Abstract
Background: We investigated the virulence factors, genes, antibiotic resistance patterns, and genotypes (VRE and ESBL/AmpC) production in Enterococci and Enterobacteriaceae strains isolated from fecal samples of humans, dogs, and cats. Methods: A total of 100 fecal samples from 50 humans, 25 dogs, and 25 cats were used in the study. MICs of nine antimicrobials were determined using the broth microdilution method. Polymerase chain reaction was used for the detection of genes responsible for antibiotic resistance (VRE and ESBL/AmpC) and virulence genes both in Enterococcus species, such as cytolysin (cylA, cylB, cylM), aggregation substance (agg), gelatinase (gelE), enterococcal surface protein (esp), cell wall adhesins (efaAfs and efaAfm), and in Enterobacteriaceae, such as cytolysin (hemolysin) and gelatinase production (afa, cdt, cnf1, hlyA, iutA, papC, sfa). Results: Enterococcus faecium was the most prevalent species in humans and cats, whereas Enterococcus faecalis was the species isolated in the remaining samples. A total of 200 Enterobacteriaceae strains were also detected, mainly from humans, and Escherichia coli was the most frequently isolated species in all types of samples. In the Enterococcus spp, the highest percentages of resistance for ampicillin, amoxicillin/clavulanate, erythromycin, tetracycline, ciprofloxacin, teicoplanin, and vancomycin were detected in cat isolates (41.6%, 52.8%, 38.9%, 23.6%, 62.5%, 20.8%, and 23.6% respectively), and in E. coli, a higher rate of resistance to cefotaxime and ceftazidime emerged in cat and dog samples, if compared with humans (75.4% and 66.0%, 80.0% and 71.4%, and 32.0% and 27.2%, respectively). Regarding the total number of enterococci, 5% and 3.4% of the strains were vancomycin and teicoplanin resistant, and the vancomycin resistance (van A) gene has been detected in all samples by PCR amplification. All the Enterobacteriaceae strains were confirmed as ESBL producers by PCR and sequencing, and the most frequent ESBL genes in E. coli strains from humans and pet samples were blaCTX-M-1 and blaCTX-M-15. Conclusions: Our results provide evidence that one or more virulence factors were present in both genera, underlining again the ability of pet strains to act as pathogens.
Highlights
Antimicrobial resistance (AMR) is a major health problem rapidly spreading across the world [1], and the interest of the scientific community in the presence and circulation of resistant organisms between pets and humans has increased due to the important public health implications
Given that companion animals have been suggested as potential reservoirs for antimicrobial-resistant bacteria [18,20], we studied the circulation of resistant bacteria in pets to obtain a deeper knowledge on the possible role in transmission to humans
We investigated virulence factors, genes, antibiotic resistance patterns, and genotypes (VRE and ESBL/AmpC) production in Enterococcus and Enterobacteriaceae strains isolated from fecal samples of humans, dogs, and cats
Summary
Antimicrobial resistance (AMR) is a major health problem rapidly spreading across the world [1], and the interest of the scientific community in the presence and circulation of resistant organisms between pets and humans has increased due to the important public health implications. Enterococcus spp. and Enterobacteriaceae represent important human and veterinary pathogens/opportunists and a significant burden for healthcare systems worldwide The presence of these bacterial species in the gastrointestinal tract of both species plays a role in maintaining the normal digestive and immune functions of the hosts [2,3]. These bacteria species have been found to participate in metabolic activities that save energy and absorbable nutrients as well as protect the colonized host against invasion by foreign microbes [4] These microorganisms are commensal in the gut of most animals and common in environments contaminated by human and animal feces, they emerged as nosocomial and community-acquired pathogens for their ability to develop high-level resistance to antimicrobials [5]. We investigated the virulence factors, genes, antibiotic resistance patterns, and genotypes (VRE and ESBL/AmpC) production in Enterococci and Enterobacteriaceae strains isolated from fecal samples of humans, dogs, and cats. Regarding the total number of enterococci, 5% and 3.4% of the strains were vancomycin and teicoplanin resistant, and the vancomycin resistance (van A) gene has been detected in all samples by PCR amplification
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