In vitro susceptibility of Brachyspira hyodysenteriae strains isolated in pigs in northern Italy between 2005 and 2022.

Pleuromutilins (tiamulin and valnemulin) are often used to treat swine dysentery due to recurrent resistance to macrolides and lincosamides. Recently, reduced susceptibility of B. hyodysenteriae to pleuromutilin has been reported. 536 strains of B. hyodysenteriae were isolated from symptomatic pigs weighing 30-150 kg in northern Italy between 2005 and 2022. B. hyodysenteriae was isolated by standard methods and confirmed by PCR. The minimum inhibitory concentration (MIC) to doxycycline, lincomycin, tiamulin, tylosin, tylvalosine and valnemulin was evaluated according to CLSI procedures and MIC data were reported as MIC 50 and MIC 90. The temporal trend of the MIC values was evaluated by dividing the data into two groups (2005-2013 and 2014-2022). Comparison of the distribution in frequency classes in the two periods was performed using Pearson's chi-squared test (p < 0.01). MIC 50 was close to the highest values tested for lincomycin and tylosin, while MIC 90 was close to the highest values tested for all antibiotics. 71.7% of the strains were susceptible to tylvalosin, while 75%-80.4% had reduced susceptibility to valnemulin and tiamulin, respectively. The difference in the distribution of MIC classes was statistically significant in the two periods for doxycycline, tiamulin, tylvalosin and valnemulin, and more MIC classes above the epidemiological cut-off were observed in 2014-2022 compared with 2005-2013. The evaluation of the trends during the period considered shows a decreasing rate of wild-type strains with MIC values below the epidemiological cut-off over time and confirms the presence of resistant strains in northern Italy.

Detection of the colistin resistance gene mcr-1 in pathogenic Escherichia coli from pigs affected by post-weaning diarrhoea in Italy.

OBJECTIVES: The aim of this study was to investigate the presence of plasmid-mediated colistin resistance genes in Escherichia coli from pigs affected by post-weaning diarrhoea (PWD). METHODS: DNA samples collected from 51 E. coli isolates from Italian pigs affected by PWD in 2015-2016 were studied. Isolates were classified as presumptively resistant to colistin by routine susceptibility testing and were investigated for the presence of the mcr-1 gene of plasmid origin by PCR. E. coli isolates testing negative for mcr-1 were analysed for the presence of a novel plasmid-mediated gene, mcr-2. Isolates were characterised for fimbrial [F4 (k88), F5 (k99), F6 (987P), F18 and F41] and toxin (LT, STa, STb and Stx2e) determinants by PCR as well as for the occurrence of haemolysis by phenotypic observation. Susceptibility to apramycin, cefquinome, enrofloxacin, florfenicol, gentamicin, tetracycline and trimethoprim/sulfamethoxazole (SXT) was also determined by disk diffusion. RESULTS: Most of the isolates showed the presence of at least one virulence factor, confirming their pathogenic potential. The presence of mcr-1 was shown in 37 (72.5%) of the 51 isolates. All of the mcr-1-negative isolates tested negative for the mcr-2 gene. Moreover, 80.4% of the isolates were resistant to apramycin, 9.8% to cefquinome, 54.9% to enrofloxacin, 52.9% to florfenicol, 76.5% to gentamicin, 96.1% to tetracycline and 78.4% to SXT. CONCLUSIONS: This is the first report documenting the presence of the mcr-1 gene in pathogenic E. coli isolated from pigs affected by PWD in Italy.