荷兰奶牛场犊牛、牛和人体内的艰难梭菌:牛的 PCR 核型 695(支系 5,序列类型 11)占优势

IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES One Health Pub Date : 2024-04-24 DOI:10.1016/j.onehlt.2024.100739
Tryntsje Cuperus , Ben Wit , Greetje Castelijn , Paul Hengeveld , Marieke Opsteegh , Joke van der Giessen , Céline Harmanus , Joffrey van Prehn , Ed J. Kuijper , Wiep Klaas Smits
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引用次数: 0

摘要

背景艰难梭菌是导致人类和牲畜感染性腹泻的主要原因。尤其是属于序列类型(ST)11 的艰难梭菌菌株是常见的肠道致病菌。本研究旨在确定奶牛和小牛中艰难梭菌类型的存在和遗传相关性。从成年奶牛和两个年龄段(4 周和 4 周-4 个月)的犊牛身上收集粪便。此外,还要求奶农、家庭成员和员工提供粪便样本。粪便样本在富集培养基中培养 10-15 天,然后在固体培养基上亚培养,进行毛细管 PCR 核型分析和全基因组测序。发病率最高的是 4 周小牛(17.5%)。在采集的 99 份人类样本中,没有一份呈阳性。37个培养分离物属于11种不同的PCR核糖型(RT),其中RT695(56.8%)和RT078/126(16.2%)最多。在荷兰艰难梭菌感染(CDI,10,000 个患者分离株)国家专家中心的数据库中,仅在 2020 年和 2021 年确诊的两名在医院发病的 CDI 患者中发现了 RT695。对来自牛的 21C 艰难梭菌 RT695 的序列分析表明,所有分离株都属于第 5 支系 ST11,含有编码毒素 A、毒素 B 和二元毒素的基因。RT695 菌株含有抗菌药耐药性基因,这些基因通常存在于艰难梭菌 5 支系中。在奶牛场之间发现了基因相关的 RT695 分离物群,而相同的菌株只存在于个别奶牛场。RT695的分离株与RT078/126属于同一支系和序列类型,RT078/126是公认的重要人畜共患病类型。
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Clostridioides difficile in calves, cattle and humans from Dutch dairy farms: Predominance of PCR ribotype 695 (clade 5, sequence type 11) in cattle

Background

Clostridioides difficile is a leading cause of infectious diarrhea in both humans and livestock. In particular, C. difficile strains belonging to sequence type (ST) 11 are common enteropathogens. The aim of this study was to determine the presence and genetic relatedness of C. difficile types in dairy cattle and calves.

Method

Dutch dairy farms were visited between February and December 2021. Feces was collected from adult dairy cattle and calves of two age categories (<4 weeks and 4 weeks-4 months). Fecal samples were also requested from dairy farmers, family members and employees. Fecal samples were cultured in an enrichment medium for 10–15 days and subcultured on solid media for capillary PCR ribotyping and whole genome sequencing.

Results

C. difficile was detected on 31 out of 157 (19.8%) dairy farms. The highest prevalence was found in calves <4 weeks (17.5%). None of the 99 human samples collected were positive. Thirty-seven cultured isolates belonged to 11 different PCR ribotypes (RT) of which RT695 (56.8%) and RT078/126 (16.2%) were most abundant. In the database of the Netherlands National Expertise Centre for C. difficile infections (CDI, >10.000 patient isolates), RT695 was found in only two patients with hospital-onset CDI, diagnosed in 2020 and 2021. Sequence analysis of 21C. difficile RT695 from cattle revealed that all isolates belonged to clade 5, ST11 and contained genes encoding toxin A, toxin B and binary toxin. RT695 strains carried antimicrobial resistance genes typically found in clade 5C. difficile. Groups of genetically related RT695 isolates were found between dairy farms, whereas identical strains were only present in individual farms.

Conclusions

C. difficile was found in ∼20% of dairy farms with a predominance of the relatively unknown RT695. Isolates of RT695 belonged to the same clade and sequence type as RT078/126, which is recognized as an important zoonotic type.

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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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