Introduction. The possible transfer of antimicrobial resistance genes between
Enterococcus faecium
isolates from humans and different animal species, including those not covered by monitoring programs (e.g. pet and wildlife), poses a serious threat to public health.
Hypothesis/Gap Statement. Little is known about occurrence and mechanisms of phenomenon of multidrug resistance of
E. faecium
isolated from various host species in Poland.
Aim. The aim of the study was to characterize multidrug-resistant
E. faecium
isolated from humans and animals (livestock, pets and wildlife) in terms of the occurrence of genetic markers determining resistance.
Methodology. Bacterial isolates were tested for phenotypic resistance and the presence of genes encoding resistance to macrolides, tetracycline, aminoglycosides, aminocyclitols and phenicols as well as efflux pump (emeA), resolvase (tndX) and integrase (Int-Tn) genes. The quinolone resistance-determining regions of gyrA and parC were sequenced.
Results. Human isolates of
E. faecium
were characterized by high-level resistance to: ciprofloxacin, enrofloxacin, erythromycin (100 %), as well, as aminoglycosides resistance (kanamycin – 100%, streptomycin – 78 %, gentamicin – 78%). Regardless of the animal species, high level of resistance of
E. faecium
to tetracycline (from 88–100 %), erythromycin (from 82–94 %) and kanamycin (from 36–100 %) was observed. All
E. faecium
isolates from wildlife were resistant to fluoroquinolones. However, full susceptibility to vancomycin was observed in all isolates tested. Phenotypic antimicrobial resistance of
E. faecium
was identified in the presence of the following resistance genes: erm(B) (70%), msr(A) (50 %), tet(L) (35 %), tet(K) (34 %), tet(M) (76 %), aac(6’)-Ie-aph(2″)-Ia (25%), ant(6)-Ia (31%), aph(3)-IIIa (68 %), (tndX) (23 %), and integrase gene (Int-Tn) (34 %). A correlation between an amino acid substitution at positions 83 and 87 of gyrA and position 80 of parC and the high-level fluoroquinolone resistance in
E. faecium
has been observed as well.
Conclusion. The level and range of antimicrobial resistance and the panel of resistance determinants is comparable between
E. faecium
isolates, despite host species.