从喀麦隆雅温得屠宰猪和屠宰场工人中分离出的耐多药(MDR)和产广谱β-内酰胺酶(ESBL)大肠埃希菌

IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES
Moise Matakone , Raspail Carrel Founou , Luria Leslie Founou , Brice Davy Dimani , Patrice Landry Koudoum , Marie Christine Fonkoua , Yap Boum-II , Hortense Gonsu , Michel Noubom
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引用次数: 0

摘要

食物链中的抗菌药耐药性(AMR)仍然是人类和动物面临的一个全球性公共卫生问题。本研究旨在确定喀麦隆雅温得屠宰猪和屠宰场工人中分离出的耐多药(MDR)和产广谱β-内酰胺酶大肠埃希菌(ESBL-Ec)的流行率、耐药性概况和克隆相关性。研究人员在四个时间点采集了 375 头猪的直肠拭子,并按照性别、产地和屠宰场将每三头猪的拭子集中起来,最终得到 125 份集中样本。从 60 名接触过该病毒的工人身上采集了 7 份粪便样本。样本在 CHROMagar™ ESBL 培养基上培养,深粉红色至淡红色菌落被认为是大肠杆菌。使用聚合酶链式反应(PCR)检测耐药基因,包括 blaCTX-M、blaSHV 和 blaTEM,同时使用 ERIC-PCR 评估分离物之间的遗传相关性。总体而言,ESBL-Ec 对头孢呋辛(100%,n = 105/105)、头孢他啶(100%,n = 105/105)、阿莫西林-克拉维酸(98.1%,n = 103/105)、头孢克肟(92.4%,n = 97/105)、四环素(86.7%,n = 91/105)和磺胺甲恶唑-三甲氧苄啶(81.9%,n = 86/105)表现出较高的耐药性。不过,这些分离物对庆大霉素(3.8%,n = 4/105)、氯霉素(8.6%,n = 9/105)和磷霉素(14.3%,n = 15/105)表现出良好的敏感性。所有人类分离物和 75.8 %(n = 75/99)的猪分离物都具有多重耐药性。blaCTX-M 是暴露工人(100%,n = 6/6)和猪(80.8%,n = 80/99)中最普遍的耐药基因,其次是 blaTEM(各占 33.3%)。这项研究表明,在喀麦隆雅温得,猪的胃肠道可能是 MDR 和 ESBL-Ec 的重要贮藏库,这些耐药细菌可能在不同来源(尤其是人类)之间循环。提高对人类和动物合理使用抗生素的认识,以及实施严格的生物安全和食品安全措施,是防止喀麦隆出现和传播 AMR 的当务之急。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Multi-drug resistant (MDR) and extended-spectrum β-lactamase (ESBL) producing Escherichia coli isolated from slaughtered pigs and slaughterhouse workers in Yaoundé, Cameroon

Antimicrobial resistance (AMR) in the food chain remains a global public health concern for both humans and animals. This study aimed to determine the prevalence, resistance profiles, and clonal relatedness of multidrug-resistant (MDR) and extended-spectrum β-lactamases- producing Escherichia coli (ESBL-Ec) isolated from slaughtered pigs and slaughterhouse workers in Yaoundé, Cameroon.

A cross-sectional study was conducted over four months, from February to May 2023 in two selected pig's slaughterhouse markets in Yaoundé. Rectal swabs were collected from 375 pigs at four time points and pooled per three according to gender, origin, and abattoirs leading to 125 pooled samples. Seven faecal samples from 60 contacted exposed workers were collected. Samples were cultured on CHROMagar™ ESBL medium, dark pink to reddish colonies were considered E. coli. Resistance genes including blaCTX-M, blaSHV and blaTEM were detected using the polymerase chain reaction (PCR) while ERIC-PCR was used to assess the genetic relatedness between isolates.

The prevalence of ESBL-Ec was elevated among exposed workers (71.4 %; n = 5/7) and pigs (70.4 %; n = 88/125). Overall, ESBL-Ec exhibited high resistance to cefuroxime (100 %, n = 105/105), cefotaxime (100 %, n = 105/105), amoxicillin-clavulanic acid (98.1 %, n = 103/105), cefixime (92.4 %, n = 97/105), tetracycline (86.7 %, n = 91/105) and sulfamethoxazole-trimethoprim (81.9 %, n = 86/105). However, these isolates showed good susceptibility to gentamicin (3.8 %, n = 4/105), chloramphenicol (8.6 %, n = 9/105), and fosfomycin (14.3 %, n = 15/105). All human isolates and 75.8 % (n = 75/99) of pig isolates were multi-drug resistant. The blaCTX-M was the most prevalent resistance gene among exposed workers (100 %, n = 6/6) and pigs (80.8 %, n = 80/99) followed by blaTEM (33.3 % each). High clonal relatedness of ESBL-Ec strains was observed among pig and human isolates across slaughterhouses.

This study showed that the gastrointestinal tract of pigs might be an important reservoir of MDR and ESBL-Ec in Yaoundé, Cameroon and these resistant bacteria might be circulating between sources, especially humans. Heightening awareness on appropriate antibiotic use in humans and animals as well as implementing stringent biosecurity and food safety measures are imperative to prevent the emergence and spread of AMR in the country.

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来源期刊
One Health
One Health Medicine-Infectious Diseases
CiteScore
8.10
自引率
4.00%
发文量
95
审稿时长
18 weeks
期刊介绍: One Health - a Gold Open Access journal. The mission of One Health is to provide a platform for rapid communication of high quality scientific knowledge on inter- and intra-species pathogen transmission, bringing together leading experts in virology, bacteriology, parasitology, mycology, vectors and vector-borne diseases, tropical health, veterinary sciences, pathology, immunology, food safety, mathematical modelling, epidemiology, public health research and emergency preparedness. As a Gold Open Access journal, a fee is payable on acceptance of the paper. Please see the Guide for Authors for more information. Submissions to the following categories are welcome: Virology, Bacteriology, Parasitology, Mycology, Vectors and vector-borne diseases, Co-infections and co-morbidities, Disease spatial surveillance, Modelling, Tropical Health, Discovery, Ecosystem Health, Public Health.
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