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1.
Euro Surveill ; 23(27)2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29991384

RESUMO

IntroductionCarbapenemase-producing Enterobacteriaceae (CPE) have rarely been reported in dogs, and never in animals in Finland. However, in April 2015, two meropenem-resistant Escherichia coli were identified from two dogs in one family. Both dogs suffered from chronic otitis externa. Methods: Epidemiological and molecular investigations (pulsed-field gel electrophoresis (PFGE), multilocus sequence typing) were conducted to investigate the source of infection and transmission routes. Results: In both dogs and one family member New Delhi metallo-beta-lactamase (NDM-5)-producing multidrug-resistant ST167 E. coli was found. Whole genome sequencing confirmed that the isolates were identical or only had one or two allelic differences. Additionally, the dogs and humans of the family carried an identical extended-spectrum beta-lactamase (ESBL) CTX-M-group 9 E. coli ST69 strain, indicating interspecies transmission. While the original source remains unclear, human-to-canine transmission is possible. No carbapenems had been administered to the dogs, but exposure to numerous other antimicrobials likely sustained the bacteria and supported its propagation in the canine host. Conclusion: To our knowledge, canine clinical NDM-5 E. coli in Europe, and confirmed CPE transmission between dogs and humans have not been previously reported. The screening of veterinary Enterobacteriaceae isolates for carbapenem resistance is highly recommended.


Assuntos
Infecções por Escherichia coli/diagnóstico , Infecções por Escherichia coli/transmissão , Escherichia coli/genética , Escherichia coli/isolamento & purificação , Animais de Estimação , beta-Lactamases/genética , Animais , Carbapenêmicos/farmacologia , Cães , Eletroforese em Gel de Campo Pulsado , Escherichia coli/efeitos dos fármacos , Escherichia coli/enzimologia , Infecções por Escherichia coli/microbiologia , Infecções por Escherichia coli/veterinária , Finlândia , Amigos , Humanos , Tipagem de Sequências Multilocus , Reação em Cadeia da Polimerase , Sequenciamento Completo do Genoma , beta-Lactamases/efeitos dos fármacos , beta-Lactamases/isolamento & purificação
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