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Organic and conventional fruits and vegetables contain equivalent counts of Gram‐negative bacteria expressing resistance to antibacterial agents
Authors:Raymond Ruimy  Anne Brisabois  Claire Bernede  David Skurnik  Saïda Barnat  Guillaume Arlet  Sonia Momcilovic  Sandrine Elbaz  Frédérique Moury  Marie‐Anne Vibet  Patrice Courvalin  Didier Guillemot  Antoine Andremont
Institution:1. EA 6934 ? Résistance bactérienne in vivo ? Université Paris Diderot, and Centre National de Référence sur la résistance aux antibiotiques, H?pital Bichat Claude Bernard, APHP, Paris, France.;2. Co‐first authors who contributed equally to this work.;3. Unité? Caractérisation et épidémiologie bactérienne ?, Agence fran?aise de sécurité sanitaire des aliments, Maison‐Alfort, France.;4. Institut Pasteur, INSERM U657, Faculté de Médecine, Université Versailles Saint‐Quentin, France.;5. Co‐second authors who contributed equally to this work.;6. Agence pour la Recherche et l'Information en Fruits et Légumes Frais (APRIFEL), Paris, France.;7. EA 2392, Université Pierre et Marie Curie and laboratoire de Bactériologie, H?pital Tenon, APHP, Paris, France.;8. Institut Pasteur, Unité des Agents Antibactériens, Paris, France.
Abstract:Resistance to antibiotics is a major public health problem which might culminate in outbreaks caused by pathogenic bacteria untreatable by known antibiotics. Most of the genes conferring resistance are acquired horizontally from already resistant commensal or environmental bacteria. Food contamination by resistant bacteria might be a significant source of resistance genes for human bacteria but has never been precisely assessed, nor is it known whether organic products differ in this respect from conventionally produced products. We showed here, on a large year‐long constructed sample set containing 399 products that, irrespective of their mode of production, raw fruits and vegetables are heavily contaminated by Gram‐negative bacteria (GNB) resistant to multiple antibiotics. Most of these bacteria originate in the soil and environment. We focused on non‐oxidative GNB resistant to third‐generation cephalosporins, because of their potential impact on human health. Among them, species potentially pathogenic for immunocompetent hosts were rare. Of the products tested, 13% carried bacteria producing extended – spectrum beta‐lactamases, all identified as Rahnella sp. which grouped into two phylotypes and all carrying the blaRAHN gene. Thus, both organic and conventional fruits and vegetables may constitute significant sources of resistant bacteria and of resistance genes.
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