Artigo Acesso aberto Produção Nacional Revisado por pares

KPC-2-producing Enterobacterales from ready-to-eat food to hospitalized patients

2024; Elsevier BV; Volume: 121; Linguagem: Inglês

10.1016/j.meegid.2024.105596

ISSN

1567-7257

Autores

Bianca Lara Venâncio de Godoy, Marlon do Valle Barroso, Yasmin Fontoura de Azeredo Lourenção, Letícia Kellen de Andrade, Vitória Gabriela Tosta Rodrigues, Caroline Atuí, Ana Caroline do Valle, Taís Paulino Ferreira, Mara Corrêa Lelles Nogueira, Tiago Casella,

Tópico(s)

Probiotics and Fermented Foods

Resumo

Foodstuffs are a well-documented source of multidrug-resistant bacteria, and hospitalized patients are usually susceptible to hospital infections owing to their immune status. Therefore, this study aimed to investigate the presence of beta-lactamase-producing Enterobacterales in ready-to-eat foods consumed by hospitalized patients. For this purpose, 51 vegetable and meat samples were collected over 2 months and analyzed. Enterobacterales isolates were identified and subjected to antimicrobial susceptibility testing, followed by beta-lactamase gene screening, pH tolerance assays, and whole-genome sequencing (WGS). Isolates harboring genes encoding extended-spectrum beta-lactamases, cephalosporinases, or carbapenemases were detected, and all isolates tolerated pH levels similar to those in the human gastrointestinal tract. The blaKPC-2 carriers were characterized by WGS and lineages closely related to those causing human infections were identified. These results showed that dietary intake is an alternative route for the transmission of antimicrobial-resistant bacteria, which must be considered when designing effective strategies for infection control.

Referência(s)