1207. Acquisition and Quantification of Antimicrobial Resistance Genes in the Gut Microbiome of Ugandan Women Exposed to Small-Scale Chicken Farming

Abstract Background Antibiotic use in livestock farming is thought to be a major contributor to the spread of antimicrobial resistance (AMR) genes in humans. However, quantitative data in this in this field are rare. To address this gap in the literature, we examined the prevalence of clinically important AMR genes before and after the introduction of chicken farming among women in rural Uganda. Methods We recruited a subset of women participating in a waitlist-randomized controlled trial of small-scale hybrid chicken farming in rural Uganda. Tetracycline is routinely administered to chicks during brooding. Stool samples before and one year after chicken introduction were obtained from six women randomized to the control arm, from five women randomized to the intervention arm, and from chickens. Microbial DNA was extracted from chicken and human stool and screened for 87 AMR genes using validated qPCR arrays (Qiagen). Results The median age was 35 years. At baseline, 10 of the women reported animal contact, most commonly goats (n = 8), free ranging village chickens (n = 7), cats (n = 4), and dogs (n = 4). During baseline testing of the women’s stool, we detected 18 genes conferring AMR to aminoglycosides, fluoroquinolones, macrolides, lincosamides, streptogramin B, Class A-C β-lactamases and tetracycline efflux pumps. Chickens harbored 23 AMR genes from the same classes as found in humans, and were also found to have vancomycin resistance genes (Van B and C) and Group D β-lactamases (OXA-58 and OXA-10). At one year, six new AMR genes emerged in controls, including one present in chickens; CTX-M-1, a Class A β-lactamase. In contrast, seven new AMR genes emerged in the intervention group, including four present in chickens: SHV, SHV(238G240E), (Class A β lactamases) and QnrS, QnrB-5 (fluoroquinolone resistance genes). Two AMR genes gained by both control and intervention groups were not present in chickens. Conclusion Women exposed to small-scale chicken farming acquired more AMR genes compared with unexposed participants. Chickens harbored many of the genes that emerged in humans. Introduction of antibiotic-treated animals may result in the transfer of AMR genes from animals to humans, even among humans exposed to a wide range of animals at baseline. Disclosures All authors: No reported disclosures.

Download Full-text

Gut carriage of antimicrobial resistance genes in women exposed to small-scale poultry farms in rural Uganda: a feasibility study

10.1101/2020.02.13.947226 ◽

2020 ◽

Author(s):

Ana A. Weil ◽

Meti D. Debela ◽

Daniel M. Muyanja ◽

Bernard Kakuhikire ◽

Charles Baguma ◽

...

Keyword(s):

Antimicrobial Resistance ◽

Feasibility Study ◽

Resistance Genes ◽

Direct Contact ◽

Small Scale ◽

Control Group ◽

Link Type ◽

Antimicrobial Resistance Genes ◽

One Year ◽

Animal Exposure

ABSTRACTBackgroundAntibiotic use as growth promoters for livestock is presumed to be a major contributor to the acquisition of antimicrobial resistance (AMR) genes in humans, yet data evaluating AMR patterns in the setting of animal exposure are limited to observational studies that do not capture data from prior to livestock introduction.MethodsWe performed a feasibility study by recruiting a subset of women in a delayed-start randomized controlled trial of small-scale chicken farming in order to examine the prevalence of clinically-relevant AMR genes. Stool samples were obtained at baseline and one year from five intervention women who received chickens at the start of the study, six control women who did not receive chickens until the end of the study, and from chickens provided to the control group at the end of the study. Stool was screened for 87 clinically significant AMR genes using a commercially available qPCR array (Qiagen).ResultsChickens harbored 23 AMR genes from classes also found in humans as well as vancomycin and additional β-lactamase resistance genes. After one year of exposure to chickens, six new AMR genes were detected in controls and seven new AMR genes were detected in the intervention group. Women who had direct contact with the chickens sampled in the study had greater similarities in AMR resistance gene patterns to chickens than those who did not have direct contact with chickens sampled (p = 0.006). There was a trend towards increased similarity in AMR gene patterns with chickens at one year (p = 0.12).ConclusionsChickens and humans in this study harbored AMR genes from many antimicrobial classes at both baseline and follow up timepoints. Studies designed to evaluate human AMR genes in the setting of animal exposure should account for high baseline AMR rates, and consider collecting concomitant animal samples, human samples, and environmental samples over time to determine the directionality and source of AMR genes.Trial registration: ClinicalTrials.gov Identifier: NCT02619227

Download Full-text

322. Evaluation of the BioFire® Bone and Joint Infection (BJI) Panel for the Detection of Microorganisms and Antimicrobial Resistance Genes in Synovial Fluid Specimens

Open Forum Infectious Diseases ◽

10.1093/ofid/ofaa439.518 ◽

2020 ◽

Vol 7 (Supplement_1) ◽

pp. S233-S234

Author(s):

Corrin Graue ◽

Bryan H Schmitt ◽

Amy Waggoner ◽

Frederic Laurent ◽

Lelia Abad ◽

...

Keyword(s):

Antimicrobial Resistance ◽

Synovial Fluid ◽

Resistance Genes ◽

Clinical Care ◽

Joint Infection ◽

High Morbidity ◽

Bone And Joint Infection ◽

Microbiological Methods ◽

Antimicrobial Resistance Genes ◽

Wide Range

Abstract Background Bone and Joint Infections (BJIs) present with non-specific symptoms that may include pain, swelling, and fever and are associated with high morbidity and significant risk of mortality. BJIs can be caused by a variety of bacteria and fungi, including anaerobes and microorganisms that can be challenging to culture or identify by traditional microbiological methods. Clinicians primarily rely on culture to identify the pathogen(s) responsible for infection. The BioFire® Bone and Joint Infection (BJI) Panel (BioFire Diagnostics, Salt Lake City, UT) is designed to detect 15 gram-positive bacteria (including seven anaerobes), 14 gram-negative bacteria (including one anaerobe), two yeast, and eight antimicrobial resistance (AMR) genes from synovial fluid specimens in about an hour. The objective of this study was to evaluate the performance of an Investigational Use Only (IUO) version of the BioFire BJI Panel compared to various reference methods. Methods Remnant synovial fluid specimens, which were collected for routine clinical care at 13 study sites in the US and Europe, underwent testing using an IUO version of the BioFire BJI Panel. Performance of this test was determined by comparison to Standard of Care (SoC) consisting of bacterial culture performed at each study site according to their routine procedures. Results A total of 1544 synovial fluid specimens were collected and tested with the BioFire BJI Panel. The majority of specimens were from knee joints (77.9%) and arthrocentesis (79.4%) was the most common collection method. Compared to SoC culture, overall sensitivity was 90.2% and specificity was 99.8%. The BioFire BJI Panel yielded a total of 268 Detected results, whereas SoC yielded a total of 215 positive results for on-panel analytes. Conclusion The BioFire BJI Panel is a sensitive, specific, and robust test for rapid detection of a wide range of analytes in synovial fluid specimens. The number of microorganisms and resistance genes included in the BioFire BJI Panel, together with a reduced time-to-result and increased diagnostic yield compared to culture, is expected to aid in the timely diagnosis and appropriate management of BJIs. Disclosures Benjamin von Bredow, PhD, BioFire (Grant/Research Support) Jennifer Dien Bard, PhD, BioFire Diagnostic (Consultant, Scientific Research Study Investigator) Bart Kensinger, PhD, BioFire Diagnostics (Employee) Benedicte Pons, PhD, bioMerieux SA (Employee) Corinne Jay, PhD, bioMerieux SA (Employee)

Download Full-text

Multi-omic surveillance of Escherichia coli and Klebsiella spp. in hospital sink drains and patients

10.1101/2020.02.19.952366 ◽

2020 ◽

Author(s):

B Constantinides ◽

KK Chau ◽

TP Quan ◽

G Rodger ◽

M Andersson ◽

...

Keyword(s):

Escherichia Coli ◽

Antimicrobial Resistance ◽

Resistance Genes ◽

Bacterial Infections ◽

Wide Spectrum ◽

Klebsiella Oxytoca ◽

Clinical Disease ◽

E Coli ◽

Antimicrobial Resistance Genes ◽

Wide Range

ABSTRACTEscherichia coli and Klebsiella spp. are important human pathogens that cause a wide spectrum of clinical disease. In healthcare settings, sinks and other wastewater sites have been shown to be reservoirs of antimicrobial-resistant E. coli and Klebsiella spp., particularly in the context of outbreaks of resistant strains amongst patients. Without focusing exclusively on resistance markers or a clinical outbreak, we demonstrate that many hospital sink drains are abundantly and persistently colonised with diverse populations of E. coli, Klebsiella pneumoniae and Klebsiella oxytoca, including both antimicrobial-resistant and susceptible strains. Using whole genome sequencing (WGS) of 439 isolates, we show that environmental bacterial populations are largely structured by ward and sink, with only a handful of lineages, such as E. coli ST635, being widely distributed, suggesting different prevailing ecologies which may vary as a result of different inputs and selection pressures. WGS of 46 contemporaneous patient isolates identified one (2%; 95% CI 0.05-11%) E. coli urine infection-associated isolate with high similarity to a prior sink isolate, suggesting that sinks may contribute to up to 10% of infections caused by these organisms in patients on the ward over the same timeframe. Using metagenomics from 20 sink-timepoints, we show that sinks also harbour many clinically relevant antimicrobial resistance genes including blaCTX-M, blaSHV and mcr, and may act as niches for the exchange and amplification of these genes. Our study reinforces the potential role of sinks in contributing to Enterobacterales infection and antimicrobial resistance in hospital patients, something that could be amenable to intervention.IMPORTANCEEscherichia coli and Klebsiella spp. cause a wide range of bacterial infections, including bloodstream, urine and lung infections. Previous studies have shown that sink drains in hospitals may be part of transmission chains in outbreaks of antimicrobial-resistant E. coli and Klebsiella spp., leading to colonisation and clinical disease in patients. We show that even in non-outbreak settings, contamination of sink drains by these bacteria is common across hospital wards, and that many antimicrobial resistance genes can be found and potentially exchanged in these sink drain sites. Our findings demonstrate that the colonisation of handwashing sink drains by these bacteria in hospitals is likely contributing to some infections in patients, and that additional work is needed to further quantify this risk, and to consider appropriate mitigating interventions.

Download Full-text

Differential overlap in human and animal fecal microbiomes and resistomes in rural versus urban Bangladesh

10.1101/2021.05.13.21257188 ◽

2021 ◽

Author(s):

Jenna M Swarthout ◽

Erica R Fuhrmeister ◽

Latifah Hamzah ◽

Angela Harris ◽

Mir A. Ahmed ◽

...

Keyword(s):

Antimicrobial Resistance ◽

Urban Communities ◽

Resistance Genes ◽

Low Income ◽

Urban Areas ◽

Pathogenic Bacteria ◽

Small Scale ◽

Rrna Gene ◽

Antimicrobial Resistance Genes ◽

Long Read

Background Low- and middle-income countries (LMICs) bear the largest mortality burden due to antimicrobial-resistant infections. Small-scale animal production and free-roaming domestic animals are common in many LMICs, yet data on zoonotic exchange of gut bacteria and antimicrobial resistance genes (ARGs) in low-income communities are sparse. Differences between rural and urban communities in population density, antibiotic use, and cohabitation with animals likely influence the frequency of transmission of gut bacterial communities and ARGs between humans and animals. Here, we determined the similarity in gut microbiomes, using 16S rRNA gene amplicon sequencing, and resistomes, using long-read metagenomics, between humans, chickens, and goats in rural compared to urban Bangladesh. Results Gut microbiomes were more similar between humans and chickens in rural (where cohabitation is more common) compared to urban areas, but there was no difference for humans and goats. Urbanicity did not impact the similarity of human and animal resistomes; however, ARG abundance was higher in urban animals compared to rural animals. We identified substantial overlap of ARG alleles in humans and animals in both settings. Humans and chickens had more overlapping ARG alleles than humans and goats. All fecal hosts carried ARGs on contigs classified as potentially pathogenic bacteria, including Escherichia coli, Campylobacter jejuni, Clostridiodes difficile, and Klebsiella pneumoniae. Conclusions While the development of antimicrobial resistance in animal gut microbiomes and subsequent transmission to humans has been demonstrated in intensive farming environments and high-income countries, evidence of zoonotic exchange of antimicrobial resistance in LMIC communities is lacking. This research provides genomic evidence of overlap of antimicrobial resistance genes between humans and animals, especially in urban communities, and highlights chickens as important reservoirs of antimicrobial resistance. Chicken and human gut microbiomes were more similar in rural Bangladesh, where cohabitation is more common. Incorporation of long-read metagenomics enabled characterization of bacterial hosts of resistance genes, which has not been possible in previous culture-independent studies using only short-read sequencing. These findings highlight the importance of developing strategies for combatting antimicrobial resistance that account for chickens being reservoirs of ARGs in community environments, especially in urban areas.

Download Full-text

Extensive antimicrobial resistance and plasmid-carrying resistance genes in mcr-1-positive E. coli sampled in swine, in Guangxi, South China

10.21203/rs.2.13699/v4 ◽

2021 ◽

Author(s):

Jingzhi Yuan ◽

Xiaoye Wang ◽

Dali Shi ◽

Qiang Ge ◽

Xingxing Song ◽

...

Keyword(s):

Antimicrobial Resistance ◽

South China ◽

Resistance Genes ◽

Antimicrobial Agents ◽

Health And Safety ◽

Drug Resistant ◽

Potential Threat ◽

E Coli ◽

Antimicrobial Resistance Genes ◽

Wide Range

Abstract Background: The discovery of the superbug mcr-1-positive Escherichia coli (MCRPEC) has attracted worldwide attention. Swine-origin multi-drug resistant MCRPEC is a potential threat to public health and safety. To date, few detailed studies have been reported on swine MCRPEC in Guangxi, South China.Results: In this study, thirty-three MCRPEC strains were identified from 142 E. coli strains isolated from 116 samples in Guangxi in 2018. All MCRPEC isolates were classified into eight unique STs and a total of six incompatibility plasmid groups (IncFI, IncHI1, IncY, IncN, IncI1 and IncX1) were found. Then, susceptibility of MCRPEC isolates to 27 antimicrobial agents belonging to 17 antimicrobial categories was tested. There were nineteen 3rd and 4th generation cephalosporins resistant E. coli and twelve carbapenem resistant E. coli among the 33 MCRPEC strains. Importantly, the MCRPEC were highly resistant to two carbapenem antibiotics, imipenem and meropenem, which were not permitted for use in livestock production. Three MCRPEC strains were further identified to be extensively drug-resistant (XDR), and the other isolates were recognized as multi-drug-resistant (MDR). Moreover, we detected whether the plasmid-carrying resistance genes coexist with the mcr-1 gene of the MCRPEC isolates. At last, β-lactamase antimicrobial resistance genes such as ESBL genes (blaCTX-M14, blaCTX-M24, blaCTX-M123, blaOXA-1), plasmid-mediated AmpC (pAmpC) gene (blaCMY-2), and the carbapenem gene blaNDM-5 were detected. In addition, non-β-lactamase antimicrobial resistance genes such as qnrA, qnrB, qnrS, aac(6’)-Ib-cr, tetA, tetB, sul1, sul2, floR, aadA were also detected.Conclusion: Thirty-three mcr-1-positive E. coli isolates in Guangxi had a wide range of antimicrobial resistance. Plasmid-carrying resistance genes might be the main cause of MCRPEC multidrug resistance. This study highlighted the necessity for long-term surveillance of mcr-1-positive E. coli in pigs.

Download Full-text

Extensive antimicrobial resistance and plasmid-carrying resistance genes in mcr-1-positive E. coli sampled in swine, in Guangxi, South China

10.21203/rs.2.13699/v3 ◽

2020 ◽

Author(s):

Jingzhi Yuan ◽

Xiaoye Wang ◽

Dali Shi ◽

Qiang Ge ◽

Xingxing Song ◽

...

Keyword(s):

Antimicrobial Resistance ◽

South China ◽

Resistance Genes ◽

Antimicrobial Agents ◽

Health And Safety ◽

Drug Resistant ◽

Potential Threat ◽

E Coli ◽

Antimicrobial Resistance Genes ◽

Wide Range

Abstract Background: The discovery of the superbug mcr-1 -positive Escherichia coli (MCRPEC) has attracted worldwide attention. Swine-origin multi-drug resistant MCRPEC is a potential threat to public health and safety. To date, few detailed studies have been reported on swine MCRPEC in Guangxi, South China. Results: In this study, thirty-three MCRPEC strains were identified from 142 E. coli strains isolated from 116 samples in Guangxi in 2018. All MCRPEC isolates were classified into eight unique STs and a total of six incompatibility plasmid groups (IncFI, IncHI1, IncY, IncN, IncI1 and IncX1) were found. Then, susceptibility of MCRPEC isolates to 27 antimicrobial agents belonging to 17 antimicrobial categories was tested. There were nineteen 3rd and 4th generation cephalosporins resistant E. coli and twelve carbapenem resistant E. coli among the 33 MCRPEC strains. Importantly, the MCRPEC were highly resistant to two carbapenem antibiotics, imipenem and meropenem, which were not permitted for use in livestock production. Three MCRPEC strains were further identified to be extensively drug-resistant (XDR), and the other isolates were recognized as multi-drug-resistant (MDR). Moreover, we detected whether the plasmid-carrying resistance genes coexist with the mcr-1 gene of the MCRPEC isolates. At last, β-lactamase antimicrobial resistance genes such as ESBL genes ( bla CTX-M14 , bla CTX-M24 , bla CTX-M123 , bla OXA-1 ), plasmid-mediated AmpC (pAmpC) gene ( bla CMY-2 ), and the carbapenem gene bla NDM-5 were detected. In addition, non-β-lactamase antimicrobial resistance genes such as qnrA , qnrB , qnrS , aac(6’)-Ib-cr , tetA , tetB , sul1 , sul2 , floR , aadA were also detected. Conclusion: Thirty-three mcr-1 -positive E. coli isolates in Guangxi had a wide range of antimicrobial resistance. Plasmid-carrying resistance genes might be the main cause of MCRPEC multidrug resistance. This study highlighted the necessity for long-term surveillance of mcr-1 -positive E. coli in pigs.

Download Full-text

Gut carriage of antimicrobial resistance genes in women exposed to small-scale poultry farms in rural Uganda: A feasibility study

PLoS ONE ◽

10.1371/journal.pone.0229699 ◽

2020 ◽

Vol 15 (6) ◽

pp. e0229699

Author(s):

Ana A. Weil ◽

Meti D. Debela ◽

Daniel M. Muyanja ◽

Bernard Kakuhikire ◽

Charles Baguma ◽

...

Keyword(s):

Antimicrobial Resistance ◽

Feasibility Study ◽

Resistance Genes ◽

Small Scale ◽

Antimicrobial Resistance Genes ◽

Poultry Farms

Download Full-text

Methicillin-Resistant Staphylococcus aureus Clonal Complex 398 as a Major MRSA Lineage in Dogs and Cats in Thailand

Antibiotics ◽

10.3390/antibiotics10030243 ◽

2021 ◽

Vol 10 (3) ◽

pp. 243

Author(s):

Surawit Chueahiran ◽

Jitrapa Yindee ◽

Pongthai Boonkham ◽

Nipattra Suanpairintr ◽

Pattrarat Chanchaithong

Keyword(s):

Staphylococcus Aureus ◽

Antimicrobial Resistance ◽

Resistance Genes ◽

Methicillin Resistant Staphylococcus Aureus ◽

Clonal Complex ◽

Clinical Samples ◽

Methicillin Resistant ◽

Class A ◽

Antimicrobial Resistance Genes ◽

Mrsa St398

The aim of this study was to present molecular and antimicrobial resistance characteristics of methicillin-resistant Staphylococcus aureus (MRSA) clonal complex (CC) 398 isolated from diseased dogs and cats in Thailand. A total of 20 MRSA isolates of 134 Staphylococcus aureus isolated from canine and feline clinical samples during 2017–2020 were CC398, consisting of sequence type (ST) 398 (18 isolates), ST5926 (1 isolate), and ST6563 (1 isolate) by multilocus sequence typing. spa t034 and staphylococcal cassette chromosome mec (SCCmec) V were predominantly associated with ST398. Intraclonal differentiation was present by additional spa (t1255, t4653), non-detectable spa, composite SCCmec with a hybrid of ccrA1B1+ccrC and class A mec complex, and DNA fingerprints by pulsed-field gel electrophoresis. The isolates essentially carried antimicrobial resistance genes, mediating multiple resistance to β-lactams (mecA, blaZ), tetracyclines [tet(M)], aminoglycosides [aac(6′)-Ie-aph(2′)-Ia], and trimethoprim (dfr). Livestock-associated MRSA ST398 resistance genes including lnu(B), lsa(E), spw, fexA, and tet(L) were heterogeneously found and lost in subpopulation, with the absence or presence of additional erm(A), erm(B), and ileS2 genes that corresponded to resistance phenotypes. As only a single CC398 was detected with the presence of intraclonal variation, CC398 seems to be the successful MRSA clone colonizing in small animals as a pet-associated MRSA in Thailand.

Download Full-text

One year cross-sectional study in adult and neonatal intensive care units reveals the bacterial and antimicrobial resistance genes profiles in patients and hospital surfaces

PLoS ONE ◽

10.1371/journal.pone.0234127 ◽

2020 ◽

Vol 15 (6) ◽

pp. e0234127 ◽

Cited By ~ 2

Author(s):

Ana Paula Christoff ◽

Aline Fernanda Rodrigues Sereia ◽

Giuliano Netto Flores Cruz ◽

Daniela Carolina de Bastiani ◽

Vanessa Leitner Silva ◽

...

Keyword(s):

Intensive Care ◽

Antimicrobial Resistance ◽

Resistance Genes ◽

Neonatal Intensive Care ◽

Cross Sectional Study ◽

Neonatal Intensive Care Units ◽

Sectional Study ◽

Cross Sectional ◽

Antimicrobial Resistance Genes ◽

One Year

Download Full-text

Tn6450, a Novel Multidrug Resistance Transposon Characterized in a Proteus mirabilis Isolate from Chicken in China

Antimicrobial Agents and Chemotherapy ◽

10.1128/aac.02192-17 ◽

2018 ◽

Vol 62 (4) ◽

pp. e02192-17 ◽

Cited By ~ 7

Author(s):

Yan-Peng Chen ◽

Chang-Wei Lei ◽

Ling-Han Kong ◽

Jin-Xin Zeng ◽

Xiu-Zhong Zhang ◽

...

Keyword(s):

Multidrug Resistance ◽

Antimicrobial Resistance ◽

Resistance Genes ◽

Proteus Mirabilis ◽

Mobile Elements ◽

Fluoroquinolone Resistance ◽

Class 1 Integron ◽

Content Type ◽

Antimicrobial Resistance Genes ◽

Class 1

ABSTRACT A novel 65.8-kb multidrug resistance transposon, designated Tn6450, was characterized in a Proteus mirabilis isolate from chicken in China. Tn6450 contains 18 different antimicrobial resistance genes, including cephalosporinase gene blaDHA-1 and fluoroquinolone resistance genes qnrA1 and aac(6′)-Ib-cr. It carries a class 1/2 hybrid integron composed of intI2 and a 3′ conserved segment of the class 1 integron. Tn6450 is derived from Tn7 via acquisition of new mobile elements and resistance genes.

Download Full-text