Paws, Pathogens, and Public Health Risks: Molecular Characterization of ESBL- and Carbapenemase-Producing Bacteria Isolated from Cats in Lebanon

Antimicrobial resistance (AMR) is a critical global health concern, impacting human, animal, and environmental health within the One Health Triad. ESBL- and carbapenemase-producing organisms are the biggest threat to global public health and have been found in several niches in Lebanon, including ho...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Ezzeddine, Mohamad Albachir G. (author)
التنسيق: masterThesis
منشور في: 2023
الموضوعات:
الوصول للمادة أونلاين:http://hdl.handle.net/10725/15809
https://doi.org/10.26756/th.2023.668
http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.php
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author Ezzeddine, Mohamad Albachir G.
author_facet Ezzeddine, Mohamad Albachir G.
author_role author
dc.creator.none.fl_str_mv Ezzeddine, Mohamad Albachir G.
dc.date.none.fl_str_mv 2023
2023-12-08
2024-06-27T11:05:45Z
2024-06-27T11:05:45Z
dc.identifier.none.fl_str_mv http://hdl.handle.net/10725/15809
https://doi.org/10.26756/th.2023.668
http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.php
dc.language.none.fl_str_mv en
dc.publisher.none.fl_str_mv Lebanese American University
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Lebanese American University--Dissertations
Dissertations, Academic
Enterobacteriaceae--Lebanon
One health
Anti-infective agents
Antibacterial agents
Beta lactam antibiotics
dc.title.none.fl_str_mv Paws, Pathogens, and Public Health Risks: Molecular Characterization of ESBL- and Carbapenemase-Producing Bacteria Isolated from Cats in Lebanon
dc.type.none.fl_str_mv Thesis
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/masterThesis
description Antimicrobial resistance (AMR) is a critical global health concern, impacting human, animal, and environmental health within the One Health Triad. ESBL- and carbapenemase-producing organisms are the biggest threat to global public health and have been found in several niches in Lebanon, including hospital settings, surface water, wastewater, poultry, and livestock. Despite the close contact between pets and their owners, companion animals, particularly cats, have not been adequately considered for their role in disseminating antimicrobial resistance genes. This study addresses the gap by presenting the first report of multidrug-resistant Enterobacteriaceae isolated from cats in Lebanon, marking the fifth report in the region. It is also the first attempt to genotype T. gondii DNA from oocysts in cat feces. Gram-negative pathogens were isolated from the fecal samples collected from seven different cats and 13 representative isolates were further characterized by whole-genome sequencing (WGS). Among the chosen isolates, nine (69.2%) were ESBL-producers, and four (30.7%) exhibited carbapenemase production. in silico analysis showed that Escherichia coli (11/13) belonged to diverse sequence types (STs) and phylogroups, showcasing variability in their resistome, plasmidome, and antimicrobial susceptibility testing patterns. The presence of resistance genes, including blaCTX-M-15 (n=10, 76.9%), blaTEM-1B (n=6; 46.1%), blaOXA-1 (n=6; 46.1%), and blaNDM-5 (n=4, 30.7%), was confirmed through in silico resistome analysis and antimicrobial susceptibility testing (AST) with ten different antibiotics. Over 27 distinct genes conferring resistance to eight antimicrobial agents beyond β-lactams and carbapenems, were identified. Plasmid incompatibility groups were determined in silico and through plasmid-based replicon typing, and IncU (n=9; 69.3%) was the most commonly detected type, followed by IncFII and IncFIB (n=8; 61.5%) with equal prevalence. The report marks the first detection of E. coli ST410 and ST90 harboring blaNDM-5 in Lebanon, the first detection of E. coli ST46 in extra-hospital settings, E. coli ST345, and the identification of two novel E. coli sequence types. Long-read Nanopore sequencing using the Oxford MinION platform of the high-risk E. coli clone ST167 unveiled a novel plasmid, pNDM-5_FII, harboring blaNDM-5, blaOXA-1, blaCTX-M-15, and other resistance determinants, revealing new insights into the dissemination of blaNDM-5 and characterizing IS26-mediated dissemination of blaCTX-M-15 in a pseudocompound transposon harboring blaOXA-1. This report underscores the imperative need to implement the ‘One Health’ approach by also including companion animals, especially cats, when studying AMR and the spread of pathogens in Lebanon.
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spelling Paws, Pathogens, and Public Health Risks: Molecular Characterization of ESBL- and Carbapenemase-Producing Bacteria Isolated from Cats in LebanonEzzeddine, Mohamad Albachir G.Lebanese American University--DissertationsDissertations, AcademicEnterobacteriaceae--LebanonOne healthAnti-infective agentsAntibacterial agentsBeta lactam antibioticsAntimicrobial resistance (AMR) is a critical global health concern, impacting human, animal, and environmental health within the One Health Triad. ESBL- and carbapenemase-producing organisms are the biggest threat to global public health and have been found in several niches in Lebanon, including hospital settings, surface water, wastewater, poultry, and livestock. Despite the close contact between pets and their owners, companion animals, particularly cats, have not been adequately considered for their role in disseminating antimicrobial resistance genes. This study addresses the gap by presenting the first report of multidrug-resistant Enterobacteriaceae isolated from cats in Lebanon, marking the fifth report in the region. It is also the first attempt to genotype T. gondii DNA from oocysts in cat feces. Gram-negative pathogens were isolated from the fecal samples collected from seven different cats and 13 representative isolates were further characterized by whole-genome sequencing (WGS). Among the chosen isolates, nine (69.2%) were ESBL-producers, and four (30.7%) exhibited carbapenemase production. in silico analysis showed that Escherichia coli (11/13) belonged to diverse sequence types (STs) and phylogroups, showcasing variability in their resistome, plasmidome, and antimicrobial susceptibility testing patterns. The presence of resistance genes, including blaCTX-M-15 (n=10, 76.9%), blaTEM-1B (n=6; 46.1%), blaOXA-1 (n=6; 46.1%), and blaNDM-5 (n=4, 30.7%), was confirmed through in silico resistome analysis and antimicrobial susceptibility testing (AST) with ten different antibiotics. Over 27 distinct genes conferring resistance to eight antimicrobial agents beyond β-lactams and carbapenems, were identified. Plasmid incompatibility groups were determined in silico and through plasmid-based replicon typing, and IncU (n=9; 69.3%) was the most commonly detected type, followed by IncFII and IncFIB (n=8; 61.5%) with equal prevalence. The report marks the first detection of E. coli ST410 and ST90 harboring blaNDM-5 in Lebanon, the first detection of E. coli ST46 in extra-hospital settings, E. coli ST345, and the identification of two novel E. coli sequence types. Long-read Nanopore sequencing using the Oxford MinION platform of the high-risk E. coli clone ST167 unveiled a novel plasmid, pNDM-5_FII, harboring blaNDM-5, blaOXA-1, blaCTX-M-15, and other resistance determinants, revealing new insights into the dissemination of blaNDM-5 and characterizing IS26-mediated dissemination of blaCTX-M-15 in a pseudocompound transposon harboring blaOXA-1. This report underscores the imperative need to implement the ‘One Health’ approach by also including companion animals, especially cats, when studying AMR and the spread of pathogens in Lebanon.1 online resource (xvi, 88 leaves) : col. ill.Bibliography: leaves 58-88.Lebanese American University2024-06-27T11:05:45Z2024-06-27T11:05:45Z20232023-12-08Thesisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesishttp://hdl.handle.net/10725/15809https://doi.org/10.26756/th.2023.668http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.phpeninfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/158092024-06-27T11:05:45Z
spellingShingle Paws, Pathogens, and Public Health Risks: Molecular Characterization of ESBL- and Carbapenemase-Producing Bacteria Isolated from Cats in Lebanon
Ezzeddine, Mohamad Albachir G.
Lebanese American University--Dissertations
Dissertations, Academic
Enterobacteriaceae--Lebanon
One health
Anti-infective agents
Antibacterial agents
Beta lactam antibiotics
status_str publishedVersion
title Paws, Pathogens, and Public Health Risks: Molecular Characterization of ESBL- and Carbapenemase-Producing Bacteria Isolated from Cats in Lebanon
title_full Paws, Pathogens, and Public Health Risks: Molecular Characterization of ESBL- and Carbapenemase-Producing Bacteria Isolated from Cats in Lebanon
title_fullStr Paws, Pathogens, and Public Health Risks: Molecular Characterization of ESBL- and Carbapenemase-Producing Bacteria Isolated from Cats in Lebanon
title_full_unstemmed Paws, Pathogens, and Public Health Risks: Molecular Characterization of ESBL- and Carbapenemase-Producing Bacteria Isolated from Cats in Lebanon
title_short Paws, Pathogens, and Public Health Risks: Molecular Characterization of ESBL- and Carbapenemase-Producing Bacteria Isolated from Cats in Lebanon
title_sort Paws, Pathogens, and Public Health Risks: Molecular Characterization of ESBL- and Carbapenemase-Producing Bacteria Isolated from Cats in Lebanon
topic Lebanese American University--Dissertations
Dissertations, Academic
Enterobacteriaceae--Lebanon
One health
Anti-infective agents
Antibacterial agents
Beta lactam antibiotics
url http://hdl.handle.net/10725/15809
https://doi.org/10.26756/th.2023.668
http://libraries.lau.edu.lb/research/laur/terms-of-use/thesis.php