家禽肠道细菌中的ESBL基因、blaTEM、blaOXA和blaSHV:孟加拉国的一种地方性公共卫生负担

S. Nahar, U. Urmi, T. Ali, Adity Rumnaz, T. A. Haque, B. Ara, Mohammed Shah Alam, Abu Syed Md. Mosaddek, Salequl Islam
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引用次数: 1

摘要

背景:在孟加拉国,家禽业在食品部门发挥着重要作用。大量的抗生素被用作农场的预防和生长促进因子。这些不受关注的抗生素使用最终会产生耐药细菌,对人类健康造成重大不利后果。广谱b-内酰胺酶(ESBL)基因负责含有b-内酰胺环的抗生素失活,即青霉素、头孢菌素、单巴菌素和碳青霉烯类抗生素。目的:本研究旨在分析3个ESBL基因在家禽肠道菌群中的分布及相关的抗菌药物敏感性。方法:分析3个ESBL基因在家禽肠道菌群中的分布及相关的抗菌药物敏感性。收集家禽粪便,在半胱氨酸乳糖电解质缺乏(半胱氨酸乳糖电解质缺乏)琼脂和沙门氏菌-志贺菌(沙门氏菌-志贺菌)琼脂上培养,根据菌落特征区分不同的分离株。采用常规生化试验、分析谱指数(API-20E)和16S rRNA序列分析对分离株进行鉴定。采用圆盘扩散法对7组17种抗生素进行药敏试验。随后,采用特异性引物聚合酶链反应(PCR)鉴定ESBL基因(blaTEM, blaSHV, blaOXA)。所有数据均采用SPSS进行分析。结果:从85株家禽粪便中分离出113株。大部分细菌属于肠杆菌科,以变形杆菌、大肠杆菌、克雷伯氏菌、沙门氏菌和肠杆菌为主,检出不同的细菌,分别为克氏菌、克氏菌和艾肯氏菌。大多数禽类分离株对一组以上抗生素具有耐药性。ESBL基因、blaTEM基因检出频率最高(53.9%),其次是blaOXA(52.2%)和blaSHV(23%)。在携带ESBL基因的菌株中观察到更高的表型抗性。结论:本研究揭示了孟加拉国家禽肠道菌群中三个ESBL基因及其表型耐药能力的高频率。当地家禽养殖场过度使用抗生素可能导致抗生素耐药性的出现,对孟加拉国的公共卫生构成威胁。孟加拉国地中海理事会2021年公报;47 (2): 165 - 174
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ESBL Genes, blaTEM, blaOXA, and blaSHV in Poultry Gut Bacteria: An Endemic Public Health Burden in Bangladesh
Background: In Bangladesh, the poultry industry contributes a significant role in the food sector. A vast amount of antibiotic is used as prophylaxis and growth promotion factors in farms. These unconcerned uses of antibiotics ultimately generate resistant bacteria affecting substantial adverse consequences on human health. Extended-spectrum b-lactamase (ESBL) genes are responsible for inactivation of antibiotics containing b-lactam ring, namely, penicillin, cephalosporins, monobactams, and carbapenems. Objectives: This study was designed to analyse the distribution of three ESBL genes and associated antimicrobial susceptibility profile of poultry gut bacteria. Methods: This study was designed to analsze the distribution of three ESBL genes and associated antimicrobial susceptibility profile of poultry gut bacteria. Poultry feces were collected and cultured on cysteine lactose electrolyte deficient (CLED) agar and Salmonella-Shigella (SS) agar to differentiate various isolates based on colony characteristics. Identification of the isolates was made by convention biochemical tests, analytical profile index (API-20E), and 16S rRNA sequence analysis. Antibiotic susceptibility test was done by disc diffusion method using 17 antibiotics from seven groups. Subsequently, polymerase chain reaction (PCR) was employed with a specific primer to identify respective ESBL genes (blaTEM, blaSHV, blaOXA). All data were analysed by SPSS. Results: A total of 113 isolates were identified from 85 poultry feces tested. Most of the bacteria belonged to Enterobacteriaceae family, notably Proteus spp., E. coli, Klebsiella spp., Salmonella spp., and Enterobacter spp. Different bacteria were detected, namely, Kurthia populi, Cronobactersp, and Eikenella corrodens.   Most of the poultry isolates were resistant against more than one group of antibiotics. ESBL gene, blaTEM gene was identified most frequently (53.9%), followed by blaOXA (52.2%), and blaSHV (23%). Higher phenotypic resistance was observed in isolates carrying ESBL genes. Conclusion: This study revealed a very high frequency of three ESBL genes with their phenotypic resistance- capacities in Bangladeshi poultry gut microbiota. Excess uses of antibiotics in local poultry farms may result in the emergence of antibiotic resistance that is imposing public health threatening in Bangladesh. Bangladesh Med Res Counc Bull 2021; 47(2): 165-174
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期刊介绍: The official publication of the Bangladesh Medical Research Council.
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