Low or high doses of cefquinome targeting low or high bacterial inocula cure Klebsiella pneumoniae lung infections but differentially impact the levels of antibiotic resistance in fecal flora

التفاصيل البيبلوغرافية
العنوان: Low or high doses of cefquinome targeting low or high bacterial inocula cure Klebsiella pneumoniae lung infections but differentially impact the levels of antibiotic resistance in fecal flora
المؤلفون: Maleck V. Vasseur, Agnès Perrin-Guyomard, Pierre-Louis Toutain, Aude A. Ferran, Jérôme Henri, Alain Bousquet-Mélou, Jean-Guy Rolland, Michel Laurentie
المساهمون: Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), Physiologie et Toxicologie Expérimentales, Institut National de la Recherche Agronomique (INRA)-Ecole Nationale Vétérinaire de Toulouse (ENVT), Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées, ToxAlim (ToxAlim), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Ecole Nationale Vétérinaire de Toulouse (ENVT), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Ecole d'Ingénieurs de Purpan (INPT - EI Purpan), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Recherche Agronomique (INRA)
المصدر: Antimicrobial Agents and Chemotherapy
Antimicrobial Agents and Chemotherapy, American Society for Microbiology, 2014, 58 (3), pp.1744-8. ⟨10.1128/AAC.02135-13⟩
بيانات النشر: HAL CCSD, 2014.
سنة النشر: 2014
مصطلحات موضوعية: Male, antibiotic resistance, medicine.drug_class, Klebsiella pneumoniae, Cephalosporin, Cefquinome, Biology, Gut flora, flore, Microbiology, antibiotique, flora, Antibiotic resistance, [SDV.SP.MED]Life Sciences [q-bio]/Pharmaceutical sciences/Medication, Drug Resistance, Bacterial, medicine, Pneumonia, Bacterial, Animals, Pharmacology (medical), Experimental Therapeutics, résistance, Feces, 2. Zero hunger, Pharmacology, biology.organism_classification, Antimicrobial, Virology, Enterobacteriaceae, Bacterial Load, 3. Good health, Anti-Bacterial Agents, Cephalosporins, Klebsiella Infections, Rats, klebsiella pneumoniae, Infectious Diseases, feces, fecal, medicine.drug, cefquinome
الوصف: The combination of efficacious treatment against bacterial infections and mitigation of antibiotic resistance amplification in gut microbiota is a major challenge for antimicrobial therapy in food-producing animals. In rats, we evaluated the impact of cefquinome, a fourth-generation cephalosporin, on both Klebsiella pneumoniae lung infection and intestinal flora harboring CTX-M-producing Enterobacteriaceae . Germfree rats received a fecal flora specimen from specific-pathogen-free pigs, to which a CTX-M-producing Escherichia coli strain had been added. K. pneumoniae cells were inoculated in the lungs of these gnotobiotic rats by using either a low (10 5 CFU) or a high (10 9 CFU) inoculum. Without treatment, all animals infected with the low or high K. pneumoniae inoculum developed pneumonia and died before 120 h postchallenge. In the treated groups, the low-inoculum rats received a 4-day treatment of 5 mg/kg of body weight cefquinome beginning at 24 h postchallenge (prepatent phase of the disease), and the high-inoculum rats received a 4-day treatment of 50 mg/kg cefquinome beginning when the animals expressed clinical signs of infection (patent phase of the disease). The dose of 50 mg/kg targeting the high K. pneumoniae inoculum cured all the treated rats and resulted in a massive amplification of CTX-M-producing Enterobacteriaceae . A dose of 5 mg/kg targeting the low K. pneumoniae inoculum cured all the rats and averted an outbreak of clinical disease, all without any amplification of CTX-M-producing Enterobacteriaceae . These findings might have implications for the development of new antimicrobial treatment strategies that ensure a cure for bacterial infections while avoiding the amplification of resistance genes of human concern in the gut microbiota of food-producing animals.
اللغة: English
تدمد: 0066-4804
1098-6596
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::64999fcc966d9d8dc61b349025177aa8
https://hal-anses.archives-ouvertes.fr/hal-00978511
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....64999fcc966d9d8dc61b349025177aa8
قاعدة البيانات: OpenAIRE