Trends in antimicrobial resistance over 10 years among key bacterial pathogens from Canadian hospitals: results of the CANWARD study 2007–16

2019 ◽  
Vol 74 (Supplement_4) ◽  
pp. iv22-iv31 ◽  
Author(s):  
Philippe R S Lagacé-Wiens ◽  
Heather J Adam ◽  
Susan Poutanen ◽  
Melanie R Baxter ◽  
Andrew J Denisuik ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Bacterial Pathogens ◽  
E Coli ◽  
Patient Demographics ◽  
Carbapenem Resistant ◽  
Extended Spectrum ◽  
Emerging Trends ◽  
Amoxicillin Clavulanate ◽  
Study Sites ◽  
Over Time

Abstract Objectives We sought to analyse 10 years of longitudinal surveillance data (2007–16) from the CANWARD study and describe emerging trends in antimicrobial resistance for key bacterial pathogens across Canada. Methods Longitudinal data from CANWARD study sites that contributed isolates every year from 2007 to 2016 were analysed to identify trends in antimicrobial resistance over time using univariate tests of trend and multivariate regression models to account for the effects of patient demographics. Results Statistically significant increases occurred in the proportion of Escherichia coli isolates resistant to extended-spectrum cephalosporins, amoxicillin/clavulanate, trimethoprim/sulfamethoxazole and ciprofloxacin. Similarly, the proportion of Klebsiella pneumoniae isolates resistant to extended-spectrum cephalosporins, amoxicillin/clavulanate, trimethoprim/sulfamethoxazole, ciprofloxacin and carbapenems increased during the study. The proportion of Enterobacter cloacae isolates resistant to ceftazidime and trimethoprim/sulfamethoxazole increased. The proportion of both ESBL-positive E. coli and K. pneumoniae (including bloodstream isolates) increased significantly between 2007 and 2016. A reduction in the proportion of Pseudomonas aeruginosa that were ciprofloxacin, cefepime, colistin, amikacin and gentamicin resistant and an increase in the proportion of P. aeruginosa isolates non-susceptible to meropenem were observed. The proportion of isolates of Staphylococcus aureus non-susceptible to clarithromycin, clindamycin and trimethoprim/sulfamethoxazole decreased over time while an increase in the proportion of isolates of Streptococcus pneumoniae non-susceptible to clarithromycin, clindamycin and doxycycline was observed. Conclusions Increases in Enterobacteriaceae resistance to multiple classes of antimicrobials, increases in ESBL-positive E. coli and K. pneumoniae, and the small but significant increase in carbapenem-resistant K. pneumoniae were the most remarkable changes in antimicrobial resistance observed from 2007 to 2016 in Canada.

scholarly journals Cultivation of bacterial pathogens and antimicrobial resistance in canine periapical tooth abscesses

2021 ◽  
Vol 19 (3) ◽  
pp. 513-524
Author(s):  
Natcha Chawnan ◽  
◽  
Kannika Na Lampang ◽  
Raktham Mektrirat ◽  
Nattakarn Awaiwanont ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Antimicrobial Susceptibility ◽  
Bacterial Pathogens ◽  
Bacterial Species ◽  
Resistance Rate ◽  
Chiang Mai ◽  
Diagnostic Laboratory ◽  
Dental Surgery ◽  
E Coli ◽  
Amoxicillin Clavulanate

This research aimed to assess the occurrence of bacterial pathogens and their antimicrobial resistance in dogs presenting with canine periapical tooth abscesses. Sample swabs were performed on 45 dogs who had undergone dental surgery between January 2019 and August 2020 at the Veterinary Teaching Hospital, Chiang Mai University. Samples were analyzed within 24 hours at Veterinary Diagnostic Laboratory, Chiang Mai University to identify any bacterial species and to investigate their potential antimicrobial susceptibility according to CLSI guidelines. A high proportion of gram-negative and facultative species were identified. Out of the 17 species obtained, Pseudomonas aeruginosa (34.6 %) was determined to be the predominant species followed by Escherichia coli (15.4%) and Klebsiella pneumoniae (11.5%), respectively. P. aeruginosa was highly resistant (100.0%) to ampicillin and clindamycin, while E. coli and K. pneumoniae were found to be highly resistant (100.0%) to clindamycin in terms of antimicrobial susceptibility. However, E. coli was more resistant to enrofloxacin, gentamicin, and norfloxacin than K. pneumoniae. When focusing on the resistance rates of all species, clindamycin exhibited the highest degree of resistance, followed by ampicillin and amoxicillin, respectively. Amoxicillin-clavulanate is an empirical antibiotic in our area that has exhibited a resistance rate of 48.7%. The outcomes of our study have suggested that fluoroquinolone and aminoglycoside could be used to treat canine periapical tooth abscesses. However, the renal effect of these drugs must be considered. Importantly, antibiotic selection must depend upon the results of bacterial culture and antimicrobial susceptibility tests in order to reduce any potential antimicrobial resistance issues.

scholarly journals Distribution and Relationships of Antimicrobial Resistance Determinants among Extended-Spectrum-Cephalosporin-Resistant or Carbapenem-Resistant Escherichia coli Isolates from Rivers and Sewage Treatment Plants in India

2016 ◽  
Vol 60 (5) ◽  
pp. 2972-2980 ◽  
Author(s):  
Masato Akiba ◽  
Tsuyoshi Sekizuka ◽  
Akifumi Yamashita ◽  
Makoto Kuroda ◽  
Yuki Fujii ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Antimicrobial Resistance ◽  
Sewage Treatment ◽  
Indian States ◽  
Content Type ◽  
Sewage Treatment Plants ◽  
E Coli ◽  
Resistance Determinants ◽  
Carbapenem Resistant ◽  
Extended Spectrum

ABSTRACTTo determine the distribution and relationship of antimicrobial resistance determinants among extended-spectrum-cephalosporin (ESC)-resistant or carbapenem-resistantEscherichia coliisolates from the aquatic environment in India, water samples were collected from rivers or sewage treatment plants in five Indian states. A total of 446E. coliisolates were randomly obtained. Resistance to ESC and/or carbapenem was observed in 169 (37.9%)E. coliisolates, which were further analyzed. These isolates showed resistance to numerous antimicrobials; more than half of the isolates exhibited resistance to eight or more antimicrobials. TheblaNDMgene was detected in 14/21 carbapenem-resistantE. coliisolates:blaNDM-1in 2 isolates,blaNDM-5in 7 isolates, andblaNDM-7in 5 isolates. TheblaCTX-Mgene was detected in 112 isolates (66.3%):blaCTX-M-15in 108 isolates andblaCTX-M-55in 4 isolates. We extracted 49 plasmids from selected isolates, and their whole-genome sequences were determined. Fifty resistance genes were detected, and 11 different combinations of replicon types were observed among the 49 plasmids. The network analysis results suggested that the plasmids sharing replicon types tended to form a community, which is based on the predicted gene similarity among the plasmids. Four communities each containing from 4 to 17 plasmids were observed. Three of the four communities contained plasmids detected in different Indian states, suggesting that the interstate dissemination of ancestor plasmids has already occurred. Comparison of the DNA sequences of theblaNDM-positive plasmids detected in this study with known sequences of related plasmids suggested that various mutation events facilitated the evolution of the plasmids and that plasmids with similar genetic backgrounds have widely disseminated in India.

scholarly journals Antimicrobial resistance trends among important clinical pathogens reported from the ARINCQ surveillance of bacterial resistance, 2012-2018: multi-center retrospective surveillance study in Chongqing

2020 ◽  
Author(s):  
Shan Sun ◽  
Xiaolang Tian ◽  
Li Yan ◽  
Jide Sun ◽  
Chuanming Zhang ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Bacterial Resistance ◽  
The Elderly ◽  
Surveillance Study ◽  
Southwestern China ◽  
Isolation Rate ◽  
E Coli ◽  
Antimicrobial Resistance Surveillance ◽  
Carbapenem Resistant ◽  
Over Time

Abstract Background: Data on the Antimicrobial resistance (AMR) trends of the important clinical isolates in southwestern China is lacking. This study was conducted to monitor the temporal AMR trends of the most common pathogens contributing to the majority of human infections.Methods: A multi-center retrospective surveillance study was conducted from 2012 to 2018. Antimicrobial susceptibility testing was carried out according to unified protocols using the Kirby-Bauer method or automated systems. Results were analyzed according to Clinical and Laboratory Standards Institute (CLSI) 2018 definitions. Data from the China Antimicrobial Resistance Surveillance System (CARSS) in Chongqing (ARINCQ) was analyzed by WHONET 5.6 software. Results: The total number of bacterial isolates was between 49,636 and 128,460 annually. While the isolation rate of Acinetobacter baumannii (A. baumannii) presented decreasing trend, that of Staphylococcus aureus (S. aureus) showed increasing tendency. Escherichia coli (E. coli) showed decreasing susceptibility trends to most antibiotics except carbapenems. Resistance rates of Klebsiella pneumoniae (K. pneumonia) to ceftazidime (CAZ), ceftriaxone (CRO), and cefepime (FEP) are decreasing over time. Pseudomonas aeruginosa (P. aeruginosa) and S. aureus demonstrated obvious declining resistance trends to most of the antibiotics tested. Resistance of Enterococcus faecalis (E. faecalis) and Enterococcus faecium (E. faecium) to high-level gentamycin are decreasing continuously over time. The resistance rate of A. baumannii to meropenem increased from 48.3% to 57.7%. The isolation rate of carbapenem-resistant K. pneumonia (CRKPN) increased annually from 2.6% in 2012 to 6.1% in 2018. For CRKPN, consistent increasing trends in isolation rates were witnessed in both the children and the elderly groups, with its isolation rate in children being obviously higher than that in the elderly group from 2015 to 2018.Conclusions: The prevalence of CRKPN has been significantly increased in both the children and the elderly groups ever since 2012, which calls for continuous resistance surveillance, colonization screening and clearance, environmental monitoring, and effective antimicrobial strategies. While carbapenems are still active against K. pneumonia and E. coli, vancomycin or linezolid is still effective against S. aureus and Enterococcus spp. Notably, this is the first report of an CRKPN isolate co-harboring triple carbapenemase genes including blaKPC-2, blaNDM-1 and blaIMP-4 worldwide. Keywords: antimicrobial resistance, surveillance, multi-center, carbapenems, Southwestern China, carbapenem-resistant K. pneumonia

Antimicrobial-Resistant Pathogens Associated With Healthcare-Associated Infections: Annual Summary of Data Reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006–2007

2008 ◽  
Vol 29 (11) ◽  
pp. 996-1011 ◽  
Author(s):  
Alicia I. Hidron ◽  
Jonathan R. Edwards ◽  
Jean Patel ◽  
Teresa C. Horan ◽  
Dawn M. Sievert ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Antimicrobial Agents ◽  
Healthcare Associated Infections ◽  
E Coli ◽  
National Healthcare ◽  
Carbapenem Resistant ◽  
National Healthcare Safety Network ◽  
Extended Spectrum ◽  
Tract Infections ◽  
Healthcare Associated

Objective.To describe the frequency of selected antimicrobial resistance patterns among pathogens causing device-associated and procedure-associated healthcare-associated infections (HAIs) reported by hospitals in the National Healthcare Safety Network (NHSN).Methods.Data are included on HAIs (ie, central line-associated bloodstream infections, catheter-associated urinary tract infections, ventilator-associated pneumonia, and surgical site infections) reported to the Patient Safety Component of the NHSN between January 2006 and October 2007. The results of antimicrobial susceptibility testing of up to 3 pathogenic isolates per HAI by a hospital were evaluated to define antimicrobial-resistance in the pathogenic isolates. The pooled mean proportions of pathogenic isolates interpreted as resistant to selected antimicrobial agents were calculated by type of HAI and overall. The incidence rates of specific device-associated infections were calculated for selected antimicrobial-resistant pathogens according to type of patient care area; the variability in the reported rates is described.Results.Overall, 463 hospitals reported 1 or more HAIs: 412 (89%) were general acute care hospitals, and 309 (67%) had 200-1,000 beds. There were 28,502 HAIs reported among 25,384 patients. The 10 most common pathogens (accounting for 84% of any HAIs) were coagulase-negative staphylococci (15%), Staphylococcus aureus (15%), Enterococcus species (12%), Candida species (11%), Escherichia coli (10%), Pseudomonas aeruginosa (8%), Klebsiella pneumoniae (6%), Enterobacter species (5%), Acinetobacter baumannii (3%), and Klebsiella oxytoca (2%). The pooled mean proportion of pathogenic isolates resistant to antimicrobial agents varied significantly across types of HAI for some pathogen-antimicrobial combinations. As many as 16% of all HAIs were associated with the following multidrug-resistant pathogens: methicillin-resistant S. aureus (8% of HAIs), vancomycin-resistant Enterococcus faecium (4%), carbapenem-resistant P. aeruginosa (2%), extended-spectrum cephalosporin-resistant K. pneumoniae (1%), extended-spectrum cephalosporin-resistant E. coli (0.5%), and carbapenem-resistant A. baumannii, K. pneumoniae, K. oxytoca, and E. coli (0.5%). Nationwide, the majority of units reported no HAIs due to these antimicrobial-resistant pathogens.

scholarly journals Antimicrobial resistance of Escherichia coli isolates from cattle in Eastern Algeria

2019 ◽  
Vol 12 (8) ◽  
pp. 1195-1203 ◽  
Author(s):  
Djanette Barour ◽  
Amine Berghiche ◽  
Nadji Boulebda
Keyword(s):  
Escherichia Coli ◽  
Antibiotic Resistance ◽  
Antimicrobial Resistance ◽  
Antimicrobial Susceptibility ◽  
Diffusion Method ◽  
E Coli ◽  
Extended Spectrum ◽  
Amoxicillin Clavulanate ◽  
Eastern Algeria ◽  
Resistance Rates

Background and Aim: Lack of information about the antibiotic resistance in commensal Escherichia coli from Algerian livestock prompted us to do this study to determine the different levels of antimicrobial susceptibility, antibiotic multidrug resistance (MDR) rates, and phenotypical patterns of E. coli strains isolated from healthy cattle to control the spread of animal-resistant strains to humans and the environment. Materials and Methods: A total of 198 cattle were sampled (swabbed in the rectum), reared in the farms of Souk Ahras, Tebessa, and Oum el Bouaghi governorates of Eastern Algeria. Isolation of E. coli strains was performed on MacConkey agar and then the different strains were identified to the species level using an API 20E identification kit. Antimicrobial susceptibility was determined using a panel of 13 antibiotic disks by disk diffusion method on Mueller-Hinton agar. The double-disk synergy test with cefotaxime and amoxicillin-clavulanate disks was used for the screening of extended-spectrum beta-lactamase phenotypes. For colistin susceptibility, the minimum inhibitory concentration was examined using broth microdilutions technique. Results: The results showed that among the 198 E. coli isolates, elevated resistance rates were observed for ampicillin (59.09%) and tetracycline (43.43%), and moderate resistance rates for cephalothin (16.16%), trimethoprim/sulfamethoxazole (15.15%), and amoxicillin/clavulanate (11.62%); however, low resistance rates were found for nalidixic acid (8.08%), ciprofloxacin (7.07%), kanamycin (6.56%), cefotaxime (4.54%), chloramphenicol (4.04%), nitrofurantoin (2.52%), cefoxitin (2.02%), gentamycin (1.01%), and no resistance to colistin. However, nine extended-spectrum β-lactamases producing E. coli strains were identified. Forty-four different patterns were determined, indicating a wide variety of resistance, ranging from one antimicrobial to a combination of 10. Analysis of coresistances revealed that 63 isolates (31.82%) were susceptible to all antibiotics used in the study, 42 isolates (21.21%) were resistant to one antibiotic, 43 isolates (21.72%) were resistant to two antibiotics, 24 isolates (12.12%) resistant to three antibiotics, 26 isolates (13.13%) were resistant for more than three agents, and 45 isolates (22.73%) were MDR (which means resistant to three or more families of antibiotics). Conclusion: This study demonstrates that commensal E. coli remains a potential source of antibiotic resistance in view of the high prevalence of antimicrobial resistance. The vast range of MDR phenotypes, especially extended-spectrum β-lactamases producing strains, emphasizes the urgent requirement to adopt measures to control the use of antimicrobials, in particular, by private veterinarians, as well as the strengthening of veterinary surveillance networks for antimicrobial resistance to control the spread of MDR bacteria from animals to humans and the environment.

scholarly journals A One Health Comparative Assessment of Antimicrobial Resistance in Generic and Extended-Spectrum Cephalosporin-Resistant Escherichia coli from Beef Production, Sewage and Clinical Settings

2020 ◽  
Vol 8 (6) ◽  
pp. 885 ◽  
Author(s):  
Emelia H. Adator ◽  
Claudia Narvaez-Bravo ◽  
Rahat Zaheer ◽  
Shaun R. Cook ◽  
Lisa Tymensen ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Antimicrobial Resistance ◽  
One Health ◽  
Hot Spot ◽  
Municipal Sewage ◽  
Multi Drug Resistance ◽  
Beef Production ◽  
E Coli ◽  
Beef Processing ◽  
Extended Spectrum

This study aimed to compare antimicrobial resistance (AMR) in extended-spectrum cephalosporin-resistant and generic Escherichia coli from a One Health continuum of the beef production system in Alberta, Canada. A total of 705 extended-spectrum cephalosporin-resistant E. coli (ESCr) were obtained from: cattle feces (CFeces, n = 382), catch basins (CBasins, n = 137), surrounding streams (SStreams, n = 59), beef processing plants (BProcessing, n = 4), municipal sewage (MSewage; n = 98) and human clinical specimens (CHumans, n = 25). Generic isolates (663) included: CFeces (n = 142), CBasins (n = 185), SStreams (n = 81), BProcessing (n = 159) and MSewage (n = 96). All isolates were screened for antimicrobial susceptibility to 9 antimicrobials and two clavulanic acid combinations. In ESCr, oxytetracycline (87.7%), ampicillin (84.4%) and streptomycin (73.8%) resistance phenotypes were the most common, with source influencing AMR prevalence (p < 0.001). In generic E. coli, oxytetracycline (51.1%), streptomycin (22.6%), ampicillin (22.5%) and sulfisoxazole (14.3%) resistance were most common. Overall, 88.8% of ESCr, and 26.7% of generic isolates exhibited multi-drug resistance (MDR). MDR in ESCr was high from all sources: CFeces (97.1%), MSewage (96.9%), CHumans (96%), BProcessing (100%), CBasins (70.5%) and SStreams (61.4%). MDR in generic E. coli was lower with CFeces (45.1%), CBasins (34.6%), SStreams (23.5%), MSewage (13.6%) and BProcessing (10.7%). ESBL phenotypes were confirmed in 24.7% (n = 174) ESCr and 0.6% of generic E. coli. Prevalence of bla genes in ESCr were blaCTXM (30.1%), blaCTXM-1 (21.6%), blaTEM (20%), blaCTXM-9 (7.9%), blaOXA (3.0%), blaCTXM-2 (6.4%), blaSHV (1.4%) and AmpC β-lactamase blaCMY (81.3%). The lower AMR in ESCr from SStreams and BProcessing and higher AMR in CHumans and CFeces likely reflects antimicrobial use in these environments. Although MDR levels were higher in ESCr as compared to generic E. coli, AMR to the same antimicrobials ranked high in both ESCr and generic E. coli sub-populations. This suggests that both sub-populations reflect similar AMR trends and are equally useful for AMR surveillance. Considering that MDR ESCr MSewage isolates were obtained without enrichment, while those from CFeces were obtained with enrichment, MSewage may serve as a hot spot for MDR emergence and dissemination.

scholarly journals 1667. Change in characteristics of community-onset ciprofloxacin-resistant E. coli isolates causing community-acquired acute pyelonephritis in South Korea

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S820-S820
Author(s):  
Bongyoung Kim ◽  
Ki Tae Kwon ◽  
Seong-yeol Ryu ◽  
Seong-Heon Wie ◽  
Hyun-uk Jo ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
South Korea ◽  
Molecular Characterization ◽  
Acute Pyelonephritis ◽  
Multilocus Sequence Typing ◽  
Quinolone Resistance ◽  
E Coli ◽  
Extended Spectrum ◽  
Community Onset

Abstract Background The aim of this study was to examine the change in characteristics of community-onset ciprofloxacin-resistant (CIP-R) E. coli isolates causing community-acquired acute pyelonephritis (CA-APN) in South Korea between 2010-2011 and 2017-2018. Methods E. coli samples isolated from the blood or urine were collected from patients with CA-APN aged 19 years and more who were admitted to 8 Korean hospitals from September 2017 to August 2018, prospectively. One isolate was collected from each patient. Phylogenetic typing, multilocus sequence typing (MLST), and molecular characterization of β-lactamase resistance and plasmid-mediated quinolone resistance (PMQR) determinants were performed. The data were compared with those from the previous study with same design in 2010-2011. Results A total of 346 and 300 isolates were collected during 2017-2018 and 2010-2011, respectively. Among them, 76 (22.0%) and 77 (25.7%) were CIP-R isolates. Significantly higher antimicrobial resistance against ampicillin (75.7% vs. 100%, P &lt; 0.001) and cefotaxime (23.9% vs. 77.9%, P &lt; 0.001) were observed for isolates in 2017-2018 compared to those in 2010-2011. The proportion of phylogenic group B2 had increased significantly (44.7% vs. 79.2%, P &lt; 0.001). As for MLST, the proportion of ST131 (27.6% vs. 66.2%, P &lt; 0.001) had increased while that of ST393 (18.4% vs. 3.9%, P =0.004) had decreased significantly. Higher proportion of CIP-R E. coli isolates in 2017-2018 had extended-spectrum β-lactamase (ESBL)/plasmid-mediated AmpC β-lactamase (PABL) (23.7% vs. 79.2%, P &lt; 0.001) and PMQR determinant (11.8% vs. 40.8%, P &lt; 0.001) compared to those in 2010-2011. Phlogenetic tree Analyzed by SplitsTree Conclusion Among uropathogenic CIP-R E. coli isolates in South Korea, ST131 predominance had become more prominent and the proportion of containing ESBL/PABL and/or PMQR determinants had increased. Disclosures All Authors: No reported disclosures

scholarly journals Extended Spectrum Beta-Lactamase Escherichia coli in River Waters Collected from Two Cities in Ghana, 2018–2020

2021 ◽  
Vol 6 (2) ◽  
pp. 105
Author(s):  
Regina Ama Banu ◽  
Jorge Matheu Alvarez ◽  
Anthony J. Reid ◽  
Wendemagegn Enbiale ◽  
Appiah-Korang Labi ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Antimicrobial Resistance ◽  
Beta Lactamase ◽  
Extended Spectrum Beta Lactamase ◽  
River Waters ◽  
E Coli ◽  
Extended Spectrum ◽  
Two Cities ◽  
Animal Wastewater ◽  
Sources Of Contamination

Infections by Extended-Spectrum Beta-Lactamase producing Escherichia coli (ESBL-Ec) are on the increase in Ghana, but the level of environmental contamination with this organism, which may contribute to growing Antimicrobial Resistance (AMR), is unknown. Using the WHO OneHealth Tricycle Protocol, we investigated the contamination of E. coli (Ec) and ESBL-Ec in two rivers in Ghana (Odaw in Accra and Okurudu in Kasoa) that receive effluents from human and animal wastewater hotspots over a 12-month period. Concentrations of Ec, ESBL-Ec and percent ESBL-Ec/Ec were determined per 100 mL sample. Of 96 samples, 94 (98%) were positive for ESBL-Ec. concentrations per 100 mL (MCs100) of ESBL-Ec and %ESBL-Ec from both rivers were 4.2 × 104 (IQR, 3.1 × 103–2.3 × 105) and 2.79 (IQR, 0.96–6.03), respectively. MCs100 were significantly lower in upstream waters: 1.8 × 104 (IQR, 9.0 × 103–3.9 × 104) as compared to downstream waters: 1.9 × 106 (IQR, 3.7 × 105–5.4 × 106). Both human and animal wastewater effluents contributed to the increased contamination downstream. This study revealed high levels of ESBL-Ec in rivers flowing through two cities in Ghana. There is a need to manage the sources of contamination as they may contribute to the acquisition and spread of ESBL-Ec in humans and animals, thereby contributing to AMR.

scholarly journals Incidence and Antimicrobial Susceptibility of Escherichia coli and Klebsiella pneumoniae with Extended-Spectrum β-Lactamases in Community- and Hospital-Associated Intra-Abdominal Infections in Europe: Results of the 2008 Study for Monitoring Antimicrobial Resistance Trends (SMART)

2010 ◽  
Vol 54 (7) ◽  
pp. 3043-3046 ◽  
Author(s):  
Stephen P. Hawser ◽  
Samuel K. Bouchillon ◽  
Daryl J. Hoban ◽  
Robert E. Badal ◽  
Rafael Cantón ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Antimicrobial Resistance ◽  
Klebsiella Pneumoniae ◽  
Antimicrobial Susceptibility ◽  
Beta Lactamase ◽  
Extended Spectrum Beta Lactamase ◽  
E Coli ◽  
Extended Spectrum ◽  
Abdominal Infections

ABSTRACT From 2002 to 2008, there was a significant increase in extended-spectrum beta-lactamase (ESBL)-positive Escherichia coli isolates in European intra-abdominal infections, from 4.3% in 2002 to 11.8% in 2008 (P < 0.001), but not for ESBL-positive Klebsiella pneumoniae isolates (16.4% to 17.9% [P > 0.05]). Hospital-associated isolates were more common than community-associated isolates, at 14.0% versus 6.5%, respectively, for E. coli (P < 0.001) and 20.9% versus 5.3%, respectively, for K. pneumoniae (P < 0.01). Carbapenems were consistently the most active drugs tested.

scholarly journals Detection of antimicrobial resistance genes of carbapenem-resistant Enterobacteriaceae in Escherichia coli isolated from the water supply of smallholder dairy farms in Saraburi and Maha Sarakham, Thailand

2020 ◽  
Vol 6 (1) ◽  
pp. 1-5
Author(s):  
Natapol Pumipuntu ◽  
Sangkom Pumipuntu
Keyword(s):  
Escherichia Coli ◽  
Antimicrobial Resistance ◽  
Resistance Genes ◽  
Water Samples ◽  
Dairy Farms ◽  
Drug Resistant ◽  
E Coli ◽  
Carbapenem Resistant ◽  
Carbapenem Resistant Enterobacteriaceae ◽  
Smallholder Dairy Farms

Background and Aim: The problem of antimicrobial resistance of bacteria in both humans and animals is an important public health concern globally, which is likely to increase, including in Thailand, where carbapenem-resistant Enterobacteriaceae (CRE), such as Escherichia coli, are of particular concern. They are pathogens found in the gastrointestinal tract of humans and other animals as well as in the environment. They may cause opportunistic infection and are often resistant to antibiotics in various fields especially in animal husbandry, such as pets or livestock farms. This study aimed to investigate the occurrence of carbapenem-resistant E. coli from water samples of smallholder dairy farms in Saraburi and Maha Sarakham, Thailand. Materials and Methods: Sixty-four water samples were collected from 32 dairy farms in Kaeng Khoi district, Muak Lek district, and Wang Muang district of Saraburi Province, and Kantharawichai district and Mueang district of Maha Sarakham Province, Thailand. All samples were cultured and isolated for E. coli by biochemical tests. All E. coli isolates were tested for drug susceptibility using imipenem, meropenem, and drug resistance genes of carbapenemases such as blaNDM, blaIMP, and blaOXA48 of drug-resistant E. coli isolates detected by polymerase chain reaction (PCR) technique. Results: A total of 182 E. coli isolates were found (140 and 42 isolates from Saraburi and Maha Sarakham, respectively). Drug sensitivity tests found that two isolates of E. coli from water in Kaeng Khoi were resistant to imipenem; therefore, the incidence of E. coli resistance to carbapenem was 1.43% of Saraburi Province. On the other hand, there was no incidence of drug-resistant E. coli in Maha Sarakham. In addition, the detection of the drug-resistant gene of E. coli in both isolates by PCR showed the expression of blaNDM. Conclusion: This study reports E. coli resistance to antimicrobial drugs on livestock farms. It can be considered to be the first report of E. coli CRE detection in a dairy farm at Saraburi, which should be the subject of further extended study.

Sign in / Sign up

Export Citation Format

Share Document