Abstract

Simple Summaryβ-lactams and quinolones are major groups of antibiotics that are commonly used for the treatment of severe infection both in animals and humans. Little is known about their resistance mechanisms in animals. Our results revealed high resistance rates against both groups in Gram-negative bacteria recovered from small ruminants suffering from respiratory disease. Phenotypically, 9.2% of the isolates were multidrug-resistant, and 11.8% and 6.6% of the isolates were positive for AmpC and ESBL production, respectively. Genetic characterization identified different β-lactamase-encoding genes such as blaTEM, blaSHV, and blaCTX-M which are responsible for β-lactam resistance. Furthermore, the plasmid-mediated quinolone resistance gene, qnrS, was identified to be associated with quinolone resistance. Our results regenerate interest in the wise use of antimicrobials in animal fields as well as to apply a One Health approach to prevent and/or mitigate their dissemination to the human environment.During the last decade’s increase of antimicrobial resistance (AMR) in animals, animal-human transmission has become a major threat. Therefore, the present study aimed to evaluate the genetic basis of AMR in Gram-negative bacteria recovered from sheep and goats with respiratory disease. Nasal and ocular swabs were collected from 69 diseased animals, and 76 Gram-negative bacterial isolates were identified from 59 animals. All isolates were checked phenotypically for resistance and genotypically for different resistance mechanisms, including β-lactam, quinolone, and aminoglycoside resistance. Our results demonstrated that 9.2% (95% CI 4.5–17.8%) of the isolates were multidrug-resistant, with high resistance rates to β-lactams and quinolones, and 11.8% (95% CI 6.4–21%) and 6.6% (95% CI 2.8–14.5%) of the isolates were phenotypically positive for AmpC and ESBL, respectively. Genotypically, blaTEM was the most identified β-lactamase encoding gene in 29% (95% CI 20–40%) of the isolates, followed by blaSHV (14.5%, 95% CI 8.3–24.1%) and blaCTX-M (4%, 95% CI 1.4–11%). Furthermore, 7.9% (95% CI 3.7–16.2%) of the isolates harbored plasmid-mediated quinolone resistance gene qnrS. Our study revealed for the first time to our knowledge high β-lactam and quinolone resistance associated with the bacteria recovered from sheep and one goat with respiratory disease. Furthermore, different antimicrobial resistant determinants were identified for the first time from animals in Africa, such as blaLEN-13/55, blaTEM-176 and blaTEM-198/214. This study highlights the potential role of sheep and goats in disseminating AMR determinants and/or resistant bacteria to humans. The study regenerates interest for the development of a One Health approach to combat this formidable problem.

Highlights

  • In recent years, the worldwide accretion of antimicrobial resistance (AMR) has gained great attention

  • Seventy-six Gram-negative bacteria were recovered from 59 disease cases with a percentage of 85.5%

  • The identified isolates were: 36 Escherichia coli isolates (47.4%, 95% CI 36.54–58.45%), 20 Klebsiella spp. isolates (26.3%, 95% CI 16.9–37.7%), 18 Enterobacter spp. isolates (23.7%, 95% CI 14.7–24.8%), and a single

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Summary

Introduction

The worldwide accretion of antimicrobial resistance (AMR) has gained great attention. Increased AMR is associated with the heavy and imprudent use of antimicrobials in humans and animals, for therapeutic and nontherapeutic implications [1]. The dilemma of AMR has extended its health burden to include the economic costs. Gram-negative bacteria, especially Enterobacteriacea, are of grave concern as their emergence and transmission, extended-spectrum beta-lactamase (ESBL) and AmpC-producers from animals, have become a critical worldwide community concern [4]. The uncontrolled use of antibiotics in humans and animals, coupled with the use of human antibiotics in veterinary medicine has resulted in increasing the rates of AMR, especially in developing countries including Egypt [5,6,7,8,9,10,11,12]

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