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Antimicrobial Resistance-Transducing Bacteriophages Isolated from Surfaces of Equine Surgery Clinics - A Pilot Study
Miriam Hilbert1, Isabella Csadek1, Ulrike Auer2
1Institute of Meat Hygiene, Meat Technology and Food Science, University of Veterinary Medicine, Vienna, Austria.
Abstract:
In the past, the horizontal transfer of antimicrobial resistance genes was mainly associated with conjugative plasmids or transposons, whereas transduction by bacteriophages was thought to be a rare event. In order to analyze the likelihood of transduction of antimicrobial resistance in the field of clinical veterinary medicine, we isolated phages from Escherichia coli from a surgery suite of an equine clinic. In a pilot study, the surgery suite of a horse clinic was sampled directly after surgery and subsequently sampled after cleaning and disinfection following a sampling plan based on hygiene, surgery, and anesthesia. In total, 31 surface sampling sites were defined and sampled. At 24 of these 31 surface sampling sites, coliphages were isolated. At 12 sites, coliphages were found after cleaning and disinfection. Randomly selected phages were tested for their ability of antimicrobial resistance transduction. Ten of 31 phages were detected to transfer antimicrobial resistance. These phages most often transduced resistance to streptomycin, encoded by the addA1 gene (n = 9), followed by resistance to chloramphenicol by cmlA (n = 3) and ampicillin (n = 1). This is, to the best of our knowledge, the first report on antimicrobial resistance-transferring bacteriophages that have been isolated at equine veterinary clinics.
Insights
Bacteriophages, or phages, isolated from an equine clinic
Area of Science:
- Veterinary Microbiology
- Antimicrobial Resistance
- Molecular Biology
Background:
- Horizontal gene transfer of antimicrobial resistance (AMR) is crucial in clinical settings.
- Bacteriophage-mediated transduction was historically considered a rare AMR transfer mechanism compared to plasmids and transposons.
Purpose of the Study:
- To investigate the prevalence and potential of bacteriophages to transfer antimicrobial resistance genes in an equine clinical environment.
- To assess the role of phages in AMR dissemination within veterinary surgical suites.
Main Methods:
- Isolation of coliphages from environmental surfaces within an equine clinic's surgery suite.
- Sampling conducted pre- and post-cleaning and disinfection protocols.
- Testing of isolated phages for their capacity to transduce specific antimicrobial resistance genes.
Main Results:
- Coliphages were detected at 24 of 31 sampled sites, including 12 sites post-disinfection.
- Ten of 31 tested phages demonstrated the ability to transfer antimicrobial resistance.
- Streptomycin resistance (addA1 gene) was the most frequently transduced resistance, followed by chloramphenicol (cmlA) and ampicillin.
Conclusions:
- This study provides the first evidence of antimicrobial resistance-transferring bacteriophages isolated from an equine veterinary clinic.
- Phages represent a potential, previously underestimated, vector for AMR gene transfer in equine clinical environments.
- Findings highlight the need to consider phage-mediated transduction in veterinary hygiene and infection control strategies.
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