韩国犬科动物、猫科动物、环境和人类中产生的耐抗菌素革兰氏阴性细菌

Jun Sung Hong, Il kwon Bae
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摘要

有关韩国临床医院抗菌药物分布和耐药率的报告已有大量记载。然而,关于兽医院中流行率和抗菌药耐药率的描述却相对较少。本研究旨在描述韩国犬科、猫科、环境和人类中革兰氏阴性细菌的流行率和抗菌药耐药率。我们从 16 家兽医院的伴侣动物(狗和猫)直肠拭子、人类(宠物主人和医务人员)粪便样本和兽医院表面拭子中收集细菌。采用琼脂盘扩散法对分离物进行抗菌药敏感性检测。通过聚合酶链反应和测序鉴定了第三代和第四代广谱头孢菌素(ESC)耐药基因。在麦康凯琼脂上从伴侣动物、人类和兽医院环境样本中回收了 740 株大肠埃希菌、133 株肺炎克雷伯菌、132 株鲍曼不动杆菌和 100 株铜绿假单胞菌。结果显示,大肠杆菌、肺炎双球菌、鲍曼不动杆菌和铜绿假单胞菌对 ESC 的耐药率分别为 36.3%、40.6%、18.2% 和 0%。大多数 ESC 耐药基因为 blaCMY-2、blaDHA-1 和 blaCTX-M 型。我们的研究结果表明,除碳青霉烯类外,包括ESC在内的抗菌药物耐药率与临床上的耐药率相似。此外,从样本中收集到的革兰氏阴性菌的属、种和耐药性决定因子在临床和兽医领域也很相似。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Antimicrobial Resistant Gram-negative Bacteria Originated from Canines, Felines, Environments, and Humans in South Korea
The report of distribution and antimicrobial resistance rates in clinical hospitals in South Korea has been well-documented. However, the description of prevalence and antimicrobial resistance rate in veterinary hospitals is relatively rare. The aims of this study were to describe the prevalence and antimicrobial resistance rate for gram-negative bacteria originated from canines, felines, environments, and humans in South Korea. We collected bacteria from the rectal swabs of companion animals (dogs and cats), stool samples of humans (pet owners and medical staffs), and swabs of veterinary hospital surfaced in 16 veterinary hospitals. The isolates for antimicrobial susceptibility were performed by the agar disk diffusion method. Third- and fourth-generation extended-spectrum cephalosporin (ESC) resistance genes were identified by PCR and sequencing. A total of 740 Escherichia coli , 133 Klebsiella pneumoniae, 132 Acinetobacter baumannii , and 100 Pseudomonas aeruginosa isolates were recovered on MacConkey agar from companion animals, humans, and veterinary hospital environment samples for 2019 - 2020. The ESC resistant rates showed 36.3%, 40.6%, 18.2%, and 0% in E. coli , K. pneumoniae , A. baumannii , and P. aeruginosa, respectively. The most of the ESC resistance genes were blaCMY-2, blaDHA-1, and blaCTX-M-type. Our results indicate that the antimicrobial resistance rate including ESC was similar to that in the clinical field except carbapenem. In addition, the genus, species, and an timicrobial resistance determinants of gram-negative bacteria collected from samples were similar between the clinical and veterinary fields.
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