Resistance to cephalosporins and quinolones in Escherichia coli isolated from irrigation water from the Rímac river in east Lima, Peru.

Autor: Huamán Iturrizaga M; Laboratorio de Ecología Microbiana, Facultad de Ciencias Biológicas de Universidad Nacional Mayor de San Marcos, Lima, Perú.; Oficina de Epidemiología y Salud Ambiental, Instituto Nacional Materno Perinatal, Lima Perú., Salvador-Luján G; Laboratorio de Ecología Microbiana, Facultad de Ciencias Biológicas de Universidad Nacional Mayor de San Marcos, Lima, Perú.; Laboratorio de Microbiología, Hospital Militar Central 'Luis Arias Schereiber', Lima, Perú., Morales L; Laboratorio de Microbiología Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú., Alba Luna J; Laboratorio de Ecología Microbiana, Facultad de Ciencias Biológicas de Universidad Nacional Mayor de San Marcos, Lima, Perú., Velasquez Garcia L; Laboratorio de Ecología Microbiana, Facultad de Ciencias Biológicas de Universidad Nacional Mayor de San Marcos, Lima, Perú., Pacheco Perez JD; Laboratorio de Ecología Microbiana, Facultad de Ciencias Biológicas de Universidad Nacional Mayor de San Marcos, Lima, Perú., Pons MJ; Laboratorio de Genética Molecular y Bioquímica. Universidad Científica del Sur, Lima, Perú.
Jazyk: Spanish; Castilian; English
Zdroj: Revista peruana de medicina experimental y salud publica [Rev Peru Med Exp Salud Publica] 2024 Aug 19; Vol. 41 (2), pp. 114-120. Date of Electronic Publication: 2024 Aug 19.
DOI: 10.17843/rpmesp.2024.412.13246
Abstrakt: Objectives.: To evaluate the presence and sensitivity to antimicrobials of Escherichia coli strains isolated from 24 irrigation water samples from the Rimac river of East Lima, Peru.
Materials and Methods.: The E. coli strains were identified by PCR. Antibiotic susceptibility was processed by the disk diffusion method. Genes involved in extended spectrum beta-lactamases (BLEE), quinolones and virulence were determined by PCR.
Results.: All samples exceeded the acceptable limits established in the Environmental Quality Standards for vegetable irrigation. Of the 94 isolates, 72.3% showed resistance to at least one antibiotic, 24.5% were multidrug resistant (MDR) and 2.1% were extremely resistant. The highest percentages of resistance were observed for ampicillin-sulbactam (57.1%), nalidixic acid (50%), trimethoprim-sulfamethoxazole (35.5%) and ciprofloxacin (20.4%). Among the isolates, 3.2% had a BLEE phenotype related to the bla CTX-M-15 gene. qnrB (20.4%) was the most frequent transferable mechanism of resistance to quinolones, and 2.04% had qnrS. It was estimated that 5.3% were diarrheagenic E. coli and of these, 60% were enterotoxigenic E. coli, 20% were enteropathogenic E. coli and 20% were enteroaggregative E. coli.
Conclusions.: The results show the existence of diarrheogenic pathotypes in the water used for irrigation of fresh produce and highlight the presence of BLEE- and MDR-producing E. coli, demonstrating the role played by irrigation water in the dissemination of resistance genes in Peru.
Motivation for the study. Aquatic systems, including irrigation water, have been identified as reservoirs of antimicrobial resistance, with few studies in Peru on the presence of Escherichia coli and their levels of virulence and antimicrobial resistance. Main findings. Our results show the presence of E. coli above the established standard for vegetable irrigation water, some with very high levels of antimicrobial resistance. Implications. The presence of ESBL-producing strains of extended-spectrum beta-lactamases and multidrug-resistant E. coli in irrigation water could contribute to the dissemination of resistance genes in Peru, posing a significant threat to public health.
Databáze: MEDLINE
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