Purpose
Here, we investigated the genetic relationships and characteristics of extended- spectrum beta-lactamase-producing
Escherichia coli
(ESBL-
E. coli
) isolates from healthy hosts, humans in the community and swine among the livestock of Amphor Mueang, Lamphun Province, Thailand.
Patients and methods
Four hundred and nine rectal swabs were collected from healthy people and swine. A total of 212 ESBL-
E. coli
was isolated and phenotypically confirmed by a combination disk method. Putative ESBL-encoding genes, including
bla
CTX-M
,
bla
TEM
, and
bla
SHV
, were examined by multiplex-PCR. Randomly selected 42 ESBL-
E. coli
isolates were whole genome sequenced to characterize the ESBL-encoding genes and identify additional antimicrobial resistance genes. The genetic relatedness of 212 ESBL-
E. coli
was investigated by multilocus sequence typing.
Results
Overall,
bla
CTX-M
was the dominant ESBL-encoding gene found in 95.75% of the isolates, followed by
bla
TEM
(60.85%) and
bla
SHV
(2.40%). While
bla
CTX-M-55
was the most common
bla
ESBL
subgroup found in this study. Whole genome sequencing showed a total of 15 different antimicrobial resistance genes other than
bla
ESBL
, including
sul, qnr, aph(3ʹ)-Ia
, among the selected 42 ESBL-
E. coli
isolates. Over half of the ESBL-
E. coli
(56.60%) carried
bla
CTX-M
co-existing with
bla
TEM
. The most common sequence types (STs) identified from human isolates were ST131, ST101, and ST70 while those isolated from swine were ST10, ST48, and ST131. ST131 strains carrying
bla
CTX-M
were the major isolated ESBL-
E. coli
strains, supporting a previous study that considered this strain truly pathogenic. Noticeably, 66.51% of ESBL-
E. coli
strains shared 19 identical STs, including a host-restricted ST131 between humans and swine, suggesting that transmission between these two hosts might be possible.
Conclusion
Proof of a direct transfer of ESBL-
E. coli
from animals to humans, or vice versa, is required for further elucidation. The ESBL-
E. coli
isolated from both types of healthy hosts may serve as a reservoir for community-acquired antimicrobial resistance.