
Antimicrobial Resistance and Infection Control
Antimicrobial Resistance and Infection Control PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -INFECTIOUS DISEASES
CiteScore
9.70
自引率
3.60%
发文量
140
审稿时长
13 weeks
期刊介绍: Antimicrobial Resistance and Infection Control is a global forum for all those working on the prevention, diagnostic and treatment of health-care associated infections and antimicrobial resistance development in all health-care settings. The journal covers a broad spectrum of preeminent practices and best available data to the top interventional and translational research, and innovative developments in the field of infection control.
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