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基于统计学方法分析季节对大肠杆菌耐药性的影响
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科技创新2030-重大项目(2023ZD0406102);江苏省农业自主创新资金[CX (21)2011]


Statistical analysis of the impact of seasons on antibiotic resistance of Escherichia coli
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    摘要:

    【背景】大肠杆菌(Escherichia coli)为革兰氏阴性菌,广泛存在于肉鸡的肠道、排泄物、土壤、水和空气中。【目的】研究季节对大肠杆菌的流行情况和耐药性的影响。【方法】对3个定点肉鸡养殖场开展夏季和冬季大肠杆菌流行病学调查,以问卷形式调研3个养殖场基本情况,平板法分离大肠杆菌,对分离株开展14种抗菌药物最低抑菌浓度(minimum inhibitory concentration, MIC)的测定,检测分离株的耐药基因和毒力基因携带情况,最终采用统计学方法实证季节与大肠杆菌分离率的相关性、季节与细菌耐药性的相关性、耐药基因与耐药表型相关性。【结果】3个养殖场大肠杆菌总分离率为94.7% (284/300),A养殖场>C养殖场>B养殖场(100.0%>93.0%>91.0%),同一养殖场夏季和冬季的大肠杆菌分离率的统计学结果无显著差异(P>0.05),A养殖场分离率显著大于B和C养殖场(P<0.05);3个养殖场大肠杆菌分离株表现出多重耐药性,菌株对氨苄西林、头孢噻吩、卡那霉素、四环素、环丙沙星、磺胺甲噁唑、复方新诺明和氟苯尼考高度耐药,并且夏季分离株比冬季分离株耐药率高;进一步采用配对法t检验实证季节与细菌耐药性的相关性,发现仅多黏菌素E耐药性表现季节差异(P<0.05);耐药基因检出率最高的基因为floR,其次为qnrSmcr-1blaNDMaac(6')-Ib检出率较低,cfr基因未检出,3个养殖场基因检出情况与季节相关性不完全一致,耐药表型与基因型相关性分析发现,floR基因与氟苯尼考耐药呈显著正相关(P<0.05),blaNDM基因与氨苄西林、阿莫西林/克拉维酸耐药呈显著正相关(P<0.05),mcr-1基因与多黏菌素E耐药呈显著正相关(P<0.05),qnrS基因与环丙沙星耐药呈显著正相关(P<0.05);17个毒力基因分析表明fimCyijpmatAiss检出率在70%以上,共有2株大肠杆菌被定义为致病性大肠杆菌。【结论】大肠杆菌在肠道的定殖不受季节影响,肉鸡养殖场大肠杆菌多重耐药性普遍,夏季大肠杆菌分离株比冬季分离株耐药情况严峻,大肠杆菌对多黏菌素E的耐药性与季节有关,细菌耐药性与耐药基因之间存在密切相关性,研究成果提示可在夏季加强细菌耐药性监测,指导肉鸡养殖规范和精准用药,为肉鸡大肠杆菌病防治和合理用药提供参考。

    Abstract:

    [Background] Escherichia coli is a Gram-negative bacterium widely existing in the gastrointestinal tract and feces of broilers and the soil, water, and air of the farms. [Objective] To investigate the impacts of seasons on the prevalence and bacterial antimicrobial resistance of E. coli. [Methods] A survey was conducted in summer and winter to gather epidemiological data on E. coli in three farms. Questionnaires were used to collect basic information about the farms. E. coli was isolated by agar plates and identified by PCR. The minimum inhibitory concentrations (MICs) of 14 antibiotics on the isolates were determined, and the resistance genes and virulence genes carried by the isolates were identified. Finally, statistical methods were employed to analyze the correlations between seasons and E. coli isolation rate, between seasons and bacterial antimicrobial resistance, as well as between resistance genes and phenotypes. [Results] The total isolation rate of E. coli in the three farms was 94.7% (284/300), and the isolation rate followed a trend of Farm A (100.0%)>Farm C (93.0%)>Farm B (91.0%). The isolation rate of E. coli in each farm showed not significant difference between summer and winter (P>0.05). The isolation rate in Farm A was higher than those in Farm B and Farm C (P<0.05). The isolates of E. coli from the three farms exhibited multi-drug resistance, being highly resistant to ampicillin, cephalothin, kanamycin, tetracycline, ciprofloxacin, sulfamethoxazole, trimethoprim-sulfamethoxazole, and florfenicol. Moreover, the isolates obtained during summer showed a higher rate of resistance than those obtained during winter. A paired t-test was then performed to investigate the relationship between season and bacterial resistance, and only the resistance to polymyxin E showed seasonal differences (P<0.05). The bacterial antimicrobial resistance gene floR had the highest detection rate, followed by qnrS and mcr-1. The detection rates of blaNDM and aac(6')-Ib were low, and cfr was not detected. The correlations between gene detection results and seasons were not entirely consistent among the three farms. A correlation analysis between drug resistance phenotype and genotype revealed positive correlations between floR and resistance to florfenicol, between blaNDM and resistance to ampicillin and amoxicillin/clavulanate, between mcr-1 and resistance to polymyxin E, as well as between qnrS and resistance to ciprofloxacin (all P<0.05). The detection rates of the virulence genes fimC, yijp, matA, and iss were above 70%, and two strains were defined as pathogenic E. coli. [Conclusion] In summary, E. coli colonization in the gastrointestinal tract is not affected by seasons, with multidrug-resistant strains prevalent in poultry farms. The resistance of E. coli isolates in summer was severer than that in winter, with the resistance to polymyxin E linked to seasons. There exist close correlations between bacterial antimicrobial resistance and resistance genes. According to the results, we suggest that monitoring of bacterial resistance should be enhanced during summer. The findings provide guidance for the breeding practices and precise antibiotic usage and a reference for the prevention of E. coli and rational use of antibiotics in poultry.

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周倩,唐梦君,张小燕,陆俊贤,唐修君,陈薇,高玉时. 基于统计学方法分析季节对大肠杆菌耐药性的影响[J]. 微生物学通报, 2025, 52(5): 2244-2259

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  • 收稿日期:2024-08-28
  • 录用日期:2024-09-24
  • 在线发布日期: 2025-05-20
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