Publicação
Dynamics of companion animal to human transmission of antimicrobial resistance, during skin and soft tissue companion animal infection
| Resumo: | ABSTRACT - Objective: This study aims to characterize the dynamics of antibiotic resistance gene transmission in dogs with skin and soft tissue infections (SSTI) and human beings co habiting with them. We also aim to evaluate the gut colonization of these individuals for the presence of extended spectrum beta-lactamases (ESBL’s) in Enterobacteriaceae and to assess the effect of antibiotherapy on the selection of MDR bacteria from human and canine gut microbiota. Methods: Two types of biological samples were gathered in a teaching veterinary hospital in Portugal, at the dermatology department, from twelve dogs diagnosed with SSTI and their household members. Collections included a swab from the infection site (ISS) and a faecal sample (FS). Gathering of samples was performed at two different times. The ISS were cultured and an AST was performed. The FS was also cultured, and the bacteria isolated subjected to molecular analysis. Antibiotic resistance patterns were obtained by disk diffusion antimicrobial susceptibility’s testing and Enterobactereaceae ESBL’s production was confirmed by amplification of the specific gene by PCR and sequencing. Results: High levels of Methicillin resistant Staphylococcus pseudintermedius (MRSP) were isolated, and high levels of other multidrug resistant bacteria (MDR) as well. One family was suspected of carrying the same E. coli clone, shared by two humans and one dog of the same household, with a blaCTX-M-15 gene. All of the isolated Enterobactereaceae displayed susceptibility to carbapenems. The most common ESBL genes found were from the blaCTX-M group, followed by blaOXA-1 and then blaTEM, no gene from the blaSHV gene was found. Conclusions: There is a high prevalence of ESBL-producing E. coli. Interspecies transmission of antimicrobial resistance is real. This issue should be addressed with introduction of antimicrobial stewardship strategies on a wider scale and better use of antimicrobials like chlorohexidine, especially in SSTI. |
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| Autores principais: | Silva, Pedro Guilherme Braz Pinto |
| Assunto: | Methicillin resistant Staphylococcus pseudintermedius Escherichia coli Extended spectrum beta-lactamases Multidrug resistance Skin and soft tissue infection Staphylococcus pseudintermedius Meticilina resistentes Escherichia coli Beta-lactamases de largo expetro Resistência a multiplos antibioticos Infeções de pele e tecidos moles |
| Ano: | 2021 |
| País: | Portugal |
| Tipo de documento: | dissertação de mestrado |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório da Universidade de Lisboa |
| Resumo: | ABSTRACT - Objective: This study aims to characterize the dynamics of antibiotic resistance gene transmission in dogs with skin and soft tissue infections (SSTI) and human beings co habiting with them. We also aim to evaluate the gut colonization of these individuals for the presence of extended spectrum beta-lactamases (ESBL’s) in Enterobacteriaceae and to assess the effect of antibiotherapy on the selection of MDR bacteria from human and canine gut microbiota. Methods: Two types of biological samples were gathered in a teaching veterinary hospital in Portugal, at the dermatology department, from twelve dogs diagnosed with SSTI and their household members. Collections included a swab from the infection site (ISS) and a faecal sample (FS). Gathering of samples was performed at two different times. The ISS were cultured and an AST was performed. The FS was also cultured, and the bacteria isolated subjected to molecular analysis. Antibiotic resistance patterns were obtained by disk diffusion antimicrobial susceptibility’s testing and Enterobactereaceae ESBL’s production was confirmed by amplification of the specific gene by PCR and sequencing. Results: High levels of Methicillin resistant Staphylococcus pseudintermedius (MRSP) were isolated, and high levels of other multidrug resistant bacteria (MDR) as well. One family was suspected of carrying the same E. coli clone, shared by two humans and one dog of the same household, with a blaCTX-M-15 gene. All of the isolated Enterobactereaceae displayed susceptibility to carbapenems. The most common ESBL genes found were from the blaCTX-M group, followed by blaOXA-1 and then blaTEM, no gene from the blaSHV gene was found. Conclusions: There is a high prevalence of ESBL-producing E. coli. Interspecies transmission of antimicrobial resistance is real. This issue should be addressed with introduction of antimicrobial stewardship strategies on a wider scale and better use of antimicrobials like chlorohexidine, especially in SSTI. |
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