The goal of this study was to determine the frequency of resistance to extended-spectrum cephalosporins (ESCs) in
Escherichia coli
and other
Enterobacterales
from turkeys in Canada and characterize the associated resistance determinants. Pooled fecal samples were collected in 77 turkey farms across British Columbia, Québec, and Ontario. Isolates were obtained with and without selective enrichment cultures and compared to isolates from diagnostic submissions of suspected colibacillosis cases in Ontario. Isolates were identified using MALDI-TOF and susceptibility to ESCs was assessed by disk diffusion. The presence of
bla
CMY
,
bla
CTX-M
,
bla
TEM,
and
bla
SHV
was tested by PCR. Transformation experiments were used to characterize
bla
CMY
plasmids. Genome sequencing with short and long reads was performed on a representative sample of
bla
CTX-M
-positive isolates to assess isolates relatedness and characterize
bla
CTX-M
plasmids. For the positive enrichment cultures (67% of total samples), 93% (587/610) were identified as
E
.
coli
, with only a few other
Enterobacterales
species identified. The frequency of ESC resistance was low in
E
.
coli
isolates from diagnostic submission (4%) and fecal samples without selective enrichment (5%). Of the ESC-resistant
Enterobacterales
isolates from selective enrichments, 71%, 18%, 14%, and 8% were positive for
bla
CMY
,
bla
TEM,
bla
CTX-M,
and
bla
SHV
, respectively. IncI1 followed by IncK were the main incompatibility groups identified for
bla
CMY
plasmids. The
bla
CTX-M-1
gene was found repeatedly on IncI1 plasmids of the pMLST type 3, while
bla
CTX-M-15
,
bla
CTX-M-55
, and
bla
CTX-M-65
were associated with a variety of IncF plasmids. Clonal spread of strains carrying
bla
CTX-M
genes between turkey farms was observed, as well as the presence of an epidemic
bla
CTX-M-1
plasmid in unrelated
E
.
coli
strains. In conclusion,
Enterobacterales
resistant to ESCs were still widespread at low concentration in turkey feces two years after the cessation of ceftiofur use. Although
bla
CMY-2
is the main ESC resistance determinant in
E
.
co...