Development and application of statistical methodology for analysis of the phenomenon of multi‐drug resistance in the EU: demonstration of analytical approaches using antimicrobial resistance isolate‐based data

Background: Transmission of antibiotic resistance from animal food chain to human through animal food-borne pathogens have led to increased public concern. Wider surveillance on prevalence of antibiotic resistance in E. coli will provide information on evolution of resistance in various geographical locations. The purpose of this study was to investigate the presence of antimicrobial resistance of E. coli isolates from poultry under various farming system in A and N Islands and resistance genes of tet, ctx-M and aac encoding the isolates. Methods: Isolates were obtained from cloacal swabs in poultry under various farming systems and tested against major antimicrobial derivatives to study multi drug resistance. The presence of genes associated with resistance to tetracycline (tet A), ESBL (CTX-M) and Gentamycin (aac(3)-IV) were determined by PCR. Result: A total of 126 cloacal samples were analysed out of which 31.38% of the E.coli isolates from poultry under various farming systems were producing extended spectrum beta-lactamases and were multiple antimicrobial resistant. Poultry birds of commercial farms showed higher resistance levels (37.5%) than organised farms (24.76%) and desi birds (31.88%). Results indicate a high level of multi-drug resistance is emerging even in desi birds. It is suggested that an antimicrobial resistance surveillance program is needed in A and N Islands in order to detect bacterial resistance among rural poultry production as the 80 percentage of total poultry population belong to desi birds.

Download Full-text

Antimicrobial Resistance and Multi-Drug Resistance Patterns of Pathogenic Bacteria Isolated from Food Poisoning Patients in Incheon

The Korean Journal of Food And Nutrition ◽

10.9799/ksfan.2013.26.1.132 ◽

2013 ◽

Vol 26 (1) ◽

pp. 132-136 ◽

Cited By ~ 1

Author(s):

Myung-Je Huh ◽

Sung-Suck Oh ◽

Jae-Seon Jang

Keyword(s):

Drug Resistance ◽

Antimicrobial Resistance ◽

Pathogenic Bacteria ◽

Food Poisoning ◽

Multi Drug Resistance ◽

Resistance Patterns

Download Full-text

Diverse non-typhoidal Salmonella serovars with multi-drug resistance potentials isolated from chicken faeces in Ogun State, Nigeria

Sokoto Journal of Veterinary Sciences ◽

10.4314/sokjvs.v19i2.4 ◽

2021 ◽

Vol 19 (2) ◽

pp. 98-105

Author(s):

M. Agbaje ◽

B. Awosile ◽

O.O. Kehinde ◽

E.O. Omoshaba ◽

M.A. Dipeolu ◽

...

Keyword(s):

Drug Resistance ◽

Antimicrobial Resistance ◽

Multi Drug Resistance ◽

Southwestern Nigeria ◽

Ogun State ◽

Faecal Samples ◽

Poultry Farms ◽

Increasing Trend ◽

Resistance Patterns ◽

Salmonella Serovars

This study was carried out in selected poultry farms to determine the prevalence, distribution and antimicrobial resistance patterns in Salmonella serovars in Ogun State, South-western Nigeria. A total of 200 faecal samples were aseptically collected from the four geographical zones of Ogun State, Nigeria. Seventy-eight Salmonella isolates spread across 39 serovars and representing a prevalence of 39% was recovered. Salmonella Urbana (n=7), Salmonella Kingston (n=6) and Salmonella Agama (n=5) serovars were more commonly isolated. Resistance was most common to ciprofloxacin (29.5%; n=23/78). Multi-drug resistance (MDR) was observed in 15.4% (n=12/78) of the isolates spread across 7 serovars: S. Kentucky, S. Telelkebir, S. Virchow, S. Blockley, S. Chomedey, S. Haifa, and S. Isangi. The study showed the diversity of Salmonella serovars and the increasing trend of antimicrobial resistance in poultry farms in Ogun State, Southwestern Nigeria.

Download Full-text

Detection and Antimicrobial Resistance of Staphylococcus spp from Chicken, Litter and Humans in Addis Ababa, Ethiopia

10.21203/rs.3.rs-75490/v2 ◽

2021 ◽

Author(s):

Fufa Abunna ◽

Biyanasa Adugna ◽

Takele Beyene Tufa ◽

Dinka Ayana ◽

Fanta D. Gutema ◽

...

Keyword(s):

Drug Resistance ◽

Antimicrobial Resistance ◽

Addis Ababa ◽

Poultry Meat ◽

Animal Origin ◽

Multi Drug Resistance ◽

Considerable Proportion ◽

Chicken Litter ◽

Chicken Farm ◽

Staphylococcus Spp

Abstract Background: In veterinary medicine, three Staphylococcus species are of particular importance as a primary cause of specific diseases; S. aureus (mastitis in ruminants, equine botryomycosis and bumble foot in poultry), S. hycus (porcine exudative epidermitis) and S. intermedius (canine pyoderma). The disease conditions caused by Staphylococcus in poultry vary with the site, the route and predisposing factors include wounds as a result of fighting/cannibalism, immunosuppression based on virus infections or parasite infestations, and bad husbandry conditions (overcrowding). Besides their role as colonizer or pathogen in different hosts, Staphylococcus, which colonizes food-producing animals, can contaminate carcasses during slaughter and play a role as contaminant in the subsequent manufacturing process in food of animal origin, such as pork, beef, veal, milk, poultry meat or poultry meat products Methods: A cross-sectional study was conducted on apparently healthy chicken, farm personnel and litter at chicken farms in Addis Ababa, Ethiopia from March 2015 to May 2015. The objectives of this study were to isolate and identify Staphylococcus spp from chicken, litter and personnel at chicken farm; and to determine the antimicrobial susceptibility profile of the isolates. A total of 222 samples consisting of 101 cloacal swabs, 90 tracheal swabs, 17 pooled litter swabs, 7 nasal swabs and 7 pooled hands and boot swabs were collected from six farms and examined for the presence of Staphylococcus species and antimicrobial resistance against 10 antimicrobial agents following recommended standard procedures. Results: The result showed that the overall proportion of Staphylococcus was 64/222 (28.83%). Of the isolates 40/64 (62.5%), 11/64 (17.2%), 3/64 (4.7%) and 10/64 (15.6%), were S. aureus, S. hycus, S. intermedius and CNS, respectively. Only one isolate of S. aureus was susceptible to all antimicrobials tested Of the 10 antibiotics tested, Penicillin G showed the highest (96.9%) resistance followed by Tetracycline (78.1%), Amoxicillin and Erythromycin at the same level (65.6%). Conversely, Ciprofloxacin showed the highest susceptibility (95.3%) followed by Sulphamethoxazole-trimethoprim (85.9%). Out of 64 isolates, 61/64 (95.3%) were resistant to three or more antimicrobials tested. Of the isolates, 38/40 (95%) S. aureus, 10/11 (90.9%) S. hycus, 3/3 (100%) S. intermedius and 10/10(100%) CNS showed multi drug resistance (to three or more antimicrobials). Conclusion: This study showed considerable proportion of Staphylococcus spp in chicken, litter and farm workers with a potential source of resistant Staphylococcus species more importantly multi drug resistance strains. Further study on molecular characterization of the isolates will be essential to identify the resistant genes and establish epidemiological link in the transmission dynamics of resistant Staphylococcus species between poultry and humans.

Download Full-text

Salmonella Heidelberg Isolated from Poultry Shows a Novel Resistance Profile

Acta Scientiae Veterinariae ◽

10.22456/1679-9216.81294 ◽

2018 ◽

Vol 44 (1) ◽

pp. 6 ◽

Cited By ~ 2

Author(s):

Gabriella Bassi das Neves ◽

Lenita Moura Stefani ◽

Eduarda Pick ◽

Denise Nunes Araujo ◽

Jéssica Giuriatti ◽

...

Keyword(s):

Drug Resistance ◽

Antimicrobial Resistance ◽

Nalidixic Acid ◽

Multiple Drug Resistance ◽

Horizontal Transmission ◽

Multi Drug Resistance ◽

Disk Diffusion Test ◽

Resistance Profile ◽

Drug Resistance Pattern ◽

Field Samples

Background: The development of antimicrobial resistance in bacteria is a serious public health issue worldwide. Salmonella spp. is considered a leader cause of gastrointestinal disease in animals and humans, and poultry products have been reported as an important reservoir of the bacterium. S. Heidelberg became lately one of the most prevalent serovars found in several countries. However, hardly any information is available about the epidemiology and the resistance profile of it. Therefore, the objective of this study was to determine the antibiotic resistance profile of S. Heidelberg (SH) and to compare to S. Enteritidis (SE) and S. Typhimurium (ST) isolated from the Southern part of Brazil.Materials, Methods & Results: A total of 162 Salmonella isolates of poultry origin serotyped as SH (54), SE (54), and ST (54) were submitted to the disk-diffusion test with disks containing 10 antibiotics of 7 different classes, routinely used in veterinary and human medicine such as: enrofloxacin, ciprofloxacin, norfloxacin, gentamicin, ceftiofur, ceftriaxone, nalidixic acid, tetracycline, sulfamethoxazole-trimethoprim, and chloramphenicol. In addition, the Multi-drug Resistance Pattern (MDRP) and the Multiple-Drug Resistance Index (MDRI) were determined. The Chi-square (χ2) test with 1% of significance level was used to statistically evaluate the results. All isolates were susceptible to norfloxacin, enrofloxacin, and ciprofloxacin. The majority of the isolates were resistant to the quinolone class (68%), more specifically to nalidixic acid, which is considered a synthetic quinolone, followed by penicillin (47%) and cephalosporin (16%). Overall, SH isolates showed higher resistance compared to ST and SE (18, 16.5, and 9.6%, respectively). SH isolated from field samples, mainly drag swabs, showed higher resistance levels (24.2%) than those isolated from slaughterhouses (5.6%). SH showed the highest percentage of resistance to ceftiofur (31.5%), ceftriaxone (9.3%), and tetracycline (64.8%) in comparison to the other two serotypes. Most of the SH isolates were resistant to at least two (66.7%), three or more antibiotics (33.3%). A different scenario was observed for ST and SE, where 25.9 and 9.3% were susceptible to at least one drug, respectively. The most common pattern of resistance (MDRP) was C (gentamicin - nalidixic acid - tetracycline) for 14 SH isolates, and A (ceftiofur - nalidixic acid - tetracycline) for 12 SH isolates. MDRI indicated that 22.8% of all isolates were multidrug resistant. SH was the isolate with the largest variety of resistance patterns compared to ST and SE, where 11.7% of the isolates were resistant to more than three antibiotics. In addition, SH showed the greatest MDRI (0.25) ranging from 0.2 to 0.5.Discussion: SH was resistant to almost all antibiotics tested and showed multi-drug resistant profile, therefores, it showed a potential for horizontal transmission of resistance genes. Additionally, SH showed a higher resistance profile for ceftiofur, an important antibiotic used in poultry, which can cross-resist to ceftriaxone, commonly used to treat salmonellosis in children. Our results showed that SH is a real challenge regarding antimicrobial resistance. This scenario leads to the need for rational and judicious use of antimicrobials in poultry and, as an alert to the medical community.

Download Full-text

Re-Emergence of Salmonellosis in Hog Farms: Outbreak and Bacteriological Characterization

Microorganisms ◽

10.3390/microorganisms9050947 ◽

2021 ◽

Vol 9 (5) ◽

pp. 947

Author(s):

Mariana Meneguzzi ◽

Caroline Pissetti ◽

Raquel Rebelatto ◽

Julian Trachsel ◽

Suzana Satomi Kuchiishi ◽

...

Keyword(s):

Drug Resistance ◽

Antimicrobial Resistance ◽

Resistance Genes ◽

High Rate ◽

Multi Drug Resistance ◽

Marker Genes ◽

Genotypic Resistance ◽

Clonal Group ◽

Hog Farms

Clinical salmonellosis has been increasing significantly in Brazil in recent years. A total of 130 outbreaks distributed among 10 swine-producing states were investigated. One representative Salmonella isolate from each outbreak was characterized through serotyping, antimicrobial resistance profiles, PFGE, and WGS. From 130 outbreaks: 50 were enteric, 48 were septicemic, 17 cases were characterized as hepato-biliary invasive, 13 as nodal and two were not classified. The most prevalent serovars were a monophasic variant of S. typhimurium (55/130), Choleraesuis (46/130), and Typhimurium (14/130). Most of the strains (86.92%) demonstrated a high rate of multi-drug resistance. The identification of a major Choleraesuis clonal group in several Brazilian states sharing the same resistance genes suggested that these strains were closely related. Six strains from this clonal group were sequenced, revealing the same ST-145 and 11 to 47 different SNPs. The detected plasmid type showed multiple marker genes as RepA_1_pKPC-CAV1321, the first to be reported in Salmonella. All AMR genes detected in the genomes were likely present on plasmids, and their phenotype was related to genotypic resistance genes. These findings reveal that salmonellosis is endemic in the most important pig-producing states in Brazil, emphasizing the need to make data available to aid in reducing its occurrence.

Download Full-text

Increasingly limited options for the treatment of enteric fever in travellers returning to England, 2014–2019: a cross-sectional analytical study

Journal of Medical Microbiology ◽

10.1099/jmm.0.001359 ◽

2021 ◽

Vol 70 (8) ◽

Author(s):

M. Trent Herdman ◽

Basel Karo ◽

Jayshree Dave ◽

Parisha Katwa ◽

Joanne Freedman ◽

...

Keyword(s):

Drug Resistance ◽

Antimicrobial Resistance ◽

Enteric Fever ◽

Significant Risk ◽

Empirical Treatment ◽

Multi Drug Resistance ◽

Third Generation ◽

Returning Travellers ◽

Empirical Antibiotics ◽

Third Generation Cephalosporins

Introduction. Enteric fever (caused by Salmonella enterica serovars Typhi and Paratyphi) frequently presents as an acute, undifferentiated febrile illness in returning travellers, requiring timely empirical antibiotics. Gap Statement. Determining which empirical antibiotics to prescribe for enteric fever requires up-to-date knowledge of susceptibility patterns. Aim. By characterising factors associated with antimicrobial resistance in cases of S. Typhi and S. Paratyphi imported to England, we aim to guide effective empirical treatment. Methodology. All English isolates of S. Typhi and S. Paratyphi 2014–2019 underwent antimicrobial susceptibility testing; results were compared to a previous survey in London 2005–2012. Risk factors for antimicrobial resistance were analysed with logistic regression models to predict adjusted odds ratios (aOR) for resistance to individual antibiotics and multi-drug resistance. Results. We identified 1088 cases of S. Typhi, 729 S. Paratyphi A, 93 S. Paratyphi B, and one S. Paratyphi C. In total, 93 % were imported. Overall, 90 % of S. Typhi and 97 % of S. Paratyphi A isolates were resistant to ciprofloxacin; 26 % of S. Typhi were multidrug resistant to ciprofloxacin, amoxicillin, co-trimoxazole, and chloramphenicol (MDR+FQ). Of the isolates, 4 % of S. Typhi showed an extended drug resistance (XDR) phenotype of MDR+FQ plus resistance to third-generation cephalosporins, with cases of XDR rising sharply in recent years (none before 2017, one in 2017, six in 2018, 32 in 2019). For S. Typhi isolates, resistance to ciprofloxacin was associated with travel to Pakistan (aOR=32.0, 95 % CI: 15.4–66.4), India (aOR=21.8, 95 % CI: 11.6–41.2), and Bangladesh (aOR=6.2, 95 % CI: 2.8–13.6) compared to travel elsewhere, after adjusting for rising prevalence of resistance over time. MDR+FQ resistance in S. Typhi isolates was associated with travel to Pakistan (aOR=3.5, 95 % CI: 2.4–5.2) and less likely with travel to India (aOR=0.07, 95 % CI 0.04–0.15) compared to travel elsewhere. All XDR cases were imported from Pakistan. No isolate was resistant to azithromycin. Comparison with the 2005–2012 London survey indicates substantial increases in the prevalence of resistance of S. Typhi isolates to ciprofloxacin associated with travel to Pakistan (from 79–98 %) and Africa (from 12–60 %). Conclusion. Third-generation cephalosporins and azithromycin remain appropriate choices for empirical treatment of enteric fever in most returning travellers to the UK from endemic countries, except from Pakistan, where XDR represents a significant risk.

Download Full-text

Trend and pattern of antimicrobial resistance in molluscanVibriospecies sourced to Canadian estuaries

10.1101/305821 ◽

2018 ◽

Author(s):

Swapan K. Banerjee ◽

Jeffrey M. Farber

Keyword(s):

Drug Resistance ◽

Antimicrobial Resistance ◽

Health Hazard ◽

Surveillance Study ◽

Health Concern ◽

Multi Drug Resistance ◽

Seafood Consumption ◽

Human Pathogens ◽

Potential Health

ABSTRACTEmergence of antimicrobial resistance (AMR) in foodborne bacteria is a growing concern worldwide. AMR surveillance is a key element in understanding the implications resulting from the use of antibiotics for therapeutic as well as prophylactic needs. The emergence and spread of AMR in foodborne human pathogens is an indirect health hazard. This surveillance study reports the trend and pattern of AMR detected inVibriospecies isolated from molluscs harvested in Canada, between 2006 and 2012, against 19 commonly used antibiotics. Five common antibiotics, ampicillin, cephalothin, erythromycin, kanamycin and streptomycin, predominantly contributed to AMR including multi-drug resistance (MDR) in the molluscanVibriospp. isolated in 2006. A prospective follow-up analysis of these drugs showed a declining trend in the frequency of MDR/AMR-Vibriospp. in subsequent years until 2012. The observed decline appears to have been influenced by the specific downturn in resistance to the aminoglycosides, kanamycin and streptomycin. Frequently observed MDR/AMR-Vibriospp. in seafood is a potential health concern associated with seafood consumption. Our surveillance study provided an indication of the antibiotics that challenged the marine bacteria, sourced to Canadian estuaries, during and/or prior to the study period.

Download Full-text

Prevalence and antimicrobial resistance of Campylobacter isolates from poultry offals

Medycyna Weterynaryjna ◽

10.21521/mw.5770 ◽

2017 ◽

Vol 73 (9) ◽

pp. 561-566

Author(s):

Beata Wysok ◽

Joanna Wojtacka ◽

Agnieszka Wiszniewska – Łaszczych ◽

Joanna Szteyn ◽

Małgorzata Gomółka–Pawlicka

Keyword(s):

Drug Resistance ◽

Antimicrobial Resistance ◽

Nalidixic Acid ◽

Acid Resistance ◽

Coli Strain ◽

Multi Drug Resistance ◽

Species Analysis ◽

By Products ◽

Nalidixic Acid Resistance

The aim of the study was to determine the presence of Campylobacter strains in poultry by-products and define antimicrobial resistance of isolates. In total, 400 samples were tested among which 300 included the liver, heart and stomach, and 100 samples represented the contents of the cecum. The samples were taken from chickens and turkeys in the slaughterhouse after evisceration. The prevalence of Campylobacter in chicken samples was 100% with regards to the contents of cecum and offal. The turkey origin Campylobacter strains were noted in 76% of the livers, 78% hearts and 82% gizzards. The samples of cecum contents were positive in 60%. Species analysis of the strains isolated showed C. jejuni as dominant. The estimation of sensitivity to antibiotics showed that Campylobacter strains were most frequently resistant to quinolones and tetracyclines. Resistance to ciprofloxacin was detected among 52.7% and 52.5% chicken and turkey origin strains. The same was noted regarding nalidixic acid, resistance to which was shown in 56% and 58.5% isolates, respectively. Regarding tetracyclines, the highest resistance of the strains from chicken and turkey was detected to doxycyclinum in 61.3% and 53.3% of isolates, respectively. However the highest sensitivity was showed to erythromycin, gentamicin and chloramphenicol. Only one C. coli strain from turkey offal was resistant to gentamicin. Simultaneously multi drug resistance was defined. The aimed studies showed that 62% of C. jejuni and 53.8% of C. coli strains from chicken offal were resistant to two or more agents. In turkey origin isolates MDR was detected in 54.7% of C. jejuni and 53.3% of C. coli strains.

Download Full-text

High antimicrobial resistance and plasmid-carrying resistance genes in swine-origin mcr-1-positive Escherichia coli in Guangxi, South China

10.21203/rs.2.13699/v1 ◽

2019 ◽

Author(s):

Jingzhi Yuan ◽

Xiaoye Wang ◽

Dali Shi ◽

Qiang Ge ◽

Xingxing Song ◽

...

Keyword(s):

Escherichia Coli ◽

Drug Resistance ◽

Antimicrobial Resistance ◽

South China ◽

Resistance Genes ◽

High Rate ◽

Multi Drug Resistance ◽

Drug Resistant ◽

E Coli ◽

Antimicrobial Resistance Genes

Abstract Background The discovery of mcr-1-positive Escherichia coli (MCRPEC), a notable superbug, attracted great attention worldwide. Swine-origin multi-drug resistance MCRPEC is a potential threat to public health and safety. To date, few detailed studies regarding swine-origin MCRPEC in Guangxi, South China, have been reported. Results In this study, thirty-three MCRPEC harbored mcr-1 genes were identified from 142 E. coli strains isolated from swine droppings and entrails in Guangxi in 2018. All MCRPEC isolates were assigned to 8 unique STs, including ST10, ST224 and ST410, which overlapped with the human-origin MCRPEC. Additionally, a total of six plasmid replicon types (IncFI, IncHI1, IncY, IncN, IncI1 and IncX1) were found. Moreover, the drug susceptibility of the MCRPEC isolates was tested with 27 antimicrobial agents belonging to 17 antimicrobial categories that are usually used in hospitals. There were 19 extended spectrum beta lactamase (ESBL) E. coli and 12 carbapenem resistant E. coli among the 33 MCRPEC strains. Importantly, the MCRPEC showed a high rate of resistance against two broad-spectrum carbapenem antibiotics, imipenem and meropenem, which are forbidden in livestock production use. Three MCRPEC strains were further identified to be extensively drug-resistant (XDR), and other isolates were recognized as multi-drug-resistant (MDR). Meanwhile, to detect whether plasmid-carrying antimicrobial resistance genes coexisted with the mcr-1 gene in the MCRPEC isolates, a total of 22 plasmid-carrying antimicrobial resistance genes were tested for. The results showed that four ESBL genes and one pAmpC gene were identified. Eight of the MCRPEC isolates also contained the carbapenem gene blaNDM-5, which could cause untreatable infections. Moreover, ten non-lactamase genes were also detected. Conclusion This study indicated that swine-origin MCRPEC isolated in Guangxi seemed to have a high rate of resistance to both regular and final line of defense drugs as well as drug resistance genes, which pose a great threat to human public safety and health.

Download Full-text