Third-Generation Cephalosporin-Resistant Enterobacterales and Methicillin-Resistant Staphylococcus aureus (MRSA) in

Emmanuel Irimaso1,2, Valens Hagenimana2, Emmanuel Nzabamwita2

  • 1Institute of Microbiology, University of Veterinary Medicine, 1210 Vienna, Austria.

Insights

Pigs in Rwanda harbor dangerous antibiotic-resistant bacteria like MRSA and 3GC-R Enterobacterales. Their environment also contains these WHO priority pathogens, posing a public health risk and requiring urgent One Health surveillance.

Area of Science:

  • Veterinary Microbiology
  • Public Health
  • Antimicrobial Resistance

Background:

  • Antimicrobial resistance (AMR) is a growing global threat.
  • Livestock can act as reservoirs for priority pathogens.
  • Rwanda faces challenges in addressing AMR.

Purpose of the Study:

  • To investigate the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) and third-generation cephalosporin-resistant Enterobacterales (3GC-R) in Rwandan domestic pigs and their environment.
  • To identify specific resistance genes and virulence factors.
  • To assess the potential public health risk.

Main Methods:

  • Pilot study involving 114 swabs (nasal, rectal, manure, dust) from 29 farms across four districts in Rwanda.
  • Isolation and identification of resistant bacteria.
  • Molecular characterization of resistance genes (e.g., blaCTX-M) and virulence factors (e.g., fimH).

Main Results:

  • Thirty-two 3GC-R Enterobacterales isolates were detected, including Escherichia coli and Klebsiella pneumoniae with ESBL phenotypes.
  • Four MRSA isolates (CC398, SCCmec IV) were found in nasal and environmental samples.
  • Frequent observation of multidrug resistance and co-occurrence of resistance genes and virulence factors.

Conclusions:

  • Pigs and their farm environments in Rwanda serve as reservoirs for WHO priority pathogens (MRSA, 3GC-R Enterobacterales).
  • These findings indicate a potential public health risk due to human-animal-environment interactions.
  • Urgent need for integrated One Health surveillance and AMR control strategies in Rwanda.