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Published on: November 8, 2016
Occurrence and Antibiotic Resistance Risk Burden of Vibrio mimicus Isolates from Seafood and Aquatic Environments
Temitope C Ekundayo1, Frederick T Tabit1
1Department of Life and Consumer Sciences, University of South Africa, Private Bag X6, Florida, Roodepoort 1710, South Africa.
Background:
Emerging antimicrobial resistance in Vibrio mimicus (Vm) associated with seafood may exacerbate infections in patients.
Method:
This study investigated the prevalence of antibiotic resistance and its cross-sample/territory risk burden in Vm from seafood and aquatic environment using hierarchical mixed-effects and antimicrobial resistance risk index (ARRI) modelling.
Results:
Among the Vm isolates, resistance was highest to amoxicillin (83.7%, 5.3-99.8) and streptomycin (54.6%, 95% CIs: 15.8-88.5), with generally high resistance to penicillins (58.0-98.0%), macrolides (17.2-65.8%), and colistin sulphate (80.2%). Resistance to aminoglycosides, cephalosporins, tetracyclines, and fluoroquinolones varied widely, with seafood and environmental water sources showing similar trends. Notably, resistance to nalidixic acid (47.2%, 17.3-79.4) and doxycycline (59.4%, 3.6-98.3) was prominent. Carbapenem resistance remained low, especially in seafood. Chloramphenicol resistance (32.3%, 2.7-89.0) was higher in environmental water. Trimethoprim-sulfamethoxazole resistance was relatively low (5.8%, 0.7-36.1). Ampicillin-sulbactam resistance (43.3%, 5.1-91.5) exceeded that of amoxicillin-clavulanic acid (31.8%, 0.8-96.3). The current data reveal antibiotic resistance burdens (ARBs) of Vm in seafood (ARRI ≈ 50) and waters (ARRI ≈ 46) exceeded that of human isolates (ARRI ≈ 0.01) greatly. Also, it identified Nigeria (ARRI = 7.78)/India (ARRI = 7.35) and Asia (ARRI = 56.91)/Africa (ARRI = 40.12) as hotspots of Vm ARBs.
Conclusions:
Overall, Vm exhibited diverse antimicrobial resistance patterns across sources with high resistance concerns and high rates against penicillins, cephalosporins, macrolides, and sometimes polymyxins. Thus, it is recommended that stricter regulations on antibiotic use in aquaculture are enforced; wastewater treatment is improved, one-health surveillance is implemented; and education of stakeholders about resistance risks, use of alternatives, and proper cooking of seafood to mitigate Vm-resistant impact is promoted.
Insights
Antimicrobial resistance in Vibrio mimicus (Vm) from seafood and water poses a significant threat, with high resistance rates observed globally. Stricter regulations and improved surveillance are crucial to mitigate these risks.
Area of Science:
- Microbiology
- Food Safety
- Public Health
Background:
- Emerging antimicrobial resistance in Vibrio mimicus (Vm) from seafood presents a growing public health concern.
- Increased Vm infections may be exacerbated in vulnerable patient populations due to resistance.
- Understanding resistance patterns is critical for effective intervention strategies.
Purpose of the Study:
- To investigate the prevalence and burden of antibiotic resistance in Vibrio mimicus (Vm) from seafood and aquatic environments.
- To identify geographical hotspots and risk factors associated with Vm antimicrobial resistance.
- To provide data for informed public health and regulatory actions.
Main Methods:
- Utilized hierarchical mixed-effects modeling to analyze Vm resistance data.
- Employed the Antimicrobial Resistance Risk Index (ARRI) to quantify resistance burdens.
- Collected and analyzed Vm isolates from seafood and aquatic environments.
Main Results:
- High resistance rates in Vm were observed for amoxicillin (83.7%), colistin sulphate (80.2%), and streptomycin (54.6%).
- Significant resistance was noted for penicillins, macrolides, nalidixic acid, and doxycycline.
- Antibiotic resistance burdens in seafood and water (ARRI ≈ 50 and 46) greatly exceeded those in human isolates (ARRI ≈ 0.01), with Asia and Africa identified as hotspots.
Conclusions:
- Vibrio mimicus exhibits diverse antimicrobial resistance patterns, with high concern for penicillins, cephalosporins, macrolides, and polymyxins.
- Stricter regulations on antibiotic use in aquaculture and improved wastewater treatment are recommended.
- One-health surveillance and stakeholder education are essential to mitigate the impact of Vm-resistant infections.
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