Infections due to multidrug-resistant Stenotrophomonas maltophilia (SM) have emerged globally as important nosocomial infections. • The role of SM in animal diseases is still less investigated. • SM was considered to be the cause of fleece rot [1] in sheep and it has been isolated from fish [2] , lizards, frogs, rabbit feces, captive snakes [3] , and African crocodiles [4] . • SM DNA was also
... [Show full abstract] detected in dogs with knee arthritis/degenerative anterior cruciate ligament rupture [5] , in squirrel feces [10] , in porcine semen, in bovine and ovine milk, and from the gastrointestinal tract of laboratory animals [7-10] . In veterinary medicine, trimethoprim-sulphamethoxazole resistant SM strains have been observed from horses, dogs and cats with chronic respiratory disease and urinary tract infections [6,11] . From 2008 to 2013, a retrospective observational study was carried out in order to: SM strains were cultured from tracheal/bronchial alveolar lavages (38%), nasal/pharyngeal/tonsillar-(31%), uterine-(10%), skin-(9%), ear-swabs (7%) and synovial fluid/abscess/fecal samples (5%). Over 6-yrs period, the multi-resistance percentages observed are listed in the Table 1. No significant differences (P>0.05) were recorded in relation to the source of specimens and between animal species both for veterinary and human drugs. - establish the frequency of occurrence of SM infections in animals by body site of infection; - evaluate the antibiotic susceptibility of SM isolates; - assess the antibiotic resistance trends in animal SM strains. Legend -BAL: bronchial alveolar lavages; N/F/T: nasal/pharyngeal/tonsillar; U/V: uterine/vaginal; SF/A/F: synovial fluid/ abscess/fecal; TMS: trimethoprim/sulfametoxazole (1.25/23.75 µg); AK: amikacin (30 µg); CN: gentamicin (10 µg); AMC: amoxicillin-clavulanic acid 2:1 (30 µg); CDX: cefadroxil (30 µg); CFQ: cefquinome (30 µg); IMP: imipenem (10 µg); CIP: ciprofloxacin (5 µg); ENR: enrofloxacin (5 µg). Trimethoprim-sulfamethoxazole is often considered the drug of choice in the treatment of SM infections; however, this study reveals that SM strains cultured from different animal species are highly resistant to this drug and to other human and veterinary antimicrobials. Thus, because of the emerging complex resistance patterns found in SM strains, surveillance programs should be increased for monitoring the spread of antibiotic-resistant SM strains in animals, and for analyzing the risk for the public health. In the 6-yrs study period about two/thirds of SM isolates were resistant to trimethoprim-sulfamethoxazole and cefadroxil. An increasing, but not significant, resistance trends was observed for trimethoprim-sulphametoxazole (P=0.9381), and ciprofloxacin (P=0.8632) while a significant decrease was recorded for cefadroxil (P=0.030), amikacin (P=0.0152), and amoxicillin and clavulanic acid (P=0.033). A decrease trends were observed for cefquinome, gentamicin, imipenem (P>0.05), and enrofloxacin (P=0.9605) (Figure 1). Table 1 -Antimicrobial drug resistance (%) of SM isolates by source of clinical sample. Over 6-yrs period, 77 SM clinical isolates from dog/cat (n=46), horse/cattle (n=27), and snake/ turtle/parrot (n=4) were identified by biochemical tests (Remel, Oxoid, Italy) and were Introduction and Purpose Results