Activities in 2009 Antimicrobial resistance Christopher Teale VLA Weybridge, New Haw, Addlestone, Surrey, KT15 3NB, UK Tel.: (+44-1743) 46.76.21, Fax: ((+44-1743) 44.10.60 c.teale@vla.defra.gsi.gov.uk http://www.defra.gov.uk/vla/ Summary of general activities related to the disease 1. 2. Test(s) in use/or available for the specified disease at your laboratory Test For Specificity Total Disc diffusion susceptibility test Antimicrobial susceptibility of veterinary pathogenic and commensal bacteria to a panel of 8 antimicrobials for diagnostic purposes. Antimicrobial resistance to 8 antimicrobials; resistance to other antimicrobials may be inferred where cross-resistance occurs. ~9,100 Disc diffusion susceptibility test Antimicrobial susceptibility of Salmonella to a panel of 16 antimicrobials for surveillance purposes. Antimicrobial resistance to 16 antimicrobials; resistance to other antimicrobials may be inferred where crossresistance occurs. ~4,500 Determination of minimum inhibitory concentration. Antimicrobial susceptibility determined by broth microdilution MIC. Resistance to other antimicrobials may be inferred where crossresistance occurs. 340 Molecular detection of selected beta-lactamase resistance genes by PCR. Characterisation of betalactamase resistance, particularly of ESBL and AmpC types. Specific for certain betalactamase resistance genes. >100 Microarray for the detection of a number of resistance genes (>50) in bacteria. Antimicrobial resistance genotype. Specific for antimicrobial resistance genes. >300 Production and distribution of diagnostic reagents Microarray technology for identification of resistance genes carried by bacteria. Details are available at http://www.identibac.com/ Annual reports of OIE Reference Laboratories and Collaborating Centres, 2009 1 Antimicrobial resistance Activities specifically related to the mandate of OIE Reference Laboratories 3. International harmonisation and standardisation of methods for diagnostic testing or the production and testing of vaccines Attendance at quarterly meetings of the British Society for Antimicrobial Chemotherapy Working Party on Antimicrobial Susceptibility Testing, which sets breakpoints and defines methods for use in the medical field in the UK. Membership of the OIE Ad hoc Group on Antimicrobial Resistance. Membership of the European Food Safety Authority Working Groups on Antimicrobial Resistance and on the Analyses of the MRSA Baseline Survey in Breeding Pigs. Attendance at the EU Community Reference Laboratory annual meeting on Antimicrobial Susceptibility Testing and participation in the EU EQAS programme. An external quality assurance programme for testing for S. aureus and MRSA was set up and offered in 2009. 4. Preparation and supply of international reference standards for diagnostic tests or vaccines EQAS offered in 2009 for S. aureus and MRSA. 5. Research and development of new procedures for diagnosis and control Research into development of micro-arrays and other methods for rapid detection of antimicrobial resistance genes. Micro-arrays are now in routine use (and have been made commercially available) to examine bacterial isolates of particular interest, for example, those carrying extended-spectrum beta-lactamases. Further information regarding the microarrays is available at http://www.identibac.com/ The AMR Array Tube version 4 was validated to the equivalent of OIE stage 2. Publication of a paper describing the development and evaluation of a new culture medium for isolation of E. coli expressing ESBLs from animal faecal samples where E. coli expressing AmpC beta-lactamase enzymes may also be present. [L. P. Randall, M. Kirchner, C. J. Teale, N. G. Coldham, E. Liebana, and F. Clifton-Hadley Evaluation of CHROMagar CTX, a novel medium for isolating CTX-M-ESBL-positive Enterobacteriaceae while inhibiting AmpC-producing strains J. Antimicrob. Chemother., February 2009; 63: 302 – 308]. 6. Collection, analysis and dissemination of epizootiological data relevant to international disease control Production of reports concerning antimicrobial resistance in bacteria in livestock in England and Wales. These reports have been published on the internet and are available at: http://defraweb/animalh/diseases/zoonoses/zoonoses_reports/annualrep05.pdf Contribution of data on antimicrobial resistance in bacteria recovered from livestock in England and Wales to the EU “Trends and Sources” report. 7. Provision of consultant expertise to OIE or to OIE Members Member of and rapporteur for the OIE Ad hoc Group on Antimicrobial Resistance. The Group did not formally convene in 2009. 2 Annual reports of OIE Reference Laboratories and Collaborating Centres, 2009 Antimicrobial resistance 8. Provision of scientific and technical training to personnel from other OIE Members None in 2009. 9. Provision of diagnostic testing facilities to other OIE Members None in 2009. 10. Organisation of international scientific meetings on behalf of OIE or other international bodies None in 2009. 11. Participation in international scientific collaborative studies Membership of the European Food Safety Authority Working Group on Antimicrobial Resistance which has developed proposals for harmonized monitoring of antimicrobial resistance in Salmonella and Campylobacter among food animals in the European Union (Bronzwaer et al. Clinical Microbiology and Infection, (2008) 14, 522–533). This group has also produced proposals for the monitoring of the occurrence of MRSA in pigs in Europe, which were adopted in 2008. Participation in an international Working Group to analyse the results of a European MRSA Baseline Survey in Breeding Pigs in 2009. Membership of an EFSA international Working Group on antimicrobial resistance focused on zoonotic infections. 12. Publication and dissemination of information relevant to the work of OIE (including list of scientific publications, internet publishing activities, presentations at international conferences) Presentations at international conferences and meetings Poster at ASM MRSA Conference, 2009, London: Absence of MRSA in Clinical Mastitis Samples recovered from Dairy Cattle across England and Wales. Sharma M. Coldham N. Rogers J. Ganner M. Kearns A. Teale C. Poster at ECCMID Conference 2009, Helsinki: Evaluation of the frequency of antibiotic resistance genes by Identibac TubeArray in CYX-M ESBL E. coli of veterinary origin. H. Cockrem, H. Wearing, L. Randall, C. Teale, N. Coldham. (Available at http://www3.interscience.wiley.com/cgi-bin/fulltext/122401284/PDFSTART ) Presentation at Infection 2009, Birmingham: Is the tide turning on animal infections? C J Teale. ( www.infection2009.com) Scientific publications in peer-reviewed journals L. P. Randall, M. Kirchner, C. J. Teale, N. G. Coldham, E. Liebana, and F. Clifton-Hadley Evaluation of CHROMagar CTX, a novel medium for isolating CTX-M-ESBL-positive Enterobacteriaceae while inhibiting AmpC-producing strains J. Antimicrob. Chemother., February 2009; 63: 302 - 308. Andrew M. Bailey, Chrystala Constantinidou, Al Ivens, Mark I. Garvey, Mark A. Webber, Nick Coldham, Jon L. Hobman, John Wain, Martin J. Woodward, and Laura J. V. Piddock. Exposure of Escherichia coli and Salmonella enterica serovar Typhimurium to triclosan induces a species-specific response, including drug detoxification J. Antimicrob. Chemother., November 2009; 64: 973 - 985. Annual reports of OIE Reference Laboratories and Collaborating Centres, 2009 3 Antimicrobial resistance David W. Verner-Jeffreys, Timothy J. Welch, Tamar Schwarz, Michelle J. Pond, Martin J. Woodward, Sarah J. Haig, Georgina S. E. Rimmer, Edward Roberts, Victoria Morrison, and Craig Baker-Austin High Prevalence of Multidrug-Tolerant Bacteria and Associated Antimicrobial Resistance Genes Isolated from Ornamental Fish and Their Carriage Water PLoS One. 2009; 4(12): e8388. 13. Inscription of diagnostic kits on the OIE Register i) Did you participate in expert panels for the validation of candidate kits for inscription on the OIE Register? If yes, for which kits? No ii) Did you submit to the OIE candidate kits for inscription on the OIE Register? If yes, for which kits? No. _______________ 4 Annual reports of OIE Reference Laboratories and Collaborating Centres, 2009