Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Study on the Methicillin-resistant Gene Distribution of Staphylococci Isolated from Dogs and Cats

개와 고양이에서 분리된 메티실린 내성 포도상구균의 내성인자 분포조사

  • Pak, Son-Il (Department of Veterinary Medicine, Kangwon National University)
  • Published : 2003.09.01
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Abstract

Although, in human medicine, strains of methicillin-resistant staphylococi have become the most important causative agents of nosocomial infections, studies on the small animals are very. limited. The aim of this study was to determine mecA gene and susceptibility to antibiotics of staphylococci strains isolated from clinically ill or healthy dogs and cats, during the period August 2002-July 2003. A total of 136 staphylococci (87 coagulase-positive and 49 coagulase-negative) were investigated for antibiotic resistance, using disk diffusion and minimum inhibitory concentration (MIC) test. The mecA gene was detected using the polymerase chain reaction. The isolates belonged to the species S. aureus (53 isolates), S. intermedius (34 isolates), S. epidermidis (26 isolates) and other coagulase-negative staphylococci (CNS, 23 isolates). Of the 136 isolates, 43 (31.6%) were mecA-positive and the frequency of the ,presence of mecA gene varied among the different species. All S. aureus strains were mecA-negative and were found to be susceptible, with an oxacillin MIC $\leq$1 $\mu\textrm{g}$/ml. Five (13.6%) isolates of 36 that exhibited oxacillin resistance on the MIC testing were found to be mecA-negative, suggesting not all mecA-positive strains may be an oxacillin resistant. However, the mecA presence of the strains was correlated with high oxacillin resistance: 71.4% (10 isolates of 14; P < 0.001) for mecA-positive S. intermedius and 72.4% (21 isolates of 29; P < 0.001) for mecA-positive CNS isolates. About 69% (94 isolates of 136) showed resistance to at least one drug, and 22.8% (31 isolates) were resistant to four or more different drug classes. Resistance (36 isolates, 71.7%) to penicillin G was a common finidng. This study suggest that the mecA-positive staphylococci are prevalent in small animals, and selection of antibiotics to treat infections caused by mecA-positive staphylococci may be very limited because of multi-drug resistance.

인의학에서 메티실린 내성 포도상균주는 병원감염의 주요 원인균으로 보고되고 있지만 소동물에서 이에 대한 연구는 거의 없다. 본 연구에서는 2002년 8월부터 2003년 7월까지 개와 고양이에서 분리된 136개의 포도상구균 분리주 (coagulase 양성 87주, coagulase 음성 49주)에 대하여 항생제 감수성 검사와 이들 분리주에서 메티실린 내성 유전자인 mecA 분포상황을 조사하였다. 136개 분리주중 43주 (31.6％)가 mecA 유전자를 가지고 있었고, 유전자의 분포율은 균주에 따라 상당한 차이를 보였다. 43주의 mecA 양성균주 중 31주 (72.1％)가 oxacillin 내성을 보여 mecA 양성균주가 반드시 oxacillin 내성과 일치하는 것은 아님을 시사하였다. 그러나 mecA 양성균주일수록 oxacillin 내성율이 높았는데 S. intermedius의 71.4％ (p<0.001), coagulase 음성균주의 경우 72.4％가 내성을 보였다 (p<0.001). 분리주의 94주(69％) 적어도 하나 이상의 항생제에 내성을 보였고 특히 31주(22.8％)는 4가지 이상의 항생제에 동시에 내성을 보였다. Penicillin 항생제에 내성율이 71.7％로 가장 높았다. 본 연구는 국내 소동물에서 mcA 양성균주가 존재하며, 이러한 균에 의해 유도된 감염증을 치료할 때 다제내성의 특성 때문에 항생제 선택의 폭이 매우 제한될 수 있음을 시사한다.

Keywords

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