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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Vet. Sci.</journal-id>
<journal-title>Frontiers in Veterinary Science</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Vet. Sci.</abbrev-journal-title>
<issn pub-type="epub">2297-1769</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fvets.2024.1362011</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Veterinary Science</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Metagenomic insights into isolable bacterial communities and antimicrobial resistance in airborne dust from pig farms</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Hein</surname> <given-names>Si Thu</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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<contrib contrib-type="author">
<name><surname>Prathan</surname> <given-names>Rangsiya</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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<contrib contrib-type="author">
<name><surname>Srisanga</surname> <given-names>Songsak</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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<contrib contrib-type="author">
<name><surname>Muenhor</surname> <given-names>Dudsadee</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
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<name><surname>Wongsurawat</surname> <given-names>Thidathip</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
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<contrib contrib-type="author">
<name><surname>Jenjaroenpun</surname> <given-names>Piroon</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
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<name><surname>Tummaruk</surname> <given-names>Padet</given-names></name>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
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<contrib contrib-type="author" corresp="yes">
<name><surname>Chuanchuen</surname> <given-names>Rungtip</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
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<aff id="aff1"><sup>1</sup><institution>International Graduate Program of Veterinary Science and Technology, Faculty of Veterinary Science, Chulalongkorn University</institution>, <addr-line>Bangkok</addr-line>, <country>Thailand</country></aff>
<aff id="aff2"><sup>2</sup><institution>Research Unit in Microbial Food Safety and Antimicrobial Resistance, Department of Veterinary Public Health, Faculty of Veterinary Science, Chulalongkorn University</institution>, <addr-line>Bangkok</addr-line>, <country>Thailand</country></aff>
<aff id="aff3"><sup>3</sup><institution>Faculty of Environmental Management, Prince of Songkla University, Hat Yai</institution>, <addr-line>Songkhla</addr-line>, <country>Thailand</country></aff>
<aff id="aff4"><sup>4</sup><institution>Division of Medical Bioinformatics, Department of Research, Faculty of Medicine, Siriraj Hospital, Mahidol University</institution>, <addr-line>Bangkok</addr-line>, <country>Thailand</country></aff>
<aff id="aff5"><sup>5</sup><institution>Siriraj Long-Read Lab (Si-LoL), Faculty of Medicine, Siriraj Hospital</institution>, <addr-line>Bangkok</addr-line>, <country>Thailand</country></aff>
<aff id="aff6"><sup>6</sup><institution>Centre of Excellence in Swine Reproduction, Department of Obstetrics, Gynaecology, and Reproduction, Faculty of Veterinary Science, Chulalongkorn University</institution>, <addr-line>Bangkok</addr-line>, <country>Thailand</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Alda Natale, Experimental Zooprophylactic Institute of the Venezie (IZSVe), Italy</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Maria King, Texas A&#x00026;M University, United States</p>
<p>Torahiko Okubo, Hokkaido University, Japan</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Rungtip Chuanchuen <email>chuanchuen.r&#x00040;gmail.com</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>30</day>
<month>05</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>11</volume>
<elocation-id>1362011</elocation-id>
<history>
<date date-type="received">
<day>27</day>
<month>12</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>30</day>
<month>04</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2024 Hein, Prathan, Srisanga, Muenhor, Wongsurawat, Jenjaroenpun, Tummaruk and Chuanchuen.</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Hein, Prathan, Srisanga, Muenhor, Wongsurawat, Jenjaroenpun, Tummaruk and Chuanchuen</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>This study aims to investigate bacterial communities and antimicrobial resistance (AMR) in airborne dust from pig farms. Airborne dust, pig feces and feed were collected from nine pig farms in Thailand. Airborne dust samples were collected from upwind and downwind (25 meters from pig house), and inside (in the middle of the pig house) of the selected pig house. Pig feces and feed samples were individually collected from the pen floor and feed trough from the same pig house where airborne dust was collected. A direct total bacteria count on each sampling plate was conducted and averaged. The ESKAPE pathogens together with <italic>Escherichia coli, Salmonella</italic>, and <italic>Streptococcus</italic> were examined. A total of 163 bacterial isolates were collected and tested for MICs. Pooled bacteria from the inside airborne dust samples were analyzed using Metagenomic Sequencing. The highest bacterial concentration (1.9&#x02013;11.2 &#x000D7; 10<sup>3</sup> CFU/m<sup>3</sup>) was found inside pig houses. <italic>Staphylococcus</italic> (<italic>n</italic> = 37) and <italic>Enterococcus</italic> (<italic>n</italic> = 36) were most frequent bacterial species. <italic>Salmonella</italic> (<italic>n</italic> = 3) were exclusively isolated from feed and feces. Target bacteria showed a variety of resistance phenotypes, and the same bacterial species with the same resistance phenotype were found in airborne dust, feed and fecal from each farm. Metagenomic Sequencing analysis revealed 1,652 bacterial species across all pig farms, of which the predominant bacterial phylum was Bacillota. One hundred fifty-nine AMR genes of 12 different antibiotic classes were identified, with aminoglycoside resistance genes (24%) being the most prevalent. A total of 251 different plasmids were discovered, and the same plasmid was detected in multiple farms. In conclusion, the phenotypic and metagenomic results demonstrated that airborne dust from pig farms contained a diverse array of bacterial species and genes encoding resistance to a range of clinically important antimicrobial agents, indicating the significant role in the spread of AMR bacterial pathogens with potential hazards to human health. Policy measurements to address AMR in airborne dust from livestock farms are mandatory.</p></abstract>
<kwd-group>
<kwd>antimicrobial resistance</kwd>
<kwd>airborne dust</kwd>
<kwd>bacterial communities</kwd>
<kwd>metagenomic approach</kwd>
<kwd>pig farm</kwd>
</kwd-group>
<counts>
<fig-count count="3"/>
<table-count count="5"/>
<equation-count count="0"/>
<ref-count count="71"/>
<page-count count="18"/>
<word-count count="11210"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Veterinary Epidemiology and Economics</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Antimicrobial resistance (AMR) has been listed as one of the six global emerging environmental challenges by the United Nations Environment Programme (<xref ref-type="bibr" rid="B1">1</xref>). Transmission of AMR bacteria and their resistance determinants in environmental settings has been extensively researched in two primary habitats, aquaculture, and soils (<xref ref-type="bibr" rid="B2">2</xref>) e.g., lakes (<xref ref-type="bibr" rid="B3">3</xref>), soil with sewage and chicken manure (<xref ref-type="bibr" rid="B4">4</xref>), sediments, wastewater treatment plants (<xref ref-type="bibr" rid="B5">5</xref>), hospital wastewater (<xref ref-type="bibr" rid="B6">6</xref>). Prior studies have shown that ambient air contained a variety of bacteria and AMR determinants that may move long distances and across borders (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>). These place airborne AMR bacteria and their resistance determinants as an additional important route for the spread of AMR on a continental or global scale (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>), necessitating policies and regulation to reduce the spread of AMR through airborne dust.</p>
<p>WHO published a list of highly virulent and AMR bacterial pathogens as global targets for development of novel antibiotics, i.e., the ESKAPE pathogens (<italic>Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa</italic>, and <italic>Enterobacter</italic> spp.) that are also high priority organisms for AMR monitoring due to their ability to acquire high levels of resistance. The existence and spread of airborne AMR in ESKAPE pathogens in healthcare settings has been the subject of numerous research (<xref ref-type="bibr" rid="B10">10</xref>). The problem is far more extensive due to their expansion in animal farms and the environment (<xref ref-type="bibr" rid="B11">11</xref>). Transmission of AMR bacteria, including ESKAPE organisms, from animal farms to nearby communities through the air was demonstrated (<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B13">13</xref>).</p>
<p>The role of livestock farming, in particular pig farms, as a significant source and reservoir for AMR bacteria and determinants has been scientifically demonstrated (<xref ref-type="bibr" rid="B14">14</xref>). It is primarily caused by a high bacterial load and an increase in antimicrobial use at the farms, which creates a significant selective antimicrobial pressure and raises the risk of bacterial resistance development and spread. In addition to meat, soil and farm wastewater, airborne dust from pig farms has reportedly contained AMR bacteria and determinants, inevitably reaching the general population (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B15">15</xref>). AMR bacteria-filled dust has the potential to become airborne and spread across the farms. It may also be released into the outside air by forced or natural ventilation, endangering neighboring people, farm animals, and the environment (<xref ref-type="bibr" rid="B16">16</xref>). To date, relatively few research has focused on AMR in ambient air, in comparison to food animals and their products. Despite the extensive antimicrobial use for a long time, little is still known about the bacterial community and AMR in airborne dust from livestock farms.</p>
<p>AMR studies typically rely on culture-based approaches, of which data on AMR phenotype and prevalence could be assessed. These approaches are usually time-consuming, laborious, and information limited. An advanced high-throughput technology and bioinformatic tool, Metagenomic sequencing methods, has proved the ways to overcome the limitations of the culture-based approach and to enhance the likelihood of finding AMR determinants, including novel resistance genes. It is anticipated that bacterial population and AMR traits in air samples from livestock farms would vary and be complex and therefore, culture-based methods and metagenomic sequencing analysis should be used in complementary for in-depth understanding.</p>
<p>The correlation between total levels of AMR and the use of antimicrobial agents was previously indicated (<xref ref-type="bibr" rid="B17">17</xref>). It was estimated that pigs consumed the highest antimicrobial quantity of 193 mg/PCU in 2017, accounting for 45% of the global increase in antimicrobial consumption from 2017 to 2030 (<xref ref-type="bibr" rid="B18">18</xref>). This is consistent with Thailand&#x00027;s 2020 One Health Report on Antimicrobial Consumption and AMR, which found that pigs consumed the highest amount of antibacterial agents in medicated feed (<xref ref-type="bibr" rid="B19">19</xref>). In addition, pig farm dust was previously shown to have higher levels of AMR bacteria and resistance genes in comparison to other livestock (<xref ref-type="bibr" rid="B20">20</xref>). Therefore, this study aimed to investigate bacterial communities and AMR in airborne pig farm dust.</p></sec>
<sec id="s2">
<title>2 Materials and methods</title>
<sec>
<title>2.1 Sampling plan and location</title>
<p>This cross-sectional study was conducted in 9 pig farms located in Nakhon Sawan, Chainat, Supan Buri, Lopburi, and Saraburi of Thailand during the rainy season from late May to mid-October 2022 (<xref ref-type="table" rid="T1">Table 1</xref>). Samples were taken on a single visit to each farm. Due to the farm biosecurity, the selection of farms depended on the owners&#x00027; willingness to participate in the study and the availability of veterinarians or animal health practitioners. All participating farms adopt a close house system with the number of pigs varying from 50 to 13,000. Three farms (Farm 4, Farm 6, and Farm 9) had large-scale commercial farming operations with between 11,000 and 13,000 pigs. Six farms were smaller scale farms, of which four farms had 2,000&#x02013;5,000 pigs and another two farms had 50&#x02013;200 pigs. Sampling was carried out at one pig house in each farm according to the owner of the farm&#x00027;s advice. For antimicrobial usage, amoxicillin was the most used antimicrobials by adding to feed either alone or in combination with tiamulin. Two farms (Farm 2 and Farm 3) declared using penicillin - streptomycin injection for treatment of ill pigs. Amoxicillin injection alone was used on one farm (Farm 2) for sick pigs. Information on the use of antimicrobial feed additives was unavailable.</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>General details of the participating pig farms, average environmental parameters, bacterial concentrations, and number of bacterial species in airborne dust at different sampling positions in pig farms (<italic>n</italic> = 9).</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919498;color:#ffffff">
<th valign="top" align="left"><bold>Farm No</bold>.</th>
<th valign="top" align="center" colspan="3"><bold>General information</bold></th>
<th valign="top" align="center" colspan="5"><bold>Environmental parameters</bold></th>
<th valign="top" align="center" colspan="4"><bold>Bacterial concentrations</bold></th>
</tr>
</thead>
<tbody>
<tr style="background-color:#919498;color:#ffffff">
<td/>
<td valign="top" align="center" colspan="2"><bold>Number of pigs</bold></td>
<td valign="top" align="center"><bold>Stage of pig</bold></td>
<td valign="top" align="center"><bold>Sample collection time</bold></td>
<td valign="top" align="center"><bold>Wind speed (m/s)</bold></td>
<td valign="top" align="center" colspan="3"><bold>Relative Humidity (%)/ Temperature (</bold>&#x000B0;<bold>C)</bold></td>
<td valign="top" align="center" colspan="3"><bold>Total counts</bold><sup>a</sup></td>
<td valign="top" align="center"><bold>No. of bacterial species</bold><sup>b</sup></td>
</tr>
<tr style="background-color:#919498;color:#ffffff">
<td/>
<td valign="top" align="center"><bold>Total in Farm</bold></td>
<td valign="top" align="center"><bold>Sampling house</bold></td>
<td/>
<td/>
<td/>
<td valign="top" align="center"><bold>Upwind</bold></td>
<td valign="top" align="center"><bold>Inside</bold></td>
<td valign="top" align="center"><bold>Downwind</bold></td>
<td valign="top" align="center"><bold>Upwind</bold></td>
<td valign="top" align="center"><bold>Inside</bold></td>
<td valign="top" align="center"><bold>Downwind</bold></td>
<td valign="top" align="center"><bold>Inside</bold></td>
</tr> <tr>
<td valign="top" align="left">1</td>
<td valign="top" align="center">5,000</td>
<td valign="top" align="center">120</td>
<td valign="top" align="center">Sow, piglets</td>
<td valign="top" align="center">May</td>
<td valign="top" align="center">2.9</td>
<td valign="top" align="center">87.3/28.9</td>
<td valign="top" align="center">94.2/27.7</td>
<td valign="top" align="center">93.0/28.0</td>
<td valign="top" align="center">0.7</td>
<td valign="top" align="center">5.0</td>
<td valign="top" align="center">0.2</td>
<td valign="top" align="center">ND</td>
</tr> <tr>
<td valign="top" align="left">2</td>
<td valign="top" align="center">5,000</td>
<td valign="top" align="center">120</td>
<td valign="top" align="center">Sow, piglets</td>
<td valign="top" align="center">July</td>
<td valign="top" align="center">0.5</td>
<td valign="top" align="center">92.1/27.8</td>
<td valign="top" align="center">94.4/27.6</td>
<td valign="top" align="center">89.8/28.2</td>
<td valign="top" align="center">2.2</td>
<td valign="top" align="center">3.8</td>
<td valign="top" align="center">3.7</td>
<td valign="top" align="center">ND</td>
</tr> <tr>
<td valign="top" align="left">3</td>
<td valign="top" align="center">3,000</td>
<td valign="top" align="center">140</td>
<td valign="top" align="center">Sow</td>
<td valign="top" align="center">September</td>
<td valign="top" align="center">0.8</td>
<td valign="top" align="center">75.7/30.8</td>
<td valign="top" align="center">74.2/30.6</td>
<td valign="top" align="center">84.7/28.3</td>
<td valign="top" align="center">1.4</td>
<td valign="top" align="center">2.4</td>
<td valign="top" align="center">0.6</td>
<td valign="top" align="center">1293</td>
</tr> <tr>
<td valign="top" align="left">4</td>
<td valign="top" align="center">13,000</td>
<td valign="top" align="center">700</td>
<td valign="top" align="center">Fattener</td>
<td valign="top" align="center">September</td>
<td valign="top" align="center">1.1</td>
<td valign="top" align="center">79.2/30.9</td>
<td valign="top" align="center">80.3/30.4</td>
<td valign="top" align="center">82.2/30.2</td>
<td valign="top" align="center">0.8</td>
<td valign="top" align="center">11.2</td>
<td valign="top" align="center">1.3</td>
<td valign="top" align="center">476</td>
</tr> <tr>
<td valign="top" align="left">5</td>
<td valign="top" align="center">200</td>
<td valign="top" align="center">200</td>
<td valign="top" align="center">Fattener<sup>&#x02020;</sup></td>
<td valign="top" align="center">September</td>
<td valign="top" align="center">1.4</td>
<td valign="top" align="center">72.8/31.0</td>
<td valign="top" align="center">68.9/31.6</td>
<td valign="top" align="center">73.2/30.1</td>
<td valign="top" align="center">0.9</td>
<td valign="top" align="center">6.9</td>
<td valign="top" align="center">3.1</td>
<td valign="top" align="center">325</td>
</tr> <tr>
<td valign="top" align="left">6</td>
<td valign="top" align="center">11,000</td>
<td valign="top" align="center">320</td>
<td valign="top" align="center">Fattener</td>
<td valign="top" align="center">October</td>
<td valign="top" align="center">1.7</td>
<td valign="top" align="center">63.8/31.9</td>
<td valign="top" align="center">80.3/28.4</td>
<td valign="top" align="center">63.8/31.4</td>
<td valign="top" align="center">1.6</td>
<td valign="top" align="center">7.3</td>
<td valign="top" align="center">3.9</td>
<td valign="top" align="center">256</td>
</tr> <tr>
<td valign="top" align="left">7</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">Boar</td>
<td valign="top" align="center">October</td>
<td valign="top" align="center">1.9</td>
<td valign="top" align="center">57.5/34.4</td>
<td valign="top" align="center">63.0/31.5</td>
<td valign="top" align="center">63.2/32.0</td>
<td valign="top" align="center">0.2</td>
<td valign="top" align="center">2.5</td>
<td valign="top" align="center">1.7</td>
<td valign="top" align="center">499</td>
</tr> <tr>
<td valign="top" align="left">8</td>
<td valign="top" align="center">2,000</td>
<td valign="top" align="center">250</td>
<td valign="top" align="center">Fattener</td>
<td valign="top" align="center">October</td>
<td valign="top" align="center">2.2</td>
<td valign="top" align="center">40.2/38.2</td>
<td valign="top" align="center">62.1/29.8</td>
<td valign="top" align="center">51.4/35.5</td>
<td valign="top" align="center">0.3</td>
<td valign="top" align="center">1.9</td>
<td valign="top" align="center">2.1</td>
<td valign="top" align="center">669</td>
</tr> <tr>
<td valign="top" align="left">9</td>
<td valign="top" align="center">11,000</td>
<td valign="top" align="center">400</td>
<td valign="top" align="center">Fattener</td>
<td valign="top" align="center">October</td>
<td valign="top" align="center">2.5</td>
<td valign="top" align="center">52.9/35.1</td>
<td valign="top" align="center">48.4/34.7</td>
<td valign="top" align="center">40.7/34.7</td>
<td valign="top" align="center">0.5</td>
<td valign="top" align="center">1.9</td>
<td valign="top" align="center">3.7</td>
<td valign="top" align="center">341</td>
</tr> <tr>
<td valign="top" align="left" colspan="2">Average</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">1.0</td>
<td valign="top" align="center">4.8</td>
<td valign="top" align="center">2.3</td>
<td valign="top" align="center">-</td>
</tr></tbody>
</table>
<table-wrap-foot>
<p><sup>&#x02020;</sup>Open-housed system. <sup>a</sup>Determined by direct plate counts ( &#x000D7; 10<sup>3</sup> CFU/m<sup>3</sup> of air volume). <sup>b</sup>Based on metagenomic analysis of inside farm samples.</p>
</table-wrap-foot>
</table-wrap>
</sec>
<sec>
<title>2.2 Airborne dust sample collection</title>
<p>Airborne dust samples were collected using a BioStage<sup>&#x000AE;</sup> single-stage viable cascade impactor (SKC Inc., Eighty-Four, PA, USA) with 400 pores of 0.6 &#x003BC;m in size and a Quick Take 30 pump with a flow rate of 28.3 L/min. Tryptic soy agar (TSA, Difco<sup>TM</sup>, MD, USA) in 100 mm &#x000D7; 15 mm petri dishes were placed inside the impactor for collecting dust. The impactor was positioned approximately 1.5 m above the ground, which is a person&#x00027;s average respiratory height (<xref ref-type="bibr" rid="B21">21</xref>). Airborne dust samples were taken from the selected pig house at three separate locations, inside (at the center of the pig house), upwind (25 m from the pig house), and downwind (25 m from the pig house). Sampling time was 2 min per plate. Three TSA plates were utilized to collect airborne dust samples at each location for a total of nine plates per farm.</p>
<p>The Kestrel 3000 Weather Meter (Nielsen-Kellermen, PA, USA) was used to record the environmental variables potentially affecting the composition and diversity of bacterial communities, including average wind speed (m/s), ambient air temperature (&#x000B0;C), and relative humidity (%) at each sampling site (<xref ref-type="table" rid="T1">Table 1</xref>).</p>
</sec>
<sec>
<title>2.3 Collection of pig feces and feed samples</title>
<p>Pig feces and feed samples at least 25 g of each were taken from the same pig house where airborne dust was collected. Fecal droppings were collected from the pen floor, and feed was collected from feeding trough. The samples were immediately placed in an ice box and transported to the laboratory within 6 h of collection.</p>
</sec>
<sec>
<title>2.4 Quantification of total bacteria</title>
<p>Total bacteria were directly counted on TSA plates after a 24-h incubation at 37&#x000B0;C (<xref ref-type="bibr" rid="B22">22</xref>). The average colony-forming units per cubic meter of air (CFU/m<sup>3</sup>) were calculated from the counting results of three plates at each sampling position. Bioaerosol concentrations were estimated using the following formula (<xref ref-type="bibr" rid="B23">23</xref>).</p>
<p>Bioaerosol concentration (CFU/m<sup>3</sup>) = Number of colonies / (Adjusted flow rate of the sampling machine &#x000D7; Sampling duration in minutes).</p>
</sec>
<sec>
<title>2.5 Isolation and identification of target bacteria</title>
<p>The pooled bacteria from all three TSA plates obtained from each sampling position, pig feed samples (25 g each) and feces samples (25 g each) were separately pre-enriched in Buffer Peptone Water (BPW) and incubated at 37&#x000B0;C for 24 h. Then, target bacterial species were isolated and identified using previously published protocols, including the ESKAPE bacteria (i.e., <italic>Enterococcus</italic> species (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B25">25</xref>), <italic>Staphylococcus</italic> species (<xref ref-type="bibr" rid="B26">26</xref>), <italic>Klebsiella</italic> species (<xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B28">28</xref>), <italic>Acinetobacter</italic> (<xref ref-type="bibr" rid="B29">29</xref>), <italic>Pseudomonas</italic> species (<xref ref-type="bibr" rid="B30">30</xref>), <italic>Enterobacter</italic> species (<xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B31">31</xref>), <italic>Escherichia coli</italic> (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B32">32</xref>), <italic>Salmonella</italic> (<xref ref-type="bibr" rid="B33">33</xref>), and <italic>Streptococcus</italic> species (<xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B35">35</xref>). One loopful of bacteria pooled from the three agar plates was steaked on selective media, <italic>Klebsiella</italic> species, <italic>Enterobacter</italic> species and <italic>Escherichia coli</italic>, MacConkey agar (Difco<sup>TM</sup> &#x00026; BBL<sup>TM</sup>); <italic>Enterococcus</italic> species, Slanetz &#x00026; Bartley agar (OXOID<sup>&#x000AE;</sup>, Hampshire, UK); <italic>Staphylococcus</italic> species, mannitol salt agar (BBL<sup>TM</sup>, MD, USA); <italic>Acinetobacter</italic> species, CHROMagar&#x02122; Acinetobacter (CHROMagar, Paris, France); <italic>Pseudomonas</italic> species, <italic>Pseudomonas</italic> Agar Base (Difco<sup>TM</sup>, MI, USA); <italic>Salmonella</italic>, Xylose Lysine Deoxycholate (XLD) agar (Difco<sup>TM</sup>) and <italic>Streptococcus</italic> species, Columbia agar supplemented with 5% sheep blood agar (Difco<sup>TM</sup>) and incubated at 37&#x000B0;C for 18&#x02013;24 h.</p>
<p>Typical colonies of <italic>E. coli</italic> from MacConkey agar were streaked on Eosin Methylene Blue (EMB) agar (Difco<sup>TM</sup>) and confirmed by Indole test. Typical <italic>Salmonella</italic> colonies from XLD plates were confirmed by growth in Triple sugar iron agar (TSI) (Difco<sup>TM</sup>) and Motility Indole Lysine (MIL) agar (Difco<sup>TM</sup>). <italic>Enterococcus</italic> species, <italic>Klebsiella</italic> species, <italic>Enterobacter</italic> species, and <italic>Streptococcus</italic> species were confirmed by PCR using the following primer sets; <italic>Enterococcus</italic> species, EN-1 5&#x02032;-TACTGACAAACCATTCATGATG-3&#x02032; and EN-2 5&#x02032;-AACTTCGTCACCAACGCGAAC-3&#x02032;; <italic>Klebsiella</italic> species, KL-1 5&#x02032;-CGCGTACTATACGCCATGAACGTA-3&#x02032; and KL-2 5&#x02032;-ACCGTTGATCACTTCGGTCAGG-3&#x02032;; <italic>Enterobacter</italic> species, Ent-1 5&#x02032;-GGCAAAGCTCAACCCGGAGGTATTCT-3&#x02032; and Ent-2 5&#x02032;-CAAAGAAAGATAATAATTTCACGGTTAGTC-3&#x02032; and <italic>Streptococcus</italic> species, C-1 5&#x02032;-GCGTGCCTAATACATGCAA-3&#x02032; and C-2 5&#x02032;-TACAACGCAGGTCCATCT-3&#x02032;.</p>
<p>A single purified colony of each bacterial species was collected from each sampling position in each pig house and stored as a 20% glycerol stock at &#x02212;80&#x000B0;C for further analysis.</p>
</sec>
<sec>
<title>2.6 Antimicrobial susceptibility testing</title>
<p>A total of 163 bacterial isolates (<italic>n</italic> = 163) were collected (<xref ref-type="table" rid="T4">Table 4</xref>) and tested for their antimicrobial susceptibilities by broth microdilution method using the Sensititre<sup>TM</sup> Complete Automated AST System (Thermo Fisher Scientific, MA, USA). Different Sensititre<sup>TM</sup> MIC plates were used for different bacteria as follows: EUVSEC2, ASSECAF, and ASSECB for <italic>E. coli, Salmonella, Klebsiella</italic> species, and <italic>Enterobacter</italic> species; GNX2F for <italic>Acinetobacter</italic> and <italic>Pseudomonas</italic> species; EUST2 for <italic>Staphylococcus</italic> species and STP67 for <italic>Streptococcus</italic> species. All antibiotic plates were purchased from Trek Diagnostic Systems, West Sussex, UK. Two-fold agar dilution method was used for the susceptibility testing of <italic>Enterococcus</italic> species (<xref ref-type="bibr" rid="B36">36</xref>). The CLSI interpretive criteria was used for defining bacterial isolates as resistant or susceptible (<xref ref-type="bibr" rid="B36">36</xref>). <italic>E. coli</italic> ATCC 25922, <italic>P. aeruginosa</italic> ATCC 27853, <italic>S. aureus</italic> ATCC 29213 and <italic>E. faecalis</italic> ATCC 29212 served as quality control.</p>
</sec>
<sec>
<title>2.7 Metagenomic sequencing analysis</title>
<p>A loopful of the pooled airborne dust samples was taken directly from the pooled three TSA plates collected at the inside position of each pig house (<italic>n</italic> = 7) before the enrichment for isolation of target bacterial species to extract genomic DNA using ZymoBIOMICS<sup>TM</sup> DNA Miniprep Kit (Zymo Research, Irvine, CA, USA) following the manufacturer&#x00027;s instructions. The genomic DNA from Farm 1 and 2 samples were of poor quality and unusable for Metagenomic Sequencing. The concentration and quality of the extracted DNA were measured using a NanoDrop ND 1000 spectrophotometer (Thermo Fisher Scientific). The quality and degradation were additionally evaluated by running 1 &#x003BC;l of the genomic DNA on 0.8% agarose gel electrophoresis stained with RedSafe nucleic acid staining solution (Thermo Fisher Scientific). The genomic DNA was submitted for Metagenomic Sequencing at Siriraj Long-read Lab (Si-LoL), Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand, using an Oxford Nanopore sequencing platform. The Metagenomic Sequencing results were analyzed as previously described (<xref ref-type="bibr" rid="B37">37</xref>). Briefly, the output fastq files were uploaded to BugSeq workflow v20.07.1 (<ext-link ext-link-type="uri" xlink:href="https://bugseq.com">https://bugseq.com</ext-link>) for metagenomic classification. The reads were quality controlled with fastp v20.07.1, a FASTQ data pre-processing tool, using a minimum average read quality of Phred 7, a minimum read length of 100 bp, and the default low complexity filter. The reads were then mapped with minimap2 v2.17 to identify consensus with all microbes in the NCBI nt database. The obtained results were visualized in MultiQC reporting tool. AMR genes were identified by aligning the reads against the Resfinder (<ext-link ext-link-type="uri" xlink:href="http://genomicepidemiology.org">http://genomicepidemiology.org</ext-link>) with minimap2. Analysis from BugSeq outputs and visualizations were performed in Pavian R package v1.2.0 in RStudio (R version 4.1.0) (<ext-link ext-link-type="uri" xlink:href="https://www.r-project.org/">https://www.r-project.org/</ext-link>). Kraken 2 was used to analyze bacterial species and visualize the Pavian R package results.</p></sec>
</sec>
<sec id="s3">
<title>3 Results</title>
<sec>
<title>3.1 Abundance of airborne bacteria</title>
<p>The highest average total bacterial counts were observed inside the pig houses (4.8 &#x000D7; 10<sup>3</sup> CFU/m<sup>3</sup>, 1.9&#x02013;11.9 &#x000D7; 10<sup>3</sup> CFU/m<sup>3</sup>) (<xref ref-type="table" rid="T1">Table 1</xref>), followed by the downwind positions (2.3 &#x000D7; 10<sup>3</sup> CFU/m<sup>3</sup>, 0.2&#x02013;3.9 &#x000D7; 10<sup>3</sup> CFU/m<sup>3</sup>) and the upwind positions (1.0 &#x000D7; 10<sup>3</sup> CFU/m<sup>3</sup>, 0.3&#x02013;2.2 &#x000D7; 10<sup>3</sup> CFU/m<sup>3</sup>). The inside pig houses had higher bacterial loads in most farms, except for Farms 8 and 9, where the downwind concentrations were higher. The bacterial concentration inside the pig house at Farm 4 was highest (11.2 &#x000D7; 10<sup>3</sup> CFU/m<sup>3</sup>), while that of Farm 7 was lowest (2.5 &#x000D7; 10<sup>3</sup> CFU/m<sup>3</sup>). Only Farm 2 had comparable concentrations at the inside and downwind.</p>
</sec>
<sec>
<title>3.2 Bacterial species isolated from airborne dust in pig farms</title>
<p>Using conventional-standard methods, the abundance and distribution of the ESKAPE species, <italic>E. coli, Salmonella</italic> and <italic>Streptococcus</italic> species were determined (<xref ref-type="table" rid="T2">Table 2</xref>). <italic>Staphylococcus</italic> (<italic>n</italic> = 37) and <italic>Enterococcus</italic> species (<italic>n</italic> = 36) were the most frequently detected bacterial species in all samples. Of all five <italic>Klebsiella</italic> isolates, two were obtained from airborne samples, while the others were isolated from feed samples. <italic>Salmonella</italic> species (<italic>n</italic> = 3) were found only in feed and feces but not in the airborne dust samples. Only one <italic>Pseudomonas</italic> isolate, which came from the feed sample, was obtained.</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>Bacterial species identified at different sampling positions in pig farms (<italic>n</italic> = 175).</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919498;color:#ffffff">
<th valign="top" align="left"><bold>Farms</bold></th>
<th valign="top" align="center" colspan="9"><bold>Bacterial Species</bold><sup><bold>a, b</bold></sup></th>
<th valign="top" align="left"><bold>Total</bold></th>
</tr>
</thead>
<tbody>
<tr style="background-color:#919498;color:#ffffff">
<td/>
<td valign="top" align="left"><italic><bold>Enterococcus</bold></italic></td>
<td valign="top" align="left"><italic><bold>Staphylococcus</bold></italic></td>
<td valign="top" align="left"><italic><bold>Klebsiella</bold></italic></td>
<td valign="top" align="left"><italic><bold>Acinetobacter</bold></italic></td>
<td valign="top" align="left"><italic><bold>Pseudomonas</bold></italic></td>
<td valign="top" align="left"><italic><bold>Enterobacter</bold></italic></td>
<td valign="top" align="left"><italic><bold>E. coli</bold></italic></td>
<td valign="top" align="left"><italic><bold>Salmonella</bold></italic></td>
<td valign="top" align="left"><italic><bold>Streptococcus</bold></italic></td>
<td/>
</tr> <tr>
<td valign="top" align="left">Farm 1</td>
<td valign="top" align="left">U, I, D, Fe, Fa</td>
<td valign="top" align="left">U, I, D, Fe</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">Fa</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">U, I, D, Fa</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">14</td>
</tr> <tr>
<td valign="top" align="left">Farm 2</td>
<td valign="top" align="left">U, I, D, Fe, Fa</td>
<td valign="top" align="left">U, I, D, Fe, Fa</td>
<td valign="top" align="left">Fe</td>
<td valign="top" align="left">D</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">I, D, Fa</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">U, I, D, Fe, Fa</td>
<td valign="top" align="left">21</td>
</tr> <tr>
<td valign="top" align="left">Farm 3</td>
<td valign="top" align="left">U, I, D, Fa</td>
<td valign="top" align="left">U, I, D, Fa</td>
<td valign="top" align="left">Fe</td>
<td valign="top" align="left">U, I, D, Fe, Fa</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">U, Fe</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">U, I, D, Fe, Fa</td>
<td valign="top" align="left">20</td>
</tr> <tr>
<td valign="top" align="left">Farm 4</td>
<td valign="top" align="left">U, Fa</td>
<td valign="top" align="left">U, I, D, Fe, Fa</td>
<td valign="top" align="left">U</td>
<td valign="top" align="left">I, D, Fe, Fa</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">U, I, Fe, Fa</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">16</td>
</tr> <tr>
<td valign="top" align="left">Farm 5</td>
<td valign="top" align="left">Fe, Fa</td>
<td valign="top" align="left">U, I, D, Fe</td>
<td valign="top" align="left">I</td>
<td valign="top" align="left">U, D, Fe, Fa</td>
<td valign="top" align="left">Fe</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">Fe, Fa</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">14</td>
</tr> <tr>
<td valign="top" align="left">Farm 6</td>
<td valign="top" align="left">I, D, Fe, Fa</td>
<td valign="top" align="left">I, D, Fe</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">U, I, D, Fe, Fa</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">I, Fa</td>
<td valign="top" align="left">I</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">15</td>
</tr> <tr>
<td valign="top" align="left">Farm 7</td>
<td valign="top" align="left">U, I, D, Fe, Fa</td>
<td valign="top" align="left">U, I, D, Fe, Fa</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">I, D, Fa</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">I, Fe, Fa</td>
<td valign="top" align="left">I, Fe, Fa</td>
<td valign="top" align="left">Fa</td>
<td valign="top" align="left">I, D, Fe, Fa</td>
<td valign="top" align="left">24</td>
</tr> <tr>
<td valign="top" align="left">Farm 8</td>
<td valign="top" align="left">U, I, D, Fe, Fa</td>
<td valign="top" align="left">I, Fe</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">U, I, D, Fe</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">I, Fe, Fa</td>
<td valign="top" align="left">I, Fe</td>
<td valign="top" align="left">Fe</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">17</td>
</tr> <tr>
<td valign="top" align="left">Farm 9</td>
<td valign="top" align="left">U, I, D, Fa</td>
<td valign="top" align="left">U, I, D, Fe, Fa</td>
<td valign="top" align="left">Fe</td>
<td valign="top" align="left">U, I, D, Fe, Fa</td>
<td valign="top" align="left">N</td>
<td valign="top" align="left">Fe</td>
<td valign="top" align="left">Fe, Fa</td>
<td valign="top" align="left">Fa</td>
<td valign="top" align="left">I, Fe, Fa</td>
<td valign="top" align="left">22</td>
</tr> <tr>
<td valign="top" align="left">Total</td>
<td valign="top" align="left">36</td>
<td valign="top" align="left">37</td>
<td valign="top" align="left">5</td>
<td valign="top" align="left">32</td>
<td valign="top" align="left">1</td>
<td valign="top" align="left">9</td>
<td valign="top" align="left">23</td>
<td valign="top" align="left">3</td>
<td valign="top" align="left">17</td>
<td valign="top" align="left">163</td>
</tr></tbody>
</table>
<table-wrap-foot>
<p><sup>a</sup>U, Upwind; I, Inside; D, Downwind; Fe, Feed; Fa, Feces; N, Not found. <sup>b</sup>One isolate was collected for each bacterial species from every sampling position within each pig house.</p>
</table-wrap-foot>
</table-wrap>
</sec>
<sec>
<title>3.3 Phenotypic antimicrobial susceptibilities</title>
<p>Overall, the bacterial isolates obtained from pig farm environment in this study exhibited various AMR phenotype and rates (<xref ref-type="table" rid="T3">Table 3</xref>). The number of target bacterial species varied greatly amongst the farms, therefore the comparison between farms is not appropriate.</p>
<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption><p>Antimicrobial resistance rates (%) of bacterial species isolated from airborne dust, feed, and feces from the pig farms.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919498;color:#ffffff">
<th valign="top" align="left"><bold>Antimicrobials</bold></th>
<th valign="top" align="center" colspan="9"><bold>No. of resistant isolates (%)</bold></th>
</tr>
</thead>
<tbody>
<tr style="background-color:#919498;color:#ffffff">
<td/>
<td valign="top" align="center"><italic><bold>Enterococcus</bold></italic> <bold>(</bold><italic><bold>n</bold> =</italic> <bold>36)</bold></td>
<td valign="top" align="center"><italic><bold>Staphylococcus</bold></italic> <bold>(</bold><italic><bold>n</bold> =</italic> <bold>37)</bold></td>
<td valign="top" align="center"><italic><bold>Klebsiella</bold></italic> <bold>(</bold><italic><bold>n</bold> =</italic> <bold>5)</bold></td>
<td valign="top" align="center"><italic><bold>Acinetobacter</bold></italic> <bold>(</bold><italic><bold>n</bold> =</italic> <bold>32)</bold></td>
<td valign="top" align="center"><italic><bold>Pseudomonas</bold></italic> <bold>(</bold><italic><bold>n</bold> =</italic> <bold>1)</bold></td>
<td valign="top" align="center"><italic><bold>Enterobacter</bold></italic> <bold>(</bold><italic><bold>n</bold> =</italic> <bold>9)</bold></td>
<td valign="top" align="center"><italic><bold>E. coli</bold></italic> <bold>(</bold><italic><bold>n</bold> =</italic> <bold>23)</bold></td>
<td valign="top" align="center"><italic><bold>Salmonella</bold></italic> <bold>(</bold><italic><bold>n</bold> =</italic> <bold>3)</bold></td>
<td valign="top" align="center"><italic><bold>Streptococcus (n</bold> = <bold>17)</bold></italic></td>
</tr> <tr>
<td valign="top" align="left">Amoxicillin/Clavulanic Acid</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">3 (18)</td>
</tr> <tr>
<td valign="top" align="left">Ampicillin</td>
<td valign="top" align="center">2 (6)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">5 (100)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">9 (100)</td>
<td valign="top" align="center">23 (100)</td>
<td valign="top" align="center">3 (100)</td>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Azithromycin</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">5 (100)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">9 (100)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">2 (67)</td>
<td valign="top" align="center">13 (76)</td>
</tr> <tr>
<td valign="top" align="left">Aztreonam</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">1 (100)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Cefepime</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">2 (40)</td>
<td valign="top" align="center">2 (6)</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">2 (22)</td>
<td valign="top" align="center">3 (13)</td>
<td valign="top" align="center">1 (33)</td>
<td valign="top" align="center">8 (47)</td>
</tr> <tr>
<td valign="top" align="left">Cefotaxime</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">3 (60)</td>
<td valign="top" align="center">14 (42)</td>
<td valign="top" align="center">1 (100)</td>
<td valign="top" align="center">4 (44)</td>
<td valign="top" align="center">9 (39)</td>
<td valign="top" align="center">2 (67)</td>
<td valign="top" align="center">6 (35)</td>
</tr> <tr>
<td valign="top" align="left">Cefoxitin</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">14 (38)</td>
<td valign="top" align="center">3 (60)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">9 (100)</td>
<td valign="top" align="center">3 (13)</td>
<td valign="top" align="center">1 (33)</td>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Ceftazidime</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">2 (40)</td>
<td valign="top" align="center">8 (24)</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">2 (22)</td>
<td valign="top" align="center">9 (39)</td>
<td valign="top" align="center">1 (33)</td>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Cefuroxime (sodium)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">10 (59)</td>
</tr> <tr>
<td valign="top" align="left">Chloramphenicol</td>
<td valign="top" align="center">12 (33)</td>
<td valign="top" align="center">12 (32)</td>
<td valign="top" align="center">3 (60)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">8 (89)</td>
<td valign="top" align="center">17 (74)</td>
<td valign="top" align="center">2 (67)</td>
<td valign="top" align="center">6 (35)</td>
</tr> <tr>
<td valign="top" align="left">Ciprofloxacin</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">14 (38)</td>
<td valign="top" align="center">1 (20)</td>
<td valign="top" align="center">12 (36)</td>
<td valign="top" align="center">1 (100)</td>
<td valign="top" align="center">2 (22)</td>
<td valign="top" align="center">3 (13)</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Clindamycin</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">32 (86)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Colistin</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">1 (20)</td>
<td valign="top" align="center">8 (24)</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">7 (78)</td>
<td valign="top" align="center">4 (17)</td>
<td valign="top" align="center">1 (33)</td>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Doripenem</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">2 (6)</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Doxycycline</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">16 (48)</td>
<td valign="top" align="center">1 (100)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Ertapenem</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">1 (4)</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">3 (18)</td>
</tr> <tr>
<td valign="top" align="left">Erythromycin</td>
<td valign="top" align="center">34 (94)</td>
<td valign="top" align="center">28 (76)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">12 (71)</td>
</tr> <tr>
<td valign="top" align="left">Fusidate</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">17 (46)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Gentamicin</td>
<td valign="top" align="center">7 (19)</td>
<td valign="top" align="center">13 (35)</td>
<td valign="top" align="center">3 (60)</td>
<td valign="top" align="center">17 (52)</td>
<td valign="top" align="center">1 (100)</td>
<td valign="top" align="center">6 (67)</td>
<td valign="top" align="center">12 (52)</td>
<td valign="top" align="center">1 (33)</td>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Impipenem</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">2 (6)</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Kanamycin</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">9 (24)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Levofloxacin</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">6 (18)</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">0 (0)</td>
</tr> <tr>
<td valign="top" align="left">Linezolid</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">6 (16)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">2 (6)</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Nalidixic Acid</td>
<td/>
<td/>
<td valign="top" align="center">0 (0)</td>
<td/>
<td/>
<td valign="top" align="center">1 (11)</td>
<td valign="top" align="center">3 (13)</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Meropenem</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">2 (12)</td>
</tr> <tr>
<td valign="top" align="left">Minocycline</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">13 (39)</td>
<td valign="top" align="center">1 (100)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Moxifloxacin</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">2 (12)</td>
</tr> <tr>
<td valign="top" align="left">Mupirocin</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Penicillin</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">35 (95)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">15 (88)</td>
</tr> <tr>
<td valign="top" align="left">Polymyxin B</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">8 (24)</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Quinupristin/dalfopristin</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">29 (78)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Rifampin</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Streptomycin</td>
<td valign="top" align="center">17 (47)</td>
<td valign="top" align="center">29 (78)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Sulfamethoxazole</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">4 (11)</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">18 (78)</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Temocillin</td>
<td/>
<td/>
<td valign="top" align="center">0 (0)</td>
<td/>
<td/>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">4 (17)</td>
<td valign="top" align="center">1 (33)</td>
<td/>
</tr> <tr>
<td valign="top" align="left">Tetracycline</td>
<td valign="top" align="center">33 (92)</td>
<td valign="top" align="center">30 (81)</td>
<td valign="top" align="center">5 (100)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">7 (78)</td>
<td valign="top" align="center">17 (74)</td>
<td valign="top" align="center">3 (100)</td>
<td valign="top" align="center">12 (71)</td>
</tr> <tr>
<td valign="top" align="left">Tiamulin</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">37 (100)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Ticarcillin/ Clavulanic Acid</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">5 (15)</td>
<td valign="top" align="center">1 (100)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Tigecycline</td>
<td/>
<td/>
<td valign="top" align="center">0 (0)</td>
<td/>
<td/>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">17 (74)</td>
<td valign="top" align="center">3 (100)</td>
<td/>
</tr> <tr>
<td valign="top" align="left">Tobramycin</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">8 (24)</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">-</td>
<td/>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Trimethoprim</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">24 (65)</td>
<td valign="top" align="center">2 (40)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">7 (78)</td>
<td valign="top" align="center">16 (70)</td>
<td valign="top" align="center">3 (100)</td>
<td valign="top" align="center">-</td>
</tr> <tr>
<td valign="top" align="left">Trimethoprim/ Sulfamethoxazole</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">23 (70)</td>
<td valign="top" align="center">1 (100)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">8 (47)</td>
</tr> <tr>
<td valign="top" align="left">Vancomycin</td>
<td valign="top" align="center">0 (0)</td>
<td valign="top" align="center">3 (8)</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">-</td>
<td valign="top" align="center">0 (0)</td>
</tr></tbody>
</table>
<table-wrap-foot>
<p>(-) Not detected.</p>
</table-wrap-foot>
</table-wrap>
<p>High resistance rates to erythromycin (94%) and tetracycline (92%) were observed for the <italic>Enterococcus</italic> isolates from airborne dust, feed, and feces (<italic>n</italic> = 36). The <italic>Staphylococcus</italic> isolates (<italic>n</italic> = 37) showed high resistance rates to tiamulin (100%), penicillin (95%), and clindamycin (86%). Notably, <italic>Staphylococcus</italic> isolates collected from airborne dust displayed resistance to a wider range of antibiotics compared to those from feed and feces samples.</p>
<p>All the <italic>E. coli</italic> isolates (<italic>n</italic> = 23) were resistant to ampicillin, while displayed high resistance rates to most antimicrobials tested. All three <italic>Salmonella</italic> isolates were resistant to ampicillin, tetracycline, tigecycline and trimethoprim. They also exhibited resistance to cefotaxime, cefoxitin but none were resistant to ciprofloxacin. The <italic>Streptococcus</italic> isolates (<italic>n</italic> = 17) showed high resistance rates to penicillin (88%), azithromycin (76%), erythromycin (71%), and tetracycline (71%). All <italic>Klebsiella</italic> species (<italic>n</italic> = 5) obtained from airborne dust and feed samples were resistant to ampicillin, azithromycin, and tetracycline, while some were resistant to trimethoprim/sulfamethoxazole (16/5, 70%) and gentamicin (12/5, 52%).</p>
<p>The only one isolate of <italic>Pseudomonas</italic> species, obtained from a feed sample of Farm 5, was resistant to a wide range of antimicrobials, including aztreonam, cefotaxime, and ciprofloxacin. <italic>Enterobacter</italic> isolates (<italic>n</italic> = 9) demonstrated resistance to most antimicrobials, including ampicillin, azithromycin, cefoxitin, chloramphenicol, and gentamicin, with high resistance rates ranging from 89% to 100%. Resistance to cefepime, cefotaxime, and ceftazidime was also observed at a lower frequency.</p>
<p>The bacteria isolate with various AMR phenotypes widely distributed among farms (<xref ref-type="table" rid="T4">Table 4</xref>). For each farm, the same bacterial species with the same resistance phenotype were found in airborne dust, feed, and fecal samples, for example, <italic>Enterococcus</italic> resistant to ampicillin, azithromycin, cefotaxime, ceftazidime, chloramphenicol, gentamicin, tigecycline and trimethoprim were found in airborne dust, feed and fecal samples obtained from Farm 3.</p>
<table-wrap position="float" id="T4">
<label>Table 4</label>
<caption><p>Phenotypic characteristics of antimicrobial resistance in target bacterial species isolated from airborne dust, feed, and feces in pig farms.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919498;color:#ffffff">
<th valign="top" align="left"><bold>Bacterial species</bold></th>
<th valign="top" align="left"><bold>Sampling sources (<italic>n =</italic> )</bold></th>
<th valign="top" align="center" colspan="9"><bold>Farms</bold></th>
</tr>
</thead>
<tbody>
<tr style="background-color:#919498;color:#ffffff">
<td/>
<td/>
<td valign="top" align="left"><bold>Farm 1</bold></td>
<td valign="top" align="left"><bold>Farm 2</bold></td>
<td valign="top" align="left"><bold>Farm 3</bold></td>
<td valign="top" align="left"><bold>Farm 4</bold></td>
<td valign="top" align="left"><bold>Farm 5</bold></td>
<td valign="top" align="left"><bold>Farm 6</bold></td>
<td valign="top" align="left"><bold>Farm 7</bold></td>
<td valign="top" align="left"><bold>Farm 8</bold></td>
<td valign="top" align="left"><bold>Farm 9</bold></td>
</tr> <tr>
<td valign="top" align="left" rowspan="3"><italic><bold>Enterococcus</bold></italic> <bold>(</bold><italic><bold>n</bold> <bold>&#x0003D;</bold></italic> <bold>36)</bold></td>
<td valign="top" align="left"><bold>Airborne (22)</bold></td>
<td valign="top" align="left">ERY, TET</td>
<td valign="top" align="left">ERY, TET, STR</td>
<td valign="top" align="left">CHL, ERY, TET, GEN, STR</td>
<td valign="top" align="left">CHL, ERY, TET, GEN, STR</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, ERY, TET, GEN, STR</td>
<td valign="top" align="left">ERY, TET, STR</td>
<td valign="top" align="left">ERY, TET</td>
<td valign="top" align="left">CHL, ERY, TET, GEN, STR</td>
</tr>
 <tr>
<td valign="top" align="left"><bold>Feed (6)</bold></td>
<td valign="top" align="left">ERY, TET</td>
<td valign="top" align="left">ERY, TET, STR</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">CHL, TET, GEN</td>
<td valign="top" align="left">ERY, TET</td>
<td valign="top" align="left">ERY</td>
<td valign="top" align="left">ERY, TET</td>
<td valign="top" align="left">NA</td>
</tr>
 <tr>
<td valign="top" align="left"><bold>Feces (8)</bold></td>
<td valign="top" align="left">CHL, ERY, TET, STR</td>
<td valign="top" align="left">CHL, ERY, TET</td>
<td valign="top" align="left">AMP, CHL, ERY, TET, STR</td>
<td valign="top" align="left">CHL, ERY, TET, GEN, STR</td>
<td valign="top" align="left">S</td>
<td valign="top" align="left">ERY, TET</td>
<td valign="top" align="left">ERY, TET</td>
<td valign="top" align="left">CHL, ERY, TET, STR</td>
<td valign="top" align="left">CHL, ERY, TET, STR</td>
</tr> <tr>
<td valign="top" align="left" rowspan="3"><italic><bold>Staphylococcus</bold></italic> <bold>(</bold><italic><bold>n</bold> <bold>&#x0003D;</bold></italic> <bold>37)</bold></td>
<td valign="top" align="left"><bold>Airborne (24)</bold></td>
<td valign="top" align="left">CIP, CLI, ERY, FUS, GEN, KAN, PEN, STR, TET, TIA, TRI</td>
<td valign="top" align="left">FOX, CIP, CLI, ERY, FUS, PEN, SYN, STR, TET, TIA, TRI</td>
<td valign="top" align="left">CHL, CIP, CLI, ERY, FUS, GEN, KAN, LZD, PEN, SYN, STR, TET, TIA, TRI</td>
<td valign="top" align="left">FOX, CHL, CIP, CLI, ERY, FUS, GEN, KAN, PEN, SYN, STR, TET, TIA, TRI</td>
<td valign="top" align="left">FOX, CHL, CIP, CLI, ERY, FUS, GEN, PEN, SYN, STR, TET, TIA, TRI</td>
<td valign="top" align="left">CIP, CLI, ERY, GEN, PEN, SYN, STR, TET, TIA, TRI</td>
<td valign="top" align="left">CLI, ERY, FUS, PEN, SYN, STR, TET, TIA, TRI</td>
<td valign="top" align="left">FOX, CIP, CLI, ERY, GEN, PEN, SYN, STR, TET, TIA, TRI</td>
<td valign="top" align="left">FOX, CHL, CIP, CLI, ERY, FUS, GEN, PEN, SYN, STR, TET, TIA, TRI</td>
</tr>
 <tr>
<td valign="top" align="left"><bold>Feed (8)</bold></td>
<td valign="top" align="left">CLI, ERY, FUS, PEN, SYN, TIA, TRI</td>
<td valign="top" align="left">FOX, CHL, CLI, ERY, PEN, SYN, TIA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">FOX, CHL, CIP, CLI, ERY, FUS, GEN, KAN, LZD, PEN, SYN, SMX, TET, TIA, TRI, VAN</td>
<td valign="top" align="left">FOX, CHL, CLI, ERY, FUS, GEN, LZD, PEN, SYN, STR, SMX, TET, TIA, TRI</td>
<td valign="top" align="left">FOX, CLI, ERY, PEN, SYN, STR, TET, TIA</td>
<td valign="top" align="left">CLI, ERY, PEN, SYN, STR, TET, TIA, TRI</td>
<td valign="top" align="left">FOX, CLI, ERY, PEN, SYN, TET, TIA</td>
<td valign="top" align="left">FOX, CLI, ERY, PEN, SYN, STR, SMX, TET, TIA, TRI</td>
</tr>
 <tr>
<td valign="top" align="left"><bold>Feces (5)</bold></td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">CLI, ERY, FUS, PEN, SYN, SYN, STR, TIA, TRI</td>
<td valign="top" align="left">CLI, ERY, FUS, KAN, PEN, SYN, STR, TET, TIA</td>
<td valign="top" align="left">CHL, CLI, ERY, GEN, KAN, LZD, PEN, SYN, STR, TET, TIA, TRI</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">FOX, CIP, CLI, ERY, FUS, PEN, SYN, STR, TET, TIA, TRI</td>
<td/>
<td valign="top" align="left">FOX, CHL, CLI, ERY, FUS, GEN, LZD, PEN, SYN, STR, SMX, TET, TIA, TRI, VAN</td>
</tr> <tr>
<td valign="top" align="left" rowspan="2"><italic><bold>Klebsiella</bold></italic> <bold>(</bold><italic><bold>n</bold> <bold>&#x0003D;</bold></italic> <bold>5)</bold></td>
<td valign="top" align="left"><bold>Airborne (2)</bold></td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, AZI, FEP, CTX, CAZ, CHL, GEN, TET</td>
<td valign="top" align="left">AMP, AZI, FEP, CTX, FOX, CAZ, CHL, GEN, TET</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
</tr>
 <tr>
<td valign="top" align="left"><bold>Feed (3)</bold></td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, AZI. FOX, CHL, TET, TRI</td>
<td valign="top" align="left">AMP, AZI</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, AZI, CTX, FOX, CIP, CST, GEN, TET, TRI</td>
</tr> <tr>
<td valign="top" align="left" rowspan="3"><italic><bold>Acinetobacter</bold></italic> <bold>(</bold><italic><bold>n</bold> <bold>&#x0003D;</bold></italic> <bold>32)</bold></td>
<td valign="top" align="left"><bold>Airborne (19)</bold></td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">DOX, GEN, MIN, TOB, SXT</td>
<td valign="top" align="left">FEP, CTX, CAZ, CIP, CST, DOR, DOX, GEN, IMI, LVX, MER, MIN, POL, TOB, SXT</td>
<td valign="top" align="left">CTX, DOX, GEN, MIN, SXT</td>
<td valign="top" align="left">S</td>
<td valign="top" align="left">CTX, CAZ, CIP, CST, DOX, GEN, MIN, POL, TCC, SXT</td>
<td valign="top" align="left">CIP, SXT</td>
<td valign="top" align="left">FEP, CTX, CAZ, CIP, CST, DOX, GEN, MIN, POL, TCC, TOB, SXT</td>
<td valign="top" align="left">CTX, CIP, CST, DOR, DOX, IMI, MER, POL, TOB, SXT</td>
</tr>
 <tr>
<td valign="top" align="left"><bold>Feed (6)</bold></td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">CIP, DOX, GEN, LVX, SXT</td>
<td valign="top" align="left">CTX, CAZ, CIP, CST, DOX, GEN, LVX, MIN, POL, TCC, TOB, SXT</td>
<td valign="top" align="left">CAZ, DOX, GEN, SXT</td>
<td valign="top" align="left">S</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">CTX, CAZ, TCC</td>
<td valign="top" align="left">CTX, CST, DOX, GEN, MIN, POL, TCC, SXT</td>
</tr>
 <tr>
<td valign="top" align="left"><bold>Feces (7)</bold></td>
<td valign="top" align="left">CTX, MIN</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">CTX, DOX, GEN, MIN, SXT</td>
<td valign="top" align="left">CAZ, CIP, DOX, GEN, LVX, MIN, TOB, SXT</td>
<td valign="top" align="left">CAZ, DOX, GEN, SXT, TOB, SXT</td>
<td valign="top" align="left">CTX, CIP, CST, DOX, GEN, LVX, MIN, POL, TOB, SXT</td>
<td valign="top" align="left">CTX, CIP</td>
<td valign="top" align="left">DOX, GEN, MIN, SXT</td>
<td valign="top" align="left">CTX, CIP, DOX, GEN, LVX, MIN, SXT</td>
</tr> <tr>
<td valign="top" align="left"><italic><bold>Pseudomonas</bold></italic> <bold>(</bold><italic><bold>n</bold> <bold>&#x0003D;</bold></italic> <bold>1)</bold></td>
<td valign="top" align="left"><bold>Feed</bold></td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AZT, CTX, CIP, DOX, GEN, MIN, TCC, SXT</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
</tr> <tr>
<td valign="top" align="left" rowspan="3"><italic><bold>Enterobacter</bold></italic><break/> <bold>(</bold><italic><bold>n</bold> <bold>&#x0003D;</bold></italic> <bold>9)</bold></td>
<td valign="top" align="left"><bold>Airborne (3)</bold></td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, AZI, FOX, CHL, CST, TET</td>
<td valign="top" align="left">AMP, AZI, FEP, CTX, FOX, CAZ, CHL, CST, GEN, TET, TRI</td>
<td valign="top" align="left">AMP, AZI, FEP, CTX, FOX, CAZ, CHL, CST, GEN, TET, TRI</td>
<td valign="top" align="left">NA</td>
</tr>
 <tr>
<td valign="top" align="left"><bold>Feed (2)</bold></td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, AZI, CTX, FOX, CHL, CST, GEN, TET, TRI</td>
<td valign="top" align="left">AMP, AZI, FOX, TET</td>
<td valign="top" align="left">AMP, AZI, FOX, CHL, CIP, CST, GEN, NAL, TET, TRI</td>
<td valign="top" align="left">AMP, AZI, FOX, CHL, CST, GEN, TRI</td>
</tr>
 <tr>
<td valign="top" align="left"><bold>Feces (4)</bold></td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, AZI, FOX, CHL, TRI</td>
<td valign="top" align="left">AMP, AZI, CTX, FOX, CHL, CIP, CST, GEN, TET, TRI</td>
<td valign="top" align="left">NA</td>
</tr> <tr>
<td valign="top" align="left" rowspan="3"><italic><bold>E. coli</bold></italic><break/> <bold>(</bold><italic><bold>n</bold> <bold>&#x0003D;</bold></italic> <bold>23)</bold></td>
<td valign="top" align="left"><bold>Airborne (10)</bold></td>
<td valign="top" align="left">AMP, CTX, FOX, CAZ, ETP, SMX, TEM, TET, TGC, TRI</td>
<td valign="top" align="left">AMP, TGC</td>
<td valign="top" align="left">AMP, FEP, CTX, CAZ, CHL, GEN, SMX, TET, TGC, TRI</td>
<td valign="top" align="left">AMP, FEP, CTX, CAZ, CHL, GEN, SMX, TET, TGC, TRI</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, CHL, CIP, CST, NAL, SMX, TET, TRI</td>
<td valign="top" align="left">AMP, CTX, CAZ, CHL, CST, GEN, SMX, TET, TGC, TRI</td>
<td valign="top" align="left">AMP, CHL, CST, GEN, SMX, TET, TGC, TRI</td>
<td valign="top" align="left">NA</td>
</tr>
 <tr>
<td valign="top" align="left"><bold>Feed (6)</bold></td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, FOX, CHL, SMX, TEM, TET, TGC</td>
<td valign="top" align="left">AMP, CTX, CAZ, CHL, GEN, TGC, TRI</td>
<td valign="top" align="left">AMP, FOX, CHL, GEN, SMX, TET, TGC, TRI</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, CHL, SMX, TET, TGC</td>
<td valign="top" align="left">AMP, CHL, GEN, SMX, TET, TGC, TRI</td>
<td valign="top" align="left">AMP, CHL, CIP, CST, GEN, SMX, TET, TRI</td>
</tr>
 <tr>
<td valign="top" align="left"><bold>Feces (7)</bold></td>
<td valign="top" align="left">AMP, CHL, SMX, TEM, TET, TGC, TRI</td>
<td valign="top" align="left">AMP, CHL, SMX, TET, TGC, TRI</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, CTX, CAZ, CHL, GEN, NAL, SMX, TET, TGC, TRI</td>
<td valign="top" align="left">AMP, FEP, CTX, CAZ, CHL, CIP, GEN, NAL, SMX, TEM, TET, TGC, TRI</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, CHL</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, GEN, SMX, TET, TRI</td>
</tr> <tr>
<td valign="top" align="left" rowspan="2"><italic><bold>Salmonella</bold></italic><break/> <bold>(</bold><italic><bold>n</bold> <bold>&#x0003D;</bold></italic> <bold>3)</bold></td>
<td valign="top" align="left"><bold>Feed (1)</bold></td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, FEP, CTX, FOX, CAZ, TEM, TET, TGC, TRI</td>
<td valign="top" align="left">NA</td>
</tr>
 <tr>
<td valign="top" align="left"><bold>Feces (2)</bold></td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, AZI, CHL, TET, TGC, TRI</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AMP, AZI, CTX, CHL, CST, GEN, TET, TGC, TRI</td>
</tr> <tr>
<td valign="top" align="left" rowspan="3"><italic><bold>Streptococcus</bold> (<italic>n =</italic> 17)</italic></td>
<td valign="top" align="left"><bold>Airborne (9)</bold></td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AZI, FEP, CTX, FUR, ETP, ERY, PEN TET, SXT</td>
<td valign="top" align="left">AZI, FEP, CTX, FUR, ETP, ERY, MEM, PEN, TET, SXT</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AZI, FEP, PEN</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AZI, FEP, CHL, ERY, PEN</td>
</tr>
 <tr>
<td valign="top" align="left"><bold>Feed (4)</bold></td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AML, AZI, FEP, CTX, FUR, CHL, ERY, PEN, SXT</td>
<td valign="top" align="left">FUR, ERY, PEN, TET</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AZI, FEP, CTX, FUR, ETP, ERY, MEM, PEN, TET</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AML, AZI, FUR, CHL, ERY, MXF, PEN, TET, SXT</td>
</tr>
 <tr>
<td valign="top" align="left"><bold>Feces (4)</bold></td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AZI, FEP, FUR, CHL, ERY, PEN, TET</td>
<td valign="top" align="left">AZI, FEP, CTX, FUR, CHL, ERY, PEN, TET, SXT</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AZI, ERY, PEN, TET, SXT</td>
<td valign="top" align="left">NA</td>
<td valign="top" align="left">AML, AZI, CTX, FUR, CHL, ERY, MXF, PEN, TET, SXT</td>
</tr></tbody>
</table>
<table-wrap-foot>
<p>One isolate was collected from each positive sample. AML, Amoxicillin/Clavulanic Acid; AMP, Ampicillin; AZI, Azithromycin; AZT, Aztreonam; CAZ, Ceftazidime; CHL, Chloramphenicol; CIP, Ciprofloxacin; CLI, Clindamycin; CST, Colistin; CTX, Cefotaxime; DOR, Doripenem; DOX, Doxycycline; ERY, Erythromycin; ETP, Ertapenem; FEP, Cefepime; FOX, Cefoxitin; FUR, Cefuroxime (sodium); FUS, Fusidate; GEN, Gentamicin; IMI, Impipenem; KAN, Kanamycin; LVX, Levofloxacin; LZD, Linezolid; MER, Meropenem; MIN, Minocycline; MXF, Moxifloxacin; NAL, Nalidixic Acid; PEN, Penicillin; POL, Polymyxin B; SMX, Sulfamethoxazole; STR, Streptomycin; SXT, Trimethoprim/ Sulfamethoxazole; SYN, Quinupristin/dalfopristin; TCC, Ticarcillin/ Clavulanic Acid; TEM, Temocillin; TET, Tetracycline; TGC, Tigecycline; TIA, Tiamulin; TMP, Trimethoprim; TOB, Tobramycin; VAN, Vancomycin; NA, Not found: S, Susceptible.</p>
</table-wrap-foot>
</table-wrap>
</sec>
<sec>
<title>3.4 Metagenomic characteristics of airborne dust inside pig farms</title>
<sec>
<title>3.4.1 Bacterial community compositions</title>
<p>Based on the Kraken 2 analysis, a total number of 1,652 bacterial species were found in all seven pig farms (<xref ref-type="supplementary-material" rid="SM1">Supplementary Table S1</xref>), of which <italic>Staphylococcus chromogenes</italic> was the most common bacterial species, followed by <italic>Mammaliicoccus sciuri</italic> and <italic>Staphylococcus haemolyticus</italic>. The Sankey visualization revealed that the predominant bacterial phyla observed inside pig house were Bacillota and Pseudomonadota (<xref ref-type="fig" rid="F1">Figure 1</xref>). The Burkholderales order was discovered in Farms 4, 6, and 8. The relative proportions of phyla and genus of bacterial community compositions present in airborne dust from all pig farms are shown in <xref ref-type="fig" rid="F2">Figure 2</xref>. The Bacillota phylum occupied the highest proportion of all farms (19.7&#x02013;73.7%), of which Farm 9 had the highest percentage (73.7%). <italic>Staphylococcus</italic> was the most detected genus (50.8%). This bacterial pathogen was identified in all farms, except for Farm 4 where <italic>Acinetobacter</italic> was predominant. The number of bacterial species identified in each farm varied from 1,293 in Farm 3 to 325 in Farm 5 (<xref ref-type="table" rid="T1">Table 1</xref>).</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Sankey visualization from the Kraken 2 analysis of airborne bacterial communities inside pig farms (<italic>n</italic> = 7). It is shown in different taxonomy levels. The higher the portion for each phylum, the higher read counts. The number indicates the read counts. D, Domain; K, Kingdom; P, Phylum; C, Class; O, Order; F, Family; G, Genus; S, Species.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fvets-11-1362011-g0001.tif"/>
</fig>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Metagenomic classifications of bacterial community compositions at Phylum level (<bold>A)</bold> and Genus level (<bold>B)</bold> of airborne dust inside seven pig farms by Proportion (percentage of sequencing reads that align or map to a specific phyla and genus to the total number of reads) of top 5 phyla and genus.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fvets-11-1362011-g0002.tif"/>
</fig>
</sec>
<sec>
<title>3.4.2 Antimicrobial resistance genes</title>
<p>A hundred-fifty nine distinct AMR genes of 12 different antibiotic classes were identified in airborne dust from all pig farms (<xref ref-type="table" rid="T5">Table 5</xref>), including genes encoding resistance to aminoglycosides (24%), tetracycline (17%), macrolides (16%), &#x003B2;-lactams (13%), folate pathway antagonist (9%), lincomycin (7%), amphenicol (8%), as well as quinolone, polymyxin, glycoprotein, fosfomycin and fusidic acid at 1&#x02013;2% of each (<xref ref-type="fig" rid="F3">Figure 3</xref>).</p>
<table-wrap position="float" id="T5">
<label>Table 5</label>
<caption><p>Antimicrobial resistance genes identified in airborne dust inside pig farms (<italic>n</italic> = 159).</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919498;color:#ffffff">
<th valign="top" align="left"><bold>Antimicrobial class</bold></th>
<th valign="top" align="left"><bold>Antimicrobial genes</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Aminoglycoside</td>
<td valign="top" align="left"><italic>aac(3)-IIa, aac(3)-IId, aac(3)-IV, aac(3)-Iva, aac(3)-XI, aac(6&#x00027;)-IIa, aac(6&#x00027;)-Iid, aac(6&#x00027;)-Ib-cr, aac(6&#x00027;)-Ib3, aac(6&#x00027;)-aph(2&#x0201C;), aadA1, aadA11, aadA13, aadA15, aadA17, aadA2, aadA24, aadA2b, aadA3, aadA6, aadA7, aadA8b, aadA9, aadD, ant(2&#x0201D;)-Ia, ant(3&#x0201C;)-Ia, ant(6)-Ia, ant(9)-Ia, aph(2&#x0201D;)-Ia, aph(2&#x0201C;)-Ic, aph(2&#x0201D;)-If, aph(3&#x0201C;)-Ib, aph(3&#x00027;)-III, aph(3&#x00027;)-Ia, aph(3&#x00027;)-Via, aph(6)-Id</italic></td>
</tr> <tr>
<td valign="top" align="left">Amphenicol</td>
<td valign="top" align="left"><italic>cat, cat(pC221), cat86, catA2, catA3, catB2, cfr, cmlA1, cmx, fexA, fexB, floR, optrA</italic></td>
</tr> <tr>
<td valign="top" align="left">Beta lactam</td>
<td valign="top" align="left"><italic>bla<sub><italic>BRO</italic>&#x02212;2</sub></italic>, <italic>bla</italic><sub>CARB &#x02212; 2</sub>, <italic>bla</italic><sub>CARB &#x02212; 4</sub>, <italic>bla</italic><sub>CTX &#x02212; M&#x02212;14</sub>, <italic>bla</italic><sub>CTX &#x02212; M&#x02212;55</sub>, <italic>bla</italic><sub>DHA &#x02212; 1</sub>, <italic>bla</italic><sub>DHA &#x02212; 27</sub>, <italic>bla</italic><sub>EBR &#x02212; 1</sub>, <italic>bla</italic><sub>OXA &#x02212; 10</sub>, <italic>bla</italic><sub>OXA &#x02212; 164</sub>, <italic>bla</italic><sub>OXA &#x02212; 17</sub>, <italic>bla</italic><sub>OXA &#x02212; 209</sub>, <italic>bla</italic><sub>OXA &#x02212; 276</sub>, <italic>bla</italic><sub>OXA &#x02212; 284</sub>, <italic>bla</italic><sub>OXA &#x02212; 347</sub>, <italic>bla</italic><sub>OXA &#x02212; 360</sub>, <italic>bla</italic><sub>OXA &#x02212; 58</sub>, <italic>bla</italic><sub>ROB &#x02212; 1</sub>, <italic>mecA, mecA1, mecB, mecD</italic>,</td>
</tr> <tr>
<td valign="top" align="left">Folate pathway antagonists</td>
<td valign="top" align="left"><italic>dfrA1, dfrA12, dfrA14, dfrA15, dfrA16, dfrE, dfrG, sul1, sul2, sul3</italic></td>
</tr> <tr>
<td valign="top" align="left">Quinolone</td>
<td valign="top" align="left"><italic>qnrS1, qnrS10, qnrS11, qnrS13, qnrS3, qnrS8, qnrS9, qnrVC4</italic></td>
</tr> <tr>
<td valign="top" align="left">Macrolide</td>
<td valign="top" align="left"><italic>ere</italic>(D), <italic>erm</italic>(36), <italic>erm</italic>(42), <italic>erm</italic>(45), <italic>erm</italic>(47), <italic>erm</italic>(50), <italic>erm</italic>(A), <italic>erm</italic> (B), <italic>erm</italic>(C), <italic>erm</italic>(F), <italic>erm</italic>(T), <italic>erm</italic>(X), <italic>erm</italic>(Y), <italic>mef</italic>(A), <italic>mef</italic>(C), <italic>mph</italic>(B), <italic>mph</italic>(C), <italic>mph</italic>(E), <italic>mph</italic>(F), <italic>mph</italic>(G), <italic>msr</italic>(A), <italic>msr</italic>(D), <italic>msr</italic>(E)</td>
</tr> <tr>
<td valign="top" align="left">Tetracyclines</td>
<td valign="top" align="left"><italic>poxt</italic>A, <italic>tet</italic>(33), <italic>tet</italic>(36), <italic>tet</italic>(39), <italic>tet</italic>(A), <italic>tet</italic>(G), <italic>tet</italic>(H), <italic>tet</italic>(K), <italic>tet</italic>(L), <italic>tet</italic>(M), <italic>tet</italic>(O), <italic>tet</italic>(O/W/32/O), <italic>tet</italic>(S), <italic>tet</italic>(W), <italic>tet</italic>(X), <italic>tet</italic>(X3), <italic>tet</italic>(X4), <italic>tet</italic>(X5), <italic>tet</italic>(X6), <italic>tet</italic>(Y), <italic>tet</italic>(Z), <italic>tetA</italic>(P)</td>
</tr> <tr>
<td valign="top" align="left">Lincosamide</td>
<td valign="top" align="left"><italic>Inu</italic>(B)<italic>, Isa</italic>(B)<italic>, Isa</italic>(E)<italic>, sal</italic>(A)<italic>, vga</italic>(A)LC<italic>, vga</italic>(A)V<italic>, vga</italic>(E)</td>
</tr> <tr>
<td valign="top" align="left">Polymixin</td>
<td valign="top" align="left"><italic>mcr-1.1, mcr-2.2, mcr3.19, mcr-3.5, mcr-4.3, mcr-6</italic>.</td>
</tr> <tr>
<td valign="top" align="left">Fusidic acid</td>
<td valign="top" align="left"><italic>fusC</italic></td>
</tr> <tr>
<td valign="top" align="left">Fosfomycin</td>
<td valign="top" align="left"><italic>fosB, fosB1, fosB4, fosD</italic></td>
</tr> <tr>
<td valign="top" align="left">Glycopoptide</td>
<td valign="top" align="left"><italic>bleO</italic></td>
</tr></tbody>
</table>
</table-wrap>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>Antimicrobial resistance genes found in airborne dust inside pig farms (<italic>n</italic> = 7) by metagenomic sequencing. (<bold>A)</bold> Proportions of the number of detected genes for each antibiotic class. Proportion represents the percentage of number of detected genes for each antibiotic class to the total number of detected genes of resistance genes of different antibiotic classes from airborne dust collected inside the 7 pig farms. (<bold>B)</bold> Resistance gene profile in airborne dust inside the 7 pig farms. The stacked bar chart represents the number of detected resistance genes in each antibiotic class in each pig farm. Each colored segment within the bars corresponds to a specific resistance gene.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fvets-11-1362011-g0003.tif"/>
</fig>
<p>Seventy-four resistance genes were identified in ESKAPE species, of which <italic>Staphylococcus</italic> species (32 resistance genes) and <italic>Acinetobacter</italic> species (25 resistance genes) carried most AMR genes. The <italic>mcr</italic> 6.1 gene was detected in <italic>Klebsiella</italic> species, while <italic>Pseudomonas</italic> and <italic>Enterobacter</italic> species did not host any resistance genes as indicated by Bugseq metagenomic sequencing analysis data (<xref ref-type="supplementary-material" rid="SM1">Supplementary Table S3</xref>).</p>
<p>Several genes encoding resistance to clinically important antibiotics were determined, for example, &#x000DF;-lactam resistance (e.g., <italic>bla</italic><sub>CARB &#x02212; 2</sub>, <italic>bla</italic><sub>CARB &#x02212; 4</sub>, <italic>bla</italic><sub>OXA &#x02212; 10</sub>, <italic>bla</italic><sub>OXA &#x02212; 164</sub>, <italic>bla</italic><sub>OXA &#x02212; 17</sub>, <italic>bla</italic><sub>OXA &#x02212; 209</sub>, <italic>bla</italic><sub>OXA &#x02212; 276</sub>, <italic>bla</italic><sub>OXA &#x02212; 284</sub>, <italic>bla</italic><sub>OXA &#x02212; 347</sub>, <italic>bla</italic><sub>OXA &#x02212; 360</sub>, <italic>bla</italic><sub>OXA &#x02212; 58</sub>) and colistin resistance (e.g., <italic>mcr-1.1, mcr-2.2, mcr-3.19, mcr-3.5, mcr-4.3</italic>, and <italic>mcr-6</italic>) (<xref ref-type="table" rid="T5">Table 5</xref>).</p></sec>
<sec>
<title>3.4.3 Plasmid diversity</title>
<p>Two hundred-fifty-one plasmids were identified in all pig farms (<xref ref-type="supplementary-material" rid="SM1">Supplementary Table S4</xref>). Different numbers of plasmids were detected in different farms. The highest number of plasmids were detected in Farm 6 (<italic>n</italic> = 72), followed by Farm 3 (<italic>n</italic> = 56) and Farm 4 (<italic>n</italic> = 53). <italic>S. aureus</italic> (<italic>n</italic> = 48), <italic>A. baumannii</italic> (<italic>n</italic> = 19), and <italic>E. coli</italic> (<italic>n</italic> = 22) served as the most common hosts for the plasmids across all pig farms (<xref ref-type="supplementary-material" rid="SM1">Supplementary Table S4</xref>). No plasmids were identified in <italic>Pseudomonas</italic> and <italic>Enterobacter</italic>.</p>
<p>The same plasmid was detected in multiple farms, for example, pKKS49 (Accession no. <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="NC_019149">NC_019149</ext-link>), and an unnamed3 plasmid (Accession no. <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="CP027181">CP027181</ext-link>) were found in Farms 3, 4, 6, 7 and 8. The predicted host of these two plasmids were <italic>S. aureus</italic> and <italic>A. baumannii</italic>, respectively. Another common plasmid is pSALNBL118 (Accession no. <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="CP042023">CP042023</ext-link>) with the predicted host of <italic>S. aureus</italic> that was found in Farms 3, 4, 5, 6 and 9. Several plasmids carried genes encoding resistance to clinically important antibiotics. For example, <italic>mcr-</italic>carrying plasmids were exclusively found in Farm 6 (<italic>n</italic> = 6), including pCHL5009T-102k-<italic>mcr3</italic> (Accession no. <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="CP032937">CP032937</ext-link>), pEH_<italic>mcr4.3</italic> (Accession no. <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="CP038261">CP038261</ext-link>), pMCR3_025943 (Accession no. <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="CP027203">CP027203</ext-link>), pSa4-CIP (Accession no. <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="MG874042">MG874042</ext-link>), pTR1 (Accession no. <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="KJ187751">KJ187751</ext-link>), and pYY76&#x02013;1&#x02013;2 (Accession no. <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="CP040929">CP040929</ext-link>) (<xref ref-type="supplementary-material" rid="SM1">Supplementary Table S4</xref>). These plasmids were hosted by <italic>A. baumannii, E. coli, Salmonella</italic> spp., and <italic>Klebsiella pneumoniae</italic>.</p></sec></sec>
</sec>
<sec id="s4">
<title>4 Discussion</title>
<p>One of the major findings in this study was the presence of various bacterial pathogens and plasmids in airborne dust within and around pig farms. The concentrations of culturable airborne bacteria in pig houses either average (4.8 10<sup>3</sup> CFU/m<sup>3</sup>) or individual farms (1.9&#x02013;11.2 &#x000D7; 10<sup>3</sup> CFU/m<sup>3</sup>) in this study were comparable to a study conducted in farrowing, weaning, and fattening pig houses in China (<xref ref-type="bibr" rid="B38">38</xref>) but lower than previous studies in a nursery pig house in South Korea (1.34 &#x000D7; 10<sup>5</sup> CFU/m3) (<xref ref-type="bibr" rid="B39">39</xref>) and in pig confinement facility (1.8 &#x000D7; 10<sup>4</sup> CFU/m<sup>3</sup>) in the US (<xref ref-type="bibr" rid="B22">22</xref>). Thailand has a warm-humid tropical climate throughout the year and the sample collection was taken place in the rainy due to the expectation of high bacterial load inside the farm (<xref ref-type="bibr" rid="B23">23</xref>). The quantities of airborne microorganisms are affected by several factors e.g., different animal species, housing arrangements, management practices, and seasonal variations (<xref ref-type="bibr" rid="B40">40</xref>). However, the influence of these meteorological parameters was not pursued. The participating pig farms in this study implemented several farm management practices, including close house system with mechanical ventilation, routine cleaning and hygienic maintenance, biosecurity measures, age group separation in different houses, regular health monitoring and disease management systems, all of which helped to lower airborne bacterial counts. The Canadian Occupational Health and Safety Research Institute Robert Sauv&#x000E9; (IRSST) recommended that the concentration of total bacteria present during agricultural activity should not exceed 10,000 CFU/m3 in the air throughout an 8-h work period (<xref ref-type="bibr" rid="B41">41</xref>). The bacterial concentrations in all participating pig farms, except Farm 4 (11.2 &#x000D7; 10<sup>3</sup> CFU/m<sup>3</sup>), were lower than the suggested level. Farm 4 had the most total pigs (13,000 heads), as well as the most pigs (700 heads) in the sampling pen. Typically, larger pig populations in a confined space can result in higher microbial shedding, increased fecal matter and greater respiratory secretions, leading to an increased bacterial load in the air. These factors could explain the observation of the higher bacterial counts in airborne dust in Farm 4 that are greater than the advised level and those in other farms.</p>
<p><italic>Staphylococcus</italic> has a remarkable ability to adapt their metabolic processes and composition to overcome obstacles, resulting in survival and persistence in an environment where many factors are unfavorable for growth and proliferation (<xref ref-type="bibr" rid="B42">42</xref>). Using either a culture-based approach or metagenomic sequencing analysis, <italic>Staphylococcus</italic> species were most prevalent in the airborne dust inside pig farms (<xref ref-type="fig" rid="F1">Figure 1</xref>), in agreement with previous studies (<xref ref-type="bibr" rid="B43">43</xref>, <xref ref-type="bibr" rid="B44">44</xref>). In contrast, <italic>Salmonella</italic> species was isolated only from fecal and feed samples, in agreement with previous studies conducted in pig buildings in the US (<xref ref-type="bibr" rid="B45">45</xref>) and Eastern Canada (<xref ref-type="bibr" rid="B46">46</xref>). The absence of <italic>Salmonella</italic> in airborne dust samples observed was possibly due to the <italic>Salmonella</italic> level being so low that they were undetectable or the culture media being inadequate for culturing airborne samples (<xref ref-type="bibr" rid="B46">46</xref>). The latter emphasizes the need for the development of more efficient methods to recover cultivable airborne <italic>Salmonella</italic> species.</p>
<p>It was previously demonstrated that Gram-positive bacteria predominated in airborne microbial contents whereas Gram-negative bacteria were in relatively low numbers (<xref ref-type="bibr" rid="B47">47</xref>). This is consistent with the current findings, which found that the most common species in all samples were <italic>Staphylococcus</italic> and <italic>Enterococcus</italic> species. This is likely because Gram-positive can produce spore that enhance their resistance to environmental stresses, leading to better growing in cultivation conditions (<xref ref-type="bibr" rid="B48">48</xref>). At the same time, Gram-negative bacteria tend to have short survival times in an airborne environment (<xref ref-type="bibr" rid="B49">49</xref>).</p>
<p>Pathogenic bacteria isolated from airborne dust in this study exhibited high AMR rates and most were resistant to multiple drugs (multidrug resistance, MDR), in agreement with previous studies (<xref ref-type="bibr" rid="B43">43</xref>, <xref ref-type="bibr" rid="B50">50</xref>). The presence of MDR bacteria in the airborne dust raises a particular concern of the risk of occupational infections, and vice versa, there is a possibility that farm workers serve as asymptomatic reservoirs of MDR bacteria (<xref ref-type="bibr" rid="B50">50</xref>, <xref ref-type="bibr" rid="B51">51</xref>). Airborne MDR bacteria have broader public health implications, as they can spread to the community and environment, including people who live close to pig farms.</p>
<p>Despite the limited number, the <italic>Acinetobacter</italic> and <italic>Pseudomonas</italic> isolates displayed resistance to various antimicrobials, e.g., aztreonam, cefotaxime, and ciprofloxacin. These two bacteria are opportunistic pathogens that may inflict diseases in people with impaired lung condition. Clindamycin is commonly used for the treatment of <italic>Staphylococcal</italic> and <italic>Streptococcal</italic> pneumonia, including community-acquired methicillin-resistant <italic>S. aureus</italic> (MRSA) infections (<xref ref-type="bibr" rid="B52">52</xref>, <xref ref-type="bibr" rid="B53">53</xref>). Therefore, the presence of clindamycin-resistant <italic>Staphylococcus</italic> species in the airborne dust is of particular concern for public health. Taken together, the findings raise the alarm for the occupational and public health threat associated with airborne dust from pig farms and call for the development of effective measures to minimize the spread of AMR in farm environments.</p>
<p>Metagenomics provides a massive amount of data, yet a lot of it may be irrelevant or ambiguous. In this study, the combination of culture-dependent and -independent techniques was used. The total DNA for metagenomic sequencing analysis was prepared from the pooled bacteria, providing microbiome samples that mostly comprised bacteria DNA rather than other microorganisms. This combination was previously shown to improve understanding of human-associated microbial communities in relation to human health and disease (<xref ref-type="bibr" rid="B54">54</xref>). TSA, a non-selective media, contains nutrients required to support the growth of a wide range of bacteria and has been used for culturing bacteria from dust in several previous studies (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B43">43</xref>, <xref ref-type="bibr" rid="B55">55</xref>). The limitation was that TSA examined only culturable bacteria, resulting in the lack of non-culturable bacteria, fastidious bacteria with high nutrient requirements and bacteria with slow growth rate. The incubation conditions were aerobic; therefore, anaerobic bacteria are overlooked.</p>
<p>Metagenomic sequencing analysis in this study focused on the pooled bacteria collected inside each pig house to investigate the indoor microbial composition and its possible association with antimicrobial usage. Analyzing the microbiome composition of the outdoor environment of pig houses could provide insights into variations in microbial communities but the contributions of variables from other sources must be considered.</p>
<p>Bacillota was a major phylum in this study providing the evidence for the predominance of Gram-positive bacteria in airborne dust. This is in agreement with previous studies demonstrating the presence of the Bacillota in various atmospheric environments including animal farms (<xref ref-type="bibr" rid="B56">56</xref>) and animal feces served as a significant source of bacteria in this phylum (<xref ref-type="bibr" rid="B57">57</xref>). Therefore, the prolonged storage of manure in pits before its removal could be attributed to the higher bacteria level in the air within pig farms.</p>
<p>Indoor bioaerosols in food animal farms played a crucial role in the dissemination of AMR genes (<xref ref-type="bibr" rid="B12">12</xref>), in agreement with the observation of several genes encoding resistance to a wide range of antibiotic classes in this study (<xref ref-type="supplementary-material" rid="SM1">Supplementary Table S2</xref>). Aminoglycosides resistance encoding genes were at the highest abundance, in agreement with previous studies conducted in urban environment and pig farm (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B58">58</xref>). A previous study showed that aminoglycoside resistance genes, such as <italic>aph(3</italic>&#x02032;<italic>)-I, aadE</italic>, and <italic>aad</italic> were dominant in total suspended particulate samples collected from pig and chicken farms (<xref ref-type="bibr" rid="B58">58</xref>). The predominance of <italic>aadD, aadE, and aad(6)</italic> was previously observed in bioaerosols in chicken farms (<xref ref-type="bibr" rid="B59">59</xref>). High concentrations of <italic>aac6</italic>&#x02032;<italic>-II, aadA1, aphA3</italic>, and <italic>strB</italic> in the air of various animal farms, e.g., pig, cattle, layer, and broiler farms were recently reported (<xref ref-type="bibr" rid="B13">13</xref>). These studies collectively underscore the importance of airborne dust from pig farms as a significant transmission pathway for AMR genes. Interestingly, no resistance genes were detected by Bugseq Metagenomic Sequencing Analysis in <italic>Pseudomonas</italic> and <italic>Enterobacter</italic> species, which are notorious for being MDR and containing multiple AMR genes (<xref ref-type="supplementary-material" rid="SM1">Supplementary Table S3</xref>). This may be attributed to low DNA content of these two species in airborne samples and the lack of certain AMR genes in the database. Further studies are warranted to explore the mechanisms and implications of AMR transmission through the atmosphere in livestock settings.</p>
<p>Previous studies showed that the global atmosphere is being polluted by AMR genes, in particular &#x003B2;-lactam resistance genes (<xref ref-type="bibr" rid="B7">7</xref>) and the occurrence of the genes in airborne particulate matter, dust, and human airways was positively correlated with <italic>Staphylococcus</italic> spp. (<xref ref-type="bibr" rid="B60">60</xref>). These agree with the metagenomic sequencing results in this study. A particular concern was the existence of <italic>bla</italic><sub>OXA</sub> genes encoding OXA-type carbapenemases known to play a crucial role in carbapenem resistance in <italic>Acinetobacter</italic> and <italic>Pseudomonas</italic> species (<xref ref-type="bibr" rid="B61">61</xref>). The airborne transmission of these genes possibly provides the context for the clinical significance and potential treatment challenges in the clinical setting.</p>
<p>Colistin is one of the highest priorities critically important antibiotics but has been extensively used in pig farming. Colistin-resistant <italic>E. coli</italic> strains carrying plasmid-based <italic>mcr-1</italic> were reported in food animals within China in 2016 (<xref ref-type="bibr" rid="B62">62</xref>). Since then, various <italic>mcr</italic> variants have been uncovered in livestock populations worldwide. The dissemination of colistin resistance gene including <italic>mcr-1, mcr-2</italic> and <italic>mcr-3</italic> genes were previously reported in Thai pig farms, of which <italic>mcr-3</italic> was most common (<xref ref-type="bibr" rid="B63">63</xref>, <xref ref-type="bibr" rid="B64">64</xref>). The Metagenomic Sequence analysis in this study revealed several plasmid-borne colistin resistance genes (e.g., <italic>mcr-1.1, mcr-2.2, mcr-3.19, mcr-3.5, mcr-4.3</italic>, and <italic>mcr-6</italic>). To our knowledge, <italic>mcr-4.3</italic> and <italic>mcr-6</italic> have never been reported in pig farms. No participating farms in this study explicitly mentioned the use of colistin. It is worth noting that colistin was frequently incorporated into medicated feed for suckling and nursery piglets in Thailand as a preventive measure against gastrointestinal tract infections. In Thai pig production, an estimated 40 tons of colistin were combined with medicated feed, of which 87.2% was designated for piglets (<xref ref-type="bibr" rid="B65">65</xref>). Extensive use of colistin may lead to the high colistin resistance in the pig production and can spread to the other farms via environmental contamination. The results underline the importance of further studies to comprehend the dynamics and implications of colistin resistance in the interconnected ecosystems of human, animal, and environmental health and to guide the development of effective strategies to preserve the efficacy of this critically important antibiotic.</p>
<p>Based on the metagenomic sequencing analysis, the same plasmids were detected in multiple farms, suggesting the spread of these plasmids among farms. It is well perceived that horizontal transfer of R plasmids plays a crucial role in the wide distribution of AMR. However, <italic>in vitro</italic> horizontal transmission of R plasmids was not pursued in this study.</p>
<p>The plasmids pSALNBL118, pKKS49, and an unnamed plasmid (Accession no. <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="CP027181">CP027181</ext-link>) were detected in up to 5 farms. pSALNBL118 is a phage like plasmid originated from <italic>S. aureus</italic> strain B3&#x02013;4A isolated from beef liver (<xref ref-type="bibr" rid="B66">66</xref>) and might be important for horizontal gene transfer (<xref ref-type="bibr" rid="B67">67</xref>) and transmission of virulence factors. The plasmid pKKS49 carrying <italic>apmA</italic> encoding apramycin resistance, which were originated from an MRSA ST398 isolate obtained from a dust sample taken in a holding with breeding pigs in Portugal (<xref ref-type="bibr" rid="B68">68</xref>). Apramycin is frequently used for treatment and control of gastrointestinal tract infection in piglets in Thai pig farms (<xref ref-type="bibr" rid="B65">65</xref>), which can create selective pressure leading to resistant of this antibiotic (<xref ref-type="bibr" rid="B69">69</xref>). However, it was not disclosed if the antibiotic was used in the participating farm in this study. In addition, the unnamed plasmid carrying <italic>ant (2&#x0201D;)-Ia</italic> was commonly detected in gentamicin-resistant <italic>A. baumannii</italic> strain and should be further characterized due to the clinical importance of the pathogen.</p>
<p>The finding of <italic>mcr</italic>-harboring plasmids was limited to Farm 6, despite the farm not disclosing its use of the antibiotic. This suggests the possibility of contamination from external sources such as farm workers, contaminated feed, and water as well as the environmental contamination of AMR bacteria and genes, in addition to co-selection by other antibiotics. pCHL5009T-102k-<italic>mcr3</italic> harboring <italic>mcr-3.5</italic> and <italic>bla</italic><sub>CTX &#x02212; M55</sub> was identified in <italic>E. coli</italic>. The plasmid was originally found to carry both <italic>mcr-1</italic> and <italic>mcr-3</italic> and isolated from <italic>E. coli</italic> in a patient in New Zealand who have experienced travel to Thailand (<xref ref-type="bibr" rid="B70">70</xref>). The observation of pCHL5009T-102k-<italic>mcr3</italic> corresponded to previous studies that revealed the limited presence of <italic>mcr-1</italic> and the predominance of <italic>mcr-3</italic> in the <italic>E. coli</italic> isolates from healthy and sick pigs (<xref ref-type="bibr" rid="B64">64</xref>). Even though the reason underlying for the <italic>mcr-1</italic> loss remains unclear, the co-localization of <italic>mcr</italic> and <italic>bla</italic><sub>CTX &#x02212; M55</sub> on the same plasmid is an alarm for the distribution of bacterial pathogens resistant to last line antibiotics in the airborne dust in pig farm (<xref ref-type="bibr" rid="B71">71</xref>).</p>
<p>Additional limitations to this study are noted. Despite significant advancements in genomics, many resistance genes and bacterial species are still unidentified and unrepresented in databases. Furthermore, some bacteria with low biomass and resistance genes with low copies may not yield sufficient DNA copies for identifying by Metagenomic sequencing.</p>
<p>In conclusion, the results in this study demonstrated that the airborne dust around and within pig houses contained a wide array of microorganisms as well as AMR bacteria, posing potential risks to human, animal, and environmental health. The use of culture-based techniques in combination with metagenomic sequencing analysis enables the detection of a wider range of bacteria and their AMR genotype, providing valuable insights and providing crucial information for risk assessment, intervention planning, and informed decision-making to combat the spread of AMR. Specific guidelines to limit bioaerosol concentrations in livestock farm as well as to protect worker health are required. Future studies are suggested to examine the impact of AMR-contaminated airborne dust exposures in areas where animals are reared on the general public&#x00027;s health.</p></sec>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>Metagenomic sequencing data were submitted to NCBI Sequence Read Archive (SRA) with accession numbers <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="SRR25743046">SRR25743046</ext-link>&#x02013;<ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="SRR25743052">SRR25743052</ext-link> under the BioProject accession number <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="PRJNA1006161">PRJNA1006161</ext-link>.</p></sec>
<sec sec-type="author-contributions" id="s6">
<title>Author contributions</title>
<p>SH: Conceptualization, Formal analysis, Investigation, Methodology, Visualization, Writing&#x02014;original draft, Writing&#x02014;review &#x00026; editing. RP: Investigation, Writing&#x02014;review &#x00026; editing. SS: Investigation, Writing&#x02014;review &#x00026; editing. DM: Investigation, Methodology, Writing&#x02014;review &#x00026; editing. TW: Formal analysis, Software, Visualization, Writing&#x02014;review &#x00026; editing. PJ: Formal analysis, Software, Visualization, Writing&#x02014;review &#x00026; editing. PT: Investigation, Methodology, Writing&#x02014;review &#x00026; editing. RC: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Supervision, Validation, Visualization, Writing&#x02014;original draft, Writing&#x02014;review &#x00026; editing.</p></sec>
</body>
<back>
<sec sec-type="funding-information" id="s7">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This Research is funded by the Thailand Science Research and Innovation Fund Chulalongkorn University [CU_FRB65_hea (88)_193_31_12]. It was also partially supported by the 90th year anniversary of Chulalongkorn University fund and National Research Council of Thailand (NRCT) Project ID N42A660897. SH is a recipient of Graduate Scholarship Programme for ASEAN and Non-ASEAN countries, Chulalongkorn University.</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<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 sec-type="disclaimer" id="s8">
<title>Publisher&#x00027;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>
<sec sec-type="supplementary-material" id="s9">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fvets.2024.1362011/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fvets.2024.1362011/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Table_1.xlsx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet" xmlns:xlink="http://www.w3.org/1999/xlink"/></sec>
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