Abstract:
Aeromonas are known to cause several diseases in turtles.Antimicrobial agents,such as fluoroquinolones,are used to prevent and curtail bacterial infections.However,prolonged abuse of antimicrobials agents could result in the selection of fluoroquinolone-resistant
Aeromonas.Quinolone resistance is due principally to chromosomal mutations or efflux pump.Mutations in the quinolone resistance-determining regions(QRDRs)of the
gyrA and
parC genes have been shown to be related to quinolone resistance in
Aeromonas spp.Plasmid-mediated quinolone resistance(PMQR)determinants(
qnrA,
qnrB,
qnrS and
aac(6')-Ib-cr)have been identified exclusively in
Enterobacteriaceae,but have very rarely been identified in
Aeromonas.In order to determine antimicrobial susceptibility,the relationship of PMQR,QRDR and resistance profiles in clinical isolates of
Aeromonas from turtles in Guangdong province,67 isolates were collected from diseased turtles in 1996-2013.All the isolates were tested for resistance to 23 antimicrobial agents by K-B agar disc diffusion method.The PMQR genes
qnrA,
qnrB,
qnrS,
qepA and
aac(6')-Ib-cr in all these strains were screened by PCR.Then,mutations in QRDR of the
gyrA and
parC genes and the plasmids were detected in the PMQR positive strains.All the 67 strains were highly resistant to ampicillin,cephalothin and sulfonamides,the resistance rates of which were 100%,92.54% and 83.58%,respectively;it showed medium resistance to quinolones,whose rates were 19.40%-64.18%; the isolates were more susceptible to imipenem,nitrofurantoin,amikacin and cefotaxime,with the resistance rates below 10%.79.10%(53/67)strains showed multiple-resistance to at least three classes of agents.Of these 67
Aeromonas isolates,19.40%(13/67)harbored PMQR genes.PCR and DNA sequence results showed that 8.96%,5.97% and 7.46% were positive for genes
qnrS1,
qnrS2 and
aac(6')-Ib-cr,respectively,and two strains carried both
qnrS2 and
aac(6')-Ib-cr.All the 13 PMQR positive strains carried 1-4 plasmids,the sizes of which were between 0.8 kb to 15 kb.Among the 13 isolates with PMQR genes,6 strains showed mutations in both
gyrA and
parC genes,3 strains carried point mutation in
gyrA gene,and no mutations of both genes were found in 4 strains.These results indicated that
Aeromonas isolated from turtles in Guangdong were of high level multiple-resistance to widely used drugs.The existence of PMQR genes implied a more widespread dissemination of resistance to quinolones in aquaculture,and this should attract more attention.