1887
Research article Open Access
Like 0

Abstract

Recently, the plasmid-mediated colistin resistance gene was found in from humans, pigs and retail meat in China. Several reports have documented global presence of the gene in from humans, food animals and food since. We screened several well-characterised strain collections of , obtained from retail chicken meat and hospitalised patients in the Netherlands between 2009 and 2015, for presence of colistin resistance and the gene. A total of 2,471 isolates, from surveys in retail chicken meat (196 isolates), prevalence surveys in hospitalised patients (1,247 isolates), clinical cultures (813 isolates) and outbreaks in healthcare settings (215 isolates), were analysed. The gene was identified in three (1.5%) of 196 extended-spectrum beta-lactamase (ESBL)-producing isolates from retail chicken meat samples in 2009 and 2014. Two isolates were obtained from the same batch of meat samples, most likely representing contamination from a common source. No -positive isolates were identified among 2,275 human isolates tested. All -1-positive isolates were colistin-resistant (minimum inhibitory concentration (MIC) > 2 mg/L). Our findings indicate that -1-based colistin-resistance currently poses no threat to healthcare in the Netherlands. They indicate however that continued monitoring of colistin resistance and its underlying mechanisms in humans, livestock and food is needed.

Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2016.21.9.30149
2016-03-03
2024-11-21
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2016.21.9.30149
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/21/9/eurosurv-21-30149-3.html?itemId=/content/10.2807/1560-7917.ES.2016.21.9.30149&mimeType=html&fmt=ahah

References

  1. Doi Y, Paterson DL. Carbapenemase-producing Enterobacteriaceae. Semin Respir Crit Care Med. 2015;36(1):74-84. https://doi.org/10.1055/s-0035-1544208  PMID: 25643272 
  2. Liu YY, Wang Y, Walsh TR, Yi LX, Zhang R, Spencer J, et al. Emergence of plasmid-mediated colistin resistance mechanism MCR-1 in animals and human beings in China: a microbiological and molecular biological study. Lancet Infect Dis. 2016;16(2):161-8.  https://doi.org/10.1016/S1473-3099(15)00424-7  PMID: 26603172 
  3. Hasman H, Hammerum AM, Hansen F, Hendriksen RS, Olesen B, Agersø Y, et al. Detection of mcr-1 encoding plasmid-mediated colistin-resistant Escherichia coli isolates from human bloodstream infection and imported chicken meat, Denmark 2015. Euro Surveill. 2015;20(49):30085. https://doi.org/10.2807/1560-7917.ES.2015.20.49.30085  PMID: 26676364 
  4. Arcilla MS, van Hattem JM, Matamoros S, Melles DC, Penders J, de Jong MD, et al. COMBAT consortium. Dissemination of the mcr-1 colistin resistance gene. Lancet Infect Dis. 2016;16(2):147-9.  https://doi.org/10.1016/S1473-3099(15)00541-1  PMID: 26711361 
  5. Olaitan AO, Chabou S, Okdah L, Morand S, Rolain JM. Dissemination of the mcr-1 colistin resistance gene. Lancet Infect Dis. 2016;16(2):147. https://doi.org/10.1016/S1473-3099(15)00540-X  PMID: 26711360 
  6. Webb HE, Granier SA, Marault M, Millemann Y, den Bakker HC, Nightingale KK, et al. Dissemination of the mcr-1 colistin resistance gene. Lancet Infect Dis. 2015.  https://doi.org/10.1016/S1473-3099(15)00538-1 
  7. Public Health England (PHE). First detection of plasmid-mediated colistin resistance (mcr-1 gene) in food and human isolates in England and Wales (Serial number 2015/090). London: PHE, 2015.
  8. Falgenhauer L, Waezsada SE, Yao Y, Imirzalioglu C, Käsbohrer A, Roesler U, et al.; RESET consortium. Colistin resistance gene mcr-1 in extended-spectrum β-lactamase-producing and carbapenemase-producing Gram-negative bacteria in Germany. Lancet Infect Dis. 2016.
  9. Malhotra-Kumar S, Xavier BB, Das AJ, Lammens C, Butaye P, Goossens H. Colistin resistance gene mcr-1 harboured on a multidrug resistant plasmid. Lancet Infect Dis. 2016.
  10. Malhotra-Kumar S, Xavier BB, Das AJ, Lammens C, Hoang HTT, Pham NT, et al. Colistin-resistant Escherichia coli harbouring mcr-1 isolated from food animals in Hanoi, Vietnam. Lancet Infect Dis. 2016.
  11. Stoesser N, Mathers AJ, Moore CE, Day NPJ, Crook DW. Colistin resistance gene mcr-1 and pHNSHP45 plasmid in human isolates of Escherichia coli and Klebsiella pneumoniae. Lancet Infect Dis. 2016.
  12. Suzuki S, Ohnishi M, Kawanishi M, Akiba M, Kuroda M. Investigation of a plasmid genome database for colistin-resistance gene mcr-1. Lancet Infect Dis. 2016.
  13. Haenni M, Poirel L, Kieffer N, Châtre P, Saras E, Métayer V, et al. Co-occurrence of extended spectrum β lactamase and MCR-1 encoding genes on plasmids. Lancet Infect Dis. 2016.
  14. Giani T, Arena F, Vaggelli G, Conte V, Chiarelli A, Henrici De Angelis L, et al. Large nosocomial outbreak of colistin-resistant, carbapenemase-producing Klebsiella pneumoniae traced to clonal expansion of an mgrB deletion mutant. J Clin Microbiol. 2015;53(10):3341-4. https://doi.org/10.1128/JCM.01017-15  PMID: 26202124 
  15. Kluytmans JAJW, Overdevest ITMA, Willemsen I, Kluytmans-van den Bergh MFQ, van der Zwaluw K, Heck M, et al. Extended-spectrum β-lactamase-producing Escherichia coli from retail chicken meat and humans: comparison of strains, plasmids, resistance genes, and virulence factors. Clin Infect Dis. 2013;56(4):478-87. https://doi.org/10.1093/cid/cis929  PMID: 23243181 
  16. Overdevest I, Willemsen I, Rijnsburger M, Eustace A, Xu L, Hawkey P, et al. Extended-spectrum β-lactamase genes of Escherichia coli in chicken meat and humans, The Netherlands. Emerg Infect Dis. 2011;17(7):1216-22. https://doi.org/10.3201/eid1707.110209  PMID: 21762575 
  17. Willemsen I, Oome S, Verhulst C, Pettersson A, Verduin K, Kluytmans J. Trends in extended spectrum beta-lactamase (ESBL) producing Enterobacteriaceae and ESBL genes in a Dutch teaching hospital, measured in 5 yearly point prevalence surveys (2010-2014). PLoS One. 2015;10(11):e0141765. https://doi.org/10.1371/journal.pone.0141765  PMID: 26528549 
  18. Nederlands Trial Register. Trial ID NTR2799. Amsterdam: Nederlands Trial Register. [Accessed 25 Feb 2016]. Available from: http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2799
  19. Zhou K, Lokate M, Deurenberg RH, Arends J, Lo-Ten Foe J, Grundmann H, et al. Characterization of a CTX-M-15 producing Klebsiella pneumoniae outbreak strain assigned to a novel sequence type (1427). Front Microbiol. 2015;6:1250. https://doi.org/10.3389/fmicb.2015.01250  PMID: 26617589 
  20. Weterings V, Zhou K, Rossen JW, van Stenis D, Thewessen E, Kluytmans J, et al. An outbreak of colistin-resistant Klebsiella pneumoniae carbapenemase-producing Klebsiella pneumoniae in the Netherlands (July to December 2013), with inter-institutional spread. Eur J Clin Microbiol Infect Dis. 2015;34(8):1647-55. https://doi.org/10.1007/s10096-015-2401-2  PMID: 26067658 
  21. Bankevich A, Nurk S, Antipov D, Gurevich AA, Dvorkin M, Kulikov AS, et al. SPAdes: a new genome assembly algorithm and its applications to single-cell sequencing. J Comput Biol. 2012;19(5):455-77. https://doi.org/10.1089/cmb.2012.0021  PMID: 22506599 
  22. Zankari E, Hasman H, Cosentino S, Vestergaard M, Rasmussen S, Lund O, et al. Identification of acquired antimicrobial resistance genes. J Antimicrob Chemother. 2012;67(11):2640-4. https://doi.org/10.1093/jac/dks261  PMID: 22782487 
  23. Carattoli A, Zankari E, García-Fernández A, Voldby Larsen M, Lund O, Villa L, et al. In silico detection and typing of plasmids using PlasmidFinder and plasmid multilocus sequence typing. Antimicrob Agents Chemother. 2014;58(7):3895-903. https://doi.org/10.1128/AAC.02412-14  PMID: 24777092 
  24. Langmead B, Salzberg SL. Fast gapped-read alignment with Bowtie 2. Nat Methods. 2012;9(4):357-9. https://doi.org/10.1038/nmeth.1923  PMID: 22388286 
  25. Li H, Handsaker B, Wysoker A, Fennell T, Ruan J, Homer N, et al. 1000 Genome Project Data Processing Subgroup. The Sequence Alignment/Map format and SAMtools. Bioinformatics. 2009;25(16):2078-9. https://doi.org/10.1093/bioinformatics/btp352  PMID: 19505943 
  26. European Committee on Antimicrobial Susceptibility Testing (EUCAST). Breakpoint tables for interpretation of MICs and zone diameters. Version 5.0, 2015. Available from: http://www.eucast.org/clinical_breakpoints/
  27. Central Veterinary Institute of Wageningen University and Research Centre. MARAN 2015. Monitoring of antimicrobial resistance and antibiotic usage in animals in The Netherlands in 2014. 2015. Available from: http://www.swab.nl/swab/cms3.nsf/uploads/4F5A0D8E6F0DD139C1257E6E0051833A/$FILE/NethmapMaran2015%20_webversie.pdf
  28. Blaak H, Hamidjaja RA, van Hoek AHAM, de Heer L, de Roda Husman AM, Schets FM. Detection of extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli on flies at poultry farms. Appl Environ Microbiol. 2014;80(1):239-46. https://doi.org/10.1128/AEM.02616-13  PMID: 24162567 
  29. Wu G, Day MJ, Mafura MT, Nunez-Garcia J, Fenner JJ, Sharma M, et al. Comparative analysis of ESBL-positive Escherichia coli isolates from animals and humans from the UK, The Netherlands and Germany. PLoS One. 2013;8(9):e75392. https://doi.org/10.1371/journal.pone.0075392  PMID: 24086522 
  30. Dutch Foundation of the Working Party on Antibiotic Policy (SWAB). NethMap 2015. Consumption of antimicrobial agents and antimicrobial resistance among medically important bacteria in The Netherlands in 2014. Bilthoven: RIVM. 2015. Available from: http://www.swab.nl/swab/cms3.nsf/uploads/4F5A0D8E6F0DD139C1257E6E0051833A/$FILE/NethmapMaran2015%20_webversie.pdf
  31. Catry B, Cavaleri M, Baptiste K, Grave K, Grein K, Holm A, et al. Use of colistin-containing products within the European Union and European Economic Area (EU/EEA): development of resistance in animals and possible impact on human and animal health. Int J Antimicrob Agents. 2015;46(3):297-306. https://doi.org/10.1016/j.ijantimicag.2015.06.005  PMID: 26215780 
/content/10.2807/1560-7917.ES.2016.21.9.30149
Loading

Data & Media loading...

Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error