One Health genomic epidemiology of antimicrobial resistant Escherichia coli carriage in sympatric humans and livestock in Nairobi, Kenya

Livestock have been proposed as a reservoir for antibiotic resistant (AMR) bacteria and AMR genetic determinants that may infect humans, yet quantitative evidence regarding their epidemiological role remains lacking. We used a combination of genomics, epidemiology and ecology to investigate patterns...

Descripción completa

Detalles Bibliográficos
Autores principales: Muloi, D., Ward, M., Hassell, J., Bettridge, J., Robinson, T.
Formato: Resumen
Lenguaje:Inglés
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://hdl.handle.net/10568/171393
_version_ 1855514561987215360
author Muloi, D.
Ward, M.
Hassell, J.
Bettridge, J.
Robinson, T.
author_browse Bettridge, J.
Hassell, J.
Muloi, D.
Robinson, T.
Ward, M.
author_facet Muloi, D.
Ward, M.
Hassell, J.
Bettridge, J.
Robinson, T.
author_sort Muloi, D.
collection Repository of Agricultural Research Outputs (CGSpace)
description Livestock have been proposed as a reservoir for antibiotic resistant (AMR) bacteria and AMR genetic determinants that may infect humans, yet quantitative evidence regarding their epidemiological role remains lacking. We used a combination of genomics, epidemiology and ecology to investigate patterns of AMR carriage in Escherichia coli, regarded as a sentinel organism. We conducted a structured epidemiological survey of 99 households across Nairobi, Kenya and cultured E. coli from 315 human and 594 livestock faecal samples. We detected high rates of AMR gene carriage, 60 different acquired genes and 14 point mutations, and found that 10/74 of the genes were significantly more common in human than in livestock isolates. Further, AMR genes were not associated with host type or household location, and AMR genes frequently co-occurred, potentially enabling the acquisition of multi-drug resistance in a single step. We found that, whilst AMR gene carriage in humans was not directly associated with the presence of livestock in the household, the impact of keeping livestock on human AMR gene carriage was instead influenced by livestock-keeping practices, in particular the presence or absence of animal manure in the household. In conclusion, we did not find any evidence to support the hypothesis that the keeping of livestock is a risk factor for emergence and dissemination of AMR genes to humans in this setting. Our characterisation of AMR patterns in which co-habiting human and livestock populations were systematically sampled provides new insight into the broader epidemiology of AMR in complex and interconnected urban environments.
format Abstract
id CGSpace171393
institution CGIAR Consortium
language Inglés
publishDate 2020
publishDateRange 2020
publishDateSort 2020
publisher Elsevier
publisherStr Elsevier
record_format dspace
spelling CGSpace1713932025-02-19T14:30:47Z One Health genomic epidemiology of antimicrobial resistant Escherichia coli carriage in sympatric humans and livestock in Nairobi, Kenya Muloi, D. Ward, M. Hassell, J. Bettridge, J. Robinson, T. resistance to antibiotics livestock epidemiology infection human health health one health approach Livestock have been proposed as a reservoir for antibiotic resistant (AMR) bacteria and AMR genetic determinants that may infect humans, yet quantitative evidence regarding their epidemiological role remains lacking. We used a combination of genomics, epidemiology and ecology to investigate patterns of AMR carriage in Escherichia coli, regarded as a sentinel organism. We conducted a structured epidemiological survey of 99 households across Nairobi, Kenya and cultured E. coli from 315 human and 594 livestock faecal samples. We detected high rates of AMR gene carriage, 60 different acquired genes and 14 point mutations, and found that 10/74 of the genes were significantly more common in human than in livestock isolates. Further, AMR genes were not associated with host type or household location, and AMR genes frequently co-occurred, potentially enabling the acquisition of multi-drug resistance in a single step. We found that, whilst AMR gene carriage in humans was not directly associated with the presence of livestock in the household, the impact of keeping livestock on human AMR gene carriage was instead influenced by livestock-keeping practices, in particular the presence or absence of animal manure in the household. In conclusion, we did not find any evidence to support the hypothesis that the keeping of livestock is a risk factor for emergence and dissemination of AMR genes to humans in this setting. Our characterisation of AMR patterns in which co-habiting human and livestock populations were systematically sampled provides new insight into the broader epidemiology of AMR in complex and interconnected urban environments. 2020-02 2025-01-29T12:58:07Z 2025-01-29T12:58:07Z Abstract https://hdl.handle.net/10568/171393 en Open Access Elsevier Muloi, D.; Ward, M.; Hassell, J.; Bettridge, J.; Robinson, T.; et al. 2020. One Health genomic epidemiology of antimicrobial resistant Escherichia coli carriage in sympatric humans and livestock in Nairobi, Kenya. Journal of Infection and Public Health 13(2): 320-321. https://doi.org/10.1016/j.jiph.2020.01.043
spellingShingle resistance to antibiotics
livestock
epidemiology
infection
human health
health
one health approach
Muloi, D.
Ward, M.
Hassell, J.
Bettridge, J.
Robinson, T.
One Health genomic epidemiology of antimicrobial resistant Escherichia coli carriage in sympatric humans and livestock in Nairobi, Kenya
title One Health genomic epidemiology of antimicrobial resistant Escherichia coli carriage in sympatric humans and livestock in Nairobi, Kenya
title_full One Health genomic epidemiology of antimicrobial resistant Escherichia coli carriage in sympatric humans and livestock in Nairobi, Kenya
title_fullStr One Health genomic epidemiology of antimicrobial resistant Escherichia coli carriage in sympatric humans and livestock in Nairobi, Kenya
title_full_unstemmed One Health genomic epidemiology of antimicrobial resistant Escherichia coli carriage in sympatric humans and livestock in Nairobi, Kenya
title_short One Health genomic epidemiology of antimicrobial resistant Escherichia coli carriage in sympatric humans and livestock in Nairobi, Kenya
title_sort one health genomic epidemiology of antimicrobial resistant escherichia coli carriage in sympatric humans and livestock in nairobi kenya
topic resistance to antibiotics
livestock
epidemiology
infection
human health
health
one health approach
url https://hdl.handle.net/10568/171393
work_keys_str_mv AT muloid onehealthgenomicepidemiologyofantimicrobialresistantescherichiacolicarriageinsympatrichumansandlivestockinnairobikenya
AT wardm onehealthgenomicepidemiologyofantimicrobialresistantescherichiacolicarriageinsympatrichumansandlivestockinnairobikenya
AT hassellj onehealthgenomicepidemiologyofantimicrobialresistantescherichiacolicarriageinsympatrichumansandlivestockinnairobikenya
AT bettridgej onehealthgenomicepidemiologyofantimicrobialresistantescherichiacolicarriageinsympatrichumansandlivestockinnairobikenya
AT robinsont onehealthgenomicepidemiologyofantimicrobialresistantescherichiacolicarriageinsympatrichumansandlivestockinnairobikenya