Научная статья на тему 'Antimicrobial resistance and biological properties of Staphylococcus spp. Isolated from pigs'

Antimicrobial resistance and biological properties of Staphylococcus spp. Isolated from pigs Текст научной статьи по специальности «Биологические науки»

CC BY
133
26
i Надоели баннеры? Вы всегда можете отключить рекламу.
Журнал
One Health & Risk Management
Область наук
Ключевые слова
Staphylococcus spp. / plasma coagulation / biological properties / antibiotics / susceptibility / resistance. / Staphylococcus spp. / coagularea plasmei / proprietăți biologice / antibiotice / sensibilitate / rezistenţă.

Аннотация научной статьи по биологическим наукам, автор научной работы — Yuriy Vishovan, Valerii Ushkalov, Oleksandra Kepple, Andry Granate

Introduction. Representatives of the genus Staphylococcus spp. cause a significant proportion of diseases in animals and humans. Nowadays the problem of their acquired antibiotic resistance is an urgent concern. Material and methods. Isolation and identification of Staphylococcus spp. carried out in accordance with DSTU EN 6888:2003 standard. The susceptibility of the strains to antibiotics was determined by the disk diffusion method. Interpretation of the results was carried out in accordance with the recommendations of the 8th version of EUCAST. Results. 77 strains of Staphylococcus spp. Collected from sows at the farm No. 2, were isolated: hemolytic properties were detected in 90.6% (39 coagulases positive and 19 coagulase negative); 22 (56.4%) strains of coagulase-negative Staphylococcus spp.; 13.6% of isolates had hemolytic properties. The results of antibiograms of crops from the farm No.1: 51.8% of strains were susceptibile to penicillin, 47.6% – resistant; 13.62 – susceptibile to fluoroquinolones, 80.9% – resistant; 96.7% – susceptibile to chloramphenicol, no resistant strains were detected. Conclusions. Acquired resistance of Staphylococcus spp. to certain groups of antibiotics isolated from pigs, indicated the irrational use of antimicrobial therapy. Differences were found in the susceptibility of coagulase-positive and coagulase-negative Staphylococcus spp. to all groups of antibiotics.

i Надоели баннеры? Вы всегда можете отключить рекламу.
iНе можете найти то, что вам нужно? Попробуйте сервис подбора литературы.
i Надоели баннеры? Вы всегда можете отключить рекламу.

REZISTENŢA LA ANTIMICROBIENE ŞI PROPRIETĂȚILE BIOLOGICE A STAPHYLOCOCCUS SPP. IZOLATE DE LA PORCINE

Introducere. Reprezentanții genului Staphylococcus provoacă un număr semnificativ de boli la animale și la oameni. Actualmente, o problemă majoră o prezintă rezistența dobândită a acestor tulpini la antibiotice. Material și metode. Izolarea și identificarea Staphylococcus spp. s-a realizat în conformitate cu standardul DSTU EN 6888:2003. Sensibilitatea tulpinilor la antibiotice a fost determinată prin metoda disc-difuzimetrică, iar interpretarea rezultatelor a fost efectuată potrivit recomandărilor EUCAST, versiunea 8. Rezultate. De la scroafele din ferma nr. 1 au fost izolate 77 de tulpini de Staphylococcus spp: proprietăți hemolitice au fost detectate la 90,6% din probe (39 coagulazopozitive și 19 coagulazo-negative). De la scroafele din ferma nr.2 au fost izolate 22 (56,4%) tulpini de Staphylococcus spp. coagulozo-negative, dintre care 13,6% posedau proprietăți hemolitice. Rezultatele antibioticogramei culturilor de la ferma nr.1 ne arată că 51,8% din culturi sunt sensibile și 47,6% sunt rezistente la peniciline; 13,6% sunt sensibile și 80,9% sunt rezistente la fluorochinolone, iar 96,7% din tulpini au fost sensibile la cloramfenicol, nefiind detectate culturi rezistente. Concluzii. Rezistența dobândită la tulpinile de Staphylococcus spp, izolate de la porcinele din ferma nr.1, față de anumite grupuri de antibiotice, indică utilizarea irațională a terapiei antimicrobiene. Astfel, s-au constatat diferențe în sensibilitatea tulpinilor de Staphylococcus spp, coagulazo-pozitive și coagulazo-negative, la toate grupele de antibiotice.

Текст научной работы на тему «Antimicrobial resistance and biological properties of Staphylococcus spp. Isolated from pigs»

OPEN

3

ACCESS

®o

D V

ANTIMICROBIAL RESISTANCE AND BIOLOGICAL PROPERTIES OF STAPHYLOCOCCUS SPP. ISOLATED FROM PIGS

Yuriy VISHOVAN, Valerii USHKALOV, Oleksandra KEPPLE, Andry GRANATE

Ukrainian Laboratory of Quality and Safety of Agricultural Products, National University of Life and Environmental Sciences of Ukraine

Corresponding author: Yuriy Vishovan, e-mail: [email protected]

DOI: 10.5281/zenodo.3701192

CZU: 579.861.2:615.33.015.8

Key words: Staphylococcus spp., plasma coagulation, biological properties, antibiotics, susceptibility, resistance.

Cuvinte cheie: Staphylococcus spp., coagularea plasmei, proprietati biologice, antibiotice, sensibili-tate, rezistenfa.

Introduction. Representatives of the genus Staphylococcus spp. cause a significant proportion of diseases in animals and humans. Nowadays the problem of their acquired antibiotic resistance is an urgent concern.

Material and methods. Isolation and identification of Staphylococcus spp. carried out in accordance with DSTU EN 6888:2003 standard. The susceptibility of the strains to antibiotics was determined by the disk diffusion method. Interpretation of the results was carried out in accordance with the recommendations of the 8th version of EUCAST. Results. 77 strains of Staphylococcus spp. Collected from sows at the farm No. 2, were isolated: hemolytic properties were detected in 90.6% (39 coagulases positive and 19 coagulase negative); 22 (56.4%) strains of coagulase-negative Staphylococcus spp.; 13.6% of isolates had hemolytic properties. The results of antibiograms of crops from the farm No.1:51.8% of strains were susceptibile to penicillin, 47.6% - resistant; 13.62 - susceptibile to fluoroquinolones, 80.9% - resistant; 96.7% - susceptibile to chloramphenicol, no resistant strains were detected.

Conclusions. Acquired resistance of Staphylococcus spp. to certain groups of antibiotics isolated from pigs, indicated the irrational use of antimicrobial therapy. Differences were found in the susceptibility of coagulase-positive and coagulase-negative Staphylococcus spp. to all groups of antibiotics.

REZISTENJA LA ANTIMICROBIENE §I PROPRIETATILE BIOLOGICE A STAPHYLOCOCCUS SPP. IZOLATE DE LA PORCINE

Introducere. Reprezentantiigenului Staphylococcus provoaca un numar semnificativ de boli la animale si la oameni. Actualmente, o problema majora o prezinta rezistenta dobandita a acestor tulpini la antibiotice.

Material si metode. Izolarea si identificarea Staphylococcus spp. s-a realizat in con-formitate cu standardul DSTU EN 6888:2003. Sensibilitatea tulpinilor la antibiotice a fost determinata prin metoda disc-difuzimetrica, iar interpretarea rezultatelor a fost efectuata potrivit recomandarilor EUCAST, versiunea 8.

Rezultate. De la scroafele din ferma nr. 1 au fost izolate 77 de tulpini de Staphylococcus spp: proprietati hemolitice au fost detectate la 90,6% din probe (39 coagula-zo-pozitive si 19 coagulazo-negative). De la scroafele din ferma nr.2 au fost izolate 22 (56,4%) tulpini de Staphylococcus spp. coagulozo-negative, dintre care 13,6% posedau proprietati hemolitice. Rezultatele antibioticogramei culturilor de la ferma nr.1 ne arata ca 51,8% din culturi sunt sensibile si 47,6% sunt rezistente la peniciline; 13,6% sunt sensibile si 80,9% sunt rezistente la fluorochinolone, iar 96,7% din tulpini au fost sensibile la cloramfenicol, nefiind detectate culturi rezistente.

Concluzii. Rezistenta dobandita la tulpinile de Staphylococcus spp, izolate de la por-cinele din ferma nr.1, fata de anumite grupuri de antibiotice, indica utilizarea iration-ala a terapiei antimicrobiene. Astfel, s-au constatatdiferente in sensibilitatea tulpinilor de Staphylococcus spp, coagulazo-pozitive si coagulazo-negative, la toate grupele de antibiotice.

RM

ONE HEALTH & RISK MANAGEMENT

INTRODUCTION

Staphylococcus carriers were an important source of contamination for food, raw materials, birds, pigs and pork products (1, 2). It has been repeatedly proven that pigs were sources of staphylococci, in particular methicillin-resistant S. aureus (MRSA) (3). Such cases were especially common in Denmark (4), Canada (4), Germany (6) and Switzerland (7). In young pigs, the disease manifests itself in the form of exudative epidermitis (EE), caused by strains of Staphylococcus hyicus, Staphylococcus aureus and Staphylococcus chro-mogenes, which produce exfoliative toxins. However, pigs in most cases were hidden carriers (7). Experimental transfer of methicillin-resistant S. aureus to minks during feeding of pork waste contaminated with MRSA is also known (9). In 2017, 80 methicillin-resistant staphylococcus strains were isolated in Ukraine, including 77.5% from domestic animals, 11.3% from poultry, 6.3% from cattle and 5% from pigs (10).

The purpose of the study was to investigate the biological properties and antibiotic resistance of Staphylococcus spp. isolated from pigs of two industrial pig farms located in Kyiv (No.1) and Vin-nytsa regions (No.2).

MATERIAL AND METHODS

Isolation and identification of Staphylococcus spp. was conducted in accordance with: DSTU EN 6888:2003 "Microbiology of food and animal feed" standard was cultivated to the Baird Parker agar (Merck) medium and were incubated at 37°C for 24-48 hours. Isolates produced on Baird Parker agar at the end of this period were defined by morphology colony, Gram stain, catalase test, and coagulation test. The hemolytic properties of sta-phylococci were studied on Columbia blood agar (BioMerieux). Selected colonies from Columbia blood agar introduced into Tryptone-soy broth and cultured at t 35°C for 2-4 hours. The optical density was determined using a densitometer DEN-1(Biosan) and McFarland standard (HiMe-dia). The susceptibility of strains to antibiotics was determined by disc-diffusion method using Muller-Hinton agar, inoculum: 0.5 according to the McFarland turbidity standard and were incubated at 35°C, for 18±2 hours. The results were assessed in accordance with the re-commendations of version 8 of the European Committee on Antimicrobial Susceptibility Testing EUCAST (11)

and Guidelines "Determination of susceptibility of microorganisms to antibacterial drugs" (12).

RESULTS

Farm No. 1 proved to be a satisfactory farm in terms of safety against contagious diseases; number of pigs was up to 2 500 heads. There were 210 pigs. Purulent diseases, abscesses and boils were not reported in piglets. Of the 77 sows sampled from the nose Staphylococcus spp. were isolated in 64 cases (83.1%). All strains grown on the Beard Parker agar had typical colonies of black and grey, shiny and convex with a diameter of 1 mm to 1.5 mm after incubation for 24 hours and a diameter of 1.5-2.5 mm after 48 hours of incubation. The 39 isolates (60.94%) were coa-gulated with rabbit plasma. The ability to hemo-lysis of sheep erythrocytes showed only 58 (90.6%) of strains. Of these, 39 coagulase-positive strains and 19 coa-gulase-negative strains did not show hemolytic properties of 6 coagulase-negative strains.

The farm No. 2 proved to be a satisfactory farm in terms of contagious diseases; number of pigs was up to 3 500 heads. Diseases caused by Staphylococcus spp. we're not registered. In 22 samples (56.4%), isolates of Staphylococcus spp. were isolated from 39 sows from farm No.2.

The isolates grew in the form of shiny black and grey colonies with a narrow white margin. The isolates did not coagulate plasma. The 3 strains (13.6%) from the isolated strains had hemolytic properties.

Staphylococcus had a natural susceptibility to penicillins, but subsequently acquired resistance to them (13). In the study, were used: Natural Penicillin, Benzylpenicillin; Semisynthetic Oxacillin, Gentamicin, Tobramycin from the aminoglycosi-des group, and Erythromycin from the macrolids group (13). The susceptibility to natural Tetracycline and Semisynthetic Doxycycline; Lincomycin and Clindamycin from the group of lincosamides was investigated. Susceptibility for norfloxacin was recommended for screening susceptibility for all fluoroquinolones (11). There were studied Norfloxacin, Ciprofloxacin, Ofloxacin, Pefloxacin, Lomefloxacin, Levofloxacin, Sparfloxacin and Gatifloxacin (12, 13). Susceptibility to Chloramphenicol, and Rifampicin was investigated (11).

51.87% of the selected strains obtained at the farm No.1 were susceptible to Penicillin antibiotics,

O AH D1VI 0NE HEALTH & VOL. 1, ISSUE 1

" Lin&lvl"l RISK MANAGEMENT 2020

and 47.59% were resistant. 78.48% of bacterial strains showed susceptibility to aminoglycosides, and 21.52% of the strains were resistant. 87.1% of strains showed susceptibility to macrolides. 70.45% of the isolates were susceptible to tetracyclines. 70% of isolates showed susceptibility, and 30% were resistant to lincosamides. 13.62% were susceptible, and 80.93% - resistant to fluoroquinolones. 96.72% of revealed strains were susceptible to chloramphenicol. 73.53% of the studied isolates were susceptible to rifampicin.

10 strains from 22 pigs, on farm No. 2, were isolated and an antibiogram was determined (tab. 1). It was established that 10 isolated strains were resistant to oxacillin and clindamycin. 3 strains were susceptible, and 7 - resistant to benzylpenicillin and norfloxacin. 1 culture was susceptible, and 9 - resistant to tetracycline and erythromycin. 4 strains were susceptible, and 6 - resistant to chlo-ramphenicol.

Table 1. Ranges of growth inhibition diameters of the studied cultures isolated from pigs on farm No. 2, mm. MinMax.

Name of antibiotic Eucast interpretation (version 8.0) and Guidelines "Determination of susceptibility of microorganisms to antibacterial drugs" Ranges of diameters of cultures growth inhibition mm. Min-Max S strains (n) R strains (n)

Benzylpenicillin 26>s; 26<r 0-29 3 7

Oxacillin 18>s; 17<r 0-16 0 10

Erythromycin 21>s; 18<r 16-25 1 9

Clindamycin 22>s; 19<r 0-17 0 10

Norfloxacin 24>s; 24<r 0-28 3 7

Tetracycline 22>s; 19<r 17-24 1 9

Chloramphenicol 18>s; 18<r 15-22 4 6

Note: "0" - continuous growth, "15-22" - the minimum and maximum value of growth inhibition

of the test culture

Number of coagulase-positive and coagulase-ne-gative strains isolated from the farm No. 1 was showed in Table 2.

There was 100% resistance to benzylpenicillin among 18 coagulase-positive strains of Staphylococcus spp. from isolated strains. Oxacillin: intermediate resistanse (12) - 3% of isolated strains, resistant - 6%, susceptibile - 91% of strains. All resistant strains. Doxycycline: 28.5% - intermediate resistanse; 28.5% - resistant and 43% susceptible strains.

There were 7.8% of the strains from which 92% were resistant to lincomycin. Clindamycin: 42% -resistant, 58% of susceptible isolates. 100% of the coagulase-positive Staphylococcus spp. were resistant to Norfloxacin and Ciprofloxacinum. 4.7% and 95.3% of resistant strains were susceptible to Ofloxacin. Pefloxacin: 10% - resistant, 60% - intermediate resistanse and 30% susceptible isolates. Lomefloxacin was found to be resistant in 87% of strains, intermediate in 6.5% and susceptible in 6.5% of strains. 6.7% of the isolated strains were susceptible to Levofloxacin and the remaining 93.3% were resistant There were 97%

cultures résistants and 3% isolates which showed susceptibility to Sparfloxacin. Gatifloxacin: intermediate resistanse strains - 13% and 87% - resistant strains. The 84.6% demonstrated resistance to rifampicin 7.7% and intermediate resistanse 7.7% of strains.

In the group of coagulase-negative Staphylococcus spp. isolated from pigs in farm No. 1, there were 25% resistant strains and 75% strains showed susceptibility to Benzylpenicillin. All 100% strains were susceptible to Oxacillin. Ampicillin: 13% of strains were susceptible, 87% of strains - resistant. Gentamicin: 46% of strains were susceptible and 54% - resistant. There were 92% susceptible and 8% resistant strains to Tobramycin. Erythromycin: 6.9% of strains were resistant and 6.9%-in-termediate resistanse, the rest all isolated strains (86.2%) showed susceptibility.

Tetracycline: 81.5% of strains were intermediate resistanse, 11% - resistant, and 7.5% strains were susceptible. Doxycycline: 4% of strains were intermediate resistanse, 4% - resistant, and 92% susceptible isolates. Lincomycin: 84% of the strains were susceptible and 16% were resistant.

r

60

ê. OHRM

ONE HEALTH & RISK MANAGEMENT

3% intermediate resístanse strains to Clindamycin, the remaining 97% - susceptible. Norfloxacin: susceptible - 3% and intermediate resistanse

- 3% and 94% - resistant strains. 80% of strains were 20% susceptible to Ciprofloxacin. Ofloxacin: susceptible - 25%, resistant - 75% of isolates. Pefloxacin: resistant - 50%, intermediate resistanse

- 23%, susceptible - 27% of strains.

Lomefloxacin: susceptible - 16%, intermediate resistanse - 8%, and resistant - 76% isolates. 8% of

the strains were susceptible to Levofloxacin and 92% were resistant. 64.5% of the strains showed susceptibility to Sparfloxacin and 35.5% was resistant. There were 23% intermediate resistanse and 8% resistant and 69% of strains susceptible to Gatifloxacin. Chloramphenicol: intermediate resistanse - 7% of strains from 93% of strains. Rifampicin: 66.5% were susceptible, 24% were intermediate resistanse, and 9.5% of isolates were resistanse.

Table 2. Number of studied cultures of Staphylococcus spp. isolated in the farm No.1.

The number of cultures of Staphylococcus spp.

Name of antibiotic Coagulase-positive Coagulase-negative

S I R Total S I R Total

Penicillins

Benzylpenicillin 0 0 18 18 7 0 21 28

Oxacillin 30 1 2 33 31 0 0 31

Ampicillin 0 0 14 14 3 0 20 23

Aminoglycosides

Gentamicin (I) 13 0 1 14 12 0 14 26

Tobromycin (II) 14 0 0 14 23 0 2 25

Macrolides

Erythromycin 29 2 2 33 25 2 2 29

Tetracyclines

Tetracycline 10 0 11 21 22 3 2 27

Doxycycline 6 4 4 14 24 1 1 26

Linkosamides

Lincomycin 1 0 12 13 21 0 4 25

Clindamycin 18 0 13 31 30 1 0 31

Fluoroquinolones

Norfloxacin (II) 0 0 27 27 1 1 28 30

Ciprofloxaine (II) 0 0 15 15 5 0 20 25

Ofloxacin (II) 1 0 20 21 7 0 21 28

Pefloxacin (II) 3 6 1 10 7 6 13 26

Lomefloxacin (II) 1 1 13 15 4 2 19 25

Levofloxacin (III) 1 0 14 15 2 0 23 25

Sparfloxacin (III) 1 0 32 33 11 0 20 31

Gatifloxacin (IV) 0 2 13 15 6 2 18 26

Others

Chloramphenicol 32 0 0 32 27 2 0 29

Rifampicin 11 1 1 13 14 5 2 21

DISCUSSIONS

The obtained results indicate a significant colonization of coagulase-positive and coagulase-negati-ve staphylococci in the nasal passages of sows. A significant percentage of isolated crops possesses "pathogenicity factors". Plasma coagulation and

hemolysis were particularly important. The high

circulation of staphylococci in the herd leads to an

increase of antibiotic resistance. Natural penicillin is known to have little effect on staphylococci, while synthetic and semisynthetic penicillin antibiotics of other groups inhibit their growth.

iНе можете найти то, что вам нужно? Попробуйте сервис подбора литературы.

The results showed that in the farm No. 1 polyre-sistant strain of coagulase-positive and coagula-se-negative staphylococci was present. A major

RM

ONE HEALTH & VOL. 1, ISSUE 1

RISK MANAGEMENT 2020

component of beta-lactam resistance is the so-called mecA gene, which encodes the formation of modified penicillin-binding protein and thus interferes with the incorporation of beta-lactam into the cell wall. When the cell is methicillin-resistant Staphylococcus aureus in contact with ß-lactam antibiotics, the additional ß-lactam-resistant penicillin binding protein (PBP2a) takes on the biosyn-thetic functions of normal PBPs.

Staphylococcus aureus resistance to methicillin (Oxacillin) may be due to the production of additional PBP-2a, which is encoded by the chromosomal mecA gene, inactivation through hyper production of ß-lactamases and modification of normal PBPs. The presence two resistant strains of coagulase-positive staphylococci and one intermediate resistanse in pigs may indicate the possible presence of the mecA gene. Also, the resistance of the isolated strains to Ampicillin indicates the synthesis of staphylococcal penicillinase. The higher resistance to Tetracycline was shown by coagulase-positive staphylococci, which was

confirmed by the resistance of these strains to Doxycycline. Also, indicative is the resistance of some coagulase-positive staphylococci to both Lycomycin and Clindamycin, which is not observed among coagulase-negative strains. Practically all staphylococci have been shown to be resistant to Fluoroquinolones of different generations, including Gatifloxacin. Two intermediate resistanse strains of coagulase-negative staphylococci were detected for Chloramphenicol while all coagula-se-positive strains were susceptible.

As a result, the circulation of polyresistant coagu-lase-positive staphylococcus strains proved to be resistant to almost all antibiotic groups, especially to Fluoroquinolones - 4.6% susceptible, 6.0% -intermediate resistanse, and 89.4% - resistant. Among coagulase-negative staphylococci, 20% were susceptible, 5.0% were intermediate resistanse, and 75% were resistant to Fluoroquinoli-nes. Coagulase-negative strains from farm No. 2 also had poly resistant properties in tested antibiotics of all groups.

CONCLUSIONS

1. High percentage of staphylococcus circulation in pigs of experimental farms was detected.

2. The selected strains possessed "pathogenicity factors" by hemolysis and plasma coagulation.

3. Some staphylococci showed resistance to three or more antibiotics at the same time.

4. All these factors testify the misuse of antibiotics and the rapid manifestation of resistance to their individual representatives.

5. To confirm the emergence of the mechanism of resistance, it is necessary to carry out molecular genetic studies of isolated strains.

6. It is necessary to change fundamentally the pattern of antibiotic use in pigs in order to prevent staphylococcus resistance and their subsequent transfer to humans.

CONFLICT OF INTERESTS 2. Kadariya J, Smith T.C, Thapaliya D. Staphylococcus

All authors declare no competing interests. ACKNOWLEDGMENT

Research was carried out with the financial support of the Ministry of Education and Science of Ukraine.

REFERENCES

1. Lowder BV, Guinane CM, Ben Zakour NL, Weinert LA, Conway-Morris A, Cartwright RA, et al. Recent human - to - poultry host jump, adaptation, and pandemic spread of Staphylococcus aureus. Proc Natl Acad Sci USA. 2009; 106(46):19545-19550.

aureus and Staphylococcal Food-Borne Disease: An Ongoing Challenge in Public Health. Biomed Res Int. 2014; 2014:827965.

3. Armand-Lefevre L, Ruimy R, Andre Mont A. Clonal comparison of Staphylococcus aureus isolates from healthy pig farmers, human controls, and pigs. Emerg. infect dis. 2005; 11(5):711-714.

4. Lewis H, Molbak K, Reese C, et al. Pigs as source of methicillin-resistant Staphylococcus aureus cc398 infections in humans, Denmark. Emerg infect dis. 2008; 14(9):1383-1389.

5. Khanna T, Friendship R, Dewey C, et al. Methicillin resistant Staphylococcus aureus colonization in pigs and pig farmers. Veterinary microbiology. 2008; 128(3-4):298-303.

RM

ONE HEALTH & VOL. 1, ISSUE 1

RISK MANAGEMENT 2020

6. Cuny C, Nathaus R, Layer F, et al. Nasal colonization of humans with methicillin-resistant Staphylococcus aureus (MRSA) CC398 with and without Exposure to Pigs. Plos one. 2009; 4(8):e6800.

7. Oppliger A, Moreillon P, Charrière N, et al. Antimicrobial Resistance of Staphylococcus aureus Strains Acquired by Pig Farmers from Pigs. Appl Environ Microbiol. 2012; 78(22):8010-8014.

8. Duijkeren E, Jansen MD, Flemming CS, et al. Methi-cillin-Resistant Staphylococcus aureus in Pigs with Exudative Epidermitis. Emerg Infect Dis. 2007; 13(9):1408-1410.

9. Fertner M, Pedersen K, Chriél M. Experimental exposure of farmed mink (Neovisonvison) to livestock-associated methicillin-resistant Staphylococcus aureus contaminated feed. Veterinary Microbiology. 2019; 231:45-47.

10. Kozytska T, Garkavenko T. Circulation of Methicillin-Re-sistant Staphylococcus (MRS) in Livestock and Domestic

Animals. Proceedings of the BTRP Ukraine Regional One Health Research Symposium. 2019, Kyiv.

11. Eucast. The european committee on antimicrobial susceptibility testing (2018). Available from: http:// www.eucast.org/ [Accessed 10th September 2019].

12. Ministry of health of Ukraine. Determination of susceptibility of microorganisms to antibacterial drugs (2009). Available from: https://zakon.rada.gov.ua/ rada/show/v0167282-07 [Accessed 10th September 2019].

13. Chambers H, Deleo F. Waves of resistance: Staphylococcus aureus in the antibiotic era. Nat rev microbiol. 2009; 7(9):629-641.

14. Nicola F, McDougal L, Biddle J, et al. Characterization of Erythromycin-Resistant Isolates of Staphylo-coccus aureus Recovered in the United States from 1958 through. Antimicrob Agents Chemother. 1998; 42(11):3024-3027.

Date of receipt of the manuscript: 10/09/2019 Date of acceptance for publication: 03/03/2020

Yuriy VISHOVAN, ORCID 0000-0003-1128-593X

Valerii USHKALOV, ORCID 0000-0002-2328-1082, SCOPUS Author ID 36130483300 Oleksandra KEPPLE, ORCID 0000-0002-8123-3310, Web of Science Researcher ID B-2919-2018 Andry GRANATE, ORCID 0000-0002-5631-9139

i Надоели баннеры? Вы всегда можете отключить рекламу.