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Dissemination of Escherichia coli with CTX-M Type ESBL between Humans and Yellow-Legged Gulls in the South of France
Uppsala University ; Kalmar County Hospital.
Kalmar County Hospital.ORCID iD: 0000-0002-5564-305X
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2009 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 4, no Article number: e5958Article in journal (Refereed) Published
Abstract [en]

 Extended Spectrum beta-Lactamase (ESBL) producing Enterobacteriaceae started to appear in the 1980s, and have since emerged as some of the most significant hospital-acquired infections with Escherichia coli and Klebsiella being main players. More than 100 different ESBL types have been described, the most widespread being the CTX-M beta-lactamase enzymes (bla(CTX-M) genes). This study focuses on the zoonotic dissemination of ESBL bacteria, mainly CTX-M type, in the southern coastal region of France. We found that the level of general antibiotic resistance in single randomly selected E. coli isolates from wild Yellow-legged Gulls in France was high. Nearly half the isolates (47,1%) carried resistance to one or more antibiotics (in a panel of six antibiotics), and resistance to tetracycline, ampicillin and streptomycin was most widespread. In an ESBL selective screen, 9,4% of the gulls carried ESBL producing bacteria and notably, 6% of the gulls carried bacteria harboring CTX-M-1 group of ESBL enzymes, a recently introduced and yet the most common clinical CTX-M group in France. Multi locus sequence type and phylogenetic group designations were established for the ESBL isolates, revealing that birds and humans share E. coli populations. Several ESBL producing E. coli isolated from birds were identical to or clustered with isolates with human origin. Hence, wild birds pick up E. coli of human origin, and with human resistance traits, and may accordingly also act as an environmental reservoir and melting pot of bacterial resistance with a potential to re-infect human populations.

Place, publisher, year, edition, pages
2009. Vol. 4, no Article number: e5958
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Microbiology
Research subject
Ecology, Zoonotic Ecology; Ecology, Microbiology; Biomedical Sciences, Virology
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URN: urn:nbn:se:lnu:diva-2048DOI: 10.1371/journal.pone.0005958OAI: oai:DiVA.org:lnu-2048DiVA, id: diva2:309096
Available from: 2010-04-06 Created: 2010-04-06 Last updated: 2020-01-28Bibliographically approved

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Hernandez, JorgeWaldenström, JonasOlsen, Björn

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