Transmission chains and molecular characterizations of extended-spectrum β-lactamase producing Enterobacteriaceae at a veterinary hospital in Chengdu, China

IF 2.6 4区 医学 Q3 INFECTIOUS DISEASES Infection Genetics and Evolution Pub Date : 2024-08-19 DOI:10.1016/j.meegid.2024.105658
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Abstract

The rapid emergence of Extended-spectrum β-lactamase producing Enterobacteriaceae (ESBL-E) is a major global public health concern. Previous studies have identified that intensive medical care of dogs and cats in veterinary hospitals have accelerated the infections and spread of ESBL-E. To investigate the spread of ESBL-E in a veterinary hospital, a total of 202 samples including hospitalized animals, veterinary healthcare workers and environment were collected from a veterinary hospital in Chengdu, China. ESBL-E were identified by antimicrobial susceptibility testing and 16 s rRNA sequencing and were further conducted on ESBL gene detection and multilocus sequence typing (MLST). At last, strains with transmission potential were analyzed by whole genome sequencing (WGS). Our results showed that the overall prevalence of ESBL-positive isolates was 34.7% (70/202), with 55.3% (26/47) in animals, 29.3% (12/41) in healthcare workers and 28.1% (32/114) in environment swabs. Twenty diverse MLST types were detected, with ST744, ST231 as the most prevalent ones. Transmission chains of two ESBL-E.coli (ST744 blaCTX-M-18, blaTEM-1) from cat_21 to cat_14, and two ESBL-Kp (ST231 blaCTX-M-27, blaTEM-1, blaSHV-1) from cat_20 to cat_37 were further confirmed by WGS. Furthermore, interdisciplinary investigation and cooperation of AMR are needed to better limit the transmissions of high-risk strains and to implement effective public health interventions.

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中国成都一家兽医院中产广谱β-内酰胺酶肠杆菌科细菌的传播链和分子特征。
产广谱β-内酰胺酶肠杆菌科细菌(ESBL-E)的迅速出现是全球公共卫生关注的一个主要问题。以往的研究发现,兽医院对猫狗的强化医疗护理加速了ESBL-E的感染和传播。为了调查ESBL-E在兽医院的传播情况,我们在中国成都的一家兽医院采集了202份样本,包括住院动物、兽医医护人员和环境。通过抗菌药物敏感性试验和16 s rRNA测序鉴定了ESBL-E,并进一步进行了ESBL基因检测和多焦点序列分型(MLST)。最后,通过全基因组测序(WGS)分析了具有传播潜力的菌株。结果显示,ESBL阳性分离菌株的总体流行率为34.7%(70/202),其中动物为55.3%(26/47),医护人员为29.3%(12/41),环境拭子为28.1%(32/114)。共检测到 20 种不同的 MLST 类型,其中以 ST744 和 ST231 型最为普遍。WGS 进一步证实了从 cat_21 到 cat_14 的两条 ESBL-E.coli 传播链(ST744 blaCTX-M-18、blaTEM-1)和从 cat_20 到 cat_37 的两条 ESBL-Kp 传播链(ST231 blaCTX-M-27、blaTEM-1、blaSHV-1)。此外,为了更好地限制高风险菌株的传播并实施有效的公共卫生干预措施,需要对 AMR 进行跨学科调查和合作。
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来源期刊
Infection Genetics and Evolution
Infection Genetics and Evolution 医学-传染病学
CiteScore
8.40
自引率
0.00%
发文量
215
审稿时长
82 days
期刊介绍: (aka Journal of Molecular Epidemiology and Evolutionary Genetics of Infectious Diseases -- MEEGID) Infectious diseases constitute one of the main challenges to medical science in the coming century. The impressive development of molecular megatechnologies and of bioinformatics have greatly increased our knowledge of the evolution, transmission and pathogenicity of infectious diseases. Research has shown that host susceptibility to many infectious diseases has a genetic basis. Furthermore, much is now known on the molecular epidemiology, evolution and virulence of pathogenic agents, as well as their resistance to drugs, vaccines, and antibiotics. Equally, research on the genetics of disease vectors has greatly improved our understanding of their systematics, has increased our capacity to identify target populations for control or intervention, and has provided detailed information on the mechanisms of insecticide resistance. However, the genetics and evolutionary biology of hosts, pathogens and vectors have tended to develop as three separate fields of research. This artificial compartmentalisation is of concern due to our growing appreciation of the strong co-evolutionary interactions among hosts, pathogens and vectors. Infection, Genetics and Evolution and its companion congress [MEEGID](http://www.meegidconference.com/) (for Molecular Epidemiology and Evolutionary Genetics of Infectious Diseases) are the main forum acting for the cross-fertilization between evolutionary science and biomedical research on infectious diseases. Infection, Genetics and Evolution is the only journal that welcomes articles dealing with the genetics and evolutionary biology of hosts, pathogens and vectors, and coevolution processes among them in relation to infection and disease manifestation. All infectious models enter the scope of the journal, including pathogens of humans, animals and plants, either parasites, fungi, bacteria, viruses or prions. The journal welcomes articles dealing with genetics, population genetics, genomics, postgenomics, gene expression, evolutionary biology, population dynamics, mathematical modeling and bioinformatics. We also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services .
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