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2021 Vol. 3, No. 47

Foreword
Preplanned Studies
Genomic Insight into the Antimicrobial Resistance of Streptococcus Suis — Six Countries, 2011–2019
Lichao Ma, Wanjiang Zhang, Jingyun Ma, Qingpo Cui, Chaoyang Zhang, Peng Zhang, Chengtao Sun, Huarun Sun, Yao Zhu, Shaolin Wang, Shuangyang Ding, Gongzheng Hu, Zhangqi Shen
2021, 3(47): 994-998. doi: 10.46234/ccdcw2021.242
Abstract(8428) HTML (521) PDF 599KB(32)
Abstract:
What is already known on this topic?

Streptococcus suis (S. suis) is a zoonotic pathogen causing disease in humans and animals, and the emergence of its increased resistance to antimicrobial agents has become a significant challenge in many countries.

What is added by this report?

Using whole genome sequencing data to accurately predict antimicrobial resistance determinants, it was found that the prevalence of antimicrobial resistance genes was higher in the pig isolates of S. suis than in the human isolates and that the prevalence of these genes varied with serotype.

What are the implications for public health practice?

The data regarding S. suis antimicrobial resistance will help guide rational drug use in the clinic to better protect the health of humans and animals.

Prevalence of Escherichia coli and Antibiotic Resistance in Animal-Derived Food Samples — Six Districts, Beijing, China, 2020
Hui Li, Yanchao Liu, Lu Yang, Xuan Wu, Yige Wu, Bing Shao
2021, 3(47): 999-1004. doi: 10.46234/ccdcw2021.243
Abstract(9732) HTML (575) PDF 3938KB(41)
Abstract:
What is already known about this topic?

Escherichia coli is an important hygiene indicator for animal-derived foods such as pork and chicken, and the contamination of retail meat is associated with the spread of antimicrobial resistance (AMR) and public health.

What is added by this report?

The prevalence of E. coli in 6 different districts of Beijing was 64.1%. The contamination of chicken was more serious than pork in Beijing. E. coli isolates were highly resistant to sulfonamides (87.4%). The ampC1 and ampC2 genes were the main antibiotic resistance genotype (94.7% and 99.4%).

What are the implications for public health practice?

This study highlights the need to strengthen the surveillance of antibiotic resistance of E. coli in animal-derived foods. A national or regional multicenter study is required to assess the dissemination and evolution of multidrug resistant (MDR) E. coli in clinical medicine and animal production for food.

Vital Surveillances
Surveillance of Multidrug-Resistant Bacterial Infections in Non-Adult Patients — Zhejiang Province, China, 2014–2019
Yuchen Wu, Shi Chen, Jiaping Li, Chang Cai, Hanyu Wang, Mingming Zhou, Junmin Cao, Qiang Wang, Shenghai Wu, Shibiao Ding, Xiaofei Zhao, Long Sun, Qingfeng Hu, Hongwei Zhou, Xiang Qian, Qing Yang, Sheng Chen, Rong Zhang
2021, 3(47): 1005-1013. doi: 10.46234/ccdcw2021.244
Abstract(9100) HTML (478) PDF 389KB(40)
Abstract:
Introduction

Antimicrobial resistance has become a major public health threat globally. The prevalence of multidrug-resistant (MDR) bacterial infections increased substantially among inpatients under 18 years of age in recent years. In Zhejiang Province, China, the trends of drug-resistance in non-adult patients from 2014 to 2019 were monitored, aiming to determine the variation patterns and epidemiological features of MDR strains.

Methods

Patient data were collected from the Annual Review of Hospital Infection Resistance Survey in Zhejiang Province, 2014–2019. Statistical analysis was performed to analyze the pattern of distribution of five key bacterial pathogens in different age groups, ward settings, and bloodstream infections.

Results

From 2014 to 2019, a total of 30,163 multidrug-resistant strains were identified among 212,252 clinical isolates. The prevalence of extended spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E), carbapenem-resistant Enterobacteriaceae (CRE), carbapenem-resistant Acinetobacter baumannii, carbapenem-resistant Pseudomonas aeruginosa (CRPA), and methicillin-resistant Staphylococcus aureus (MRSA) were 40.6%, 2.3%, 14.7%, 9.0%, and 27.4%, respectively. The prevalence of these key pathogens was lower than that reported in the national surveillance system (China Antimicrobial Resistance Surveillance System and Infectious Diseases Surveillance of Pediatrics). The prevalence of ESBL-E and CRE decreased since 2015 but that of CRPA and MRSA increased from 2014 to 2018.

Conclusions

Despite an overall decrease in the prevalence of drug-resistant bacteria in 2019, the rising prevalence of MRSA and CRPA still warrant much attention. Multidrug-resistant bacteria prevention and control strategies should be adjusted in a timely manner based on the surveillance results.