<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="2.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2023.1197579</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>The emergence of multi-drug resistant and virulence gene carrying <italic>Escherichia coli</italic> strains in the dairy environment: a rising threat to the environment, animal, and public health</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Shoaib</surname> <given-names>Muhammad</given-names></name><uri xlink:href="https://loop.frontiersin.org/people/1668156/overview"/>
</contrib>
<contrib contrib-type="author"><name><surname>He</surname> <given-names>Zhoulin</given-names></name></contrib>
<contrib contrib-type="author"><name><surname>Geng</surname> <given-names>Xiang</given-names></name><uri xlink:href="https://loop.frontiersin.org/people/1685043/overview"/>
</contrib>
<contrib contrib-type="author"><name><surname>Tang</surname> <given-names>Minjia</given-names></name></contrib>
<contrib contrib-type="author"><name><surname>Hao</surname> <given-names>Ruochen</given-names></name></contrib>
<contrib contrib-type="author"><name><surname>Wang</surname> <given-names>Shengyi</given-names></name><uri xlink:href="https://loop.frontiersin.org/people/565646/overview"/>
</contrib>
<contrib contrib-type="author"><name><surname>Shang</surname> <given-names>Ruofeng</given-names></name></contrib>
<contrib contrib-type="author"><name><surname>Wang</surname> <given-names>Xuehong</given-names></name></contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname> <given-names>Hongjuan</given-names></name></contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pu</surname> <given-names>Wanxia</given-names></name><xref rid="c001" ref-type="corresp"><sup>&#x002A;</sup></xref><uri xlink:href="https://loop.frontiersin.org/people/818669/overview"/>
</contrib>
</contrib-group>
<aff><institution>Key Laboratory of New Animal Drug Project, Gansu Province/Key Laboratory of Veterinary Pharmaceutical Development, Ministry of Agriculture and Rural Affairs, Lanzhou Institute of Husbandry and Pharmaceutical Sciences of CAAS</institution>, <addr-line>Lanzhou</addr-line>, <country>China</country></aff>
<author-notes>
<fn id="fn0001" fn-type="edited-by">
<p>Edited by: Xiaodan Huang, Lanzhou University, China</p>
</fn>
<fn id="fn0002" fn-type="edited-by">
<p>Reviewed by: Adriana Morar, Banat University of Agricultural Sciences and Veterinary Medicine, Romania; Magdalena Zalewska, University of Warsaw, Poland</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Wanxia Pu, <email>puwanxia@caas.cn</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>13</day>
<month>07</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1197579</elocation-id>
<history>
<date date-type="received">
<day>31</day>
<month>03</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>06</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2023 Shoaib, He, Geng, Tang, Hao, Wang, Shang, Wang, Zhang and Pu.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Shoaib, He, Geng, Tang, Hao, Wang, Shang, Wang, Zhang and Pu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p><italic>Escherichia coli</italic> is a common inhabitant of the intestinal microbiota and is responsible for udder infection in dairy cattle and gastro-urinary tract infections in humans. We isolated <italic>E. coli</italic> strains from a dairy farm environment in Xinjiang, China, and investigated their epidemiological characteristics, phenotypic and genotypic resistance to antimicrobials, virulence-associated genes, and phylogenetic relationship. A total of 209 samples were collected from different sources (feces, slurry, water, milk, soil) and cultured on differential and selective agar media (MAC and EMB). The presumptive identification was done by the VITEK2 system and confirmed by 16S rRNA gene amplification by PCR. Antimicrobial susceptibility testing was done by micro-dilution assay, and genomic characterization was done by simple and multiplex polymerase chain reaction (PCR). A total of 338 <italic>E. coli</italic> strains were identified from 141/209 (67.5%) of the samples. Most of the <italic>E. coli</italic> strains were resistant to sulfamethoxazole/trimethoprim (62.43%), followed by cefotaxime (44.08%), ampicillin (33.73%), ciprofloxacin (31.36%), tetracycline (28.99%), and a lesser extent to florfenicol (7.99%), gentamicin (4.44%), amikacin (1.77%), and fosfomycin (1.18%). All of the strains were susceptible to meropenem, tigecycline, and colistin sulfate. Among the resistant strains, 44.4% were identified as multi-drug resistant (MDR) showing resistance to at least one antibiotic from &#x2265;3 classes of antibiotics. Eighteen out of 20 antibiotic-resistance genes (ARGs) were detected with <italic>sul2</italic> (67.3%), <italic>bla<sub>TEM</sub></italic> (56.3%), <italic>gyrA</italic> (73.6%), <italic>tet</italic>(B) (70.4%), <italic>aph(3)-I</italic> (85.7%), <italic>floR</italic> (44.4%), and <italic>fosA3</italic> (100%, 1/1) being the predominant genes among different classes of antibiotics. Among the virulence-associated genes (VAGs), <italic>ompA</italic> was the most prevalent (86.69%) followed by <italic>ibeB</italic> (85.0%), <italic>traT</italic> (84.91%), <italic>ompT</italic> (73.96%), <italic>fyuA</italic> (23.1%), <italic>iroN</italic> (23.1%), and <italic>irp2</italic> gene (21.9%). Most of the <italic>E. coli</italic> strains were classified under phylogenetic group B1 (75.45%), followed by A (18.34%), C (2.96%), D (1.18%), E (1.18%), and F (0.30%). The present study identified MDR <italic>E. coli</italic> strains carrying widely distributed ARGs and VAGs from the dairy environment. The findings suggested that the dairy farm environment may serve as a source of mastitis-causing pathogens in animals and horizontal transfer of antibiotic resistance and virulence genes carrying bacterial strains to humans via contaminated milk and meat, surface water and agricultural crops.</p>
</abstract>
<abstract abstract-type="graphical">
<title>Graphical Abstract</title>
<p><graphic xlink:href="fmicb-14-1197579-gr0001.tif" xmlns:xlink="http://www.w3.org/1999/xlink"/></p>
</abstract>
<kwd-group>
<kwd>antibiotic resistance genes (ARGs)</kwd>
<kwd>antimicrobial resistance</kwd>
<kwd>multi-drug resistance</kwd>
<kwd>virulence associated genes</kwd>
<kwd>
<italic>Escherichia coli</italic>
</kwd>
<kwd>dairy environment</kwd>
</kwd-group>
<counts>
<fig-count count="8"/>
<table-count count="3"/>
<equation-count count="1"/>
<ref-count count="42"/>
<page-count count="13"/>
<word-count count="6958"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Systems Microbiology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="sec1" sec-type="intro">
<label>1.</label>
<title>Introduction</title>
<p><italic>Escherichia coli</italic> (<italic>E. coli</italic>) is an opportunistic and common inhabitant of the intestinal microbiota of animals as well as humans (<xref ref-type="bibr" rid="ref10">He et al., 2019</xref>). Moreover, <italic>E. coli</italic> is also the most common organism responsible for causing udder infection in animals (<xref ref-type="bibr" rid="ref6">Cheng et al., 2019</xref>) and bloodstream infections in humans (<xref ref-type="bibr" rid="ref15">Jara et al., 2021</xref>). The use of antibiotics to prevent disease and promote the health of growing animals remains an integral part of livestock farming. It has been 50&#x2009;years since antibiotic-supplemented feeds were first approved for livestock to improve overall health and increase the productivity of animals (<xref ref-type="bibr" rid="ref1">Afema et al., 2018</xref>). However, the emergence and spread of pathogens resistance to multiple antibiotics has become a growing problem for veterinary medicine and public health (<xref ref-type="bibr" rid="ref25">Murray et al., 2022</xref>). It was estimated that antimicrobial resistance results in $55 billion annual economic loss in USA (<xref ref-type="bibr" rid="ref8">Dadgostar, 2019</xref>). The China also rank high in consumption of antibiotics for food producing animals especially in dairy sector.</p>
<p>Transmission of antimicrobial resistance (AMR) may occur by multiple ways, but contact with human and animal feces is the most common pathway (<xref ref-type="bibr" rid="ref9">Graham et al., 2019</xref>). Dairy cattle act as a potential source of spread of antibiotic-resistant and zoonotic bacterial strains, especially Shiga-toxin producing <italic>E. coli</italic> (STEC) through the contamination of the farm environment and food products such as milk and meat, and direct contact with animals (<xref ref-type="bibr" rid="ref3">Am&#x00E9;zquita-L&#x00F3;pez et al., 2018</xref>; <xref ref-type="bibr" rid="ref34">Sobur et al., 2019</xref>). Animal farming, especially intensive livestock farming, plays a major role in AMR transmission between humans, animals, and the environment (<xref ref-type="bibr" rid="ref24">Manyi-Loh et al., 2018</xref>). Due to the widespread use of antimicrobials in livestock production, livestock manure is considered a hotspot for the spread and transmission of AMR genes. Genetically diverse <italic>E. coli</italic> strains exist in animal manures, and their ability to survive in various ecological niches (<xref ref-type="bibr" rid="ref5">Beattie et al., 2020</xref>). <italic>E. coli</italic> strains carrying <italic>bla<sub>CTX-M</sub></italic> and <italic>bla<sub>CMY</sub></italic> genes confer resistance to &#x03B2;-lactam antibiotics are frequently found in animal manure (<xref ref-type="bibr" rid="ref7">Cookson et al., 2022</xref>). Therefore, animal manure is thought to be harming to animals <italic>via</italic> udder infections by environmental pathogens such as <italic>E. coli</italic>, humans <italic>via</italic> contaminated food products, and environment by using manure as fertilizer in soil or waste water (<xref ref-type="bibr" rid="ref32">Sarowska et al., 2019</xref>). This increases the potential of antibiotic resistance genes (ARGs) to integrate into human intestinal microbiota by horizontal gene transfer mechanism (<xref ref-type="bibr" rid="ref19">Lima et al., 2020</xref>). A better understanding of the transmission and spread of AMR, especially in areas with intensive livestock production, is important to understand. Therefore, the present study investigated the prevalence of <italic>E. coli</italic> in the dairy farm environment and their drug resistance characteristics. We also investigated the diversity of virulence associated genes (VAGs) responsible for pathogenicity and their distribution within phylogenetic groups.</p>
</sec>
<sec id="sec2" sec-type="materials|methods">
<label>2.</label>
<title>Materials and methods</title>
<sec id="sec3">
<label>2.1.</label>
<title>Sample sources and collection strategy</title>
<p>A total of 209 environment samples were collected from 2017&#x2013;2019 from a large dairy farm (herd size&#x2009;=&#x2009;25,000 animals) in Xinjiang province, China. The environmental samples included were fecal samples (<italic>n</italic>&#x2009;=&#x2009;50), manure slurry from a storage tank (<italic>n</italic>&#x2009;=&#x2009;36), raw milk (<italic>n</italic>&#x2009;=&#x2009;90), water samples from the residential area (<italic>n</italic>&#x2009;=&#x2009;9), soil samples (<italic>n</italic>&#x2009;=&#x2009;12), and crop field soil (<italic>n</italic>&#x2009;=&#x2009;12) based on random sampling technique (<xref rid="fig1" ref-type="fig">Figure 1</xref>). A 50&#x2009;g of manure sample was collected from the animal living area and storage tank from five different sites using a five-point mixed sampling method (<xref ref-type="bibr" rid="ref33">Sharp et al., 2012</xref>) and stored in sterile zipper bags. Raw milk samples (10&#x2009;mL) were collected and transferred to sterile falcon tubes according to the guidelines of the National Mastitis Council (<xref ref-type="bibr" rid="ref11">Hogan and Smith, 1992</xref>). The water samples (50&#x2009;mL) were collected in sterile water bottles from the residential area by randomly selecting three different water outlets. The blank and crop field soil samples were collected from different sites on farm and fodder growing fields, respectively. All the collected samples were kept at 4&#x00B0;C and transferred to the laboratory within 24&#x2009;h for further processing.</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Distribution of samples collected from different sources.</p>
</caption>
<graphic xlink:href="fmicb-14-1197579-g001.tif"/>
</fig>
</sec>
<sec id="sec4">
<label>2.2.</label>
<title>Isolation and identification of <italic>Escherichia coli</italic></title>
<p>The 25&#x2009;g of fecal, manure, and soil samples were first mixed in 225&#x2009;mL of phosphate-buffered saline (PBS) to solubilize them. After mixing, 1&#x2009;mL of the liquid was transferred to a 10&#x2009;mL LB broth tube for bacterial enrichment by incubation at 37&#x00B0;C with continuous mixing at 160&#x2009;rpm. From each tube, 100&#x2009;&#x03BC;L of the enrichment culture was sub-cultured on MacConkey (MAC) agar under prior mentioned incubation conditions. However, the water and milk samples were swabbed directly onto MacConkey agar and incubated at 37&#x00B0;C overnight. Based on colony shape and color, large, smooth, and pink colonies were picked and further streaked onto Eosin Methylene Blue (EMB) agar and incubated overnight at 37&#x00B0;C. The appearance of a metallic green sheen with dark center colonies on EMB agar was indicative of <italic>E. coli</italic> growth (<xref ref-type="bibr" rid="ref27">Peng et al., 2022</xref>). Further, presumptive identification was done by the VITEK2 system (BioMerieux, France) (<xref ref-type="bibr" rid="ref2">Alfinete et al., 2022</xref>) and confirmation by 16S rRNA gene amplification by PCR using primers reported previously (<xref ref-type="bibr" rid="ref20">Liu et al., 2021</xref>). The PCR-amplified product was visualized on 1% agarose gel under the GelDoc XR system (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S1</xref>). The confirmed isolates were preserved in 20% glycerol at &#x2212;80&#x00B0;C for further analysis.</p>
</sec>
<sec id="sec5">
<label>2.3.</label>
<title>Detection of virulence-associated genes</title>
<p>The 16S rRNA-confirmed <italic>E. coli</italic> isolates were subjected to the identification of seven VAGs by the previously described method (<xref ref-type="bibr" rid="ref13">Hu et al., 2022</xref>). The genomic DNA was extracted using a DNA extraction kit (Tiangen Biotech Beijing, Co., Ltd.) following the manufacturer&#x2019;s guidelines. The virulence genes were identified by PCR amplification of target gene primers mentioned in <xref rid="SM1" ref-type="supplementary-material">Supplementary Table S1</xref>. The PCR reaction mixture (25&#x2009;&#x03BC;L) consisted of 12.5&#x2009;&#x03BC;L PreTaq Mix (Vazyme Biotech, China), 1&#x2009;&#x03BC;L forward primer, 1&#x2009;&#x03BC;L reverse primer, 1&#x2009;&#x03BC;L genomic DNA, and 9.5&#x2009;&#x03BC;L of deionized water under the following conditions; prior denaturation at 94&#x00B0;C for 5&#x2009;min followed by 35&#x2009;cycles of denaturation at 94&#x00B0;C for the 30s, annealing at varying temperatures mentioned in <xref rid="SM1" ref-type="supplementary-material">Supplementary Table S1</xref> for 30s, initial extension at 72&#x00B0;C for 30s followed by a final extension at 72&#x00B0;C for 5&#x2009;min. After amplification, the PCR product was run on 1% agarose gel electrophoresis at 180&#x2009;V/200&#x2009;mA followed by ethidium bromide staining for visualization, and images were taken under the GelDoc XR system (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S2</xref>).</p>
</sec>
<sec id="sec6">
<label>2.4.</label>
<title>Antimicrobial susceptibility testing</title>
<p>The AST was done by broth micro-dilution assay following the EUCAST guidelines.<xref rid="fn0003" ref-type="fn"><sup>1</sup></xref> Briefly, the preserved isolates were thawed at room temperature and re-suspended in LH broth by vigorous mixing (120&#x2009;rpm) at 37&#x00B0;C for 12&#x2009;h. The loopful enriched broth was streaked on MacConkey agar following the overnight incubation. The bacterial inoculum was prepared by adjusting the cell density at 5&#x2009;&#x00D7;&#x2009;10<sup>5</sup>&#x2009;CFU/mL. The 96-well round bottom plate was used for broth dilution assay and 100&#x2009;&#x03BC;L of Mueller Hinton (MH) broth was added from the 1st well to the 12th well with a micropipette. Next, 50&#x2009;&#x03BC;L of prepared bacterial inoculum was added from the 1st to 11th well by keeping the 12th well as a negative control. The antibiotics were selected based on medical and veterinary use which includes trimethoprim-sulfamethoxazole (SXT), ampicillin (AMP), cefotaxime (CTX), tetracycline (TET), ciprofloxacin (CIP), gentamicin (GEN), amikacin (AMK), colistin sulfate (CS), florfenicol (FFC), meropenem (MEM), and tigecycline (TIG) were added from 1st to 10th well by keeping 11th well as a positive control. The reference strain <italic>E. coli</italic> ATCC 25922 was used as a quality control. The MIC (minimum concentration that inhibits visible growth of bacteria) of fosfomycin was calculated by the agar dilution method, recommended by EUCAST. The MIC of all antibiotics was evaluated by visualizing the growth in the bottom of the plate well as tinny buttons/turbidity. The MIC values were compared with standard EUCAST MIC breakpoints (<xref rid="SM1" ref-type="supplementary-material">Supplementary Table S2</xref>). The strains showing resistance to at least one antibiotic from &#x2265;3 classes were classified as MDR.</p>
</sec>
<sec id="sec7">
<label>2.5.</label>
<title>Detection of antibiotic resistance genes</title>
<p>Phenotypically resistant <italic>E. coli</italic> strains were subjected to the detection of 20 ARGs from eight antibiotic classes (<xref rid="SM1" ref-type="supplementary-material">Supplementary Table S3</xref>) according to the method described previously (<xref ref-type="bibr" rid="ref39">Yu et al., 2020</xref>). The bacterial DNA was extracted using a DNA extraction kit (Tiangen Biotech Beijing, Co., Ltd.) and used as a template for PCR amplification of 20 ARGs (listed in <xref rid="SM1" ref-type="supplementary-material">Supplementary Table S3</xref>). The PCR reaction mixture (25&#x2009;&#x03BC;L) consisted of 12.5&#x2009;&#x03BC;L PreTaq Mix (Vazyme Biotech, China), 1&#x2009;&#x03BC;L of forward and reverse primer each, 1&#x2009;&#x03BC;L of bacterial DNA, and 9.5&#x2009;&#x03BC;L of deionized water. The reactions were performed under the following conditions: denaturation at 94&#x00B0;C for 5&#x2009;min followed by 35&#x2009;cycles of denaturation at 94&#x00B0;C for 30s, annealing at varying temperatures (see <xref rid="SM1" ref-type="supplementary-material">Supplementary Table S3</xref>) for 30s, and extension at 72&#x00B0;C for 30s, followed by a final extension at 72&#x00B0;C for 5&#x2009;min. After amplification, the PCR product was separated on 1% agarose gel at 180&#x2009;V/200&#x2009;mA and stained with ethidium bromide for visualization using the GelDoc XR system.</p>
</sec>
<sec id="sec8">
<label>2.6.</label>
<title>Phylogenetic analysis</title>
<p>The phylogenetic grouping of <italic>E. coli</italic> strains was carried out by 2 sets of PCR using primers listed in <xref rid="SM1" ref-type="supplementary-material">Supplementary Table S4</xref>. The quadruple PCR reaction mixture (25&#x2009;&#x03BC;L) consists of Premix Taq TM 12.5&#x2009;&#x03BC;L, 1&#x2009;&#x03BC;L of each forward and reverse primers (<italic>chuA</italic>, <italic>yjaA</italic>, <italic>tspE4C2</italic>), 2&#x2009;&#x03BC;L of each <italic>arpA</italic> forward and reverse primers, 1.5&#x2009;&#x03BC;L DNA template, and 1&#x2009;&#x03BC;L dd H<sub>2</sub>O. PCR was carried out under the following conditions; pre-denaturation at 94&#x00B0;C for 4&#x2009;min, 30&#x2009;cycles of denaturation at 94&#x00B0;C for 5&#x2009;s followed by annealing at 59&#x00B0;C for 20&#x2009;s, and extension at 72&#x00B0;C for 5&#x2009;min. The PCR reaction for group E and C identification consisted of Premix Taq TM 12.5&#x2009;&#x03BC;L, 0.6&#x2009;&#x03BC;L of trpBA forward and reverse primers each, 1&#x2009;&#x03BC;L of each group-specific primer (<xref rid="SM1" ref-type="supplementary-material">Supplementary Table S4</xref>), 1.5&#x2009;&#x03BC;L DNA template, and 2.8&#x2009;&#x03BC;L dd H<sub>2</sub>O. In the PCR reaction solution, trpBA primers were added as an internal control. The PCR amplifications conditions were pre-denaturation at 94&#x00B0;C for 4&#x2009;min, 30&#x2009;cycles of denaturation at 94&#x00B0;C for 5&#x2009;s, annealing at 57&#x00B0;C (group E) or 59&#x00B0;C (group C) for 20&#x2009;s, and final extension at 72&#x00B0;C for 5&#x2009;min. After the PCR amplification, the PCR product was run on 1% agarose gel and visualized under the GelDoc XR system (<xref rid="SM1" ref-type="supplementary-material">Supplementary Figure S3</xref>), and the phylogenetic group was identified by comparing the results with <xref rid="SM1" ref-type="supplementary-material">Supplementary Table S4</xref>.</p>
</sec>
<sec id="sec9">
<label>2.7.</label>
<title>Data analysis</title>
<p>The prevalence was calculated using the formula described by <xref ref-type="bibr" rid="ref36">Thrusfield (2018)</xref>.</p>
<disp-formula id="E1">
<mml:math id="M1">
<mml:mrow>
<mml:mi>P</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>v</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>n</mml:mi>
<mml:mi>c</mml:mi>
<mml:mi>e</mml:mi>
<mml:mspace width="thickmathspace"/>
<mml:mfenced>
<mml:mi>%</mml:mi>
</mml:mfenced>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mi>N</mml:mi>
<mml:mi>o</mml:mi>
<mml:mo>.</mml:mo>
<mml:mi mathvariant="normal">&#x2004;</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>f</mml:mi>
<mml:mi mathvariant="normal"></mml:mi>
<mml:mi>p</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>v</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi mathvariant="normal"></mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>s</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mi>T</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi mathvariant="normal"></mml:mi>
<mml:mi>i</mml:mi>
<mml:mi>s</mml:mi>
<mml:mi>o</mml:mi>
<mml:mi>l</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>s</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#x00D7;</mml:mo>
<mml:mn>100</mml:mn>
</mml:mrow>
</mml:math>
</disp-formula>
<p>The antimicrobial susceptibility data were analyzed by descriptive statistics using Microsoft Excel. Moreover, the data for various factors such as sampling source and sampling year affecting the prevalence, AMR and virulence rates were analyzed using the Pearson&#x2019;s Chi-Squared test keeping the level of significance, <italic>&#x03B1;</italic>&#x2009;=&#x2009;5% (<xref ref-type="bibr" rid="ref41">Zhao et al., 2021</xref>; <xref ref-type="bibr" rid="ref23">Ma et al., 2022</xref>). <italic>p-value</italic>&#x2009;&#x003C;&#x2009;0.05 was considered statistically significant and vice versa. The graphical representation of data was done by GraphPad Prism version 8.2.1 and Microsoft Excel.</p>
</sec>
</sec>
<sec id="sec10" sec-type="results">
<label>3.</label>
<title>Results</title>
<sec id="sec11">
<label>3.1.</label>
<title>Isolation of <italic>Escherichia coli</italic> strain from different sources</title>
<p>A total of 209 samples were collected from different sites of dairy environment including fecal samples (<italic>n</italic>&#x2009;=&#x2009;50), manure slurry from the storage tank (<italic>n</italic>&#x2009;=&#x2009;36), raw milk (<italic>n</italic>&#x2009;=&#x2009;90), water samples (<italic>n</italic>&#x2009;=&#x2009;9), soil samples (<italic>n</italic>&#x2009;=&#x2009;12), and crop field soil (<italic>n</italic>&#x2009;=&#x2009;12) samples. In total, 534 suspected <italic>E. coli</italic> strains were isolated from 141/209 (67.5%) samples based on colony characteristics. Subsequently, 338 <italic>E. coli</italic> strains were confirmed by 16S rRNA gene amplification. The isolation rates were comparable over the years, with 30.8% (104/338) in 2017, 34.9% (118/338) in 2018, and 34.3% (116/338) in 2019 (<xref rid="fig2" ref-type="fig">Figure 2A</xref>). Overall, most of the <italic>E. coli</italic> strains were isolated from manure slurry (39.3%, 133/338), followed by fecal samples (34.9%, 118/338), raw milk (24.8%, 84/338), crop field soil (0.59%, 2/338), and least from blank soil (0.29%, 1/338). However, none of the <italic>E. coli</italic> strains was isolated from water samples (<xref rid="fig2" ref-type="fig">Figure 2B</xref>). In 2019, a higher number of <italic>E. coli</italic> strains were isolated from fecal and milk samples compared to other sampling years while more <italic>E. coli</italic> strains were isolated from slurry samples in 2018. Moreover, only 1 and 2 strains were isolated in 2017 from blank and crop field soil samples, respectively, while none in 2018 and 2019 (<xref rid="fig2" ref-type="fig">Figure 2B</xref>).</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Isolation of <italic>Escherichia coli</italic> strains in different sampling years and sources. <bold>(A)</bold> Total number of <italic>E. coli</italic> strains isolated in different years. <bold>(B)</bold> Distribution of <italic>E. coli</italic> strains isolated from different sources in different years; &#x002A;&#x002A;, indicate non-significant difference (<italic>p</italic> &#x003E;&#x2009;0.05); &#x002A;, indicate not applicable; &#x002A;&#x002A;&#x002A;, indicate significant difference (<italic>p</italic> &#x003C;&#x2009;0.05).</p>
</caption>
<graphic xlink:href="fmicb-14-1197579-g002.tif"/>
</fig>
</sec>
<sec id="sec12">
<label>3.2.</label>
<title>Antimicrobial susceptibility of <italic>Escherichia coli</italic> strains</title>
<p>The AST of 338 <italic>E. coli</italic> strains showed that 284/338 (84.0%) were resistant to at least one antibiotic and 54/338 (26.0%) were susceptible strains (<xref rid="fig3" ref-type="fig">Figure 3A</xref>). Most of the strains were resistant to trimethoprim/ sulfamethoxazole (62.43%, 211/338), followed by cefotaxime (44.08%, 149/338), ampicillin (33.73%, 114/338), ciprofloxacin (31.36%, 106/338), tetracycline (28.99%, 98/338), and less to florfenicol (7.99, 27/338), gentamicin (4.44%, 15/338), amikacin (1.77%, 6/338), and fosfomycin (1.18%, 4/338). All of the <italic>E. coli strains</italic> were susceptible to meropenem, tigecycline, and colistin sulfate (<xref rid="fig3" ref-type="fig">Figure 3B</xref>). All <italic>E. coli</italic> strains from 2017&#x2013;2019 were found 100% susceptible to meropenem, tigecycline, and colistin sulfate. Additionally, the AMR rate of AMP (44.23%), CIP (40.38%), TET (44.23%), and GEN (4.81%) was noted higher with a significant difference (<italic>p&#x2009;&#x003C;&#x2009;0.05</italic>) in 2017 than in other sampling years. Moreover, <italic>E. coli</italic> strains showed higher AMR to CTX (55.93%), SXT (68.64%), and AMK (3.39%) in 2018 with a significant difference (<italic>p&#x2009;&#x003C;&#x2009;0.05</italic>). However, none of the <italic>E. coli</italic> strain from 2017 and 2019 exhibited resistance to AMK and FOS (<xref rid="fig3" ref-type="fig">Figure 3C</xref>).</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Antimicrobial susceptibility of the 338 <italic>E. coli</italic> strains isolated from the dairy environment. <bold>(A)</bold> The overall resistant (R) and susceptible (S) <italic>E. coli</italic> strains. <bold>(B)</bold> The overall antimicrobial susceptibility of 338 <italic>E. coli</italic> strains against individual antibiotic tested. <bold>(C)</bold> The comparison of antimicrobial susceptibility of <italic>E. coli</italic> strains from different sampling years. AMP, ampicillin; CTX, cefotaxime; MEM, meropenem; SXT, trimethoprim-sulfamethoxazole; CIP, ciprofloxacin; AMK, amikacin; GEN, gentamicin; TET, tetracycline; TIG, tigecycline; FFC, florfenicol; FOS, fosfomycin; CS, colistin sulfate; &#x002A;&#x002A;, indicate non-significant difference (<italic>p</italic> &#x003E;&#x2009;0.05); &#x002A;, indicate not applicable; &#x002A;&#x002A;&#x002A;, indicate significant difference (<italic>p</italic> &#x003C;&#x2009;0.05).</p>
</caption>
<graphic xlink:href="fmicb-14-1197579-g003.tif"/>
</fig>
</sec>
<sec id="sec13">
<label>3.3.</label>
<title>AMR characteristics of <italic>Escherichia coli</italic> strains isolated from different sources</title>
<p>Most of the <italic>E. coli</italic> strains from all samples were resistant to trimethoprim/sulfamethoxazole (SXT) and 100% susceptible to meropenem (MEM), tigecycline (TIG), and colistin sulfate (CS). Moreover, <italic>E. coli</italic> strains from fecal samples exhibited higher resistance to ampicillin (AMP), ciprofloxacin (CIP), and tetracycline (TET) in 2017 than other sampling years with a significant difference (<xref rid="fig4" ref-type="fig">Figure 4A</xref>). A similar trend was observed for <italic>E. coli</italic> strains isolated from milk and manure slurry (<xref rid="fig4" ref-type="fig">Figures 4B</xref>,<xref rid="fig4" ref-type="fig">C</xref>). Furthermore, <italic>E. coli</italic> strains isolated from blank and crop field soil in 2017 exhibited 100% resistant to CTX, CIP, TET, and SXT, while none of the strains isolated from 2018 and 2019 was resistant (<xref rid="fig4" ref-type="fig">Figures 4D</xref>,<xref rid="fig4" ref-type="fig">E</xref>). In addition, <italic>E. coli</italic> strains from crop field showed 50% resistance to AMP and florfenicol (FFC).</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>AMR rates of <italic>E. coli</italic> strains isolated from different sources. <bold>(A)</bold> fecal sample. <bold>(B)</bold> manure slurry from the storage tank. <bold>(C)</bold> raw milk. <bold>(D)</bold> blank soil. <bold>(E)</bold> crop field soil. AMP, ampicillin; CTX, cefotaxime; MEM, meropenem; CIP, ciprofloxacin; AMK, amikacin; GEN, gentamicin; TET, tetracycline; TIG, tigecycline; SXT, trimethoprim/sulfamethoxazole; FOS, fosfomycin; COL, colistin; FFC, florfenicol; &#x002A;&#x002A;, indicate non-significant difference (<italic>p</italic> &#x003E;&#x2009;0.05); &#x002A;, indicate not applicable; &#x002A;&#x002A;&#x002A;, indicate significant difference (<italic>p</italic> &#x003C;&#x2009;0.05).</p>
</caption>
<graphic xlink:href="fmicb-14-1197579-g004.tif"/>
</fig>
</sec>
<sec id="sec14">
<label>3.4.</label>
<title>Drug resistance spectrum</title>
<p>Among the resistant strains, 126/284 (44.4%) were identified as multi-drug resistant (MDR) and 158/284 (55.6%) were recognized as non-MDR (<xref rid="fig5" ref-type="fig">Figure 5A</xref>). Most of the strains showed resistance to 2 antibiotics (63.38%), followed by 3 (50.0%), 1 (36.61%), 4 (30.28%), 5 and 6 (7.75% each), 7 (3.17%), and 8 (0.70%) antibiotics (<xref rid="fig5" ref-type="fig">Figure 5B</xref>). Moreover, diverse AMR patterns were recognized such as CTX&#x2009;+&#x2009;AMP, CTX&#x2009;+&#x2009;AMP&#x2009;+&#x2009;SXT, CTX&#x2009;+&#x2009;AMP&#x2009;+&#x2009;SXT&#x2009;+&#x2009;CIP, CTX&#x2009;+&#x2009;TET&#x2009;+&#x2009;SXT&#x2009;+&#x2009;CIP, CTX&#x2009;+&#x2009;AMP&#x2009;+&#x2009;SXT&#x2009;+&#x2009;CIP&#x2009;+&#x2009;GEN, CTX&#x2009;+AMP&#x2009;+&#x2009;SXT&#x2009;+&#x2009;CIP&#x2009;+&#x2009;TET&#x2009;+&#x2009;FFC, AMP&#x2009;+&#x2009;CTX&#x2009;+&#x2009;GEN&#x2009;+&#x2009;TET&#x2009;+&#x2009;SXT&#x2009;+&#x2009;FFC&#x2009;+&#x2009;FOS, and AMP&#x2009;+&#x2009;CTX&#x2009;+&#x2009;CIP&#x2009;+&#x2009;GEN&#x2009;+&#x2009;TET&#x2009;+&#x2009;SXT&#x2009;+&#x2009;FFC. Only 1 strain showed resistance to 8 antibiotics, AMP&#x2009;+&#x2009;CTX&#x2009;+&#x2009;CIP&#x2009;+&#x2009;AMK&#x2009;+&#x2009;GEN&#x2009;+&#x2009;TET&#x2009;+&#x2009;SXT&#x2009;+&#x2009;FFC (<xref rid="tab1" ref-type="table">Table 1</xref>).</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>Drug-resistance spectrum of <italic>E. coli</italic> strains isolated from the dairy environment. <bold>(A)</bold> proportions of MDR and non-MDR strains. <bold>(B)</bold> Percentage resistance spectrum of 284 <italic>E. coli</italic> strains to 1&#x2009;~&#x2009;8 antibiotics.</p>
</caption>
<graphic xlink:href="fmicb-14-1197579-g005.tif"/>
</fig>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>The phenotypic drug resistance spectrum of <italic>Escherichia coli</italic> strains.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Antibiotic classes</th>
<th align="left" valign="top">Phenotypic resistance spectrum</th>
<th align="center" valign="top">No. of antibiotics</th>
<th align="center" valign="top">No. of strains</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Sulfonamides</td>
<td align="left" valign="top">SXT</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">104</td>
</tr>
<tr>
<td align="left" valign="top">Cephalosporin + Penicillin</td>
<td align="left" valign="top">CTX&#x2009;+&#x2009;AMP</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">180</td>
</tr>
<tr>
<td align="left" valign="top">Cephalosporin + Penicillin + Sulfonamides</td>
<td align="left" valign="top">CTX&#x2009;+&#x2009;AMP&#x2009;+&#x2009;SXT</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">142</td>
</tr>
<tr>
<td align="left" valign="top">Cephalosporin + Penicillin + Sulfonamides + Quinolones</td>
<td align="left" valign="top">CTX&#x2009;+&#x2009;AMP&#x2009;+&#x2009;SXT&#x2009;+&#x2009;CIP</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">46</td>
</tr>
<tr>
<td align="left" valign="top">Cephalosporin + Tetracycline + Sulfonamides + Quinolones</td>
<td align="left" valign="top">CTX&#x2009;+&#x2009;TET&#x2009;+&#x2009;SXT&#x2009;+&#x2009;CIP</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">40</td>
</tr>
<tr>
<td align="left" valign="top">Cephalosporin + Penicillin + Sulfonamides + Quinolones + Aminoglycosides</td>
<td align="left" valign="top">CTX&#x2009;+&#x2009;AMP&#x2009;+&#x2009;SXT&#x2009;+&#x2009;CIP&#x2009;+&#x2009;GEN</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">22</td>
</tr>
<tr>
<td align="left" valign="top">Cephalosporin + Penicillin + Sulfonamides + Quinolones + Tetracycline + Amphenicol</td>
<td align="left" valign="top">CTX&#x2009;+&#x2009;AMP&#x2009;+&#x2009;SXT&#x2009;+&#x2009;CIP&#x2009;+&#x2009;TET&#x2009;+&#x2009;FFC</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">22</td>
</tr>
<tr>
<td align="left" valign="top">Penicillin + Cephalosporin + Aminoglycoside + Tetracycline + Sulfonamides + Amphenicol + Phosphonic</td>
<td align="left" valign="top">AMP&#x2009;+&#x2009;CTX&#x2009;+&#x2009;GEN&#x2009;+&#x2009;TET&#x2009;+&#x2009;SXT&#x2009;+&#x2009;FFC&#x2009;+&#x2009;FOS</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">5</td>
</tr>
<tr>
<td align="left" valign="top">Penicillin + Cephalosporin + Quinolones + Aminoglycoside + Tetracycline + Sulfonamides + Amphenicol</td>
<td align="left" valign="top">AMP&#x2009;+&#x2009;CTX&#x2009;+&#x2009;CIP&#x2009;+&#x2009;GEN&#x2009;+&#x2009;TET&#x2009;+&#x2009;SXT&#x2009;+&#x2009;FFC</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">4</td>
</tr>
<tr>
<td align="left" valign="top">Penicillin + Cephalosporin + Quinolones + Aminoglycosides + Tetracycline + Sulfonamides + Amphenicol</td>
<td align="left" valign="top">AMP&#x2009;+&#x2009;CTX&#x2009;+&#x2009;CIP&#x2009;+&#x2009;AMK&#x2009;+&#x2009;GEN&#x2009;+&#x2009;TET&#x2009;+&#x2009;SXT&#x2009;+&#x2009;FFC</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">2</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>AMP, ampicillin; CTX, cefotaxime; CIP, ciprofloxacin; GEN, gentamicin; TET, tetracycline; TIG, tigecycline; SXT, trimethoprim/sulfamethoxazole; FFC, florfenicol; AMK, Amikacin.</p>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="sec15">
<label>3.5.</label>
<title>Detection of ARGs and correlation with phenotypic resistance</title>
<p>The genotypic analysis was done by targeting 20 ARGs among 8 classes of antibiotics (mentioned in <xref rid="tab1" ref-type="table">Table 1</xref>). Eighteen out of 20 ARGs were identified, and the prevalent genotypes included <italic>sul2</italic> (67.3%, sulfonamides), <italic>bla<sub>TEM</sub></italic> (56.3%, beta-lactams), <italic>gyrA</italic> (73.6%, quinolones), <italic>tet</italic>(B) (70.4%, tetracycline&#x2019;s), <italic>aph</italic>(3)-I (85.7%, aminoglycosides), <italic>floR</italic> (44.4%, amphenicol), and <italic>fosA3</italic> (100%, phosphonic). The percentage distribution of other ARGs identified was as follows: sulfonamides (<italic>sul1</italic>, 27.9%; <italic>sul3</italic>, 18.1%), &#x03B2;-lactams (<italic>bla<sub>OXA</sub></italic>, 25.8%; <italic>bla<sub>CTX-M</sub></italic>, 22.4%), aminoglycosides (<italic>aac</italic>(3)-IV, 14.3%; <italic>aac</italic>(3)-II, 33.3%; <italic>aadA</italic>, 0.00%; <italic>rmtB</italic>, 4.76%), quinolones (<italic>qnrB</italic>, 0.94%; <italic>qnrS</italic>, 9.43%), polymyxin (<italic>pmrB</italic>, 0.35%) and tetracycline&#x2019;s (<italic>tet</italic>(A), 11.2%; <italic>tet</italic>(D), 0.00%) (<xref rid="fig6" ref-type="fig">Figure 6</xref>).</p>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption>
<p>Percentage distribution of ARGs among <italic>E. coli</italic> strains.</p>
</caption>
<graphic xlink:href="fmicb-14-1197579-g006.tif"/>
</fig>
<p>The correlation between phenotypic resistance and genotypic detection of ARGs was noted variable. For example, no strains showed resistance to colistin sulfate phenotypically but one strain was carrying the ARG upon genotypic analysis. Moreover, the number of strains carrying ARGs was noted higher as compared to phenotypic resistance among sulfonamides, beta-lactams, and aminoglycosides-resistant strains while the inverse was noted among quinolone, tetracycline, and amphenicol-resistant strains. However, the phenotypic and genotypic expression was observed 100% correlated for fosfomycin-resistant strains (<xref rid="tab2" ref-type="table">Table 2</xref>).</p>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>Percentage of resistant strains carrying ARGs and correlation with phenotypic resistance.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">Antibiotic class</th>
<th align="left" valign="top" rowspan="2">Resistance Phenotype</th>
<th align="left" valign="top" rowspan="2">No. (%) of resistant strains (<italic>n</italic> =&#x2009;338)</th>
<th align="left" valign="top" rowspan="2">ARGs</th>
<th align="center" valign="top" colspan="2">Phenotypically resistant strains carrying ARGs</th>
<th align="center" valign="top" rowspan="2">% difference in correlation</th>
</tr>
<tr>
<th align="center" valign="top">No. (%)</th>
<th align="center" valign="top">Total/Class</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" rowspan="3">Sulfonamides</td>
<td align="left" valign="top" rowspan="3">SXT</td>
<td align="char" valign="top" char="(" rowspan="3">211 (62.4%)</td>
<td align="left" valign="top">
<italic>sul1</italic>
</td>
<td align="char" valign="top" char="(">59 (27.9)</td>
<td align="center" valign="top" rowspan="3">239</td>
<td align="char" valign="top" char="." rowspan="3">13.3%</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>sul2</italic>
</td>
<td align="char" valign="top" char="(">142 (67.3)</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>sul3</italic>
</td>
<td align="char" valign="top" char="(">38 (18.1)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="3">&#x03B2;-lactams</td>
<td align="left" valign="top" rowspan="3">AMP&#x2009;+&#x2009;CTX</td>
<td align="char" valign="top" char="(" rowspan="3">263 (77.8%)</td>
<td align="left" valign="top">
<italic>bla<sub>TEM</sub></italic>
</td>
<td align="char" valign="top" char="(">148 (56.3)</td>
<td align="center" valign="top" rowspan="3">275</td>
<td align="char" valign="top" char="." rowspan="3">4.56%</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>bla<sub>OXA</sub></italic>
</td>
<td align="char" valign="top" char="(">68 (25.8)</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>bla<sub>CTX-M</sub></italic>
</td>
<td align="char" valign="top" char="(">59 (22.4)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="3">Quinolone</td>
<td align="left" valign="top" rowspan="3">CIP</td>
<td align="char" valign="top" char="(" rowspan="3">106 (31.4%)</td>
<td align="left" valign="top">
<italic>gyrA</italic>
</td>
<td align="char" valign="top" char="(">78 (73.6)</td>
<td align="center" valign="top" rowspan="3">89</td>
<td align="char" valign="top" char="." rowspan="3">16.0%</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>qnrB</italic>
</td>
<td align="char" valign="top" char="(">1 (0.94)</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>qnrS</italic>
</td>
<td align="char" valign="top" char="(">10 (9.43)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="3">Tetracycline&#x2019;s</td>
<td align="left" valign="top" rowspan="3">TET</td>
<td align="char" valign="top" char="(" rowspan="3">98 (29.0%)</td>
<td align="left" valign="top"><italic>tet</italic>(A)</td>
<td align="char" valign="top" char="(">11 (11.2)</td>
<td align="center" valign="top" rowspan="3">80</td>
<td align="char" valign="top" char="." rowspan="3">18.4%</td>
</tr>
<tr>
<td align="left" valign="top"><italic>tet</italic>(B)</td>
<td align="char" valign="top" char="(">69 (70.4)</td>
</tr>
<tr>
<td align="left" valign="top"><italic>tet</italic>(D)</td>
<td align="char" valign="top" char="(">0 (0.00)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="5">Aminoglycosides</td>
<td align="left" valign="top" rowspan="5">AMK&#x2009;+&#x2009;GEN</td>
<td align="char" valign="top" char="(" rowspan="5">21 (6.21%)</td>
<td align="left" valign="top">
<italic>aph(3)-I</italic>
</td>
<td align="char" valign="top" char="(">18 (85.7)</td>
<td align="center" valign="top" rowspan="5">29</td>
<td align="char" valign="top" char="." rowspan="5">38.1%</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>aac(3)-IV</italic>
</td>
<td align="char" valign="top" char="(">3 (14.3)</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>aac(3)-II</italic>
</td>
<td align="char" valign="top" char="(">7 (33.3)</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>aadA</italic>
</td>
<td align="char" valign="top" char="(">0 (0.00)</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>rmtB</italic>
</td>
<td align="char" valign="top" char="(">1 (4.76)</td>
</tr>
<tr>
<td align="left" valign="top">Amphenicol</td>
<td align="left" valign="top">FFC</td>
<td align="char" valign="top" char="(">27 (7.99%)</td>
<td align="left" valign="top"><italic>flo</italic>R</td>
<td align="char" valign="top" char="(">12 (44.4)</td>
<td align="center" valign="top">12</td>
<td align="char" valign="top" char=".">55.5%</td>
</tr>
<tr>
<td align="left" valign="top">Phosphonic</td>
<td align="left" valign="top">FOS</td>
<td align="char" valign="top" char="(">4 (1.18%)</td>
<td align="left" valign="top">
<italic>fosA3</italic>
</td>
<td align="char" valign="top" char="(">4 (100)</td>
<td align="center" valign="top">4</td>
<td align="char" valign="top" char=".">0.00%</td>
</tr>
<tr>
<td align="left" valign="top">Polymyxin</td>
<td align="left" valign="top">CS</td>
<td align="char" valign="top" char="(">0 (0.00%)</td>
<td align="left" valign="top">
<italic>pmrB</italic>
</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">N/A</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec16">
<label>3.6.</label>
<title>Virulome gene analysis</title>
<p>Among the VAGs, <italic>ompA</italic> was most prevalent (86.69%), followed by <italic>ibeB</italic> (85.0%), <italic>traT</italic> (84.91%), <italic>ompT</italic> (73.96%), <italic>fyuA</italic> (23.1%), <italic>iroN</italic> (23.1%), and <italic>irp2</italic> (21.9%) (<xref rid="fig7" ref-type="fig">Figure 7A</xref>). All of the <italic>E. coli</italic> strains carrying <italic>the fyaA</italic> gene were also carrying <italic>the iroN</italic> gene. Moreover, 93.59% of <italic>E. coli</italic> strains carrying <italic>irp2</italic> were also harboring <italic>the fyuA</italic> gene. VAGs such as <italic>ompT</italic>, <italic>traT</italic>, <italic>iroN</italic>, <italic>ibeB</italic>, and <italic>ompA</italic> were detected in <italic>E. coli</italic> strains from all sources while <italic>irp2</italic> and <italic>fyuA</italic> genes were not observed from manure slurry and fecal samples, respectively. However, both <italic>irp2</italic> and <italic>fyuA</italic> genes (36.9%, 31/84) were identified in strains of milk origin. Collectively, a higher percentage of VAGs was identified in strains of milk origin as compared to feces and slurry (<xref rid="fig7" ref-type="fig">Figure 7B</xref>).</p>
<fig position="float" id="fig7">
<label>Figure 7</label>
<caption>
<p><italic>Escherichia coli</italic> strains carrying virulence-associated genes (VAGs). <bold>(A)</bold> Overall percentage and number of positive <italic>E. coli</italic> strains to carry VAGs. <bold>(B)</bold> Percentage distribution of VAGs among the <italic>E. coli</italic> strains isolated from different sources.</p>
</caption>
<graphic xlink:href="fmicb-14-1197579-g007.tif"/>
</fig>
</sec>
<sec id="sec17">
<label>3.7.</label>
<title>Distribution of VAGs among phylogenetic groups</title>
<p>The phylogenetic analysis of 338 <italic>E. coli</italic> strains showed most of the strains belong to the B1 group (75.45%, 255/338), followed by A (18.34%, 62/338), C (2.96%, 10/338), D (1.18%, 4/338), E (1.18%, 4/338), and F (0.30%, 1/338). However, the phylogenetic group for 2 of the strains was not identified. The most prevalent VAGs among the various phylogenetic groups were as follows; B1 (<italic>ompA</italic>, 87.4%), A (<italic>ibeB</italic> and <italic>ompA</italic>, 88.7%), C (<italic>traT</italic> and <italic>ompA</italic>, 90.0%), D (<italic>traT</italic>, <italic>ibeB</italic>, and <italic>ompA</italic>, 100%), E (<italic>traT</italic>, 100%), and F (<italic>traT</italic>, 100%). Moreover, the percentage distribution of other VAGs among the phylogenetic groups is presented in <xref rid="tab3" ref-type="table">Table 3</xref>.</p>
<table-wrap position="float" id="tab3">
<label>Table 3</label>
<caption>
<p>Distribution of VAGs in different phylogeny groups.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">VAGs</th>
<th align="center" valign="top" colspan="6">No. Positive (%)</th>
</tr>
<tr>
<th align="center" valign="top">A (<italic>n</italic>&#x2009;=&#x2009;62)</th>
<th align="center" valign="top">B1 (<italic>n</italic>&#x2009;=&#x2009;255)</th>
<th align="center" valign="top">C (<italic>n</italic>&#x2009;=&#x2009;10)</th>
<th align="center" valign="top">D (<italic>n</italic>&#x2009;=&#x2009;4)</th>
<th align="center" valign="top">E (<italic>n</italic>&#x2009;=&#x2009;4)</th>
<th align="center" valign="top">F (<italic>n</italic>&#x2009;=&#x2009;1)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">
<italic>fyuA</italic>
</td>
<td align="char" valign="top" char="(">21 (33.9)</td>
<td align="char" valign="top" char="(">52 (20.4)</td>
<td align="char" valign="top" char="(">2 (20.0)</td>
<td align="char" valign="top" char="(">3 (75.0)</td>
<td align="char" valign="top" char="(">0 (0.00)</td>
<td align="char" valign="top" char="(">0 (0.00)</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>irp2</italic>
</td>
<td align="char" valign="top" char="(">19 (30.6)</td>
<td align="char" valign="top" char="(">50 (19.6)</td>
<td align="char" valign="top" char="(">2 (20.0)</td>
<td align="char" valign="top" char="(">3 (75.0)</td>
<td align="char" valign="top" char="(">0 (0.00)</td>
<td align="char" valign="top" char="(">0 (0.00)</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>traT</italic>
</td>
<td align="char" valign="top" char="(">47 (75.8)</td>
<td align="char" valign="top" char="(">220 (86.3)</td>
<td align="char" valign="top" char="(">9 (90.0)</td>
<td align="char" valign="top" char="(">4 (100)</td>
<td align="char" valign="top" char="(">4 (100)</td>
<td align="char" valign="top" char="(">1 (100)</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>ompT</italic>
</td>
<td align="char" valign="top" char="(">39 (62.9)</td>
<td align="char" valign="top" char="(">202 (79.2)</td>
<td align="char" valign="top" char="(">2 (20.0)</td>
<td align="char" valign="top" char="(">4 (100)</td>
<td align="char" valign="top" char="(">2 (50.0)</td>
<td align="char" valign="top" char="(">0 (0.00)</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>iroN</italic>
</td>
<td align="char" valign="top" char="(">15 (24.2)</td>
<td align="char" valign="top" char="(">61 (23.9)</td>
<td align="char" valign="top" char="(">2 (20.0)</td>
<td align="char" valign="top" char="(">0 (0.00)</td>
<td align="char" valign="top" char="(">0 (0.00)</td>
<td align="char" valign="top" char="(">0 (0.00)</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>ibeB</italic>
</td>
<td align="char" valign="top" char="(">55 (88.7)</td>
<td align="char" valign="top" char="(">221 (86.7)</td>
<td align="char" valign="top" char="(">7 (70.0)</td>
<td align="char" valign="top" char="(">4 (100)</td>
<td align="char" valign="top" char="(">0 (0.00)</td>
<td align="char" valign="top" char="(">0 (0.00)</td>
</tr>
<tr>
<td align="left" valign="top">
<italic>ompA</italic>
</td>
<td align="char" valign="top" char="(">55 (88.7)</td>
<td align="char" valign="top" char="(">223 (87.4)</td>
<td align="char" valign="top" char="(">9 (90.0)</td>
<td align="char" valign="top" char="(">4 (100)</td>
<td align="char" valign="top" char="(">1 (25.0)</td>
<td align="char" valign="top" char="(">0 (0.00)</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
<sec id="sec18" sec-type="discussions">
<label>4.</label>
<title>Discussion</title>
<p>Antimicrobial resistance particularly in <italic>the Enterobacteriaceae</italic> family possesses a major threat to global public health. The present study isolated <italic>E. coli</italic> from the dairy environment, which serves as a reservoir of bacterial pathogens and ARGs and a source of spread of ARGs between the bacterial species <italic>via</italic> horizontal gene transfer and to humans <italic>via</italic> fecal contamination of drinking water and milk. The isolation rates of <italic>E. coli</italic> in this study were found similar to the findings of <xref ref-type="bibr" rid="ref34">Sobur et al. (2019)</xref> who reported 75% prevalence of <italic>E. coli</italic> from dairy cattle and farm environment. Other studies conducted by <xref ref-type="bibr" rid="ref18">Li et al. (2022)</xref> reported 84.6% <italic>E. coli</italic> isolation from fecal samples of cattle, chicken, and pigs while 34.4% was noted by <xref ref-type="bibr" rid="ref20">Liu et al. (2021)</xref> from raw milk samples and 81.1% from raw cheese (<xref ref-type="bibr" rid="ref14">Imre et al., 2022</xref>). <xref ref-type="bibr" rid="ref5">Beattie et al. (2020)</xref> also reported a similar isolation rate of <italic>E. coli</italic> from dairy manure in the USA. It is also reported that the presence of <italic>E. coli</italic> in the dairy environment may be the cause of clinical mastitis in dairy cows (<xref ref-type="bibr" rid="ref35">Su et al., 2016</xref>).</p>
<p>The antimicrobial susceptibility results showed higher resistance to SXT, followed by CTX, AMP, CIP, TET, and the least resistance to FFC, GEN, AMK, and FOS. These results are consistent with the findings of <xref ref-type="bibr" rid="ref27">Peng et al. (2022)</xref> who isolated <italic>E. coli</italic> strains from pigs that were highly resistant to SXT (80.38%), AMP (92.86%), and TET (96.26%). A similar study conducted by <xref ref-type="bibr" rid="ref5">Beattie et al. (2020)</xref> reported that <italic>E. coli</italic> strains from manure isolates showed higher resistance to AMP and CTX. However, a lower resistance rate to AMK and GEN was also noted by <xref ref-type="bibr" rid="ref21">Lu et al. (2022)</xref> and <xref ref-type="bibr" rid="ref20">Liu et al. (2021)</xref> respectively. We noted the <italic>E. coli</italic> strains were susceptible to the &#x201C;last resort&#x201D; antimicrobials such as MEM, TIG, and CS, which is consistent with the findings of a study conducted by <xref ref-type="bibr" rid="ref12">Hu et al. (2019)</xref> in the human setting. Moreover, other studies conducted by <xref ref-type="bibr" rid="ref38">Wang et al. (2021)</xref>, <xref ref-type="bibr" rid="ref42">Zou et al. (2021)</xref>, and <xref ref-type="bibr" rid="ref23">Ma et al. (2022)</xref> in animal settings also reported 100% susceptibility of MEM and TIG against <italic>E. coli</italic> strains. We noted no resistance to CS, which is consistent with a previous report that colistin resistance is decreasing in animal and human settings because of the CS ban in China (<xref ref-type="bibr" rid="ref37">Wang et al., 2020</xref>). The percentage of MDR <italic>E. coli</italic> was noted at 44.4% in the current study, which is comparable with what was previously reported (54.4%) by <xref ref-type="bibr" rid="ref35">Su et al. (2016)</xref> and lower than what was reported by <xref ref-type="bibr" rid="ref39">Yu et al. (2020)</xref> in dairy milk. Another study conducted by <xref ref-type="bibr" rid="ref31">Salinas et al. (2019)</xref> reported higher resistance to SXT, CIP, AMP, CTX, and TET by <italic>E. coli</italic> isolated from child and domestic animal origin, which is also consistent with current findings.</p>
<p>We identified 18 ARGs out of 20 belonging to different classes of antibiotics. The most prevalent ARGs were <italic>sul2</italic> (67.3%, sulfonamides), <italic>bla<sub>TEM</sub></italic> (56.3%, beta-lactam), <italic>gyrA</italic> (73.6%, quinolones), <italic>tet(B)</italic> (70.4%, tetracycline&#x2019;s), <italic>aph(3)-I</italic> (85.7%, aminoglycosides), <italic>floR</italic> (44.4%, amphenicol), and <italic>fosA3</italic> (100%, fosfomycin). Previous studies reported AMR in humans is linked to food animals raised for milk and meat purposes because of environmental contamination and drug residues (<xref ref-type="bibr" rid="ref4">Bacanl&#x0131; and Ba&#x015F;aran, 2019</xref>; <xref ref-type="bibr" rid="ref28">Pormohammad et al., 2019</xref>; <xref ref-type="bibr" rid="ref22">Ma et al., 2021</xref>). The use of antimicrobial drugs in food animals also enhances the percentage of MDR bacteria and ARGs in human microbiota (<xref ref-type="bibr" rid="ref23">Ma et al., 2022</xref>). Moreover, <italic>E. coli</italic> is also known to serve as donor bacteria for horizontal gene transfer within and between species (<xref ref-type="bibr" rid="ref26">Oladeinde et al., 2019</xref>). <xref ref-type="bibr" rid="ref19">Lima et al. (2020)</xref> highlighted the importance of animal manure and manure-substituted agriculture lands as a major source of antibiotic residues, ARGs, and AMR bacteria in the environment posing a potential threat to public health <italic>via</italic> horizontal gene transfer mechanisms with the help of mobile genetic elements such as plasmids, transposons, and integrons. <xref ref-type="bibr" rid="ref29">Qian et al. (2018)</xref> detected 109 ARGs from the fresh manure of chicken, cattle, and pigs responsible for AMR to a class of antibiotics widely used in human and animal settings.</p>
<p>We investigated multiple VAGs in the isolated <italic>E. coli</italic> and most of the investigated VAGs (<italic>ompA, ibeB, traT, ompT, fyuA, iroN, irp2</italic>) belong to ExPEC, which may cause urinary tract infections in humans. VAGs are responsible for the production of virulence factors which play an important role in the pathogenicity of bacteria through multiple mechanisms such as adhesion, invasion, toxin production, and immune evasion (<xref ref-type="bibr" rid="ref17">Kudva et al., 2020</xref>). Virulence genes investigated in the present study have various functions. <italic>ompA</italic> encodes for outer membrane protein A, <italic>ibeB</italic> is an invasion protein gene, <italic>traT</italic> encodes for complement resistance protein, <italic>ompT</italic> encodes for outer membrane protease protein, <italic>fyuA</italic> encodes for yersiniabactin receptor, <italic>iroN</italic> encodes for aerobactin receptor, and <italic>irp2</italic> gene encodes for iron-responsive element binding protein 2. <xref ref-type="bibr" rid="ref40">Zhang et al. (2021)</xref> investigated similar VAGs in <italic>E. coli</italic> strains isolated from healthy waterfowls in Hainan, China. A study carried out by <xref ref-type="bibr" rid="ref30">Raimondi et al. (2019)</xref> also identified similar VAGs in <italic>E. coli</italic> isolated from the feces of healthy individuals in Italy. Another study conducted by <xref ref-type="bibr" rid="ref16">Khalifeh and Obaidat (2022)</xref> identified <italic>the iroN</italic> gene in <italic>E. coli</italic> strains from milk and fecal origin similar to the present study. In the current study, most of the <italic>E. coli</italic> strains were classified under phylogenetic group B1, which is consistent with the findings of <xref ref-type="bibr" rid="ref30">Raimondi et al. (2019)</xref>. These results suggest that the occurrence of ARGs and VAGs may vary by antimicrobial use and other unknown factors. This study also suggests regular monitoring of antimicrobial usage on dairy farms and proper manure treatment before disposal be ensured.</p>
</sec>
<sec id="sec19" sec-type="conclusions">
<label>5.</label>
<title>Conclusion</title>
<p>The present study identified multi-drug resistant <italic>E. coli</italic> strains carrying various ARGs and VAGs in the dairy environment, which may pose a potential threat to human, animal, and environmental health. Moreover, all of the <italic>E. coli</italic> strains were susceptible to meropenem, tigecycline, and colistin sulfate, which may be considered as critical antibiotics for therapeutic purposes in human and animal settings. Given the widespread distribution of AMR in the dairy environment, it is a potential reservoir of transferring ARGs genes to humans <italic>via</italic> various direct and indirect gene transfer mechanisms. This prudent the use of antibiotics on dairy farms, proper manure treatment, and enhancement of sanitation, especially in milk processing and transportation, are necessary to reduce the risk to food safety, public health, and environmental health.</p>
</sec>
<sec id="sec20" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref rid="SM1" ref-type="supplementary-material">Supplementary material</xref>, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="sec21">
<title>Author contributions</title>
<p>MS: writing&#x2013;original draft. ZH and XG: data curation and formal analysis. MT and RH: graphical representation of data. SW and RS: review and editing. XW and HZ: project administration. WP: conceptualization, supervision, project visualization, and funding acquisition. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="sec22" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by the National Key Research and Development Program (2016YFD0501305) and the Agricultural Science and Technology Innovation Program of the Chinese Academy of Agricultural Sciences (25-LZIHPS-03).</p>
</sec>
<sec id="conf1" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="sec100" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<sec id="sec24" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary material for this article can be found online at: <ext-link xlink:href="https://www.frontiersin.org/articles/10.3389/fmicb.2023.1197579/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fmicb.2023.1197579/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Table_1.DOCX" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="ref1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Afema</surname> <given-names>J. A.</given-names></name> <name><surname>Ahmed</surname> <given-names>S.</given-names></name> <name><surname>Besser</surname> <given-names>T. E.</given-names></name> <name><surname>Jones</surname> <given-names>L. P.</given-names></name> <name><surname>Sischo</surname> <given-names>W. M.</given-names></name> <name><surname>Davis</surname> <given-names>M. A.</given-names></name></person-group> (<year>2018</year>). <article-title>Molecular epidemiology of dairy cattle-associated <italic>Escherichia coli</italic> carrying Bla CTX-M genes in Washington state</article-title>. <source>Appl. Environ. Microbiol.</source> <volume>84</volume>, <fpage>e02430</fpage>&#x2013;<lpage>e02417</lpage>. doi: <pub-id pub-id-type="doi">10.1128/AEM.02430-17</pub-id></citation></ref>
<ref id="ref2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Alfinete</surname> <given-names>N. W.</given-names></name> <name><surname>Bolukaoto</surname> <given-names>J. Y.</given-names></name> <name><surname>Heine</surname> <given-names>L.</given-names></name> <name><surname>Potgieter</surname> <given-names>N.</given-names></name> <name><surname>Barnard</surname> <given-names>T. G.</given-names></name></person-group> (<year>2022</year>). <article-title>Virulence and phylogenetic analysis of enteric pathogenic <italic>Escherichia coli</italic> isolated from children with diarrhoea in South Africa</article-title>. <source>Int. J. Infect. Dis.</source> <volume>114</volume>, <fpage>226</fpage>&#x2013;<lpage>232</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ijid.2021.11.017</pub-id>, PMID: <pub-id pub-id-type="pmid">34775113</pub-id></citation></ref>
<ref id="ref3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Am&#x00E9;zquita-L&#x00F3;pez</surname> <given-names>B. A.</given-names></name> <name><surname>Soto-Beltr&#x00E1;n</surname> <given-names>M.</given-names></name> <name><surname>Lee</surname> <given-names>B. G.</given-names></name> <name><surname>Yambao</surname> <given-names>J. C.</given-names></name> <name><surname>Qui&#x00F1;ones</surname> <given-names>B.</given-names></name></person-group> (<year>2018</year>). <article-title>Isolation, genotyping and antimicrobial resistance of Shiga toxin-producing <italic>Escherichia coli</italic></article-title>. <source>J. Microbiol. Immunol. Infect.</source> <volume>51</volume>, <fpage>425</fpage>&#x2013;<lpage>434</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jmii.2017.07.004</pub-id></citation></ref>
<ref id="ref4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bacanl&#x0131;</surname> <given-names>M.</given-names></name> <name><surname>Ba&#x015F;aran</surname> <given-names>N.</given-names></name></person-group> (<year>2019</year>). <article-title>Importance of antibiotic residues in animal food</article-title>. <source>Food Chem. Toxicol.</source> <volume>125</volume>, <fpage>462</fpage>&#x2013;<lpage>466</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.fct.2019.01.033</pub-id></citation></ref>
<ref id="ref5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Beattie</surname> <given-names>R. E.</given-names></name> <name><surname>Bakke</surname> <given-names>E.</given-names></name> <name><surname>Konopek</surname> <given-names>N.</given-names></name> <name><surname>Thill</surname> <given-names>R.</given-names></name> <name><surname>Munson</surname> <given-names>E.</given-names></name> <name><surname>Hristova</surname> <given-names>K. R.</given-names></name></person-group> (<year>2020</year>). <article-title>Antimicrobial resistance traits of <italic>Escherichia coli</italic> isolated from dairy manure and freshwater ecosystems are similar to one another but differ from associated clinical isolates</article-title>. <source>Microorganisms</source> <volume>8</volume>:<fpage>747</fpage>. doi: <pub-id pub-id-type="doi">10.3390/microorganisms8050747</pub-id>, PMID: <pub-id pub-id-type="pmid">32429352</pub-id></citation></ref>
<ref id="ref6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cheng</surname> <given-names>J.</given-names></name> <name><surname>Qu</surname> <given-names>W.</given-names></name> <name><surname>Barkema</surname> <given-names>H. W.</given-names></name> <name><surname>Nobrega</surname> <given-names>D. B.</given-names></name> <name><surname>Gao</surname> <given-names>J.</given-names></name> <name><surname>Liu</surname> <given-names>G.</given-names></name> <etal/></person-group>. (<year>2019</year>). <article-title>Antimicrobial resistance profiles of 5 common bovine mastitis pathogens in large Chinese dairy herds</article-title>. <source>J. Dairy Sci.</source> <volume>102</volume>, <fpage>2416</fpage>&#x2013;<lpage>2426</lpage>. doi: <pub-id pub-id-type="doi">10.3168/jds.2018-15135</pub-id>, PMID: <pub-id pub-id-type="pmid">30639013</pub-id></citation></ref>
<ref id="ref7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cookson</surname> <given-names>A. L.</given-names></name> <name><surname>Marshall</surname> <given-names>J. C.</given-names></name> <name><surname>Biggs</surname> <given-names>P. J.</given-names></name> <name><surname>Rogers</surname> <given-names>L. E.</given-names></name> <name><surname>Collis</surname> <given-names>R. M.</given-names></name> <name><surname>Devane</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>2022</year>). <article-title>Whole-genome sequencing and virulome analysis of <italic>Escherichia coli</italic> isolated from New Zealand environments of contrasting observed land use</article-title>. <source>Appl. Environ. Microbiol.</source> <volume>88</volume>, <fpage>e00277</fpage>&#x2013;<lpage>e00222</lpage>. doi: <pub-id pub-id-type="doi">10.1128/aem.00277-22</pub-id></citation></ref>
<ref id="ref8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dadgostar</surname> <given-names>P.</given-names></name></person-group> (<year>2019</year>). <article-title>Antimicrobial resistance: implications and costs</article-title>. <source>Infect. Drug Resist.</source> <volume>12</volume>, <fpage>3903</fpage>&#x2013;<lpage>3910</lpage>. doi: <pub-id pub-id-type="doi">10.2147/IDR.S234610</pub-id>, PMID: <pub-id pub-id-type="pmid">31908502</pub-id></citation></ref>
<ref id="ref9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Graham</surname> <given-names>D. W.</given-names></name> <name><surname>Bergeron</surname> <given-names>G.</given-names></name> <name><surname>Bourassa</surname> <given-names>M. W.</given-names></name> <name><surname>Dickson</surname> <given-names>J.</given-names></name> <name><surname>Gomes</surname> <given-names>F.</given-names></name> <name><surname>Howe</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>2019</year>). <article-title>Complexities in understanding antimicrobial resistance across domesticated animal, human, and environmental systems</article-title>. <source>Ann. N. Y. Acad. Sci.</source> <volume>1441</volume>, <fpage>17</fpage>&#x2013;<lpage>30</lpage>. doi: <pub-id pub-id-type="doi">10.1111/nyas.14036</pub-id>, PMID: <pub-id pub-id-type="pmid">30924539</pub-id></citation></ref>
<ref id="ref10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>He</surname> <given-names>T.</given-names></name> <name><surname>Wang</surname> <given-names>R.</given-names></name> <name><surname>Liu</surname> <given-names>D.</given-names></name> <name><surname>Walsh</surname> <given-names>T. R.</given-names></name> <name><surname>Zhang</surname> <given-names>R.</given-names></name> <name><surname>Lv</surname> <given-names>Y.</given-names></name> <etal/></person-group>. (<year>2019</year>). <article-title>Emergence of plasmid-mediated high-level tigecycline resistance genes in animals and humans</article-title>. <source>Nat. Microbiol.</source> <volume>4</volume>, <fpage>1450</fpage>&#x2013;<lpage>1456</lpage>. doi: <pub-id pub-id-type="doi">10.1038/s41564-019-0445-2</pub-id>, PMID: <pub-id pub-id-type="pmid">31133751</pub-id></citation></ref>
<ref id="ref11"><citation citation-type="other"><person-group person-group-type="author"><name><surname>Hogan</surname> <given-names>J.</given-names></name> <name><surname>Smith</surname> <given-names>K.</given-names></name></person-group> (<year>1992</year>). Using bulk tank milk cultures in a dairy practice. Workshop mastitis microbiology diagnostics, National Mastitis Council, Arlington.</citation></ref>
<ref id="ref12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hu</surname> <given-names>F.</given-names></name> <name><surname>Guo</surname> <given-names>Y.</given-names></name> <name><surname>Yang</surname> <given-names>Y.</given-names></name> <name><surname>Zheng</surname> <given-names>Y.</given-names></name> <name><surname>Wu</surname> <given-names>S.</given-names></name> <name><surname>Jiang</surname> <given-names>X.</given-names></name> <etal/></person-group>. (<year>2019</year>). <article-title>Resistance reported from China antimicrobial surveillance network (CHINET) in 2018</article-title>. <source>Eur. J. Clin. Microbiol. Infect. Dis.</source> <volume>38</volume>, <fpage>2275</fpage>&#x2013;<lpage>2281</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s10096-019-03673-1</pub-id>, PMID: <pub-id pub-id-type="pmid">31478103</pub-id></citation></ref>
<ref id="ref13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hu</surname> <given-names>B.</given-names></name> <name><surname>Yang</surname> <given-names>X.</given-names></name> <name><surname>Liu</surname> <given-names>Q.</given-names></name> <name><surname>Zhang</surname> <given-names>Y.</given-names></name> <name><surname>Jiang</surname> <given-names>D.</given-names></name> <name><surname>Jiao</surname> <given-names>H.</given-names></name> <etal/></person-group>. (<year>2022</year>). <article-title>High prevalence and pathogenic potential of Shiga toxin-producing <italic>Escherichia coli</italic> strains in raw mutton and beef in Shandong, China</article-title>. <source>Curr. Res. Food Sci.</source> <volume>5</volume>, <fpage>1596</fpage>&#x2013;<lpage>1602</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.crfs.2022.08.021</pub-id>, PMID: <pub-id pub-id-type="pmid">36161222</pub-id></citation></ref>
<ref id="ref14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Imre</surname> <given-names>K.</given-names></name> <name><surname>Ban-Cucerzan</surname> <given-names>A.</given-names></name> <name><surname>Herman</surname> <given-names>V.</given-names></name> <name><surname>Sallam</surname> <given-names>K. I.</given-names></name> <name><surname>Cristina</surname> <given-names>R. T.</given-names></name> <name><surname>Abd-Elghany</surname> <given-names>S. M.</given-names></name> <etal/></person-group>. (<year>2022</year>). <article-title>Occurrence, pathogenic potential and antimicrobial resistance of <italic>Escherichia coli</italic> isolated from raw Milk cheese commercialized in Banat region, Romania</article-title>. <source>Antibiotics</source> <volume>11</volume>:<fpage>721</fpage>. doi: <pub-id pub-id-type="doi">10.3390/antibiotics11060721</pub-id>, PMID: <pub-id pub-id-type="pmid">35740128</pub-id></citation></ref>
<ref id="ref15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jara</surname> <given-names>M. C.</given-names></name> <name><surname>Frediani</surname> <given-names>A. V.</given-names></name> <name><surname>Zehetmeyer</surname> <given-names>F. K.</given-names></name> <name><surname>Bruhn</surname> <given-names>F. R. P.</given-names></name> <name><surname>M&#x00FC;ller</surname> <given-names>M. R.</given-names></name> <name><surname>Miller</surname> <given-names>R. G.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>Multidrug-resistant hospital bacteria: epidemiological factors and susceptibility profile</article-title>. <source>Microb. Drug Resist.</source> <volume>27</volume>, <fpage>433</fpage>&#x2013;<lpage>440</lpage>. doi: <pub-id pub-id-type="doi">10.1089/mdr.2019.0209</pub-id></citation></ref>
<ref id="ref16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Khalifeh</surname> <given-names>O. M.</given-names></name> <name><surname>Obaidat</surname> <given-names>M. M.</given-names></name></person-group> (<year>2022</year>). <article-title>Urinary tract virulence genes in extended-spectrum beta-lactamase <italic>E. coli</italic> from dairy cows, beef cattle, and small ruminants</article-title>. <source>Acta Trop.</source> <volume>234</volume>:<fpage>106611</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.actatropica.2022.106611</pub-id>, PMID: <pub-id pub-id-type="pmid">35850234</pub-id></citation></ref>
<ref id="ref17"><citation citation-type="book"><person-group person-group-type="author"><name><surname>Kudva</surname> <given-names>I. T.</given-names></name> <name><surname>Cornick</surname> <given-names>N. A.</given-names></name> <name><surname>Plummer</surname> <given-names>P. J.</given-names></name> <name><surname>Zhang</surname> <given-names>Q.</given-names></name> <name><surname>Nicholson</surname> <given-names>T. L.</given-names></name> <name><surname>Bannantine</surname> <given-names>J. P.</given-names></name> <etal/></person-group>. (<year>2020</year>). <source>Virulence mechanisms of bacterial pathogens</source>. <publisher-loc>Hoboken, NJ</publisher-loc>: <publisher-name>John Wiley &#x0026; Sons</publisher-name>.</citation></ref>
<ref id="ref18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>F.</given-names></name> <name><surname>Cheng</surname> <given-names>P.</given-names></name> <name><surname>Li</surname> <given-names>X.</given-names></name> <name><surname>Liu</surname> <given-names>R.</given-names></name> <name><surname>Liu</surname> <given-names>H.</given-names></name> <name><surname>Zhang</surname> <given-names>X.</given-names></name></person-group> (<year>2022</year>). <article-title>Molecular epidemiology and colistin-resistant mechanism of <italic>mcr</italic>-positive and <italic>mcr</italic>-negative <italic>Escherichia coli</italic> isolated from animal in Sichuan province, China</article-title>. <source>Front. Microbiol.</source> <volume>13</volume>:<fpage>8548</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fmicb.2022.818548</pub-id></citation></ref>
<ref id="ref19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lima</surname> <given-names>T.</given-names></name> <name><surname>Domingues</surname> <given-names>S.</given-names></name> <name><surname>Da Silva</surname> <given-names>G. J.</given-names></name></person-group> (<year>2020</year>). <article-title>Manure as a potential hotspot for antibiotic resistance dissemination by horizontal gene transfer events</article-title>. <source>Vet. Sci.</source> <volume>7</volume>:<fpage>110</fpage>. doi: <pub-id pub-id-type="doi">10.3390/vetsci7030110</pub-id>, PMID: <pub-id pub-id-type="pmid">32823495</pub-id></citation></ref>
<ref id="ref20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>H.</given-names></name> <name><surname>Meng</surname> <given-names>L.</given-names></name> <name><surname>Dong</surname> <given-names>L.</given-names></name> <name><surname>Zhang</surname> <given-names>Y.</given-names></name> <name><surname>Wang</surname> <given-names>J.</given-names></name> <name><surname>Zheng</surname> <given-names>N.</given-names></name></person-group> (<year>2021</year>). <article-title>Prevalence, antimicrobial susceptibility, and molecular characterization of <italic>Escherichia coli</italic> isolated from raw milk in dairy herds in northern China</article-title>. <source>Front. Microbiol.</source> <volume>12</volume>:<fpage>656</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fmicb.2021.730656</pub-id></citation></ref>
<ref id="ref21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lu</surname> <given-names>Q.</given-names></name> <name><surname>Zhang</surname> <given-names>W.</given-names></name> <name><surname>Luo</surname> <given-names>L.</given-names></name> <name><surname>Wang</surname> <given-names>H.</given-names></name> <name><surname>Shao</surname> <given-names>H.</given-names></name> <name><surname>Zhang</surname> <given-names>T.</given-names></name> <etal/></person-group>. (<year>2022</year>). <article-title>Genetic diversity and multidrug resistance of phylogenic groups B2 and D in InPEC and ExPEC isolated from chickens in Central China</article-title>. <source>BMC Microbiol.</source> <volume>22</volume>, <fpage>1</fpage>&#x2013;<lpage>12</lpage>. doi: <pub-id pub-id-type="doi">10.1186/s12866-022-02469-2</pub-id></citation></ref>
<ref id="ref22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname> <given-names>F.</given-names></name> <name><surname>Xu</surname> <given-names>S.</given-names></name> <name><surname>Tang</surname> <given-names>Z.</given-names></name> <name><surname>Li</surname> <given-names>Z.</given-names></name> <name><surname>Zhang</surname> <given-names>L.</given-names></name></person-group> (<year>2021</year>). <article-title>Use of antimicrobials in food animals and impact of transmission of antimicrobial resistance on humans</article-title>. <source>Biosafety Health</source> <volume>3</volume>, <fpage>32</fpage>&#x2013;<lpage>38</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.bsheal.2020.09.004</pub-id></citation></ref>
<ref id="ref23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname> <given-names>J.</given-names></name> <name><surname>Zhou</surname> <given-names>W.</given-names></name> <name><surname>Wu</surname> <given-names>J.</given-names></name> <name><surname>Liu</surname> <given-names>X.</given-names></name> <name><surname>Lin</surname> <given-names>J.</given-names></name> <name><surname>Ji</surname> <given-names>X.</given-names></name> <etal/></person-group>. (<year>2022</year>). <article-title>Large-scale studies on antimicrobial resistance and molecular characterization of <italic>Escherichia coli</italic> from food animals in developed areas of eastern China</article-title>. <source>Microbiol. Spectrum</source> <volume>10</volume>, <fpage>e02015</fpage>&#x2013;<lpage>e02022</lpage>. doi: <pub-id pub-id-type="doi">10.1128/spectrum.02015-22</pub-id></citation></ref>
<ref id="ref24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Manyi-Loh</surname> <given-names>C.</given-names></name> <name><surname>Mamphweli</surname> <given-names>S.</given-names></name> <name><surname>Meyer</surname> <given-names>E.</given-names></name> <name><surname>Okoh</surname> <given-names>A.</given-names></name></person-group> (<year>2018</year>). <article-title>Antibiotic use in agriculture and its consequential resistance in environmental sources: potential public health implications</article-title>. <source>Molecules</source> <volume>23</volume>:<fpage>795</fpage>. doi: <pub-id pub-id-type="doi">10.3390/molecules23040795</pub-id>, PMID: <pub-id pub-id-type="pmid">29601469</pub-id></citation></ref>
<ref id="ref25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Murray</surname> <given-names>C. J.</given-names></name> <name><surname>Ikuta</surname> <given-names>K. S.</given-names></name> <name><surname>Sharara</surname> <given-names>F.</given-names></name> <name><surname>Swetschinski</surname> <given-names>L.</given-names></name> <name><surname>Aguilar</surname> <given-names>G. R.</given-names></name> <name><surname>Gray</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>2022</year>). <article-title>Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis</article-title>. <source>Lancet</source> <volume>399</volume>, <fpage>629</fpage>&#x2013;<lpage>655</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S0140-6736(21)02724-0</pub-id>, PMID: <pub-id pub-id-type="pmid">35065702</pub-id></citation></ref>
<ref id="ref26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Oladeinde</surname> <given-names>A.</given-names></name> <name><surname>Cook</surname> <given-names>K.</given-names></name> <name><surname>Lakin</surname> <given-names>S. M.</given-names></name> <name><surname>Woyda</surname> <given-names>R.</given-names></name> <name><surname>Abdo</surname> <given-names>Z.</given-names></name> <name><surname>Looft</surname> <given-names>T.</given-names></name> <etal/></person-group>. (<year>2019</year>). <article-title>Horizontal gene transfer and acquired antibiotic resistance in <italic>Salmonella enterica</italic> serovar Heidelberg following in vitro incubation in broiler ceca</article-title>. <source>Appl. Environ. Microbiol.</source> <volume>85</volume>, <fpage>e01903</fpage>&#x2013;<lpage>e01919</lpage>. doi: <pub-id pub-id-type="doi">10.1128/AEM.01903-19</pub-id></citation></ref>
<ref id="ref27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Peng</surname> <given-names>Z.</given-names></name> <name><surname>Hu</surname> <given-names>Z.</given-names></name> <name><surname>Li</surname> <given-names>Z.</given-names></name> <name><surname>Zhang</surname> <given-names>X.</given-names></name> <name><surname>Jia</surname> <given-names>C.</given-names></name> <name><surname>Li</surname> <given-names>T.</given-names></name> <etal/></person-group>. (<year>2022</year>). <article-title>Antimicrobial resistance and population genomics of multidrug-resistant <italic>Escherichia coli</italic> in pig farms in mainland China</article-title>. <source>Nat. Commun.</source> <volume>13</volume>:<fpage>1116</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41467-022-28750-6</pub-id>, PMID: <pub-id pub-id-type="pmid">35236849</pub-id></citation></ref>
<ref id="ref28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pormohammad</surname> <given-names>A.</given-names></name> <name><surname>Nasiri</surname> <given-names>M. J.</given-names></name> <name><surname>Azimi</surname> <given-names>T.</given-names></name></person-group> (<year>2019</year>). <article-title>Prevalence of antibiotic resistance in <italic>Escherichia coli</italic> strains simultaneously isolated from humans, animals, food, and the environment: a systematic review and meta-analysis</article-title>. <source>Infect. Drug Resist.</source> <volume>12</volume>, <fpage>1181</fpage>&#x2013;<lpage>1197</lpage>. doi: <pub-id pub-id-type="doi">10.2147/IDR.S201324</pub-id>, PMID: <pub-id pub-id-type="pmid">31190907</pub-id></citation></ref>
<ref id="ref29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Qian</surname> <given-names>X.</given-names></name> <name><surname>Gu</surname> <given-names>J.</given-names></name> <name><surname>Sun</surname> <given-names>W.</given-names></name> <name><surname>Wang</surname> <given-names>X.-J.</given-names></name> <name><surname>Su</surname> <given-names>J.-Q.</given-names></name> <name><surname>Stedfeld</surname> <given-names>R.</given-names></name></person-group> (<year>2018</year>). <article-title>Diversity, abundance, and persistence of antibiotic resistance genes in various types of animal manure following industrial composting</article-title>. <source>J. Hazard. Mater.</source> <volume>344</volume>, <fpage>716</fpage>&#x2013;<lpage>722</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jhazmat.2017.11.020</pub-id>, PMID: <pub-id pub-id-type="pmid">29154097</pub-id></citation></ref>
<ref id="ref30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Raimondi</surname> <given-names>S.</given-names></name> <name><surname>Righini</surname> <given-names>L.</given-names></name> <name><surname>Candeliere</surname> <given-names>F.</given-names></name> <name><surname>Musmeci</surname> <given-names>E.</given-names></name> <name><surname>Bonvicini</surname> <given-names>F.</given-names></name> <name><surname>Gentilomi</surname> <given-names>G.</given-names></name> <etal/></person-group>. (<year>2019</year>). <article-title>Antibiotic resistance, virulence factors, phenotyping, and genotyping of <italic>E. coli</italic> isolated from the feces of healthy subjects</article-title>. <source>Microorganisms</source> <volume>7</volume>:<fpage>251</fpage>. doi: <pub-id pub-id-type="doi">10.3390/microorganisms7080251</pub-id>, PMID: <pub-id pub-id-type="pmid">31405113</pub-id></citation></ref>
<ref id="ref31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Salinas</surname> <given-names>L.</given-names></name> <name><surname>C&#x00E1;rdenas</surname> <given-names>P.</given-names></name> <name><surname>Johnson</surname> <given-names>T. J.</given-names></name> <name><surname>Vasco</surname> <given-names>K.</given-names></name> <name><surname>Graham</surname> <given-names>J.</given-names></name> <name><surname>Trueba</surname> <given-names>G.</given-names></name></person-group> (<year>2019</year>). <article-title>Diverse commensal <italic>Escherichia coli</italic> clones and plasmids disseminate antimicrobial resistance genes in domestic animals and children in a semirural community in Ecuador</article-title>. <source>Msphere</source> <volume>4</volume>, <fpage>e00316</fpage>&#x2013;<lpage>e00319</lpage>. doi: <pub-id pub-id-type="doi">10.1128/mSphere.00316-19</pub-id></citation></ref>
<ref id="ref32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sarowska</surname> <given-names>J.</given-names></name> <name><surname>Futoma-Koloch</surname> <given-names>B.</given-names></name> <name><surname>Jama-Kmiecik</surname> <given-names>A.</given-names></name> <name><surname>Frej-Madrzak</surname> <given-names>M.</given-names></name> <name><surname>Ksiazczyk</surname> <given-names>M.</given-names></name> <name><surname>Bugla-Ploskonska</surname> <given-names>G.</given-names></name> <etal/></person-group>. (<year>2019</year>). <article-title>Virulence factors, prevalence and potential transmission of extraintestinal pathogenic <italic>Escherichia coli</italic> isolated from different sources: recent reports</article-title>. <source>Gut Pathogens</source> <volume>11</volume>, <fpage>1</fpage>&#x2013;<lpage>16</lpage>. doi: <pub-id pub-id-type="doi">10.1186/s13099-019-0290-0</pub-id></citation></ref>
<ref id="ref33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sharp</surname> <given-names>J. L.</given-names></name> <name><surname>Mobley</surname> <given-names>C.</given-names></name> <name><surname>Hammond</surname> <given-names>C.</given-names></name> <name><surname>Withington</surname> <given-names>C.</given-names></name> <name><surname>Drew</surname> <given-names>S.</given-names></name> <name><surname>Stringfield</surname> <given-names>S.</given-names></name> <etal/></person-group>. (<year>2012</year>). <article-title>A mixed methods sampling methodology for a multisite case study</article-title>. <source>J. Mixed Methods Res.</source> <volume>6</volume>, <fpage>34</fpage>&#x2013;<lpage>54</lpage>. doi: <pub-id pub-id-type="doi">10.1177/1558689811417133</pub-id></citation></ref>
<ref id="ref34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sobur</surname> <given-names>M. A.</given-names></name> <name><surname>Sabuj</surname> <given-names>A. A. M.</given-names></name> <name><surname>Sarker</surname> <given-names>R.</given-names></name> <name><surname>Rahman</surname> <given-names>A. T.</given-names></name> <name><surname>Kabir</surname> <given-names>S. L.</given-names></name> <name><surname>Rahman</surname> <given-names>M. T.</given-names></name></person-group> (<year>2019</year>). <article-title>Antibiotic-resistant <italic>Escherichia coli</italic> and <italic>Salmonella</italic> spp. associated with dairy cattle and farm environment having public health significance</article-title>. <source>Veterinary world</source> <volume>12</volume>, <fpage>984</fpage>&#x2013;<lpage>993</lpage>. doi: <pub-id pub-id-type="doi">10.14202/vetworld.2019.984-993</pub-id>, PMID: <pub-id pub-id-type="pmid">31528022</pub-id></citation></ref>
<ref id="ref35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Su</surname> <given-names>Y.</given-names></name> <name><surname>Yu</surname> <given-names>C.-Y.</given-names></name> <name><surname>Tsai</surname> <given-names>Y.</given-names></name> <name><surname>Wang</surname> <given-names>S.-H.</given-names></name> <name><surname>Lee</surname> <given-names>C.</given-names></name> <name><surname>Chu</surname> <given-names>C.</given-names></name></person-group> (<year>2016</year>). <article-title>Fluoroquinolone-resistant and extended-spectrum &#x03B2;-lactamase-producing <italic>Escherichia coli</italic> from the milk of cows with clinical mastitis in southern Taiwan</article-title>. <source>J. Microbiol. Immunol. Infect.</source> <volume>49</volume>, <fpage>892</fpage>&#x2013;<lpage>901</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jmii.2014.10.003</pub-id>, PMID: <pub-id pub-id-type="pmid">25592882</pub-id></citation></ref>
<ref id="ref36"><citation citation-type="book"><person-group person-group-type="author"><name><surname>Thrusfield</surname> <given-names>M.</given-names></name></person-group> (<year>2018</year>). <source>Veterinary epidemiology</source>. <publisher-loc>Hoboken, NJ</publisher-loc>: <publisher-name>John Wiley &#x0026; Sons</publisher-name>.</citation></ref>
<ref id="ref37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>Y.</given-names></name> <name><surname>Xu</surname> <given-names>C.</given-names></name> <name><surname>Zhang</surname> <given-names>R.</given-names></name> <name><surname>Chen</surname> <given-names>Y.</given-names></name> <name><surname>Shen</surname> <given-names>Y.</given-names></name> <name><surname>Hu</surname> <given-names>F.</given-names></name> <etal/></person-group>. (<year>2020</year>). <article-title>Changes in colistin resistance and mcr-1 abundance in <italic>Escherichia coli</italic> of animal and human origins following the ban of colistin-positive additives in China: an epidemiological comparative study</article-title>. <source>Lancet Infect. Dis.</source> <volume>20</volume>, <fpage>1161</fpage>&#x2013;<lpage>1171</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S1473-3099(20)30149-3</pub-id>, PMID: <pub-id pub-id-type="pmid">32505232</pub-id></citation></ref>
<ref id="ref38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>W.</given-names></name> <name><surname>Yu</surname> <given-names>L.</given-names></name> <name><surname>Hao</surname> <given-names>W.</given-names></name> <name><surname>Zhang</surname> <given-names>F.</given-names></name> <name><surname>Jiang</surname> <given-names>M.</given-names></name> <name><surname>Zhao</surname> <given-names>S.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>Multi-locus sequence typing and drug resistance analysis of swine origin <italic>Escherichia coli</italic> in Shandong of China and its potential risk on public health</article-title>. <source>Front. Public Health</source> <volume>9</volume>:<fpage>780700</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fpubh.2021.780700</pub-id>, PMID: <pub-id pub-id-type="pmid">34926393</pub-id></citation></ref>
<ref id="ref39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yu</surname> <given-names>Z.</given-names></name> <name><surname>Wang</surname> <given-names>J.</given-names></name> <name><surname>Ho</surname> <given-names>H.</given-names></name> <name><surname>Wang</surname> <given-names>Y.</given-names></name> <name><surname>Huang</surname> <given-names>S.</given-names></name> <name><surname>Han</surname> <given-names>R.</given-names></name></person-group> (<year>2020</year>). <article-title>Prevalence and antimicrobial-resistance phenotypes and genotypes of <italic>Escherichia coli</italic> isolated from raw milk samples from mastitis cases in four regions of China</article-title>. <source>J. Global Antimicrobial Resist.</source> <volume>22</volume>, <fpage>94</fpage>&#x2013;<lpage>101</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jgar.2019.12.016</pub-id>, PMID: <pub-id pub-id-type="pmid">31887413</pub-id></citation></ref>
<ref id="ref40"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>S.</given-names></name> <name><surname>Chen</surname> <given-names>S.</given-names></name> <name><surname>Rehman</surname> <given-names>M. U.</given-names></name> <name><surname>Yang</surname> <given-names>H.</given-names></name> <name><surname>Yang</surname> <given-names>Z.</given-names></name> <name><surname>Wang</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>Distribution and association of antimicrobial resistance and virulence traits in <italic>Escherichia coli</italic> isolates from healthy waterfowls in Hainan, China</article-title>. <source>Ecotoxicol. Environ. Safety</source> <volume>220</volume>:<fpage>112317</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ecoenv.2021.112317</pub-id></citation></ref>
<ref id="ref41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhao</surname> <given-names>X.</given-names></name> <name><surname>Lv</surname> <given-names>Y.</given-names></name> <name><surname>Adam</surname> <given-names>F. E. A.</given-names></name> <name><surname>Xie</surname> <given-names>Q.</given-names></name> <name><surname>Wang</surname> <given-names>B.</given-names></name> <name><surname>Bai</surname> <given-names>X.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>Comparison of antimicrobial resistance, virulence genes, phylogroups, and biofilm formation of <italic>Escherichia coli</italic> isolated from intensive farming and free-range sheep</article-title>. <source>Front. Microbiol.</source> <volume>12</volume>:<fpage>699927</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fmicb.2021.699927</pub-id>, PMID: <pub-id pub-id-type="pmid">34394043</pub-id></citation></ref>
<ref id="ref42"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zou</surname> <given-names>M.</given-names></name> <name><surname>Ma</surname> <given-names>P.-P.</given-names></name> <name><surname>Liu</surname> <given-names>W.-S.</given-names></name> <name><surname>Liang</surname> <given-names>X.</given-names></name> <name><surname>Li</surname> <given-names>X.-Y.</given-names></name> <name><surname>Li</surname> <given-names>Y.-Z.</given-names></name> <etal/></person-group>. (<year>2021</year>). <article-title>Prevalence and antibiotic resistance characteristics of extraintestinal pathogenic <italic>Escherichia coli</italic> among healthy chickens from farms and live poultry markets in China</article-title>. <source>Animals</source> <volume>11</volume>:<fpage>1112</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ani11041112</pub-id>, PMID: <pub-id pub-id-type="pmid">33924454</pub-id></citation></ref>
</ref-list>
<fn-group>
<fn id="fn0003">
<p><sup>1</sup><ext-link xlink:href="https://www.eucast.org" ext-link-type="uri">https://www.eucast.org</ext-link></p>
</fn>
</fn-group>
</back>
</article>