Purpose: The objective of this study was to determine the prevalence of QAC resistance genes, the correlation of their presence and resistance to QAC and other antimicrobials in E. coliisolated from retail meats in the U.S.
Methods: Five hundred seventy E. coli isolated from National Antimicrobial Resistance Monitoring System (NARMS) retail meat program in 2006 were included in this study. The presence of 10 QAC resistance genes (qacE, qacEΔ1, qacF, qacG, emrE, sugE(c), sugE(p), mdfA and ydgE/F) were determined by PCR. Minimum inhibitory concentrations of QACs were examined using agar dilution method.
Results: Chromosomally encoded emrE, sugE(c), mdfA and ydgE/F were widely distributed in E. coli, with a prevalence ranging from 77.2% (n = 440) to 100% (n = 570). However, qacE was not detected in any of the isolates. The prevalence of the other genes ranged from 22.3% (qacEΔ1, n = 127) to 0.4% (qacG, n = 2). sugE(p) was detected in 6.8% (n = 39) of the isolates. A significant correlation was found between the presence of sugE(p), qacEΔ1 and antibiotic-resistance isolates (P < 0.01). Also qacEΔ1 was significantly more common (P < 0.05) in E. coli isolated from poultry meats than from beef and pork. MICs showed that all isolates showed reduced susceptibility to QACs compared with the control strain.
Significance: E. coli could serve an important reservoir for the dissemination of QAC resistance. The use of QACs in food processing environments may have played a role in the emergence of QAC-resistant bacteria.