Source: UNIV OF MINNESOTA submitted to NRP
EPIDEMIOLOGY AND ECOLOGY OF ANTIBIOTIC RESISTANCE DETERMINANTS ON DAIRY FARMS
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
0197693
Grant No.
2003-35212-13853
Cumulative Award Amt.
(N/A)
Proposal No.
2003-05078
Multistate No.
(N/A)
Project Start Date
Aug 15, 2003
Project End Date
Aug 14, 2005
Grant Year
2003
Program Code
[32.1]- (N/A)
Recipient Organization
UNIV OF MINNESOTA
(N/A)
ST PAUL,MN 55108
Performing Department
VETERINARY PATHOBIOLOGY
Non Technical Summary
The increasing rate of development of bacterial resistance to antimicrobials has been well-documented, and this has major consequences for human and animal health. The results of this study, descriptive and analytical, will greatly increase our understanding of the epidemiology and ecology of resistance. On the dairy farm, critical points for controlling resistance will be identified. Efficient monitoring and sampling strategies will be identified. The risk of gene transfer between commensal and pathogenic bacteria will be estimated.
Animal Health Component
50%
Research Effort Categories
Basic
50%
Applied
50%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
7123410104020%
7123410110030%
7123410117050%
Goals / Objectives
The increasing rate of development of bacterial resistance to antimicrobials has been well-documented, and this has major consequences for human and animal health. The current threat of antimicrobial resistance cannot be adequately determined strictly through a surveillance of bacterial pathogens. Regarding concerns over the spread of antibiotic resistance through the food chain, the organisms that may be of most importance may not be the pathogenic bacterial organisms on which we typically focus research studies and surveillance systems. The majority of bacteria in the ecosystem of humans and animals are nonclinical and often exist in a commensal relationship with their host. These commensal organisms may serve as reservoirs of antibiotic resistance determinants if they are able to acquire resistance determinants from and transfer resistance determinants to transient bacteria that briefly colonize the body, including pathogenic bacteria. These commensal bacteria are extremely capable of acquiring and transferring antibiotic resistance determinants, and there is mounting evidence that horizontal transfer of resistance genes between bacteria of different species and genera occurs frequently and easily in the natural environment. There is a considerable lack of data regarding the ecologic and epidemiologic forces that drive the spread and persistence of antimicrobial resistance determinants in agricultural settings. In addition, the relationship between commensal and pathogenic bacteria under natural settings, such as on the farm, has largely been unstudied. In order to determine the factors that influence resistance trends on dairies, a longitudinal study needs to be developed that focuses on both commensal and pathogenic bacteria. These data could then be used to create more accurate and efficient sampling strategies for monitoring trends in antimicrobial resistance and for assessing the risk that resistance determinants in agricultural settings pose to human health. Therefore, the specific objectives of this project are to 1) quantitatively evaluate antibiograms of commensal and pathogenic bacteria at the individual and herd levels over time in order to assess risk factors for changes in antimicrobial susceptibility, 2) genotypically assess antimicrobial resistance determinants in commensal and pathogenic bacteria within individuals and herds over time in order to elucidate the ecology of these determinants in a natural environment, and 3) develop and validate quantitative sampling methods for monitoring antimicrobial resistance and to build mathematical models that predict the spread and persistence of resistance determinants on the dairy farm.
Project Methods
We will perform a longitudinal 3-year study on 6 different dairy farms. Cohorts of cattle will be followed on each dairy in order to assess the relationships in antimicrobial resistance profiles and in specific resistance determinants between commensal and pathogenic bacteria. We will culture feces from all individuals in the cohort for bacterial organisms in the genera E. coli, Salmonella, Enterococcus, and Prevotella. We will also culture milk samples for pathogens related to clinical and subclinical mastitis. One objective is to assess the phenotypic antibiotic resistance profiles of these organisms within each herd over time. These herd-level antibiograms will be used to determine risk factors for decreased susceptibility in the different genera to different antimicrobials. In a second phase, we will use a subset of isolates that are resistant to tetracycline, quinolones, or florfenicol in order to genotypically assess the determinants that confer resistance to these antimicrobials. This phase will utilize PCR, sequencing, and restriction fragment digests and will enable us to determine the diversity of resistance determinants in the individual and the herd over time. In addition, we will elucidate the level of commonality in resistance determinants between commensal and pathogenic organisms. We will be able to evaluate and quantify the potential reservoir of resistance determinants and the risk they pose in transfer to pathogens. In this phase, we will DNA fingerprint a subset of isolates that possess resistance determinants. We will elucidate whether resistance determinants in a herd are spread through a clone of a specific isolate or whether determinants are effectively spread through gene transfer mechanisms. Finally, we will develop and validate quantitative methods for evaluating sampling strategies in the monitoring of resistance as well as mathematical models that predict the emergence, spread, and persistence of antimicrobial resistance in the herd.

Progress 08/15/03 to 08/14/05

Outputs
During this project, we sampled 248 cattle on 4 dairies. Each dairy was been visited 9 times, and therefore, some of the individual cattle have been sampled over 9 consecutive visits. We recorded antibiotic usage information for each of these animals as well as for each herd. In addition, all morbidity in the herd was recorded, including any clinical mastitis. We hypothesized that individual animals that had been treated with antimicrobials would possess a higher proportion of antimicrobial resistant E. coli in their feces, and that these resistant E. coli would persist in the animal over time. We also hypothesized that changes in the resistance levels in the E. coli of one animal would influence the E. coli populations of other animals in the same age cohort. The minimum inhibitory concentration (MIC) to various antimicrobials was determined for 3 to 6 randomly selected E. coli colonies from each sample. The main factor associated with increased resistance levels was age. Young calves had a greater diversity of E. coli MIC phenotypes, and many of these E. coli isolates had elevated MICs to multiple antibiotics. However, regardless of treatment history, the animals had E. coli with lower MIC levels after 6 to 9 months of age. Other animals in the same age cohort had similar MIC patterns. Preliminary results show that individual animal antibiotic treatments are not highly selective for resistant phenotypes over extended periods of time. We have optimized two different multiplex PCR protocols for the detection of specific antibiotic resistance genes. One protocol detects the resistance gene flo, which confers resistance against florfenicol, and the gene cmlA, which confers resistance against chloramphenicol. To date, we have found 42 of 611 (6.9%) of the E. coli from feces with the flo gene, and only 3 of 611 with the cmlA gene. These genes are likely on plasmids, and we are currently determining their precise location within the bacterium. The E. coli in which these genes were detected are of different DNA fingerprint patterns suggesting that the gene has been transferred to multiple E. coli types. The other PCR we have optimized detects the cmy-2 and the cmy-1 gene families, which both confer resistance against third-generation cephalosporins. The cmy-2 gene has been detected in 13 of 562 (2.3%) E. coli tested to date, but we have not detected the cmy-1 gene family. Again, the E. coli that possess the cmy-2 gene are of differing DNA fingerprints suggesting the transfer of this gene among multiple E. coli types. We also optimized a method to detect specific antibiotic resistance genes in DNA extracted directly from feces (total community DNA). This approach enabled us to determine more precisely whether genes exist in bacteria other than those that we culture in the laboratory. This could be important if there are multiple types of bacteria that possess the genes and serve as reservoirs of these genes. We have validated the detection limits of this approach in order to better interpret the meaning of a negative result.

Impacts
This study aims to determine the relationship between bacteria that cause disease (pathogens) and those that do not (commensals) in animals as it pertains to antibiotic resistance. Specifically, we hypothesized that this type of reservoir would explain the apparent persistence of antibiotic resistance genes, even after antibiotic use has ceased.

Publications

  • Patterson, S.K., and R.S. Singer. (2005). Evaluating the biases associated with community DNA approaches to antibiotic resistance detection. Journal of Veterinary Diagnostic Investigation (Accepted).


Progress 01/01/04 to 12/31/04

Outputs
During this project, we have sampled 224 cattle on 4 dairies. Each dairy has been visited 8 times, and therefore, some of the individual cattle have been sampled over 8 consecutive visits. We have recorded antibiotic usage information for each of these animals as well as for each herd. In addition, all morbidity in the herd has been recorded, including any clinical mastitis. We hypothesized that individual animals that had been treated with antimicrobials would possess a higher proportion of antimicrobial resistant E. coli in their feces, and that these resistant E. coli would persist in the animal over time. We also hypothesized that changes in the resistance levels in the E. coli of one animal would influence the E. coli populations of other animals in the same age cohort. The minimum inhibitory concentration (MIC) to various antimicrobials was determined for 3 to 6 randomly selected E. coli colonies from each sample. The main factor associated with increased resistance levels was age. Young calves had a greater diversity of E. coli MIC phenotypes, and many of these E. coli isolates had elevated MICs to multiple antibiotics. However, regardless of treatment history, the animals had E. coli with lower MIC levels after 6 to 9 months of age. Other animals in the same age cohort had similar MIC patterns. Preliminary results show that individual animal antibiotic treatments are not highly selective for resistant phenotypes over extended periods of time. We have optimized two different multiplex PCR protocols for the detection of specific antibiotic resistance genes. One protocol detects the resistance gene flo, which confers resistance against florfenicol, and the gene cmlA, which confers resistance against chloramphenicol. To date, we have found 42 of 611 (6.9%) of the E. coli from feces with the flo gene, and only 3 of 611 with the cmlA gene. These genes are likely on plasmids, and we are currently determining their precise location within the bacterium. The E. coli in which these genes were detected are of different DNA fingerprint patterns suggesting that the gene has been transferred to multiple E. coli types. The other PCR we have optimized detects the cmy-2 and the cmy-1 gene families, which both confer resistance against third-generation cephalosporins. The cmy-2 gene has been detected in 13 of 562 (2.3%) E. coli tested to date, but we have not detected the cmy-1 gene family. Again, the E. coli that possess the cmy-2 gene are of differing DNA fingerprints suggesting the transfer of this gene among multiple E. coli types. We are also working on a method to detect specific antibiotic resistance genes in DNA extracted directly from feces (total community DNA). This approach will enable us to determine more precisely whether genes exist in bacteria other than those that we culture in the laboratory. This could be important if there are multiple types of bacteria that possess the genes and serve as reservoirs of these genes. We have validated the detection limits of this approach in order to better interpret the meaning of a negative result.

Impacts
This study aims to determine the relationship between bacteria that cause disease (pathogens) and those that do not (commensals) in animals as it pertains to antibiotic resistance. Specifically, we hypothesized that this type of reservoir would explain the apparent persistence of antibiotic resistance genes, even after antibiotic use has ceased.

Publications

  • Singer, R.S., S.K. Patterson, A.E. Meier, J.K. Gibson, H.L. Lee, and C.W. Maddox. (2004). Relationship between phenotypic and genotypic florfenicol resistance in Escherichia coli. Antimicrobial Agents and Chemotherapy. 48:4047-4049.


Progress 01/01/03 to 12/31/03

Outputs
During this project, we have sampled 224 cattle on 4 dairies. Each dairy has been visited 8 times, and therefore, some of the individual cattle have been sampled over 8 consecutive visits. We have recorded antibiotic usage information for each of these animals as well as for each herd. In addition, all morbidity in the herd has been recorded, including any clinical mastitis. We have optimized two different multiplex PCR protocols for the detection of specific antibiotic resistance genes. One protocol detects the resistance gene flo, which confers resistance against florfenicol, and the gene cmlA, which confers resistance against chloramphenicol. To date, we have found 42 of 611 (6.9%) of the E. coli from feces with the flo gene, and only 3 of 611 with the cmlA gene. These genes are likely on plasmids, and we are currently determining their precise location within the bacterium. The E. coli in which these genes were detected are of different DNA fingerprint patterns suggesting that the gene has been transferred to multiple E. coli types. The other PCR we have optimized detects the cmy-2 and the cmy-1 gene families, which both confer resistance against third-generation cephalosporins. The cmy-2 gene has been detected in 13 of 562 (2.3%) E. coli tested to date, but we have not detected the cmy-1 gene family. Again, the E. coli that possess the cmy-2 gene are of differing DNA fingerprints suggesting the transfer of this gene among multiple E. coli types. We are also working on a method to detect specific antibiotic resistance genes in DNA extracted directly from feces (total community DNA). This approach will enable us to determine more precisely whether genes exist in bacteria other than those that we culture in the laboratory. This could be important if there are multiple types of bacteria that possess the genes and serve as reservoirs of these genes. We have validated the detection limits of this approach in order to better interpret the meaning of a negative result. We have completed the development and optimization of a Salmonella detection PCR from pooled bovine feces. The end result of this project is that the process of culturing for Salmonella from a large number of samples is now much more time and cost efficient. The results of this development were presented at two different scientific meetings and have now been accepted for publication in the Journal of Veterinary Diagnostic Investigation.

Impacts
This study aims to determine the relationship between bacteria that cause disease (pathogens) and those that do not (commensals) in animals as it pertains to antibiotic resistance. Specifically, we hypothesized that this type of reservoir would explain the apparent persistence of antibiotic resistance genes, even after antibiotic use has ceased.

Publications

  • Singer, R.S., R. Finch, H.C. Wegener, R. Bywater, J. Walters, and M. Lipsitch. (2003). Antibiotic resistance--the interplay between antibiotic use in animals and human beings. The Lancet: Infectious Diseases. 3:47-51.
  • Singer, R.S. (2003). Epidemiology and Ecology of Antibiotic Resistance in Agriculture. In: M. Torrence and R. Isaacson (eds.), Current Topics in Microbial Food Safety in Animal Agriculture. Iowa State Press.