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Microbes & Immunity                                      Food chain milieus as a reserver for multidrug resistance




            Table 3. Result of plasmid curing experiment on selected   effectively treat some common bacterial (microbial)
            isolates                                           infections and put more pressure on the available
                                                               antibiotics since the rate at which microorganisms
            Antibiotics   Pre‑curing   Number   Number of isolates
                        (number of   of isolates   still resistant   (bacteria) evolve resistance has surpassed the speed
                      resistant isolates)  cured  (post‑curing)   at which new antimicrobials that can withstand some
            Ceftriaxone     5          3           2           multidrug-resistant organisms are developed.
            Cefoxitin       5          4           1             In this work, we reported the antibiotic resistance
            Imipenem        4          3           1           and plasmid profile of P. aeruginosa isolates from poultry
            Ceftazidime     4          3           1           milieus in Enugu, Nigeria. Pseudomonas isolates exhibited
                                                               notable reduced susceptibility to the tested antibiotics,
            Ertapenem       5          4           2           particularly to drugs in the following classes: Carbapenems,
            Cefotaxime      4          3           1           cephalosporins, aminoglycosides, and fluoroquinolones.
                                                               In no particular order, they were resistant to FOS (55.5%),
            (Figure 1). Overall, MBL was phenotypically detected in   CIP (66.7%), TE (75%), ETP (55.5), SXT (66.7), CTX
            23 carbapenem-resistant isolates of P. aeruginosa (63.9%).  (77.8%), IPM (69.4%), CN (63.9%), AK (58.3%), and FOX
              The results of the molecular investigation to determine   (52.8%). Moreover, the isolates also exhibited high levels
            the genes responsible for metallo-β-lactamase production in   of multidrug resistance to more than 50% of the tested
            the P. aeruginosa isolates are presented in Table 2. Based on   antibiotics,  particularly  carbapenems,  aminoglycosides,
            our results, the bla IMP-1  and bla IMP-2  MBL genes were detected   cephalosporins, and fluoroquinolones.
            by PCR in the  Pseudomonas  isolates investigated. The   A study in Egypt reported that about 50 – 90% of the
            NDM and VIM MBL genes were not observed. Only 11 P.   Pseudomonas strains exhibited high rates of resistance
            aeruginosa isolates harbored bla IMP-1  MBL genes, and only six   to antibiotics such as carbapenems, cephalosporins,
            Pseudomonas isolates harbored bla  MBL genes (Table 2).
                                       IMP-2                   aminoglycosides, and fluoroquinolones, as reported in our
              Gene amplification for  bla IMP-1  MBL in  P. aeruginosa   study.  Another study in China corroborates our results
                                                                   18
            isolates was positive in the electrophoretogram with a   of high levels of resistance and indicates that P. aeruginosa
            band size of 587 bp (Figure 2). The bla VIM  MBL genes were   isolates from Chinese poultry farms and chickens exhibited
            not observed. The results of the plasmid curing experiment   high levels of resistance to some clinically relevant
            are presented in  Table 3. The results revealed that most   antibiotics, such as cephalosporins, aminoglycosides, and
            antibiotic-resistant isolates that produced MBL in this   fluoroquinolones. 5,19
            study were plasmid-mediated.                         To the best of our knowledge, our study revealed
              The  MARI  indicated  that  the  MBL-producing   that  out of  the  36 isolates of  P. aeruginosa  recovered
            P. aeruginosa  isolates recovered from the samples were   from poultry samples, only 23 of the total recovered
            multiply resistant to the tested antibiotics. Multidrug   isolates were positive for MBL production. To further
            resistance in the  P. aeruginosa  isolates was particularly   confirm MBL production, the results of our PCR analysis
            recorded against antibiotics in the following classes: TEs,   confirmed MBL production in a total of 17 isolates. Several
            carbapenems,  cephalosporins,  aminoglycosides,  and   studies have shown an increase in the development and
            fluoroquinolones.                                  community transmission of MBL-producing bacteria in
                                                               hospitals, as reported in our study. 5,7,20  Furthermore, the
            4. Discussion                                      results from our study corroborate previous studies that
            In our bid to sustainably contain the development and   have reported the prevalence of MBL-producing bacteria
                                                                                   7,11
            community transmission  of antibiotic-resistant bacteria   in livestock and poultry.  In this study, we detected the
            and genes in the human population and the general   bla IMP-1  MBL genes (47.8%), while the bla IMP-2  MBL genes
            environment, it is vital to strengthen environmental   were observed in 6 isolates (26.1%) from poultry milieus.
            actions of antibiotic usage and resistance containment   The NDM and other MBL genes were not observed in this
            in the “One Health” concept since the health of humans,   current study. The genes detected in this study (bla IMP-1  and
            animals, and the environment are interconnected. The rate   bla IMP-2 ) have been previously reported in China, Egypt,
            at which pathogenic bacteria from both the hospital and   and Nigeria as important genes responsible for mediating
            the general environment are becoming resistant and even   MBL production in Gram-negative bacteria, including P.
                                                                              5,8,18,19
            multiply resistant to some current antibiotic treatments   aeruginosa isolates.
            has significantly increased over the past decade, according   The rate of MBL resistance genes detected in this study
            to studies. 4,9,11,14  This has also jeopardized our effort to   is higher than the rate detected in Egypt (11%), Algeria


            Volume 1 Issue 1 (2024)                         64                               doi: 10.36922/mi.2319
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