Genomic epidemiology of third-generation cephalosporin-resistant Escherichia coli from Argentinian pig and dairy farms reveals animal-specific patterns of co-resistance and resistance mechanisms.

Control measures are being introduced globally to reduce the prevalence of antibiotic resistance (ABR) in bacteria on farms. However, little is known about the current prevalence and molecular ecology of ABR in bacterial species with the potential to be key opportunistic human pathogens, such as Escherichia coli, on South American farms. Working with 30 dairy cattle farms and 40 pig farms across two provinces in central-eastern Argentina, we report a comprehensive genomic analysis of third-generation cephalosporin-resistant (3GC-R) E. coli, which were recovered from 34.8% (cattle) and 47.8% (pigs) of samples from fecally contaminated sites. Phylogenetic analysis revealed substantial diversity suggestive of long-term horizontal and vertical transmission of 3GC-R mechanisms. CTX-M-15 and CTX-M-2 were more often produced by isolates from dairy farms, while CTX-M-8 and CMY-2 and co-carriage of amoxicillin/clavulanate resistance and florfenicol resistance were more common in isolates from pig farms. This suggests different selective pressures for antibiotic use in these two animal types. We identified the ß-lactamase gene blaROB, which has previously only been reported in the family Pasteurellaceae, in 3GC-R E. coli. blaROB was found alongside a novel florfenicol resistance gene, ydhC, also mobilized from a pig pathogen as part of a new composite transposon. As the first comprehensive genomic survey of 3GC-R E. coli in Argentina, these data set a baseline from which to measure the effects of interventions aimed at reducing on-farm ABR and provide an opportunity to investigate the zoonotic transmission of resistant bacteria in this region. IMPORTANCE: Little is known about the ecology of critically important antibiotic resistance among bacteria with the potential to be opportunistic human pathogens (e.g., Escherichia coli) on South American farms. By studying 70 pig and dairy cattle farms in central-eastern Argentina, we identified that third-generation cephalosporin resistance (3GC-R) in E. coli was mediated by mechanisms seen more often in certain species and that 3GC-R pig E. coli were more likely to be co-resistant to florfenicol and amoxicillin/clavulanate. This suggests that on-farm antibiotic usage is key to selecting the types of E. coli present on these farms. 3GC-R E. coli and 3GC-R plasmids were diverse, suggestive of long-term circulation in this region. We identified the de novo mobilization of the resistance gene blaROB from pig pathogens into E. coli on a novel mobile genetic element, which shows the importance of surveying poorly studied regions for antibiotic resistance that might impact human health.

Evaluación del efecto tóxico de la doramectina, la ivermectina y la eprinomectina sobre Triatoma infestans en un modelo de rata / Evaluation of the toxic effects of doramectin, ivermectin and eprinomectin against Triatoma infestans using a rat model

Resumen Introducción. La principal herramienta para el control de los triatominos, vectores de Trypanosoma cruzi, ha sido el uso masivo e intensivo de piretroides. La aparición de resistencia a estas moléculas ha planteado la necesidad de encontrar estrategias nuevas, alternativas y complementarias de control. Objetivo. Evaluar el efecto tóxico de la ivermectina, la doramectina y la eprinomectina sobre Triatoma infestans y sus consecuencias en la alimentación con sangre en un modelo de roedor. Materiales y métodos. Se alimentaron ninfas de quinto estadio de T. infestans en distintos momentos sobre ratas Wistar tratadas previamente con doramectina, ivermectina, eprinomectina o dimetilsulfóxido (excipiente de control), administrados tópicamente o por vía oral. Se determinó el efecto de cada endectocida y del dimeltilsulfóxido en la cantidad de sangre ingerida, el volumen de excreciones y el porcentaje de mortalidad. Resultados. Únicamente la mortalidad de los insectos dependió del endectocida suministrado a las ratas y de la vía de administración utilizada. La doramectina causó mayor mortalidad (21,5 %) comparada con la ivermectina, la eprinomectina y el dimetilsulfóxido (16, 11 y 2,5 %, respectivamente), y la administración tópica fue más efectiva que la vía oral (23 Vs. 9,3 %). Conclusión. Los resultados obtenidos demuestran el efecto tóxico de los tres endectocidas en T. infestans. Su utilización en animales domiciliarios o que viven en el peridomicilio podría ser una interesante estrategia complementaria de la aspersión con piretroides para el control de T. infestans.

Abstract Introduction: Pyrethroids have been frequently and intensively used for controlling the triatomine vectors of Trypanosoma cruzi. The emergence of resistance to these insecticides has resulted in an urgent need to identify novel, alternative and complementary control strategies. Objective: To evaluate the toxic effects of ivermectin, doramectin and eprinomectin on the blood-feeding behaviour of Triatoma infestans using a rodent model. Materials and methods: Fifth instar nymphs of T. infestans were fed at different times on Wistar rats pretreated with doramectin, ivermectin, eprinomectin or dimethylsulfoxide (excipient control) topically or orally administered. We determined the effects of each insecticide and of dimethyl sulfoxide on the amount of ingested blood, the volume of faecal discharge, and the mortality rates in triatomines. Results: Only the rate of triatomine mortality was associated with the antiparasitic compounds administered and the route of administration utilized. Doramectin administration was associated with a higher mortality rate (21.5%) than ivermectin, eprinomectin and dimethylsulfoxide (16, 11 and 2.5%, respectively), and topical administration was found to be most effective for inducing mortality (23 vs. 9.3 %). Conclusion: These results demonstrate the toxic effects of the three assessed insecticides onT. infestans. The administration of ecto/endoparasiticides to domiciliary or peridomiciliary animals may serve as an interesting complementary strategy to the use of pyrethroids for the control of T. infestans.

A study of the effects of imidacloprid under laboratory and field conditions on nymphs of Triatoma infestans (Hemiptera: Reduviidae)

The aim of this study was to determine imidacloprid's lethal activity against fifth-instar nymphs of Triatoma infestans. In the first stage of this work, it was assayed the topical application of this insecticide on non-fed and repletion-fed nymphs. Results showed a DL50 three times greater in non-fed bugs than in those fully engorged. The presence of food determined less time for the insecticide's maximum lethal effect: 24 h post topical application in fed nymphs and 72 h in non-fed nymphs. In the study's second stage, we assayed a xenointoxication assay on dogs. The commercial products, Advantage®, Bayer (imidacloprid 10 % p/v) and Power Ultra®, Brouwer (imidacloprid 5.15 %, permethrin 40 % and piperonyl butoxide [PBO] 3%) were evaluated. Following administration of the insecticide, nymphs were fed on dogs 24, 72, 168, 240 and 336 h. Blood intake was similar in nymphs exposed to treated dogs versus controls. Although both commercial products showed low triatomicidal activity, a higher efficacy of the product combining imidacloprid with the synergist piperonyl butoxide and permethrin versus the product with imidacloprid as the only active ingredient was observed, causing in nymphs a mortality rate of 36.3 % and 20.7 %, respectively. Our results suggest that imidacloprid, alone or in combination with permethrin and PBO, is not an alternative for control of T. infestans.

Eficacia in vitro de tres endectocidas frente a Triatoma infestans / In vitro efficacy of three endectocides against Triatoma infestans

Introduction: various studies have demonstrated the role that areas around the houses play in domiciliary re-infestation by Triatomainfestans (kissing bugs). With the aim of removing residual foci of T. infestans that inhabit in neighboring areas of houses, different strategies have been developed. The administration of different anti-T. infestans compounds to animals living in areas around the houses might be a good way to reduce the risk of domiciliary re-infestation.Objective: to evaluate the in vitro efficacy of three antiparasitic agents, doramectin (DRM), ivermectin (IVM) and eprinomectin (EPR) against fifth instar nymphs of Triatomainfestans.Methods: artificial feeders were designed , which contained heparinized and fortified blood with various concentrations of the three endectocides (100-0.4 ng/mL). We used 600 fifth instar nymphs of T. infestans during the experiment. A group of insects were fed with untreated blood (control). After feeding they were under observation to check their condition every 24 hours for a week.Results: the three molecules showed activity against T. infestans. In comparing the activity of the three molecules, DRM exhibited greater potency against insects, it even kept its activity against T. infestans at 0.4 ng/mL (lowest concentration tested). In the case of EPR and IVM, their efficacy began to lower at concentrations below 6.25 and 3.15 ng/mL respectively, being totally inactive at 0.4 ng/mL concentration.Conclusions: Based on these results, we can assert that under our experimental conditions, IVM, EPR and DRM show in vitro high efficacy against T. infestans, being the latter more effective than the other two molecules

Eficacia in vitro de tres endectocidas frente a Triatoma infestans / In vitro efficacy of three endectocides against Triatoma infestans

Introducción: distintos estudios han demostrado el papel preponderante que el peridomicilio cumple en la reinfestación de las viviendas por Triatoma infestans (vinchucas). Con el objetivo de eliminar focos residuales de T. infestans que habitan alrededor de los hogares se han desarrollado distintas estrategias. La administración de diferentes compuestos que tengan actividad contra T. infestans a los animales que habitan zonas cercanas a los domicilios y sirvan como fuente de alimentación a estos insectos, podría ser una buena manera de disminuir el riesgo de reinfestación domiciliaria. Objetivo: evaluar la eficacia in vitro de tres agentes antiparasitarios, doramectina (DRM), ivermectina (IVM) y eprinomectina (EPR) frente a ninfas de quinto estadio de Triatoma infestans. Métodos: se diseñaron alimentadores artificiales en donde se colocó sangre heparinizada y fortificada con distintas concentraciones de los tres endectocidas (100-0,4 ng/mL). Se utilizaron 600 ninfas de quinto estadio de T. infestans durante el experimento. Un grupo de vinchucas fue alimentada con sangre sin tratar (control). Luego de realizada la alimentación se observó el estado de los insectos cada 24 hs. durante el transcurso de una semana. Resultados: los tres endectocidas demostraron actividad frente a ninfas de quinto estadio de T. infestans. Comparando la actividad de las tres moléculas, DRM fue la que exhibió una mayor potencia contra los insectos, inclusive mantuvo su actividad frente T. infestans a 0,4 ng/mL (menor concentración evaluada). En el caso de IVM y EPR comenzaron a perder eficacia a concentraciones por debajo de los 6,25 y 3,15 ng/mL respectivamente, siendo totalmente inactivas a 0,4 ng/mL. Conclusiones: en base a estos resultados podemos aseverar que bajo nuestras condiciones experimentales, tanto IVM, EPR como DRM poseen una alta eficacia in vitro contra T. infestans, siendo la última la más efectiva de las tres evaluadas(AU)

Introduction: various studies have demonstrated the role that areas around the houses play in domiciliary re-infestation by Triatomainfestans (kissing bugs). With the aim of removing residual foci of T. infestans that inhabit in neighboring areas of houses, different strategies have been developed. The administration of different anti-T. infestans compounds to animals living in areas around the houses might be a good way to reduce the risk of domiciliary re-infestation. Objective: to evaluate the in vitro efficacy of three antiparasitic agents, doramectin (DRM), ivermectin (IVM) and eprinomectin (EPR) against fifth instar nymphs of Triatomainfestans. Methods: artificial feeders were designed , which contained heparinized and fortified blood with various concentrations of the three endectocides (100-0.4 ng/mL). We used 600 fifth instar nymphs of T. infestans during the experiment. A group of insects were fed with untreated blood (control). After feeding they were under observation to check their condition every 24 hours for a week. Results: the three molecules showed activity against T. infestans. In comparing the activity of the three molecules, DRM exhibited greater potency against insects, it even kept its activity against T. infestans at 0.4 ng/mL (lowest concentration tested). In the case of EPR and IVM, their efficacy began to lower at concentrations below 6.25 and 3.15 ng/mL respectively, being totally inactive at 0.4 ng/mL concentration. Conclusions: Based on these results, we can assert that under our experimental conditions, IVM, EPR and DRM show in vitro high efficacy against T. infestans, being the latter more effective than the other two molecules(AU)

Nicotina en leche materna y sus consecuencias en los lactantes / Nicotine in mother’s milk and its consequences in breastfeeding infants

El tabaquismo, principal causa de muerte prevenible, es una pandemia cuya prevalencia en mujeres ha aumentado en las últimas décadas. Este trabajo pretende exponer los principales efectos de la nicotina en el lactante y su influencia en la composición de la leche materna. La lactancia materna exclusiva durante los primeros 6 meses de vida es la alimentación ideal para el desarrollo del neonato, por lo que su pureza debe ser conservada. La nicotina pasa a la leche materna, exponiendo a los lactantes a posibles efectos tóxicos: mayor riesgo de infecciones, cólicos, irritabilidad, síndrome de muerte súbita del lactante y síndrome de abstinencia. El tabaquismo disminuye el volumen de leche producido y altera la composición de ésta, disminuyendo su contenido de yodo, vitaminas y de grasas e incrementando los niveles de compuestos policíclicos aromáticos.El análisis fisiopatológico, clínico y socioeconómico de la problemática es complejo, por lo que es necesario generar alianzas interdisciplinarias para afrontarla...