犬肺炎克雷伯菌和阴沟肠杆菌mcr-1的染色体定位

Ming-Huang Chang, Guanjun Chen, D. Lo
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引用次数: 3

摘要

2015年11月,出现了一种新的质粒介导的粘菌素耐药机制。到目前为止,台湾仅发表了两篇有关大肠杆菌和沙门氏菌的相关报道。本文报道台湾出现的耐粘菌素肺炎克雷伯菌和阴沟肠杆菌临床分离株,染色体上含有mcr-1。4株mcr-1阳性分离株均来自63株克雷伯氏菌,分离的肠杆菌来自国立嘉益大学兽医教学医院的病犬和病猫。这4株菌株对粘菌素、阿莫西林、强力霉素和土霉素均有耐药,且mcr-1基因均位于染色体上,两侧无ISApl1或其他插入序列。这些发现表明,除了食用动物和人类之外,伴侣动物也可以作为mcr-1的宿主,这为社区中质粒介导的粘菌素耐药性的快速演变的流行病学增加了另一层复杂性。因此,我们认为有必要继续调查这些细菌对粘菌素的耐药性。持续的微生物和分子监测是必要的,有助于早期发现和尽量减少mcr-1的传播。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CHROMOSOMAL LOCATIONS OF mcr-1 IN Klebsiella pneumoniae AND Enterobacter cloacae FROM DOGS
In November 2015, the emergence of a novel plasmid-mediated colistin resistance mechanism was described. So far, there are only two relevant published reports focused solely on Escherichia coli and Salmonella in Taiwan. This paper describes the emergence of colistin-resistant Klebsiella pneumoniae and Enterobacter cloacae clinical isolates harboring mcr-1 on chromosomes in Taiwan. All four mcr-1-positive isolates were from 63 Klebsiella spp., and the isolated Enterobacter spp. were from diseased dogs and cats at Veterinary Teaching Hospital, National Chiayi University. These four isolates were resistant to colistin, amoxicillin, doxycycline and oxytetracycline, and all mcr-1 genes were located on the chromosome, without any flanking ISApl1 or other insertion sequences. The findings suggest that, in addition to food animals and humans, companion animals can serve as reservoirs of mcr-1, adding another layer of complexity to the rapidly evolving epidemiology of plasmid-mediated colistin resistance in the community. Hence we consider it essential to continue to survey resistance to colistin in these bacteria. Continuous microbiological and molecular surveillance is necessary to assist in early detection and minimize the dissemination of mcr-1.
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