1. Populations of extended-spectrum β-lactamase-producing Escherichia coli and Klebsiella pneumoniae are different in human-polluted environment and food items: a multicentre European study
- Author
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Martak, Daniel, Guther, Julia, Verschuuren, Tess, Valot, Benoit, Conzelmann, Nadine, Bunk, Stefanie, Riccio, M Eugenia, Salamanca, Elena, Meunier, Alexandre, Henriot, Charles, Brossier, Caroline Pressacco, Bertrand, Xavier, Cooper, Ben, Harbarth, Stephan, Tacconelli, Evelina, Fluit, Ad, Rodriguez-Baño, Jesús, Kluytmans, Jan, Peter, Silke, Hocquet, Didier, Riccio, M. Eugenia, Kluytmans, Jan A.J.W., Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Cherkaoui, Abdessalam, and Renzi, Gesuele
- Subjects
Microbiology (medical) ,Veterinary medicine ,Klebsiella pneumoniae ,Escherichia coli, K. pneumoniae, ESBL, food, environment ,Biology ,Environment ,Polluted environment ,medicine.disease_cause ,beta-Lactamases ,K. pneumoniae ,03 medical and health sciences ,Food chain ,Plasmid ,Data sequences ,Extended-spectrum β-lactamase ,medicine ,polycyclic compounds ,Escherichia coli ,Humans ,Escherichia coli Infections ,030304 developmental biology ,ddc:616 ,0303 health sciences ,030306 microbiology ,K pneumoniae ,General Medicine ,Sequence types ,biochemical phenomena, metabolism, and nutrition ,biology.organism_classification ,bacterial infections and mycoses ,3. Good health ,Anti-Bacterial Agents ,Klebsiella Infections ,Infectious Diseases ,[SDV.MP]Life Sciences [q-bio]/Microbiology and Parasitology ,ESBL ,Food ,bacteria ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology ,Plasmids - Abstract
Objectives To assess the extent to which food items are a source of extended-spectrum β-lactamase (ESBL) -producing Escherichia coli (ESBL-Ec) and ESBL-producing Klebsiella pneumoniae (ESBL-Kp) for humans in five European cities. Methods We sampled 122 human polluted (hp)-environments (sewers and polluted rivers, as a proxy of human contamination) and 714 food items in Besancon (France), Geneva (Switzerland), Sevilla (Spain), Tubingen (Germany) and Utrecht (The Netherlands). A total of 254 ESBL-Ec and 39 ESBL-Kp isolates were cultured. All genomes were fully sequenced to compare their sequence types (ST) and core genomes, along with the distribution of blaESBL genes and their genetic supports (i.e. chromosome or plasmid). Results Sequence data revealed that ESBL-Ec and ESBL-Kp isolates from hp-environments were genetically different from those contaminating food items. ESBL-Ec ST131 was widespread in the hp-environment (21.5% of the isolates) but absent from the food items tested. ESBL-Ec ST10 was in similar proportions in hp-environments and food items (15 and 10 isolates, respectively) but mostly carried reservoir-specific blaESBL. blaCTX-M-1 and blaSHV-12 predominated in food-related E. coli isolates (32% and 34% of the isolates, respectively), whereas blaCTX-M-15 and blaCTX-M-27 predominated in isolates from hp-environments (52% and 15% of the isolates, respectively). Conclusions We found a very limited connection between ESBL-Ec and ESBL-Kp populations retrieved in food items and from hp-environments and blaESBL. This suggests that human-to-human contamination, rather than the food chain, is possibly the most frequent route of ESBL-Ec and ESBL-Kp transmission in high-income countries.
- Published
- 2021