鸭大肠杆菌超广谱β-内酰胺酶检测(ESBLs)及药物敏感性测定

对国内7个省份临床分离的32株鸭大肠杆菌进行超广谱β-内酰胺酶(ESBLs)检测及药物敏感性研究。结果表明,32株分离的鸭大肠杆菌中产ESBLs菌株7株,阳性检出率为21.87%;产ESBLs菌株对常用头孢三代及半合成青霉素类药物的敏感率低于42.9%,耐药率则高于28.6%,对阿莫西林、氨苄西林、头孢噻呋的耐药率高达100%。产酶菌株和非产酶菌株对新型头孢四代产品头孢吡肟及碳青霉烯类药物亚胺培南、美罗培南的敏感率高于96%。加酶抑制剂的β-内酰胺类抗生素如阿莫西林/棒酸、氨苄西林/舒巴坦、头孢哌酮/舒巴坦等对产酶菌株和非产酶菌株的敏感率全部高于未加酶抑制剂的单方药物。产ESBLs菌株存在多重耐药现象,酶抑制剂能够部分解决此类耐药性问题。     

禽致病菌ESBLs和AmpC酶的检测及药敏分析

用全自动微生物鉴定系统(VITEK-32)鉴定了禽分离致病菌,分别进行了β-内酰胺酶(BLA)、超广谱β-内酰胺酶(ESBLs)、AmpC酶的检测,并用试管两倍稀释法测定了各种抗生素对非产酶菌、产ESBLs菌及产AmpC菌的抗菌活性。结果表明,鉴定分离的20株致病菌有大肠埃希菌15株、阴沟肠杆菌1株、铜绿假单胞菌1株、法氏柠檬酸杆菌1株、肺炎克雷伯菌1株及鹑鸡肠球菌1株,其中法氏柠檬酸杆菌、肺炎克雷伯菌及鹑鸡肠球菌系兽医上首次检出。报道所分离的20株致病菌均产β-内酰胺酶,其中产ESBLs 9株,同时产ESBLs和AmpC酶1株。产酶菌株对抗生素的耐药性严重,而抗生素/抑制剂联用能降低药物对细菌的MICs。     

鸡源大肠杆菌在亚抑菌浓度头孢菌素诱导下的体外耐药表型

为了解在亚抑菌浓度单一药物的持续诱导下,鸡源大肠杆菌(E.coli)对临床常见药物的耐药表型变化,本实验采用亚抑菌浓度的头孢曲松或头孢噻肟持续诱导培养LG30鸡源E.coli和O78标准菌至30代,并采用微量稀释法检测各不同诱导代次的菌株对常见药物的耐药表型.结果表明在亚抑菌浓度的头孢曲松或头孢噻肟持续诱导培养下,受试菌对药物的敏感性持续下降,当诱导至20代,各诱导菌已成为多重耐药菌株,继续诱导至30代,各诱导菌对药物的耐药程度加重,但各药的最小抑菌浓度值升高速率变慢.表明细菌在单一药物诱导下可以较快进化为多重耐药菌.     

Cephalosporins – pharmacological basis of clinical use in veterinary dermatology

Cephalosporins form a large group of β-lactam antibiotics which are used extensively in human medicine and to a lesser extent in domestic animals. In veterinary dermatology, the principle use for the cephalosporins is the clinical management of canine pyoderma associated with Staphylococcus intermedius . In practice, the use of orally administered first generation cephalosporin drugs to affected dogs is well tolerated and highly efficacious. Bacterial drug resistance appears to occur rarely.     

鸡大肠杆菌TEM和CTX-M型超广谱β-内酰胺酶基因分型研究

 【目的】检测鸡大肠杆菌超广谱β-内酰胺酶(ESBLs)的基因型和基因亚型,了解河南省产酶鸡大肠杆菌ESBLs基因型分布。【方法】 对河南省7个地区不同鸡场临床分离28株产ESBLs鸡大肠杆菌分别用TEM、SHV和CTX-M等3种通用引物进行PCR扩增及测序分析,确定其基因型和基因亚型。【结果】 21株鸡大肠杆菌检出TEM型基因,2株检出CTX-M型基因,5株检出TEM型和CTX-M型两种基因,未检出SHV型。TEM基因亚型以TEM-1变异型为主,与AY293072(TEM-1)相比同源性为98%—99%,核苷酸序列除发生18T→C沉默突变外,尚有3株分别有另一处碱基发生变化：783G→A(C3菌,序列号为FJ405207)、21T→A(X2菌,序列号为FJ405208)和269G→A(F4菌,序列号为FJ405211),其中前两处为沉默突变,F4菌的碱基突变引起92甘氨酸变为天冬氨酸,为TEM-57型。CTX-M基因亚型包括两种：CTX-M-65亚型4株(C2、C3、C4和K1,序列号分别为FJ405191,FJ405192,FJ405212和FJ405214)和CTX-M-14亚型3株(F2、X3和B5,其中F2菌的相关序列已上传至GenBank,获序列号为FJ405213)。【结论】 目前河南省产ESBL鸡大肠杆菌基因亚型以TEM-1变异型为主,CTX-M-65和CTX-M-14型次之。     

Effect of food on the pharmacokinetics of oral cefuroxime axetil in dogs

Cefuroxime axetil pharmacokinetic profile was investigated in 12 Beagle dogs after single intravenous and oral administration of tablets or suspension at a dose of 20 mg/kg, under both fasting and fed conditions. A three-period, three-treatment crossover study (IV, PO under fasting and fed condition) was applied. Blood samples were withdrawn at predetermined times over a 12-hr period. Cefuroxime plasma concentrations were determined by HPLC. Data were analyzed by compartmental analysis. No statistically significant differences were observed between formulations and feeding conditions on PK parameters. Independently of the feeding condition, absorption of cefuroxime axetil after tablet administration was low and erratic. The drug has been quantified in plasma in 3 out of 6 and 5 out of 6 dogs in the fasted and fed groups. For this formulation, the bioavailability (F), peak plasma concentration (C_max), and area under the concentration–time curve (AUC) of cefuroxime axetil were significantly enhanced (p < .05) by the concomitant ingestion of food (32.97 ± 13.47–14.08 ± 7.79%, 6.30 ± 2.62–2.74 ± 0.66 µg/ml, and 15.75 ± 3.98–7.82 ± 2.76 µg.hr/ml for F, C_max, and AUC in fed and fasted dogs, respectively), while for cefuroxime axetil suspension, feeding conditions affected only the rate of absorption, as reflected by the significantly shorter absorption half-life (T_½(a)) and time to peak concentration (T_max) (0.55 ± 0.27–1.15 ± 0.19 hr and 1.21 ± 0.22–1.70 ± 0.30 for T_½(a) and T_max in fed and fasted dogs, respectively). For cefuroxime axetil tablets, T > MIC (≤1 µg/ml) was <2 hr in fasted and ≈4 hr in fed animals, and for cefuroxime axetil suspension, T > MIC (≤1 µg/ml) was ≈5 hr and for T >MIC (≤4 µg/ml) was ≈2.5 hr for fasted and fed dogs, respectively. Cefuroxime axetil as a suspension formulation seems to be a better option than tablets. However, its short permanence in plasma could reduce its clinical usefulness in dogs.     

Analysis of antibiotic resistance phenotypes and genes of Escherichia coli from healthy swine in Guizhou,China

This study was carried out to investigate the resistance phenotypes and resistance genes of Escherichia coli from swine in Guizhou, China. A total of 47 E. coli strains isolated between 2013 and 2018 were tested using the Kirby–Bauer (K–B) method to verify their resistance to 19 common clinical antimicrobials. Five classes consisting of 29 resistance genes were detected using polymerase chain reaction. The status regarding extended-spectrum β-lactamase (ESBL) and the relationship between ESBL CTX-M-type β-lactamase genes and plasmid-mediated quinolone resistance (PMQR) genes were analysed. A total of 46 strains (97.9%) were found to be multidrug resistant. Amongst them, 27 strains (57.4%) were resistant to more than eight antimicrobials, and the maximum number of resistant antimicrobial agents was 16. Twenty antibiotic resistance genes were detected, including six β-lactamase genes blaTEM (74.5%), blaCTX-M-9G (29.8%), blaDHA (17.0%), blaCTX-M-1G (10.6%), blaSHV (8.5%), blaOXA (2.1%), five aminoglycoside-modifying enzyme genes aac(3′)-IV (93.6%), aadA1 (78.7%), aadA2 (76.6%), aac(3′)-II c (55.3%), aac(6′)-Ib (2.1%) and five amphenicol resistance genes floR (70.2%), cmlA (53.2%), cat2 (10.6%), cat1 (6.4%), cmlB (2.1%), three PMQR genes qnrS (55.3%), oqxA (53.2%), qepA (27.7%) and polypeptide resistance gene mcr-1 (40.4%). The detection rate of ESBL-positive strains was 80.9% (38/47) and ESBL TEM-type was the most abundant ESBLs. The percentage of the PMQR gene in blaCTX-M-positive strains was high, and the detection rate of blaCTX-M-9G was the highest in CTX-M type. It is clear that multiple drug resistant E. coli is common in healthy swine in this study. Extended-spectrum β-lactamase is very abundant in the E. coli strains isolated from swine and most of them are multiple compound genotypes.     

对超广谱β-内酰胺酶有抑制作用的中药的筛选

通过测定所选8种中药对产超广谱β-内酰胺酶(ESBLs)鸡大肠杆菌的最小抑菌浓度,来筛选对ESBLs大肠杆菌有抑菌活性的中药。结果表明所选中药对产ESBLs大肠杆菌都有不同程度的抑菌活性,其中以连翘和白芍的抑菌活性较高。根据本试验结果,可以选择连翘、白芍作为控制产ESBLs鸡大肠杆菌感染的有效措施。     

广东鹅场大肠杆菌耐药状况及blaCTX-M基因的传播特征

为揭示广东地区鹅场动物和环境源大肠杆菌的耐药情况及超广谱β-内酰胺酶CTX-M的流行与传播特征,本研究从广东省江门及阳江市共10处鹅场采集鹅及环境样品199份,采用MALDI-TOF-MS法分离鉴定大肠杆菌。采用琼脂稀释法对菌株进行耐药性分析,采用PCR法检测头孢噻肟耐药菌中bla_CTX-M基因及其基因环境,采用脉冲场凝胶电泳（PFGE）、接合转移和质粒复制子分型等方法探究bla_CTX-M基因的传播特征。结果显示,共获得196株大肠杆菌,对氨苄西林、多西环素、氟苯尼考和链霉素耐药率均超过50%,第三代头孢菌素耐药率为10%~25%,其中头孢噻肟耐药菌有49株（24.6%）。阳江地区大肠杆菌对受试药物的耐药率高于江门,且动物源高于环境源,尤其是头孢噻肟和头孢噻呋均存在显著差异（P<0.05）。头孢噻肟耐药菌中共检出19株携带bla_CTX-M基因,包括bla_CTX-M-55（n=17）、bla_CTX-M-27（n=1）和bla_CTX-M-65（n=1）,且bla_CTX-M基因阳性菌均可对5~11种药物耐药,呈现多重耐药的表型。bla_CTX-M-55基因环境均为ISEcp1-bla_CTX-M-55-orf477,且在ISEcp1与bla_CTX-M基因之间有3种长度的间隔序列;而bla_CTX-M-27和bla_CTX-M-65的基因环境均为ISEcp1-bla_CTX-M-27/65-IS903。19株bla_CTX-M基因阳性菌呈现10种PFGE谱型,存在一种主要流行的谱型（47.4%）,其包括多种来源菌株,暗示存在克隆传播现象。12株（63.2%）bla_CTX-M基因阳性大肠杆菌中bla_CTX-M基因转移成功,bla_CTX-M基因阳性接合子携带的复制子型为IncFⅡ（n=10）和IncHⅠ2（n=2）,且存在多西环素和氟苯尼考耐药表型与bla_CTX-M基因共转移现象。研究发现,阳江鹅场大肠杆菌耐药情况较为严重,bla_CTX-M基因存在一定的流行性且以bla_CTX-M-55亚型为主,bla_CTX-M基因阳性菌的克隆传播和质粒及插入序列ISEcp1介导的水平传播是导致该基因在鹅场大肠杆菌中扩散的主要原因,应引起高度重视。     

禽源奇异变形杆菌超广谱β-内酰胺酶基因的分子特征

【目的】研究禽源奇异变形杆菌携带超广谱β-内胺酰酶基因的亚型和blaCTX-M基因的上下游环境。【方法】对分离、鉴定的奇异变形杆菌进行药物敏感性试验、ESBLs产酶确证试验、耐药基因检测和接合试验;利用PCR定位技术（PCR mapping）分析blaCTX-M的基因环境。【结果】ESBLs确证试验表明,21株禽源奇异变形杆菌有10株是阳性表型。PCR扩增和测序结果表明,最常见的ESBL基因是blaCTX-M-14 (n=6) , blaOXA-1 (n=6), 其次是blaCTX-M-65 (n=4),同时也检测到了blaOXA-10 (n=1),没有检测到blaSHV。序列分析表明,禽源奇异变形杆菌携带blaCTX-M的上游普遍存在ISEcp1B,下游均为IS903D。【结论】首次在禽源奇异变形杆菌中检测到了blaCTX-M-65,CTX-M型超广谱β-内酰胺酶基因在禽源奇异变形杆菌中已不在少见。