Antimicrobial resistance in Enterobacteriaceae from healthy broilers in Egypt: emergence of colistin-resistant and extended-spectrum β-lactamase-producing Escherichia coli

Abstract Background Poultry remains one of the most important reservoir for zoonotic multidrug resistant pathogens. The global rise of antimicrobial resistance in Gram-negative bacteria is of reasonable concern and demands intensified surveillance. Methods In 2016, 576 cloacal swabs were collected f...

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Main Authors: Amira A. Moawad, Helmut Hotzel, Heinrich Neubauer, Ralf Ehricht, Stefan Monecke, Herbert Tomaso, Hafez M. Hafez, Uwe Roesler, Hosny El-Adawy
Format: Article
Language:English
Published: BMC 2018-09-01
Series:Gut Pathogens
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13099-018-0266-5
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author Amira A. Moawad
Helmut Hotzel
Heinrich Neubauer
Ralf Ehricht
Stefan Monecke
Herbert Tomaso
Hafez M. Hafez
Uwe Roesler
Hosny El-Adawy
author_facet Amira A. Moawad
Helmut Hotzel
Heinrich Neubauer
Ralf Ehricht
Stefan Monecke
Herbert Tomaso
Hafez M. Hafez
Uwe Roesler
Hosny El-Adawy
author_sort Amira A. Moawad
collection DOAJ
description Abstract Background Poultry remains one of the most important reservoir for zoonotic multidrug resistant pathogens. The global rise of antimicrobial resistance in Gram-negative bacteria is of reasonable concern and demands intensified surveillance. Methods In 2016, 576 cloacal swabs were collected from 48 broiler farms located in five governorates in northern Egypt. Isolates of Enterobacteriaceae could be cultivated on different media and were identified by MALDI-TOF MS and PCR. Escherichia coli isolates were genotyped by DNA-microarray-based assays. The antimicrobial susceptibility to 14 antibiotics was determined and resistance-associated genes were detected. The VITEK-2 system was applied for phenotypical confirmation of extended-spectrum β-lactamase-producing isolates. The determination of colistin resistance was carried out phenotypically using E-test and genotypically using PCR for detection of the mcr-1 gene. Results Out of 576 samples, 72 representatives of Enterobacteriaceae were isolated and identified as 63 E. coli (87.5%), 5 Enterobacter cloacae (6.9%), 2 Klebsiella pneumoniae (2.8%) and 2 Citrobacter spp. (2.8%). Seven out of 56 cultivated E. coli (12.5%) were confirmed as ESBL-producing E. coli and one isolate (1.8%) as ESBL/carbapenemase-producing E. coli. Five out of 63 E. coli isolates (7.9%) recovered from different poultry flocks were phenotypically resistant to colistin and harboured mcr-1 gene. Conclusions This is the first study reporting colistin resistance and emergence of multidrug resistance in Enterobacteriaceae isolated from healthy broilers in the Nile Delta region, Egypt. Colistin-resistant E. coli in poultry is of public health significance. The global rise of ESBL- and carbapenemase-producing Gram-negative bacteria demands intensified surveillance. ESBL-producing E. coli in poultry farms in Egypt are of major concern that emphasizes the possibility of spread of such strains to humans. The results also reinforce the need to develop strategies and to implement specific control procedures to reduce the use of antibiotics.
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spelling doaj.art-ab060c39dbe14806b50e82c5664a085e2022-12-22T02:07:15ZengBMCGut Pathogens1757-47492018-09-0110111210.1186/s13099-018-0266-5Antimicrobial resistance in Enterobacteriaceae from healthy broilers in Egypt: emergence of colistin-resistant and extended-spectrum β-lactamase-producing Escherichia coliAmira A. Moawad0Helmut Hotzel1Heinrich Neubauer2Ralf Ehricht3Stefan Monecke4Herbert Tomaso5Hafez M. Hafez6Uwe Roesler7Hosny El-Adawy8Friedrich-Loeffler-Institut (Federal Research Institute for Animal Health), Institute of Bacterial Infections and ZoonosesFriedrich-Loeffler-Institut (Federal Research Institute for Animal Health), Institute of Bacterial Infections and ZoonosesFriedrich-Loeffler-Institut (Federal Research Institute for Animal Health), Institute of Bacterial Infections and ZoonosesAlere Technologies GmbHAlere Technologies GmbHFriedrich-Loeffler-Institut (Federal Research Institute for Animal Health), Institute of Bacterial Infections and ZoonosesInstitute for Poultry Diseases, Free University BerlinInstitute for Animal Hygiene and Environmental Health, Free University BerlinFriedrich-Loeffler-Institut (Federal Research Institute for Animal Health), Institute of Bacterial Infections and ZoonosesAbstract Background Poultry remains one of the most important reservoir for zoonotic multidrug resistant pathogens. The global rise of antimicrobial resistance in Gram-negative bacteria is of reasonable concern and demands intensified surveillance. Methods In 2016, 576 cloacal swabs were collected from 48 broiler farms located in five governorates in northern Egypt. Isolates of Enterobacteriaceae could be cultivated on different media and were identified by MALDI-TOF MS and PCR. Escherichia coli isolates were genotyped by DNA-microarray-based assays. The antimicrobial susceptibility to 14 antibiotics was determined and resistance-associated genes were detected. The VITEK-2 system was applied for phenotypical confirmation of extended-spectrum β-lactamase-producing isolates. The determination of colistin resistance was carried out phenotypically using E-test and genotypically using PCR for detection of the mcr-1 gene. Results Out of 576 samples, 72 representatives of Enterobacteriaceae were isolated and identified as 63 E. coli (87.5%), 5 Enterobacter cloacae (6.9%), 2 Klebsiella pneumoniae (2.8%) and 2 Citrobacter spp. (2.8%). Seven out of 56 cultivated E. coli (12.5%) were confirmed as ESBL-producing E. coli and one isolate (1.8%) as ESBL/carbapenemase-producing E. coli. Five out of 63 E. coli isolates (7.9%) recovered from different poultry flocks were phenotypically resistant to colistin and harboured mcr-1 gene. Conclusions This is the first study reporting colistin resistance and emergence of multidrug resistance in Enterobacteriaceae isolated from healthy broilers in the Nile Delta region, Egypt. Colistin-resistant E. coli in poultry is of public health significance. The global rise of ESBL- and carbapenemase-producing Gram-negative bacteria demands intensified surveillance. ESBL-producing E. coli in poultry farms in Egypt are of major concern that emphasizes the possibility of spread of such strains to humans. The results also reinforce the need to develop strategies and to implement specific control procedures to reduce the use of antibiotics.http://link.springer.com/article/10.1186/s13099-018-0266-5EnterobacteriaceaeAntibiotic resistanceDNA microarrayESBLColistinBroiler
spellingShingle Amira A. Moawad
Helmut Hotzel
Heinrich Neubauer
Ralf Ehricht
Stefan Monecke
Herbert Tomaso
Hafez M. Hafez
Uwe Roesler
Hosny El-Adawy
Antimicrobial resistance in Enterobacteriaceae from healthy broilers in Egypt: emergence of colistin-resistant and extended-spectrum β-lactamase-producing Escherichia coli
Gut Pathogens
Enterobacteriaceae
Antibiotic resistance
DNA microarray
ESBL
Colistin
Broiler
title Antimicrobial resistance in Enterobacteriaceae from healthy broilers in Egypt: emergence of colistin-resistant and extended-spectrum β-lactamase-producing Escherichia coli
title_full Antimicrobial resistance in Enterobacteriaceae from healthy broilers in Egypt: emergence of colistin-resistant and extended-spectrum β-lactamase-producing Escherichia coli
title_fullStr Antimicrobial resistance in Enterobacteriaceae from healthy broilers in Egypt: emergence of colistin-resistant and extended-spectrum β-lactamase-producing Escherichia coli
title_full_unstemmed Antimicrobial resistance in Enterobacteriaceae from healthy broilers in Egypt: emergence of colistin-resistant and extended-spectrum β-lactamase-producing Escherichia coli
title_short Antimicrobial resistance in Enterobacteriaceae from healthy broilers in Egypt: emergence of colistin-resistant and extended-spectrum β-lactamase-producing Escherichia coli
title_sort antimicrobial resistance in enterobacteriaceae from healthy broilers in egypt emergence of colistin resistant and extended spectrum β lactamase producing escherichia coli
topic Enterobacteriaceae
Antibiotic resistance
DNA microarray
ESBL
Colistin
Broiler
url http://link.springer.com/article/10.1186/s13099-018-0266-5
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