| Literature DB >> 33239365 |
Bethany J Hoye1,2, Steven P Djordjevic3,4, Max L Cummins5,4, Martina Sanderson-Smith6,1, Peter Newton1,7, Nicholas Carlile8, David N Phalen9, Kimberly Maute2, Leigh G Monahan5,4.
Abstract
Although most of the approximately 94 million annual human cases of gastroenteritis due to Salmonella enterica resolve without medical intervention, antimicrobial therapy is recommended for patients with severe disease. Wild birds can be natural hosts of Salmonella that pose a threat to human health; however, multiple-drug-resistant serovars of S. enterica have rarely been described. In 2012, silver gull (Chroicocephalus novaehollandiae) chicks at a major breeding colony were shown to host Salmonella, most isolates of which were susceptible to antibiotics. However, multiple-drug-resistant (MDR) Escherichia coli with resistance to carbapenems, ceftazidime, and fluoroquinolones was reported from this breeding colony. In this paper, we describe a novel MDR Salmonella strain subsequently isolated from the same breeding colony. SG17-135, an isolate of S. enterica with phenotypic resistance to 12 individual antibiotics but only nine antibiotic classes including penicillins, cephalosporins, monobactams, macrolides, fluoroquinolones, aminoglycosides, dihydrofolate reductase inhibitors (trimethoprim), sulfonamides, and glycylcyclines was recovered from a gull chick in 2017. Whole-genome sequence (WGS) analysis of SG17-135 identified it as Salmonella enterica serovar Agona (S Agona) with a chromosome comprising 4,813,284 bp, an IncHI2 ST2 plasmid (pSG17-135-HI2) of 311,615 bp, and an IncX1 plasmid (pSG17-135-X) of 27,511 bp. pSG17-135-HI2 housed a complex resistance region comprising 16 antimicrobial resistance genes including bla CTX-M-55 The acquisition of MDR plasmids by S. enterica described here poses a serious threat to human health. Our study highlights the importance of taking a One Health approach to identify environmental reservoirs of drug-resistant pathogens and MDR plasmids.IMPORTANCE Defining environmental reservoirs hosting mobile genetic elements that shuttle critically important antibiotic resistance genes is key to understanding antimicrobial resistance (AMR) from a One Health perspective. Gulls frequent public amenities, parklands, and sewage and other waste disposal sites and carry drug-resistant Escherichia coli Here, we report on SG17-135, a strain of Salmonella enterica serovar Agona isolated from the cloaca of a silver gull chick nesting on an island in geographic proximity to the greater metropolitan area of Sydney, Australia. SG17-135 is closely related to pathogenic strains of S Agona, displays resistance to nine antimicrobial classes, and carries important virulence gene cargo. Most of the antibiotic resistance genes hosted by SG17-135 are clustered on a large IncHI2 plasmid and are flanked by copies of IS26 Wild birds represent an important link in the evolution and transmission of resistance plasmids, and an understanding of their behavior is needed to expose the interplay between clinical and environmental microbial communities.Entities:
Keywords: AMR; Agona; ESBL; IncHI2; IncX; MDR; One Health; Salmonella; XDR; blaCTX; gull; plasmid; wildlife
Year: 2020 PMID: 33239365 PMCID: PMC7690955 DOI: 10.1128/mSphere.00743-20
Source DB: PubMed Journal: mSphere ISSN: 2379-5042 Impact factor: 4.389
Resistance profiles of Salmonella isolate (SG17-135) isolated from a silver gull chick on Five Islands, NSW
| Antibiotic class | Antibiotic | CDS disc diffusion annular radius (mm) | Vitek2 MIC (μg/ml) |
|---|---|---|---|
| Aminoglycosides | Amikacin | 8 | ≤2 (R)* |
| Gentamicin | |||
| Tobramycin | 4 | 8 (R)* | |
| Carbapenems | Ertapenem | 10 | |
| Imipenem | 10 | ||
| Meropenem | 11 | ≤0.25 | |
| Cephalosporins | Cefepime | ||
| Ceftazidime | |||
| Cefazolin | |||
| Cefoxitin | 16 (R)* | ||
| Ceftriaxone | |||
| Cephalexin | |||
| Ciprofloxacin | 2 (I) | ||
| Macrolide | Azithromycin | ||
| Monobactam | Aztreonam | ||
| Nitrofurantoin | Nitrofurantoin | 32 | |
| Penicillin | Ampicillin | ||
| Polymyxin | Polymyxin B | 6 | |
| Quinolones | Nalidixic acid | ||
| Norfloxacin | 2 | ||
| Tetracycline | Tigecycline | ||
| Dihydrofolate reductase inhibitor | Trimethoprim | ||
| Multiple | Amoxicillin-clavulanic acid | 8 | 4 |
| Piperacillin-tazobactam | 7 | 8 | |
| Ticarcillin-clavulanic acid | 32 (I) | ||
| Trimethoprim-sulfamethoxazole | |||
Profiles were based on CDS agar disc diffusion (annular radius of the zone of inhibition for each antibiotic [millimeters]) and Vitek2 (AST-N246) (MIC). (R), MIC above breakpoints; (I), intermediate susceptibility according to CLSI breakpoints; (R)*, assigned as resistant by Vitek2 Advanced Expert System but with MIC values below the CLSI clinical breakpoints; all other numerical values indicate susceptibility.
FIG 1Maximum likelihood tree visualizing phylogenetic relatedness of 195 strains of Salmonella enterica serovar Agona. Strains shown in red-tip labels are of HC5:4181, while gray-tip labels are strains of other HC5 groups. The ring of colored bars surrounding the tree indicates strain sources, while the flags adjacent to tip labels indicate the country of origin. The tree is unrooted, and the reference strain is SG17-135. See Table S1 for more information on the strains in this figure. This figure is best viewed separately in digital format.
FIG 2Maximum likelihood tree visualizing phylogenetic relatedness of 80 strains of Salmonella enterica serovar Agona. The genotypic table (right of the tree) indicates the presence or absence of a given gene. Flags on a given tip indicate the country of origin, while colored tips indicate the source of a strain (blue, human; gold, food; purple, environmental; gray, unknown source). The tree is unrooted, and the reference strain is SG17-135. See Table S1 for more information on the strains in this figure.
FIG 3Plasmid alignment generated using BRIG. Ten strains were randomly selected from the same HC5 lineage as SG17-135 and screened for the presence of a plasmid similar to pSGI17-135-X. A schematic of pSG17-135-X can be seen at the outermost ring. Nucleotide identities can be seen in the legend on the right of the image, as can the assembly barcodes for a given sample. See Table S1 for more information on the strains in this figure.
FIG 4BRIG alignment of the IncHI2 plasmid pSG17-135-HI2 (outer ring) and 10 closely related plasmid sequences (colored internal rings) identified using MEGABLAST analysis of NCBI public databases. Nucleotide identity ranges and strain accession numbers can be seen in the legend on the right of the image. Directionality of arrows indicates the strand location for a given gene, with arrows pointing clockwise being on the top strand and vice versa. RR1/2, resistance region 1/2; **, carries copper resistance operon cus; ***, Tn21-like element truncated by an IS6 family element, carries mercury resistance operon mer; TR̂, tellurium resistance locus; Δ, truncated gene. More information on the sequences in this figure is available in Table S3.