Clonal spread of Escherichia coli resistant to cephalosporins and quinolones in the Nordic broiler production.

The intestinal flora of healthy broilers can contain Escherichia coli resistant to extended spectrum cephalosporins (ESC) and fluoroquinolones (FQ), representing a possible public health problem. We investigated the clonal epidemiology of E. coli with reduced susceptibility to ESC or FQ in broilers in three Nordic countries interconnected by a common source of breeding animals. Isolates (n = 319 and n = 132 non-wild type for ESC and FQ, respectively) from Norwegian, Swedish and Icelandic production originated mainly from the intestinal flora of broilers at the age of 20-35 days. Genetic relationships were investigated by ten loci multilocus variable number tandem repeat analyses (MLVA) and representative isolates of inter-Nordic clusters were subjected to multilocus sequence typing (MLST). Antimicrobial susceptibility data based on minimum inhibitory concentrations was compiled. Approximately one third of the ESC non-wild type isolates, including isolates from all three countries, clustered together. These isolates belonged to sequence type (ST) 38 and contained blaCMY-2. The FQ non-wild type isolates were more genetically diverse, but related isolates occurred in more than one country. MLST typing showed clusters belonging to ST10, ST355, ST349, ST665 and ST93. Our study demonstrated inter-Nordic distribution of E. coli ST38 with blaCMY-2, suggesting clonal proliferation as a contributing factor for spread of ESC resistance in the broiler production. The international trade in breeding material may explain introduction of resistant E. coli. The reason for their success and the success of certain clonal lineages in broiler production not exposed to antimicrobial selection pressure is currently unknown.

Broiler chickens as source of human fluoroquinolone-resistant Escherichia coli, Iceland.

To investigate feed as a source for fluoroquinolone-resistant Escherichia coli in broiler chickens, we compared antimicrobial drug-resistant E. coli from broiler feed and broilers with ciprofloxacin-resistant human clinical isolates by using pulsed-field gel electrophoresis. Feed was implicated as a source for ciprofloxacin-resistant broiler-derived E. coli and broilers as a source for ciprofloxacin-resistant human-derived E. coli.

Antimicrobial resistance of Campylobacter spp. isolated from broiler flocks in Iceland 2001-2005.

Minimum inhibitory concentrations of six antimicrobial agents were determined for one Campylobacter sp. isolate from each of the 362 Campylobacter-positive commercial chicken flocks in Iceland in the years 2001-2005. Of all isolates tested, 6.9% were resistant, although none were multiresistant. Resistance to ampicillin was most commonly observed (3.6%) followed by resistance to enrofloxacin (3%), nalidixic acid (1.9%), and oxytetracyclin (0.3%), with cross-resistance between enrofloxacin and nalidixic acid. All isolates were susceptible to erythromycin and gentamicin. Resistance rates among Campylobacter coli isolates (7/13 or 53.8%) were much higher than among Campylobacter jejuni isolates (18/349 or 5.2%), and resistance patterns differed. Resistant strains were compared using pulsed field gel electrophoresis. Macrorestriction with SmaI and KpnI restriction enzymes yielded 13 different pulsotypes, none of which indicated a predominant genotype. Specific pulsotypes with uniform resistance patterns arising on geographically separated farms indicate clonal dissemination. Although resistance levels were low and similar to that seen in the other Nordic countries, further research on this matter is needed as there is no antimicrobial selective pressure in chicken farming in Iceland.

Antimicrobial resistance and serotype distribution among Salmonella spp. in pigs and poultry in Iceland, 2001-2005.

Little information is available on antimicrobial resistance of bacteria isolated from animals and animal products in Iceland. The objective of this study was to analyze serotype distribution and antimicrobial resistance patterns of Salmonella spp. isolated from healthy chickens and pigs in Iceland during 2001-2005. A total of 163 Salmonella strains, isolated in the national Salmonella surveillance program, were available for study. Isolates were tested for antimicrobial susceptibility using a microbroth dilution method (VetMIC) and resistant strains were compared using pulsed-field gel electrophoresis (PFGE) and phage typing. The most commonly isolated serotypes were Salmonella Infantis (61%) and S. Typhimurium (33%); other serotypes were less prevalent. The overall prevalence of resistance was 13.6% in chickens and 12.8% in pigs. Twenty one isolates (12.8%) were resistant to one or more antimicrobials, 19 S. Typhimurium strains, one S. Infantis strain, and one S. Worthington strain. Sixteen out of the 19 resistant S. Typhimurium strains were multiresistant (to > or =3 antimicrobial agents), and, of these, 15 had identical or closely related PFGE patterns (previously phage typed as DT104). The prevalence of antimicrobial resistance in Salmonella spp. in pigs and poultry in Iceland is low; however, we found a multiresistant S. Typhimurium clone that causes concern. Continuous resistance surveillance is important, and further research on the source of resistant clones and possible transmission to humans is needed.