Abraham, SamKirkwood, Roy N.Laird, TanyaSaputra, SugiyonoMitchell, TahliaSingh, MohinderLinn, BenjaminAbraham, Rebecca J.Pang, StanleyGordon, DavidTrott, DarrenO'Dea, Mark2021-10-262021-10-261751-7370http://hdl.handle.net/1885/251200This study investigated the ecology, epidemiology and plasmid characteristics of extended-spectrum cephalosporin (ESC)-resistant E. coli in healthy pigs over a period of 4 years (2013–2016) following the withdrawal of ESCs. High carriage rates of ESC-resistant E. coli were demonstrated in 2013 (86.6%) and 2014 (83.3%), compared to 2015 (22%) and 2016 (8.5%). ESC resistance identified among E. coli isolates was attributed to the carriage of an IncI1 ST-3 plasmid (pCTXM1-MU2) encoding blaCTXM-1. Genomic characterisation of selected E. coli isolates (n = 61) identified plasmid movement into multiple commensal E. coli (n = 22 STs). Major STs included ST10, ST5440, ST453, ST2514 and ST23. A subset of the isolates belong to the atypical enteropathogenic E. coli (aEPEC) pathotype that harboured multiple LEE pathogenic islands. pCTXM1-MU2 was similar (99% nt identity) to IncI1-ST3 plasmids reported from Europe, encoded resistance to aminoglycosides, sulphonamides and trimethoprim, and carried colicin Ib. pCTXM1-MU2 appears to be highly stable and readily transferable. This study demonstrates that ESC resistance may persist for a protracted period following removal of direct selection pressure, resulting in the emergence of ESC-resistance in both commensal E. coli and aEPEC isolates of potential significance to human and animal health.This study was funded by the DVM clinical research programme, University of Adelaide and Small Grant Scheme of School of Veterinary Life Sciences, Murdoch University.application/pdfen-AU© The Author(s) 2018.https://creativecommons.org/licenses/by/4.0/201810.1038/s41396-018-0200-32020-11-23Creative Commons Attribution 4.0 International License