1. High prevalence and genomic characteristics of carbapenem-resistant Enterobacteriaceae and colistin-resistant Enterobacteriaceae from large-scale rivers in China.
- Author
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Guo, Cai-Hong, Liu, Yu-Qing, Li, Yan, Duan, Xiao-Xiao, Yang, Ting-Yu, Li, Fang-Yu, Zou, Ming, and Liu, Bao-Tao
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CARBAPENEM-resistant bacteria ,MOBILE genetic elements ,ESCHERICHIA coli ,ENTEROBACTERIACEAE ,MICROBIAL sensitivity tests ,MULTIDRUG resistance - Abstract
The widespread presence of carbapenem-resistant Enterobacteriaceae (CRE) and mcr -positive Escherichia coli (MCREC) poses a huge threat to both animal and human health. River water environments are vital reservoirs of antibiotic resistance genes, however, the prevalence and characteristics of CRE and MCREC from large-scale rivers in China have not been reported. In the current study, we sampled 86 rivers from four cities in Shandong Province, China in 2021 and analyzed the prevalence of CRE and MCREC. The bla NDM / bla KPC-2 / mcr -positive isolates were characterized with methods including PCR, antimicrobial susceptibility testing, conjugation, replicon typing, whole-genome sequencing and phylogenetic analysis. We found that the prevalence of CRE and MCREC in 86 rivers was 16.3% (14/86) and 27.9% (24/86), respectively and eight rivers carried both mcr-1 and bla NDM / bla KPC-2. A total of 48 Enterobacteriaceae isolates (10 ST11 Klebsiella pneumoniae with bla KPC-2 , 12 bla NDM -positive E. coli and 26 MCREC carrying only mcr-1) were obtained in this study and 47 displayed multidrug resistance (MDR). Notably, 10 of the 12 bla NDM -positive E. coli isolates also harbored the mcr-1 gene. The bla KPC-2 gene was located within mobile element IS Kpn27 - bla KPC-2 -IS Kpn6 on novel F33:A-:B- non-conjugative MDR plasmids in ST11 K. pneumoniae. The dissemination of bla NDM was mediated by transferable MDR IncB/O plasmids or IncX3 plasmids while mcr-1 was primarily disseminated by highly similar IncI2 plasmids. Notably, these waterborne IncB/O, IncX3 and IncI2 plasmids were all highly similar to previously identified plasmids from animal and human isolates. A phylogenomic analysis revealed that the CRE and MCREC isolates from water environments might be derived from animals and trigger infections in humans. The high prevalence of CRE and MCREC in large-scale environmental rivers is alarming and needs sustained surveillance due to the potential risk for transmission to humans via the food chain (irrigation) or direct contact. [Display omitted] • Carbapenem-resistant Enterobacteriaceae (CRE) and mcr -positive E. coli (MCREC) prevalence was 16.3% and 27.9%. • Up to 83.3% of the bla NDM -positive CRE isolates also carried mcr-1. • Bla NDM / mcr-1 -positive plasmids were highly similar to those from animals and humans. • CRE and MCREC from river water showed a potential in connecting animals and humans. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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