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Dissemination of Ceftriaxone-Resistant <i>Salmonella</i> Enteritidis Harboring Plasmids Encoding <i>bla</i><sub>CTX-M-55</sub> or <i>bla</i><sub>CTX-M-14</sub> Gene in China
oleh: Siyuan Yang, Jianzhong Fan, Lifei Yu, Jintao He, Linghong Zhang, Yunsong Yu, Xiaoting Hua
| Format: | Article |
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| Diterbitkan: | MDPI AG 2024-05-01 |
Deskripsi
<i>Salmonella</i> Enteritidis was the primary foodborne pathogen responsible for acute gastroenteritis. The growing ceftriaxone resistance poses a significant threat to public health. Infection with <i>S.</i> Enteritidis has emerged as a major public health concern, particularly in developing countries. However, research on ceftriaxone-resistant <i>S.</i> Enteritidis (CRO-RSE) remains limited, particularly concerning its resistance mechanism, plasmid structure, and transmission characteristics. This study aims to address these gaps comprehensively. We collected 235 <i>S.</i> Enteritidis isolates from Hangzhou First People’s Hospital between 2010 and 2020. Among these, 8.51% (20/235) exhibited resistance to ceftriaxone. Whole-genome analysis revealed that 20 CRO-RSE isolates harbored <i>bla</i><sub>CTX-M-55</sub> or <i>bla</i><sub>CTX-M-14</sub> on the plasmid. Moreover, the dissemination of the <i>bla</i><sub>CTX-M-type</sub> gene was associated with IS<i>26</i> and IS<i>Ecp1</i>. Plasmid fusion entailing the integration of the p1 plasmid with antibiotic resistance genes and the p2 (pSEV) virulence plasmid was observed in certain CRO-RSE. Additionally, the structural analysis of the plasmids unveiled two types carrying the <i>bla</i><sub>CTX-M-type</sub> gene: type A with multiple replicons and type B with IncI1 (Alpha) replicon. Type B plasmids exhibited superior adaptability and stability compared to type A plasmids within <i>Enterobacteriaceae</i>. Interestingly, although the type B (S808-p1) plasmid displayed the potential to spread to <i>Acinetobacter baumannii</i>, it failed to maintain stability in this species.