健康农场动物中耐多药耐甲氧西林金黄色葡萄球菌的发生:一个公共卫生问题

K. Abdel-moein, Hala M. Zaher
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引用次数: 15

摘要

耐甲氧西林金黄色葡萄球菌(MRSA)是一种严重威胁公共卫生的新兴病原体。本研究旨在调查表面健康的农场动物中耐多药MRSA的发生情况,以阐明这些动物作为这种病原体的潜在宿主的作用。为此目的,从表面上健康的农场动物(52只绵羊、51只山羊、47头牛和45头水牛)抽取195份鼻拭子进行耐多药MRSA筛查。采用选择性显色培养基分离MRSA,通过菌落性状、革兰氏染色膜、常规生化试验、凝固酶试验、对头孢西丁的耐药性以及nuc和mecA基因扩增进行鉴定。采用纸片扩散法进行药敏试验,鉴定耐多药MRSA。195份样品中,7份检出MRSA,总流行率为3.6%,绵羊、山羊、牛和水牛的流行率分别为3.8%、3.9%、4.3%和2.2%。所有MRSA分离株均为耐多药菌株。对获得的分离株的2个mecA基因序列进行系统发育分析发现,这两个序列与来自不同国家的人类临床病例的基因序列聚在同一进化支中,以突出这类菌株的公共卫生负担。多药耐药MRSA在所有被检查的农场动物物种中的分布显然是健康的,这表明农场动物可能是具有公共卫生影响的多药耐药MRSA的潜在宿主。
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Occurrence of multidrug-resistant methicillin-resistant Staphylococcus aureus among healthy farm animals: a public health concern
ABSTRACT Methicillin-resistant Staphylococcus aureus (MRSA) is an emerging pathogen causing serious public health threats. This study was conducted to investigate the occurrence of multidrug-resistant MRSA among apparently healthy farm animals to shed the light on the potential role of these animals as a reservoir for such pathogen. For this purpose, 195 nasal swabs from apparently healthy farm animals (52 sheep, 51 goats, 47 cattle and 45 buffalo) were screened for multidrug-resistant MRSA. MRSA was isolated using a selective chromogenic medium and identified by colonial characters, Gram’s stain films, conventional biochemical tests, coagulase test, resistance to cefoxitin and amplification of nuc and mecA genes. The antimicrobial susceptibility testing profile was performed by disk diffusion method to identify multidrug-resistant MRSA. Of 195 samples, 7 yielded MRSA with an overall prevalence 3.6%, whereas the prevalence rates were 3.8%, 3.9%, 4.3% and 2.2% for sheep, goats, cattle and buffalo, respectively. All MRSA isolates were multidrug-resistant strains. The phylogenetic analysis of 2 mecA gene sequences from the obtained isolates revealed that both sequences were clustered in the same clade with those derived from human clinical cases from different countries to highlight the public health burden of such strains. The distribution of multidrug-resistant MRSA among all examined farm animal species being apparently healthy points out that farm animals could represent a potential reservoir for multidrug-resistant MRSA with public health implications.
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CiteScore
4.80
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0.00%
发文量
12
审稿时长
24 weeks
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