Resistome Analysis of <i>Campylobacter jejuni</i> Strains Isolated from Human Stool and Primary Sterile Samples in Croatia

Campylobacteriosis represents a global health challenge due to continuously increasing trends of antimicrobial resistance in <i>Campylobacter jejuni</i>. <i>C. jejuni</i> can sometimes cause life-threatening and severe systematic infections (bacteremia, meningitis, and other...

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Main Authors: Silvija Šoprek, Sanja Duvnjak, Gordan Kompes, Luka Jurinović, Arjana Tambić Andrašević
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/10/7/1410
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author Silvija Šoprek
Sanja Duvnjak
Gordan Kompes
Luka Jurinović
Arjana Tambić Andrašević
author_facet Silvija Šoprek
Sanja Duvnjak
Gordan Kompes
Luka Jurinović
Arjana Tambić Andrašević
author_sort Silvija Šoprek
collection DOAJ
description Campylobacteriosis represents a global health challenge due to continuously increasing trends of antimicrobial resistance in <i>Campylobacter jejuni</i>. <i>C. jejuni</i> can sometimes cause life-threatening and severe systematic infections (bacteremia, meningitis, and other extraintestinal infections) with very few antibiotics left as treatment options. Bearing in mind that <i>C. jejuni</i> is the predominant species in humans, in this paper, we present a study of the <i>C. jejuni</i> differences in antimicrobial resistance and genotype distribution between strains isolated from stool and primary sterile sites. We compared the genomic data obtained through whole genome sequencing (WGS) and phenotypic susceptibility data of <i>C. jejuni</i> strains. Once antimicrobial susceptibility testing of <i>C. jejuni</i> strains was carried out by the broth microdilution method for six of interest, results were compared to the identified genotypic determinants derived from WGS. The high rate of resistance to fluoroquinolones presented in this study is in accordance with national surveillance data. The proportion of strains with acquired resistance was 71% for ciprofloxacin and 20% for tetracycline. When invasive isolates were analysed separately, 40% exhibited MIC values of ciprofloxacin higher than the ECOFFs, suggesting a lower flouroquinolone resistance rate in invasive isolates. All isolates demonstrated wilde-type phenotype for chloramphenicol, erythromycin, gentamicin, and ertapenem. A special focus and review in this study was performed on a group of <i>C.jejuni</i> strains found in primary sterile samples. Apart from demonstrating a lower resistance rate, these isolates seem genetically more uniform, showing epidemiologically more homogenous patterns, which cluster to several clonal complexes, with CC49 being the most represented clonal complex.
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spelling doaj.art-176f02d0a4114f3da0b85d15dfb96c3e2023-12-03T11:59:16ZengMDPI AGMicroorganisms2076-26072022-07-01107141010.3390/microorganisms10071410Resistome Analysis of <i>Campylobacter jejuni</i> Strains Isolated from Human Stool and Primary Sterile Samples in CroatiaSilvija Šoprek0Sanja Duvnjak1Gordan Kompes2Luka Jurinović3Arjana Tambić Andrašević4Department of Clinical Microbiology, University Hospital for Infectious Diseases “Dr. Fran Mihaljević”, 10000 Zagreb, CroatiaLaboratory for Bacterial Zoonoses and Molecular Diagnostics of Bacterial Diseases, Department for Bacteriology and Parasitology, Croatian Veterinary Institute, 10000 Zagreb, CroatiaLaboratory for General Bacteriology and Mycology, Department for Bacteriology and Parasitology, Croatian Veterinary Institute, 10000 Zagreb, CroatiaLaboratory for Bacteriology, Poultry Centre, Croatian Veterinary Institute, 10000 Zagreb, CroatiaDepartment of Clinical Microbiology, University Hospital for Infectious Diseases “Dr. Fran Mihaljević”, 10000 Zagreb, CroatiaCampylobacteriosis represents a global health challenge due to continuously increasing trends of antimicrobial resistance in <i>Campylobacter jejuni</i>. <i>C. jejuni</i> can sometimes cause life-threatening and severe systematic infections (bacteremia, meningitis, and other extraintestinal infections) with very few antibiotics left as treatment options. Bearing in mind that <i>C. jejuni</i> is the predominant species in humans, in this paper, we present a study of the <i>C. jejuni</i> differences in antimicrobial resistance and genotype distribution between strains isolated from stool and primary sterile sites. We compared the genomic data obtained through whole genome sequencing (WGS) and phenotypic susceptibility data of <i>C. jejuni</i> strains. Once antimicrobial susceptibility testing of <i>C. jejuni</i> strains was carried out by the broth microdilution method for six of interest, results were compared to the identified genotypic determinants derived from WGS. The high rate of resistance to fluoroquinolones presented in this study is in accordance with national surveillance data. The proportion of strains with acquired resistance was 71% for ciprofloxacin and 20% for tetracycline. When invasive isolates were analysed separately, 40% exhibited MIC values of ciprofloxacin higher than the ECOFFs, suggesting a lower flouroquinolone resistance rate in invasive isolates. All isolates demonstrated wilde-type phenotype for chloramphenicol, erythromycin, gentamicin, and ertapenem. A special focus and review in this study was performed on a group of <i>C.jejuni</i> strains found in primary sterile samples. Apart from demonstrating a lower resistance rate, these isolates seem genetically more uniform, showing epidemiologically more homogenous patterns, which cluster to several clonal complexes, with CC49 being the most represented clonal complex.https://www.mdpi.com/2076-2607/10/7/1410<i>Campylobacter jejuni</i>antimicrobial resistanceantimicrobial susceptibility testingbioinformaticswhole genome sequencing<i>Campylobacter jejuni</i> in primary sterile samples
spellingShingle Silvija Šoprek
Sanja Duvnjak
Gordan Kompes
Luka Jurinović
Arjana Tambić Andrašević
Resistome Analysis of <i>Campylobacter jejuni</i> Strains Isolated from Human Stool and Primary Sterile Samples in Croatia
Microorganisms
<i>Campylobacter jejuni</i>
antimicrobial resistance
antimicrobial susceptibility testing
bioinformatics
whole genome sequencing
<i>Campylobacter jejuni</i> in primary sterile samples
title Resistome Analysis of <i>Campylobacter jejuni</i> Strains Isolated from Human Stool and Primary Sterile Samples in Croatia
title_full Resistome Analysis of <i>Campylobacter jejuni</i> Strains Isolated from Human Stool and Primary Sterile Samples in Croatia
title_fullStr Resistome Analysis of <i>Campylobacter jejuni</i> Strains Isolated from Human Stool and Primary Sterile Samples in Croatia
title_full_unstemmed Resistome Analysis of <i>Campylobacter jejuni</i> Strains Isolated from Human Stool and Primary Sterile Samples in Croatia
title_short Resistome Analysis of <i>Campylobacter jejuni</i> Strains Isolated from Human Stool and Primary Sterile Samples in Croatia
title_sort resistome analysis of i campylobacter jejuni i strains isolated from human stool and primary sterile samples in croatia
topic <i>Campylobacter jejuni</i>
antimicrobial resistance
antimicrobial susceptibility testing
bioinformatics
whole genome sequencing
<i>Campylobacter jejuni</i> in primary sterile samples
url https://www.mdpi.com/2076-2607/10/7/1410
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