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Published on: December 23, 2022
Colistin-resistant Escherichia coli mediated by the mcr-1 gene from pigs in northeastern Argentina
Juan Leandro Pellegrini1, María de Los Ángeles González2, Liliana Silvina Lösch1
1Instituto de Medicina Regional, Universidad Nacional del Nordeste, Av. Las Heras 727 CP 3500, Resistencia, Chaco, Argentina.
Abstract:
The emergence and spread of multidrug-resistant Escherichia coli carrying mcr-1 is recognized as a threat to public health. The aim of this study was to determine the prevalence of the mcr-1 gene in colistin-resistant E. coli isolates from commercial pig farms in Chaco, Argentina from 2020 to 2021. A total of 140 rectal swab samples were collected from pigs in six different pig production farms. Antimicrobial susceptibility was determined by broth microdilution. mcr-1 to mcr-5 genes were identified by multiplex PCR and clonality was assessed by ERIC and REP-PCR. The prevalence of mcr-1 was 16.4% and mcr-2, mcr-3, mcr-4 and mcr-5 genes were not detected. Colistin MIC values showed a bimodal distribution with a MIC50, MIC90 and a range of 4, 8 and 4-8μg/ml, respectively. The resistance profile to other antimicrobials was: ampicillin, 87% (20); ampicillin-sulbactam, 47.8% (11); amoxicillin-clavulanic, 13% (3); chloramphenicol, 82.6% (19); ciprofloxacin, 60.9% (14); minocycline, 26.1% (5) and trimethoprim/sulfamethoxazole, 43.5% (10). Eighty-seven percent (87%) of the strains were categorized as MDR and 12 phenotypic resistance patterns with different clonality profiles were observed. A high prevalence of mcr-1 is demonstrated in colistin-free pig farms from Chaco, Argentina. The mcr-1 positive E. coli isolates showed an alarming level of multidrug resistance and high clonal diversity. It is necessary to continuously monitor the presence of the mcr-1 gene not only in pig production, but also in humans and the environment.
Insights
Multidrug-resistant Escherichia coli carrying the mcr-1 gene were found in 16.4% of pig farms in Argentina. These resistant E. coli strains show high multidrug resistance and clonal diversity, necessitating ongoing surveillance.
Area of Science:
- Veterinary Microbiology
- Antimicrobial Resistance
- Public Health
Background:
- The emergence of multidrug-resistant (MDR) Escherichia coli strains, particularly those carrying the mcr-1 gene conferring colistin resistance, poses a significant global public health threat.
- Colistin is a critical last-resort antibiotic, and its efficacy is compromised by the spread of resistance genes like mcr-1.
Purpose of the Study:
- To determine the prevalence of the mcr-1 gene in colistin-resistant E. coli isolates from commercial pig farms in Chaco, Argentina.
- To characterize the antimicrobial resistance profiles and clonality of these E. coli isolates.
Main Methods:
- Rectal swab samples were collected from pigs across six farms between 2020 and 2021.
- Antimicrobial susceptibility testing was performed using broth microdilution.
- Multiplex PCR was employed to detect mcr-1 to mcr-5 genes, and clonality was assessed via ERIC and REP-PCR.
Main Results:
- The mcr-1 gene was detected in 16.4% of the E. coli isolates; mcr-2 to mcr-5 genes were not found.
- Colistin resistance showed a bimodal distribution (MIC50, MIC90: 4, 8 μg/ml).
- A high proportion (87%) of isolates were multidrug-resistant (MDR), exhibiting various resistance patterns and significant clonal diversity.
Conclusions:
- A substantial prevalence of the mcr-1 gene was identified in colistin-resistant E. coli from pig farms in Chaco, Argentina, even in the absence of colistin use.
- The mcr-1 positive E. coli isolates demonstrated alarming levels of multidrug resistance and genetic diversity.
- Continuous monitoring of the mcr-1 gene in livestock, human, and environmental populations is crucial to mitigate the spread of antimicrobial resistance.
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