Antibiotics (Feb 2023)

Prevalence of Antimicrobial Resistance and Clonal Relationship in ESBL/AmpC-Producing <i>Proteus mirabilis</i> Isolated from Meat Products and Community-Acquired Urinary Tract Infection (UTI-CA) in Southern Brazil

  • Matheus Silva Sanches,
  • Luana Carvalho Silva,
  • Caroline Rodrigues da Silva,
  • Victor Hugo Montini,
  • Bruno Henrique Dias de Oliva,
  • Gustavo Henrique Migliorini Guidone,
  • Mara Corrêa Lelles Nogueira,
  • Maísa Fabiana Menck-Costa,
  • Renata Katsuko Takayama Kobayashi,
  • Eliana Carolina Vespero,
  • Sergio Paulo Dejato Rocha

DOI
https://doi.org/10.3390/antibiotics12020370
Journal volume & issue
Vol. 12, no. 2
p. 370

Abstract

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The present study aimed to evaluate the prevalence of antimicrobial resistance and clonal relationships in Proteus mirabilis isolated from chicken meat, beef, pork, and community-acquired urinary tract infections (UTI-CA). Chicken meat isolates showed the highest multidrug resistance (MDR), followed by those from pork and UTI-CA, whereas beef had relatively few MDR strains. All sources had strains that carried blaCTX-M-65, whereas blaCTX-M-2 and blaCMY-2 were only detected in chicken meat and UTI-CA isolates. This indicates that chicken meat should be considered an important risk factor for the spread of P. mirabilis carrying ESBL and AmpC. Furthermore, ESBL/AmpC producing strains were resistant to a greater number of antimicrobials and possessed more resistance genes than non-producing strains. In addition, the antimicrobial resistance genes qnrD, aac(6′)-Ib-cr, sul1, sul2, fosA3, cmlA, and floR were also found. Molecular typing showed a genetic similarity between chicken meat and UTI-CA isolates, including some strains with 100% similarity, indicating that chicken can be a source of P. mirabilis causing UTI-CA. It was concluded that meat, especially chicken meat, can be an important source of dissemination of multidrug-resistant P. mirabilis in the community.

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