Abstract
The presence of conjugative R plasmids as well as the possible similarities among them were studied in nine ampicillin-resistant Salmonella enteritidis isolates and nine ampicillin-resistant Escherichia coli isolates from the normal fecal flora that were simultaneously isolated from nine epidemiologically unrelated outpatients. It was found that in eight patients, ampicillin resistance in S. enteritidis was encoded by ca. 34-MDa transferable plasmids very similar to those found in a recent study of the epidemiology of ampicillin-resistant S. enteritidis in Greece (A.C. Vatopoulos, E. Mainas, E. Balis, E.J. Threlfall, M. Kanelopoulou, V. Kalapothaki, H. Malamou-Lada, and N.J. Legakis, J. Clin. Microbiol. 32:1322-1325, 1994). Moreover, transferable R plasmids with the same molecular size and restriction pattern were found in the normal flora E. coli of two of these patients. This finding, if confirmed by further studies, is consistent with the hypothesis that normal flora E. coli could act as a reservoir of resistant genes and, consequently, as a factor in the dissemination of these genes among pathogens of human and animal origin such as Salmonella spp. and needs to be examined further.
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- Archambaud M., Gerbaud G., Labau E., Marty N., Courvalin P. Possible in-vivo transfer of beta-lactamase TEM-3 from Klebsiella pneumoniae to Salmonella kedougou. J Antimicrob Chemother. 1991 Apr;27(4):427–436. doi: 10.1093/jac/27.4.427. [DOI] [PubMed] [Google Scholar]
- Bratoeva M. P., John J. F., Jr In vivo R-plasmid transfer in a patient with a mixed infection of shigella dysentery. Epidemiol Infect. 1994 Apr;112(2):247–252. doi: 10.1017/s0950268800057654. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chaslus-Dancla E., Pohl P., Meurisse M., Marin M., Lafont J. P. High genetic homology between plasmids of human and animal origins conferring resistance to the aminoglycosides gentamicin and apramycin. Antimicrob Agents Chemother. 1991 Mar;35(3):590–593. doi: 10.1128/aac.35.3.590. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Datta N., Richards H., Datta C. Salmonella typhi in vivo acquires resistance to both chloramphenicol and co-trimoxazole. Lancet. 1981 May 30;1(8231):1181–1183. doi: 10.1016/s0140-6736(81)92350-3. [DOI] [PubMed] [Google Scholar]
- Heffernan H. M. Antibiotic resistance among Salmonella from human and other sources in New Zealand. Epidemiol Infect. 1991 Feb;106(1):17–23. doi: 10.1017/s0950268800056405. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Holmberg S. D., Osterholm M. T., Senger K. A., Cohen M. L. Drug-resistant Salmonella from animals fed antimicrobials. N Engl J Med. 1984 Sep 6;311(10):617–622. doi: 10.1056/NEJM198409063111001. [DOI] [PubMed] [Google Scholar]
- Hunter J. E., Shelley J. C., Walton J. R., Hart C. A., Bennett M. Apramycin resistance plasmids in Escherichia coli: possible transfer to Salmonella typhimurium in calves. Epidemiol Infect. 1992 Apr;108(2):271–278. doi: 10.1017/s0950268800049748. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kapperud G., Rørvik L. M., Hasseltvedt V., Høiby E. A., Iversen B. G., Staveland K., Johnsen G., Leitao J., Herikstad H., Andersson Y. Outbreak of Shigella sonnei infection traced to imported iceberg lettuce. J Clin Microbiol. 1995 Mar;33(3):609–614. doi: 10.1128/jcm.33.3.609-614.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Levy S. B., Marshall B., Schluederberg S., Rowse D., Davis J. High frequency of antimicrobial resistance in human fecal flora. Antimicrob Agents Chemother. 1988 Dec;32(12):1801–1806. doi: 10.1128/aac.32.12.1801. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Linton A. H. Animal to man transmission of Enterobacteriaceae. R Soc Health J. 1977 Jun;97(3):115–118. doi: 10.1177/146642407709700308. [DOI] [PubMed] [Google Scholar]
- Linton A. H. Flow of resistance genes in the environment and from animals to man. J Antimicrob Chemother. 1986 Oct;18 (Suppl 100):189–197. doi: 10.1093/jac/18.supplement_c.189. [DOI] [PubMed] [Google Scholar]
- Nijsten R., London N., van den Bogaard A., Stobberingh E. Resistance in faecal Escherichia coli isolated from pigfarmers and abattoir workers. Epidemiol Infect. 1994 Aug;113(1):45–52. doi: 10.1017/s0950268800051451. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Paul G. C., Gerbaud G., Bure A., Philippon A. M., Pangon B., Courvalin P. TEM-4, a new plasmid-mediated beta-lactamase that hydrolyzes broad-spectrum cephalosporins in a clinical isolate of Escherichia coli. Antimicrob Agents Chemother. 1989 Nov;33(11):1958–1963. doi: 10.1128/aac.33.11.1958. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Platt D. J., Chesham J. S., Kristinsson K. G. R-plasmid transfer in vivo: a prospective study. J Med Microbiol. 1986 Jun;21(4):325–330. doi: 10.1099/00222615-21-4-325. [DOI] [PubMed] [Google Scholar]
- Schwalbe R. S., Hoge C. W., Morris J. G., Jr, O'Hanlon P. N., Crawford R. A., Gilligan P. H. In vivo selection for transmissible drug resistance in Salmonella typhi during antimicrobial therapy. Antimicrob Agents Chemother. 1990 Jan;34(1):161–163. doi: 10.1128/aac.34.1.161. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shanahan P. M., Thomson C. J., Amyes S. G. Beta-lactam resistance in aerobic faecal flora from general practice patients in the UK. Eur J Clin Microbiol Infect Dis. 1994 Sep;13(9):760–763. doi: 10.1007/BF02276062. [DOI] [PubMed] [Google Scholar]
- Stark C. A., Edlund C., Sjöstedt S., Kristensen G., Nord C. E. Antimicrobial resistance in human oral and intestinal anaerobic microfloras. Antimicrob Agents Chemother. 1993 Aug;37(8):1665–1669. doi: 10.1128/aac.37.8.1665. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tacket C. O., Dominguez L. B., Fisher H. J., Cohen M. L. An outbreak of multiple-drug-resistant Salmonella enteritis from raw milk. JAMA. 1985 Apr 12;253(14):2058–2060. [PubMed] [Google Scholar]
- Takahashi S., Nagano Y. Rapid procedure for isolation of plasmid DNA and application to epidemiological analysis. J Clin Microbiol. 1984 Oct;20(4):608–613. doi: 10.1128/jcm.20.4.608-613.1984. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Threlfall E. J., Rowe B., Ferguson J. L., Ward L. R. Characterization of plasmids conferring resistance to gentamicin and apramycin in strains of Salmonella typhimurium phage type 204c isolated in Britain. J Hyg (Lond) 1986 Dec;97(3):419–426. doi: 10.1017/s0022172400063609. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Threlfall E. J., Ward L. R., Rowe B. R plasmids in Salmonella typhimurium in the United Kingdom. J Antimicrob Chemother. 1986 Oct;18 (Suppl 100):175–177. doi: 10.1093/jac/18.supplement_c.175. [DOI] [PubMed] [Google Scholar]
- Vatopoulos A. C., Mainas E., Balis E., Threlfall E. J., Kanelopoulou M., Kalapothalki V., Malamou-Lada H., Legakis N. J. Molecular epidemiology of ampicillin-resistant clinical isolates of Salmonella enteritidis. J Clin Microbiol. 1994 May;32(5):1322–1325. doi: 10.1128/jcm.32.5.1322-1325.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]