Characterization of a pESI-like plasmid and analysis of multidrug-resistant Salmonella enterica Infantis isolates in England and Wales.

Characterization of a pESI-like plasmid and analysis of multidrug-resistant Salmonella enterica Infantis isolates in England and Wales.
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DOI:
10.1099/mgen.0.000658
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发表时间:
2021-10
期刊:
影响因子:
3.9
通讯作者:
Nair S
Nair S
中科院分区:
生物学2区
文献类型:
--
作者:
Lee WWY;Mattock J;Greig DR;Langridge GC;Baker D;Bloomfield S;Mather AE;Wain JR;Edwards AM;Hartman H;Dallman TJ;Chattaway MA;Nair S

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肠道沙门氏菌 婴儿血清型是第五常见的 沙门 在英格兰和威尔士分离的血清型。流行病学、基因分型和抗菌药物耐药性数据 S . enterica Infantis分离株被用来分析英语和威尔士人口超过5年的时间。与下列人员有关的旅行案件 S . enterica 婴儿主要来自亚洲,其次是欧洲和北美的病例。自2000年以来, S . enterica 婴儿的多药耐药决定簇存在于一个大的质粒上,称为"新兴质粒“。 S . enterica Infantis'(pESI)。2013年至2018年,42 S . enterica 婴儿分离株从人类和食物中分离,这些人和食物对pESI样质粒上存在的多种抗菌剂类别具有耐药性决定簇,包括超广谱β-内酰胺酶(ESBLs; bla CTX-M-65)。产ESBL人的纳米孔测序 S . enterica Infantis分离株表明IncFIB pESI样质粒上存在两个区域,其中含有多个耐药基因。英格兰人和威尔士人的系统发育分析 S . enterica Infantis群体表明,大多数携带pESI样质粒的多重耐药分离株属于群体内维持的单一进化枝。2013年首次分离的bla CTX-M-65 ESBL分离株包含该进化枝内的一个谱系,主要与南美洲相关。因此,我们的数据显示,出现了一个稳定的耐药克隆,已经在英格兰和威尔士的人群中流通了一段时间,突出了监测这种血清型耐药性的必要性。
Salmonella enterica serovar Infantis is the fifth most common Salmonella serovar isolated in England and Wales. Epidemiological, genotyping and antimicrobial-resistance data for S . enterica Infantis isolates were used to analyse English and Welsh demographics over a 5 year period. Travel cases associated with S . enterica Infantis were mainly from Asia, followed by cases from Europe and North America. Since 2000, increasing numbers of S . enterica Infantis had multidrug resistance determinants harboured on a large plasmid termed ‘plasmid of emerging S . enterica Infantis’ (pESI). Between 2013 and 2018, 42 S . enterica Infantis isolates were isolated from humans and food that harboured resistance determinants to multiple antimicrobial classes present on a pESI-like plasmid, including extended-spectrum β-lactamases (ESBLs; bla CTX-M-65). Nanopore sequencing of an ESBL-producing human S . enterica Infantis isolate indicated the presence of two regions on an IncFIB pESI-like plasmid harbouring multiple resistance genes. Phylogenetic analysis of the English and Welsh S . enterica Infantis population indicated that the majority of multidrug-resistant isolates harbouring the pESI-like plasmid belonged to a single clade maintained within the population. The bla CTX-M-65 ESBL isolates first isolated in 2013 comprise a lineage within this clade, which was mainly associated with South America. Our data, therefore, show the emergence of a stable resistant clone that has been in circulation for some time in the human population in England and Wales, highlighting the necessity of monitoring resistance in this serovar.
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