Acquisition of multidrug-resistant bacteria and colistin resistance genes in French medical students on internships abroad

2021 ◽  
Vol 39 ◽  
pp. 101940
Author(s):  
Thi Loi Dao ◽  
Van Thuan Hoang ◽  
Amal Magmoun ◽  
Tran Duc Anh Ly ◽  
Sophie Alexandra Baron ◽  
...  
Keyword(s):  
Medical Students ◽  
Resistance Genes ◽  
Multidrug Resistant ◽  
Resistant Bacteria ◽  
Colistin Resistance ◽  
Multidrug Resistant Bacteria

scholarly journals Acquisition of Multidrug-Resistant Bacteria and Colistin Resistance Genes in French Medical Students on Internships Abroad

2020 ◽  
Author(s):  
Thi Loi Dao ◽  
Van Thuan Hoang ◽  
Amel Magmoun ◽  
Tran Duc Anh Ly ◽  
Sophie Baron ◽  
...  
Keyword(s):  
Medical Students ◽  
Resistance Genes ◽  
Common Species ◽  
Multidrug Resistant ◽  
Polymerase Chain Reaction Method ◽  
North India ◽  
Resistant Bacteria ◽  
Colistin Resistance ◽  
Extended Spectrum Beta Lactamase ◽  
Before And After

Background: In France, no previous studies had addressed the acquisition of multidrug resistant (MDR) bacteria and colistin resistance genes by medical students when undertaking internships abroad. Methods: Nasopharyngeal, rectal, and vaginal swabs samples were collected from 382 French medical students before and after travel to investigate the acquisition of MDR bacteria. The bacterial diversity in the samples was assessed by culture on selective media. We also genetically characterised the isolates of MDR bacteria including Extended-spectrum beta-lactamase-producing Enterobacteriaceae (ESBL-E), methicillin-resistant Staphylococcus aureus (MRSA), and Carbapenemase-producing Enterobacteriacae (CPE) using the real-time polymerase chain reaction method. The samples were collected from 293 students and were investigated for mcr colistin-resistance genes using RT-PCR directly on the samples, followed by conventional PCR and sequencing. Results: A proportion of 29.3% of the participants had acquired ESBL-E and 2.6% had acquired CPE. The most common species and ESBL-E encoding gene were Escherichia coli (98.4%) and blaCTX-M-A (95.3%), respectively. A proportion of 6.8% of the participants had acquired mcr-1 genes, followed by mcr-3 (0.3%) and mcr-8 (0.3%). We found that taking part in humanitarian missions to orphanages, being in contact with children during travel, the primary destination of travel being Vietnam and north India, using antibiotics during travel, and studying in 2017 were associated with the acquisition of ESBL-E. When the primary destination of travel was Vietnam and the year of study was 2018, this was associated with acquisition of colistin resistance genes. Conclusion: Medical students are at a potential risk of acquiring ESBL-E, CPE and colistin resistance genes. A number of risk factors have been identified, which may be used to develop targeted preventive measures.

scholarly journals Environmental Spread of New Delhi Metallo-β-Lactamase-1-Producing Multidrug-Resistant Bacteria in Dhaka, Bangladesh

2017 ◽  
Vol 83 (15) ◽  
Author(s):  
Mohammad Aminul Islam ◽  
Moydul Islam ◽  
Rashedul Hasan ◽  
M. Iqbal Hossain ◽  
Ashikun Nabi ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Resistance Genes ◽  
Tap Water ◽  
Antibiotic Resistance Genes ◽  
Multidrug Resistant ◽  
Resistant Bacteria ◽  
New Delhi ◽  
Multidrug Resistant Bacteria ◽  
Content Type ◽  
Wastewater Samples

ABSTRACT Resistance to carbapenem antibiotics through the production of New Delhi metallo-β-lactamase-1 (NDM-1) constitutes an emerging challenge in the treatment of bacterial infections. To monitor the possible source of the spread of these organisms in Dhaka, Bangladesh, we conducted a comparative analysis of wastewater samples from hospital-adjacent areas (HAR) and from community areas (COM), as well as public tap water samples, for the occurrence and characteristics of NDM-1-producing bacteria. Of 72 HAR samples tested, 51 (71%) samples were positive for NDM-1-producing bacteria, as evidenced by phenotypic tests and the presence of the bla NDM-1 gene, compared to 5 of 41 (12.1%) samples from COM samples (P < 0.001). All tap water samples were negative for NDM-1-producing bacteria. Klebsiella pneumoniae (44%) was the predominant bacterial species among bla NDM-1-positive isolates, followed by Escherichia coli (29%), Acinetobacter spp. (15%), and Enterobacter spp. (9%). These bacteria were also positive for one or more other antibiotic resistance genes, including bla CTX-M-1 (80%), bla CTX-M-15 (63%), bla TEM (76%), bla SHV (33%), bla CMY-2 (16%), bla OXA-48-like (2%), bla OXA-1 (53%), and bla OXA-47-like (60%) genes. Around 40% of the isolates contained a qnr gene, while 50% had 16S rRNA methylase genes. The majority of isolates hosted multiple plasmids, and plasmids of 30 to 50 MDa carrying bla NDM-1 were self-transmissible. Our results highlight a number of issues related to the characteristics and source of spread of multidrug-resistant bacteria as a potential public health threat. In view of the existing practice of discharging untreated liquid waste into the environment, hospitals in Dhaka city contribute to the potential dissemination of NDM-1-producing bacteria into the community. IMPORTANCE Infections caused by carbapenemase-producing Enterobacteriaceae are extremely difficult to manage due to their marked resistance to a wide range of antibiotics. NDM-1 is the most recently described carbapenemase, and the bla NDM-1 gene, which encodes NDM-1, is located on self-transmissible plasmids that also carry a considerable number of other antibiotic resistance genes. The present study shows a high prevalence of NDM-1-producing organisms in the wastewater samples from hospital-adjacent areas as a potential source for the spread of these organisms to community areas in Dhaka, Bangladesh. The study also examines the characteristics of the isolates and their potential to horizontally transmit the resistance determinants. The significance of our research is in identifying the mode of spread of multiple-antibiotic-resistant organisms, which will allow the development of containment measures, leading to broader impacts in reducing their spread to the community.

scholarly journals Species Diversity of Environmental GIM-1-Producing Bacteria Collected during a Long-Term Outbreak

2016 ◽  
Vol 82 (12) ◽  
pp. 3605-3610 ◽  
Author(s):  
Andreas F. Wendel ◽  
Sofija Ressina ◽  
Susanne Kolbe-Busch ◽  
Klaus Pfeffer ◽  
Colin R. MacKenzie
Keyword(s):  
Resistance Genes ◽  
Multidrug Resistant ◽  
Hospital Environment ◽  
Resistant Bacteria ◽  
Environmental Sampling ◽  
Gram Negative Bacteria ◽  
Multidrug Resistant Bacteria ◽  
Gram Negative ◽  
Content Type

ABSTRACTReports of outbreaks concerning carbapenemase-producing Gram-negative bacteria in which the main source of transmission is the hospital environment are increasing. This study describes the results of environmental sampling in a protracted polyspecies metallo-beta-lactamase GIM-1 outbreak driven by plasmids and bacterial clones ofEnterobacter cloacaeandPseudomonas aeruginosain a tertiary care center. Environmental sampling targeting wet locations (especially sinks) was carried out on a surgical intensive care unit and on a medical ward on several occasions in 2012 and 2013. We were able to demonstrate 43blaGIM-1-carrying bacteria (mainly nonfermenters but alsoEnterobacteriaceae) that were either related or unrelated to clinical strains in 30 sinks and one hair washbasin. GIM-1 was found in 12 different species, some of which are described here as carriers of GIM-1. Forty out of 43 bacteria displayed resistance to carbapenems and, in addition, to various non-beta-lactam antibiotics. Colistin resistance was observed in twoE. cloacaeisolates with MICs above 256 mg/liter. TheblaGIM-1gene was harbored in 12 different class 1 integrons, some without the typical 3′ end. TheblaGIM-1gene was localized on plasmids in five isolates.In vitroplasmid transfer by conjugation was successful in one isolate. The environment, with putatively multispecies biofilms, seems to be an important biological niche for multidrug-resistant bacteria and resistance genes. Biofilms may serve as a “melting pot” for horizontal gene transfer, for dissemination into new species, and as a reservoir to propagate future hospital outbreaks.IMPORTANCEIn Gram-negative bacteria, resistance to the clinically relevant broad-spectrum carbapenem antibiotics is a major public health concern. Major reservoirs for these resistant organisms are not only the gastrointestinal tracts of animals and humans but also the (hospital) environment. Due to the difficulty in eradicating biofilm formation in the latter, a sustained dissemination of multidrug-resistant bacteria from the environment can occur. In addition, horizontal transfer of resistance genes on mobile genetic elements within biofilms adds to the total “resistance gene pool” in the environment. To gain insight into the transmission pathways of a rare and locally restricted carbapenemases resistance gene (blaGIM-1), we analyzed the genetic background of theblaGIM-1gene in environmental bacteria during a long-term polyspecies outbreak in a German hospital.

scholarly journals Investigation of urban birds as source of β-lactamase-producing Gram-negative bacteria in Marseille city, France

2019 ◽  
Vol 61 (1) ◽  
Author(s):  
Edgarthe Priscilla Ngaiganam ◽  
Isabelle Pagnier ◽  
Wafaa Chaalal ◽  
Thongpan Leangapichart ◽  
Selma Chabou ◽  
...  
Keyword(s):  
Resistance Genes ◽  
Antibiotic Resistance Genes ◽  
Multidrug Resistant ◽  
Resistant Bacteria ◽  
Gram Negative Bacteria ◽  
Urban Birds ◽  
Multidrug Resistant Bacteria ◽  
Gram Negative ◽  
E Coli ◽  
Stool Samples

Abstract Background We investigate here the presence of multidrug-resistant bacteria isolated from stool samples of yellow-legged gulls and chickens (n = 136) in urban parks and beaches of Marseille, France. Bacterial isolation was performed on selective media, including MacConkey agar with ceftriaxone and LBJMR medium. Antibiotic resistance genes, including extended-spectrum β-lactamases (ESBL) (i.e. blaCTX-M, blaTEM and blaSHV), carbapenemases (blaKPC, blaVIM, blaNDM, blaOXA-23, blaOXA-24, blaOXA-48 and blaOXA-58) and colistin resistance genes (mcr-1 to mcr-5) were screened by real-time PCR and standard PCR and sequenced when found. Results Of the 136 stools samples collected, seven ESBL-producing Gram-negative bacteria (BGN) and 12 colistin-resistant Enterobacteriaceae were isolated. Among them, five ESBL-producing Escherichia coli and eight colistin-resistant Hafnia alvei strains were identified. Four blaTEM-1 genes were detected in yellow-legged gulls and chickens. Three CTX-M-15 genes were detected in yellow-legged gulls and pigeons, and one CTX-M-1 in a yellow-legged gull. No mcr-1 to mcr-5 gene were detected in colistin-resistant isolates. Genotyping of E. coli strains revealed four different sequence types already described in humans and animals and one new sequence type. Conclusions Urban birds, which are believed to have no contact with antibiotics appear as potential source of ESBL genes. Our findings highlight the important role of urban birds in the proliferation of multidrug-resistant bacteria and also the possible zoonotic transmission of such bacteria from wild birds to humans.

Multidrug Resistant Bacteria: The Fatal Menace in Healthcare

2012 ◽  
Vol 11 (1) ◽  
pp. 31-48
Author(s):  
Suma Sarojini
Keyword(s):  
Gene Transfer ◽  
Lateral Gene Transfer ◽  
Resistance Genes ◽  
Pathogenic Bacteria ◽  
Multidrug Resistant ◽  
Resistant Bacteria ◽  
Human Beings ◽  
Multidrug Resistant Bacteria ◽  
Antibiotic Resistant ◽  
Rate Of Spread

The “antibiotic era” saw the discovery of a lot of wonder drugs which killed pathogenic bacteria without significantly harming the host. Never before had nature and sickness seemed so much within the control of mankind. The hopes soon died down with the reports of antibiotic resistant bacteria. The extensive overuse and misuse of antibiotics by human beings coupled with the alarming rate of spread of resistance genes to other bacteria by horizontal and lateral gene transfer has given the problem a larger dimension in that now we have superbugs resistant to a variety of antibiotics. People need to be informed of the dangers of antibiotics and educated on the forms of illnesses that antibiotics cannot treat.

scholarly journals Emergence of the Mobile Colistin Resistance Gene, mcr-1, in Multidrug-Resistant E. coli Isolated from the Fecal Matter of Toddlers in a Community

2021 ◽  
Author(s):  
Jouman Hassan ◽  
David Mann ◽  
Shaoting Li ◽  
Xiangyu Deng ◽  
Issmat I. Kassem
Keyword(s):  
Resistance Gene ◽  
Multidrug Resistant ◽  
Resistant Bacteria ◽  
Colistin Resistance ◽  
First Line ◽  
Multidrug Resistant Bacteria ◽  
Fecal Matter ◽  
E Coli

Colistin is one of the few first-line options for treating complicated infections with certain multidrug-resistant bacteria (1).…

scholarly journals Antibiotics, Multidrug-Resistant Bacteria, and Antibiotic Resistance Genes: Indicators of Contamination in Mangroves?

Antibiotics ◽  
2021 ◽  
Vol 10 (9) ◽  
pp. 1103
Author(s):  
Oskar A. Palacios ◽  
Jaime Raúl Adame-Gallegos ◽  
Blanca Estela Rivera-Chavira ◽  
Guadalupe Virginia Nevarez-Moorillon
Keyword(s):  
Antibiotic Resistance ◽  
Resistance Genes ◽  
Emerging Contaminants ◽  
Anthropogenic Activities ◽  
Antibiotic Resistance Genes ◽  
Multidrug Resistant ◽  
Resistant Bacteria ◽  
Multidrug Resistant Bacteria ◽  
Antibiotic Resistant ◽  
Mangrove Ecosystems

Multidrug-resistant bacteria and antibiotic resistance genes can be monitored as indicators of contamination in several environments. Mangroves are among the most productive ecosystems, and although they can be resilient to the action of climate phenomena, their equilibrium can be affected by anthropogenic activities. Regarding the presence and persistence of multidrug-resistant bacteria in mangroves, it is common to think that this ecosystem can function as a reservoir, which can disperse the antibiotic resistance capacity to human pathogens, or serve as a filter to eliminate drug-resistant genes. The possible impact of anthropogenic activities carried out near mangroves is reviewed, including wastewater treatment, food production systems, leisure, and tourism. Adverse effects of antibiotic resistance genes or multidrug-resistant bacteria, considered as emerging contaminants, have not been reported yet in mangroves. On the contrary, mangrove ecosystems can be a natural way to eliminate antibiotics, antibiotic-resistant bacteria, and even antibiotic-resistant genes from the environment. Although mangroves’ role in decreasing antibiotics and antibiotic resistance genes from the environment is being proposed, the mechanisms by which these plants reduce these emerging contaminants have not been elucidated and need further studies. Additionally, further evaluation is needed on the effects of antibiotics and antibiotic-resistant bacteria in mangroves to generate an analysis of the human contribution to the degradation of this specific ecosystem as well as to define if these contaminants can be used as indicators of contamination in mangrove ecosystems.

scholarly journals The level of knowledge of students of medical faculty kragujevac about nosocomial infections

2003 ◽  
Vol 131 (3-4) ◽  
pp. 168-172 ◽  
Author(s):  
Milena Ilic ◽  
Ljiljana Markovic-Denic ◽  
Aleksandra Radojkovic ◽  
Sanja Kocic
Keyword(s):  
Medical Students ◽  
Secondary School ◽  
Nosocomial Infections ◽  
Preventive Measures ◽  
Multidrug Resistant ◽  
Nursing School ◽  
Resistant Bacteria ◽  
Cross Sectional Survey ◽  
Multidrug Resistant Bacteria ◽  
Cross Sectional

OBJECTIVE: To investigate differences in clinical and pre-clinical medical students' knowledge of nosocomial infections (NI). DESIGN: Cross-sectional survey. RESULTS: Questionnaires were answered and returned by 352 of 453 student (77.7 %). The results indicated that students knew the definition of NI (70.1 % correct answers) and their reservoirs (86 %). The bacteria as etiological agents was the most frequent answer (76.4 %), but 30.9 % students did not knew at least one multidrug-resistant bacteria. About one half of the students (54.4 %) knew that contact was the most frequent mode of NI transmission, but hand washing as preventive measure was cited by only 18.8 % of students. Significantly statistical differences about NI in our country, etiology NI and preventive measures, and perception of risk for transmission of hepatitis B for health-care personnel were founded by year of training, by expectation that final-year medical students as more successfully, while pre-clinical students knew more about mode of NI transmission. Pre-clinical students who had previously finished nursing school knew more about multidrug-resistant bacteria than those who had finished some other secondary school, but showed a lower knowledge about definition and most important preventive measures of NI. Clinical students who had previously finished nursing school knew more about frequency NI in our country, reservoirs and preventive measures of NI than those who had finished some other secondary school. CONCLUSION: Data support the need for additional information about nosocomial infections, especially practical work in prevention, in order to get complete knowledge about nosocomial infections.

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