日本伴侣动物尿液培养分离细菌及其抗菌敏感性研究

Yuzo Tsuyuki, Takashi Takahashi
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引用次数: 7

摘要

了解目前通过尿液培养对分离细菌及其抗菌药物敏感性的研究结果,对患病伴侣动物的尿路感染进行诊断和治疗具有重要意义。然而,在日本,基于全国监测的尿液培养数据的调查很少。本研究的目的是通过在全国范围内进行的动物尿液培养来确定细菌的种类鉴定及其抗菌敏感性。我们对2014年8月1日至2016年7月31日(2年)在全国近1000家动物诊所/医院采集的尿液标本,采用标准方法进行细菌鉴定和药敏监测数据分析。在收集的6179份尿液样本中,从3941份样本中分离出5246株细菌。最常见的菌种为大肠杆菌(34.4%)/中间葡萄球菌群(12.9%)/粪肠球菌(10.2%)/肺炎克雷伯菌(6.6%)/神奇变形杆菌(5.8%)/铜绿假单胞菌(4.0%)/屎肠球菌(4.0%)/G群链球菌(3.2%)/凝固酶阴性葡萄球菌(2.2%)/阴沟肠杆菌(1.7%),占全部分离细菌的85.0%。中间葡萄球菌组耐甲氧西林葡萄球菌(MRS)检出率为57.6%。2015年8月1日至2016年7月31日,大肠杆菌科分离株的广谱β -内酰胺酶(ESBL)检出率为大肠杆菌42.3%/肺炎克雷伯菌63.3%/奇异杆菌20.3%。碳青霉烯耐药菌株,多重耐药P。未检出铜绿假单胞菌和万古霉素耐药菌株。就像人类感染一样,直肠中的花细菌从动物的尿液中高度分离出来,产生MRS和esbl的肠杆菌科分离物的比例很高。我们的观察结果表明,目前动物尿源性分离株的抗菌素耐药性特征,表明我们应该在动物临床环境中促进抗菌素管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Isolated Bacteria and Their Antimicrobial Susceptibility through Urine Culture Obtained from Companion Animals in Japan
It is important to understand the current results concerning isolated bacteria and their antimicrobial susceptibility through urine cultures to perform diagnosis and treatment of urinary tract infections among ill companion animals. However, there are very few investigations regarding the data of urine cultures based on nationwide-surveillance in Japan. The purpose of this study was to determine species identification of the bacteria and their antimicrobial susceptibility through urine cultures obtained from the animals with a nationwide approach. We analyzed the nationwide-surveillance data of bacterial identification and drug susceptibility by standard methods with urine specimens collected from approximate 1,000 animal clinics/ hospitals from 1 st August 2014 to 31 st July 2016 (for two years). Of 6,179 urine samples collected, there were 5,246 bacterial strains isolated from the 3,941 specimens. The most prevalent species identified were Escherichia coli (34.4%)/ Staphylococcus intermedius group (12.9%)/ Enterococcus faecalis (10.2%)/ Klebsiella pneumoniae (6.6%)/ Proteus mirabilis (5.8%)/ Pseudomonas aeruginosa (4.0%)/ Enterococcus faecium (4.0%)/Group G Streptococci (3.2%)/Coagulase-negative Staphylococci (2.2%)/ Enterobacter cloacae (1.7%), indicating that the total proportion was 85.0% of all isolated bacteria. We found that the rate of methicillin-resistant Staphylococci (MRS) was 57.6% among the isolates from the S. intermedius group. We also observed that the detection rates of extended-spectrum β -lactamase (ESBL) were E. coli 42.3%/ K. pneumoniae 63.3%/ P. mirabilis 20.3% among the Enterobacteriaceae isolates from 1 st August 2015 through 31 st July 2016. Carbapenem-resistant strains, multidrug-resistant P . aeruginosa , and vancomycin-resistant strains were not detected. Just as in human infections, the floral bacteria in the rectum were highly isolated from the animalsʼ urine, and the proportions of MRS and ESBL-producing Enterobacteriaceae isolates were high-level. Our observations indicate the current characteristics of antimicrobial resistance among the urine-origin isolates from the animals, suggesting that we should promote antimicrobial stewardships in the animal clinical setting.
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