Diversity of Multi-Drug Resistant Avian Pathogenic Escherichia coli (APEC) Causing Outbreaks of Colibacillosis in Broilers during 2012 in Spain

Avian pathogenic Escherichia coli (APEC) are the major cause of colibacillosis in poultry production. In this study, a total of 22 E. coli isolated from colibacillosis field cases and 10 avian faecal E. coli (AFEC) were analysed. All strains were characterised phenotypically by susceptibility testing and molecular typing methods such as pulsed-field gel electrophoresis (PFGE) and multi-locus sequence typing (MLST). The presence of 29 virulence genes associated to APEC and human extraintestinal pathogenic E. coli (ExPEC) was also evaluated. For cephalosporin resistant isolates, cephalosporin resistance genes, plasmid location and replicon typing was assessed. Avian isolates belonged to 26 O:H serotypes and 24 sequence types. Out of 22 APEC isolates, 91% contained the virulence genes predictors of APEC; iutA, hlyF, iss, iroN and ompT. Of all strains, 34% were considered ExPEC. PFGE analysis demonstrated a high degree of genetic polymorphism. All strains were multi-resistant, including those isolated from healthy animals. Eleven strains were resistant to cephalosporins; six contained bla CTX-M-14, two bla SHV-12, two bla CMY-2 and one bla SHV-2. Two strains harboured qnrA, and two qnrA together with aac(6’)-Ib-cr. Additionally, the emergent clone O25b:H4-B2-ST131 was isolated from a healthy animal which harboured bla CMY-2 and qnrS genes. Cephalosporin resistant genes were mainly associated to the presence of IncK replicons. This study demonstrates a very diverse population of multi-drug resistant E. coli containing a high number of virulent genes. The E. coli population among broilers is a reservoir of resistance and virulence-associated genes that could be transmitted into the community through the food chain. More epidemiological studies are necessary to identify clonal groups and resistance mechanisms with potential relevance to public health.

[1]  L. Migura-García,et al.  Houseflies (Musca domestica) as Vectors for Extended-Spectrum β-Lactamase-Producing Escherichia coli on Spanish Broiler Farms , 2015, Applied and Environmental Microbiology.

[2]  C. Logue,et al.  Overlapped Sequence Types (STs) and Serogroups of Avian Pathogenic (APEC) and Human Extra-Intestinal Pathogenic (ExPEC) Escherichia coli Isolated in Brazil , 2014, PloS one.

[3]  J. Rodríguez-Baño,et al.  Escherichia coli belonging to the worldwide emerging epidemic clonal group O25b/ST131: risk factors and clinical implications. , 2014, The Journal of antimicrobial chemotherapy.

[4]  J. Blanco,et al.  Poultry as reservoir for extraintestinal pathogenic Escherichia coli O45:K1:H7-B2-ST95 in humans. , 2013, Veterinary microbiology.

[5]  S. McEwen,et al.  Human Deaths and Third-Generation Cephalosporin use in Poultry, Europe , 2013, Emerging infectious diseases.

[6]  H. Hasman,et al.  Public health risks of enterobacterial isolates producing extended-spectrum β-lactamases or AmpC β-lactamases in food and food-producing animals: an EU perspective of epidemiology, analytical methods, risk factors, and control options. , 2013, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[7]  H. Christensen,et al.  Genetic diversity and virulence profiles of Escherichia coli causing salpingitis and peritonitis in broiler breeders. , 2013, Veterinary microbiology.

[8]  E. Denamur,et al.  The Clermont Escherichia coli phylo-typing method revisited: improvement of specificity and detection of new phylo-groups. , 2013, Environmental microbiology reports.

[9]  Gemma C. Langridge,et al.  Sequencing and functional annotation of avian pathogenic Escherichia coli serogroup O78 strains reveals the evolution of E. coli lineages pathogenic for poultry via distinct mechanisms , 2013 .

[10]  L. Wieler,et al.  Extended-spectrum b-lactamase-producing and AmpC-producing Escherichia coli from livestock and companion animals , and their putative impact on public health : a global perspective , 2012 .

[11]  A. Manges,et al.  Food-borne origins of Escherichia coli causing extraintestinal infections. , 2012, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[12]  G. Donelli,et al.  Characterization of Globally Spread Escherichia coli ST131 Isolates (1991 to 2010) , 2012, Antimicrobial Agents and Chemotherapy.

[13]  Song Gao,et al.  Prevalence of qnr, aac(6′)-Ib-cr, qepA, and oqxAB in Escherichia coli Isolates from Humans, Animals, and the Environment , 2012, Antimicrobial Agents and Chemotherapy.

[14]  É. Oswald,et al.  Diagnostic Strategy for Identifying Avian Pathogenic Escherichia coli Based on Four Patterns of Virulence Genes , 2012, Journal of Clinical Microbiology.

[15]  J. Blanco,et al.  Spread of Escherichia coli O25b:H4-B2-ST131 producing CTX-M-15 and SHV-12 with high virulence gene content in Barcelona (Spain). , 2011, The Journal of antimicrobial chemotherapy.

[16]  J. Blanco,et al.  Recent Emergence of Clonal Group O25b:K1:H4-B2-ST131 ibeA Strains among Escherichia coli Poultry Isolates, Including CTX-M-9-Producing Strains, and Comparison with Clinical Human Isolates , 2010, Applied and Environmental Microbiology.

[17]  Ying Wang,et al.  Distribution of serotypes and virulence-associated genes in pathogenic Escherichia coli isolated from ducks , 2010, Avian pathology : journal of the W.V.P.A.

[18]  M. Ozawa,et al.  Molecular typing of avian pathogenic Escherichia coli O78 strains in Japan by using multilocus sequence typing and pulsed-field gel electrophoresis. , 2010, The Journal of veterinary medical science.

[19]  G. Bou,et al.  Isolation and Characterization of Potentially Pathogenic Antimicrobial-Resistant Escherichia coli Strains from Chicken and Pig Farms in Spain , 2010, Applied and Environmental Microbiology.

[20]  V. Bortolaia,et al.  High Diversity of Extended-Spectrum β-Lactamases in Escherichia coli Isolates from Italian Broiler Flocks , 2010, Antimicrobial Agents and Chemotherapy.

[21]  T. Johnson,et al.  Pathogenomics of the Virulence Plasmids of Escherichia coli , 2009, Microbiology and Molecular Biology Reviews.

[22]  James R. Johnson,et al.  Detection of three stable genetic clones of CTX-M-15-producing Klebsiella pneumoniae in the Barcelona metropolitan area, Spain. , 2009, The Journal of antimicrobial chemotherapy.

[23]  Gerson Nakazato,et al.  Virulence factors of avian pathogenic Escherichia coli (APEC) , 2009 .

[24]  J. Blanco,et al.  Molecular epidemiology of Escherichia coli producing extended-spectrum {beta}-lactamases in Lugo (Spain): dissemination of clone O25b:H4-ST131 producing CTX-M-15. , 2009, The Journal of antimicrobial chemotherapy.

[25]  Alessandra Carattoli,et al.  Resistance Plasmid Families in Enterobacteriaceae , 2009, Antimicrobial Agents and Chemotherapy.

[26]  A. Carattoli,et al.  Characterization of plasmids harbouring qnrS1, qnrB2 and qnrB19 genes in Salmonella. , 2009, The Journal of antimicrobial chemotherapy.

[27]  F. Baquero,et al.  Increasing prevalence of ESBL-producing Enterobacteriaceae in Europe. , 2008, Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin.

[28]  T. Johnson,et al.  Identification of Minimal Predictors of Avian Pathogenic Escherichia coli Virulence for Use as a Rapid Diagnostic Tool , 2008, Journal of Clinical Microbiology.

[29]  M. Brocchi,et al.  Occurrence of virulence-related sequences and phylogenetic analysis of commensal and pathogenic avian Escherichia coli strains (APEC) , 2008 .

[30]  E. Denamur,et al.  The CTX-M-15-producing Escherichia coli diffusing clone belongs to a highly virulent B2 phylogenetic subgroup. , 2008, The Journal of antimicrobial chemotherapy.

[31]  L. Wieler,et al.  Avian pathogenic, uropathogenic, and newborn meningitis-causing Escherichia coli: how closely related are they? , 2007, International journal of medical microbiology : IJMM.

[32]  M. Kuskowski,et al.  Antimicrobial Drug–Resistant Escherichia coli from Humans and Poultry Products, Minnesota and Wisconsin, 2002–2004 , 2007, Emerging infectious diseases.

[33]  Daniel Falush,et al.  Sex and virulence in Escherichia coli: an evolutionary perspective , 2006, Molecular microbiology.

[34]  B. Swaminathan,et al.  Standardization of pulsed-field gel electrophoresis protocols for the subtyping of Escherichia coli O157:H7, Salmonella, and Shigella for PulseNet. , 2006, Foodborne pathogens and disease.

[35]  A. Carattoli,et al.  Identification of plasmids by PCR-based replicon typing. , 2005, Journal of microbiological methods.

[36]  F. Aarestrup,et al.  beta-Lactamases among extended-spectrum beta-lactamase (ESBL)-resistant Salmonella from poultry, poultry products and human patients in The Netherlands. , 2005, The Journal of antimicrobial chemotherapy.

[37]  T. Johnson,et al.  Comparison of Escherichia coli isolates implicated in human urinary tract infection and avian colibacillosis. , 2005, Microbiology.

[38]  L. Wieler,et al.  Molecular epidemiology of avian pathogenic Escherichia coli (APEC) isolated from colisepticemia in poultry. , 2004, Veterinary microbiology.

[39]  M. Kuskowski,et al.  Isolation and Molecular Characterization of Nalidixic Acid-Resistant Extraintestinal Pathogenic Escherichia coli from Retail Chicken Products , 2003, Antimicrobial Agents and Chemotherapy.

[40]  N. Hanson,et al.  Detection of Plasmid-Mediated AmpC β-Lactamase Genes in Clinical Isolates by Using Multiplex PCR , 2002, Journal of Clinical Microbiology.

[41]  O. Clermont,et al.  Rapid and Simple Determination of theEscherichia coli Phylogenetic Group , 2000, Applied and Environmental Microbiology.

[42]  J. R. Johnson,et al.  Proposal for a new inclusive designation for extraintestinal pathogenic isolates of Escherichia coli: ExPEC. , 2000, The Journal of infectious diseases.

[43]  K. Botzenhart,et al.  PCR and Blood Culture for Detection ofEscherichia coli Bacteremia in Rats , 1999, Journal of Clinical Microbiology.

[44]  M. Blanco,et al.  Serotypes of Escherichia coli isolated from septicaemic chickens in Galicia (northwest Spain). , 1998, Veterinary microbiology.

[45]  G. P. Harding,et al.  A general method for detecting and sizing large plasmids. , 1995, Analytical biochemistry.

[46]  H. HOWES,et al.  Diseases of Poultry , 1941, Nature.

[47]  J. A. van der Goot,et al.  Extended-spectrum-β-lactamase- and AmpC-β-lactamase-producing Escherichia coli in Dutch broilers and broiler farmers. , 2013, The Journal of antimicrobial chemotherapy.

[48]  F. Baquero,et al.  Prevalence and spread of extended-spectrum beta-lactamase-producing Enterobacteriaceae in Europe. , 2008, Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases.

[49]  D. K. Thomson,et al.  Swollen-head syndrome in broiler chickens. , 1984, Avian diseases.

[50]  R. Sellwood,et al.  Escherichia Coli Associated with Neonatal Diarrhoea in Piglets and Calves , 1981 .