High Rate of MCR-1-Producing Escherichia coli and Klebsiella pneumoniae among Pigs, Portugal

Emerg Infect Dis. 2017 Dec;23(12):2023-2029. doi: 10.3201/eid2312.170883.

Abstract

The mcr-1 (mobile colistin resistance 1) gene, which encodes phosphoethanolamine transferase, has been recently identified as a source of acquired resistance to polymyxins in Escherichia coli. Using the SuperPolymyxin selective medium, we prospectively screened 100 pigs at 2 farms in Portugal for polymyxin-resistant Enterobacteriaceae and recovered 98 plasmid-mediated MCR-1-producing isolates. Most isolates corresponded to nonclonally related E. coli belonging to many sequence types; we also found 2 Klebsiella pneumoniae sequence types. The mcr-1 gene was carried on IncHI2 or IncP plasmid backbones. Our finding of a high rate of MCR-1 producers on 2 pig farms in Portugal highlights the diffusion of that colistin-resistance determinant at the farm level. The fact that the pigs received colistin as metaphylaxis in their feed during the 6 weeks before sampling suggests selective pressure.

Keywords: Escherichia coli; Klebsiella pneumonia; MCR-1; Portugal; antimicrobial resistance; bacteria; colistin; mcr-1 gene; pigs.

MeSH terms

  • Animals
  • Anti-Bacterial Agents / pharmacology
  • Colistin / pharmacology
  • Conjugation, Genetic
  • Escherichia coli / drug effects
  • Escherichia coli / genetics*
  • Escherichia coli / isolation & purification
  • Escherichia coli / metabolism
  • Escherichia coli Infections / epidemiology*
  • Escherichia coli Infections / microbiology
  • Escherichia coli Infections / prevention & control
  • Escherichia coli Infections / transmission
  • Escherichia coli Proteins / genetics*
  • Escherichia coli Proteins / metabolism
  • Farms
  • Gene Dosage
  • Gene Expression
  • Gene Transfer, Horizontal*
  • Klebsiella Infections / epidemiology*
  • Klebsiella Infections / microbiology
  • Klebsiella Infections / prevention & control
  • Klebsiella Infections / transmission
  • Klebsiella pneumoniae / drug effects
  • Klebsiella pneumoniae / genetics*
  • Klebsiella pneumoniae / isolation & purification
  • Klebsiella pneumoniae / metabolism
  • Membrane Proteins / genetics*
  • Membrane Proteins / metabolism
  • Plasmids / chemistry
  • Plasmids / metabolism
  • Portugal / epidemiology
  • Swine

Substances

  • Anti-Bacterial Agents
  • Escherichia coli Proteins
  • MCR-1 protein, E coli
  • Membrane Proteins
  • mcr-2 protein, E coli
  • Colistin