Abstract:
                                      Aeromonas are known to cause several diseases in turtles.Antimicrobial agents,such as fluoroquinolones,are used to prevent and curtail bacterial infections.However,prolonged abuse of antimicrobials agents could result in the selection of fluoroquinolone-resistant 
Aeromonas.Quinolone resistance is due principally to chromosomal mutations or efflux pump.Mutations in the quinolone resistance-determining regions(QRDRs)of the 
gyrA and 
parC genes have been shown to be related to quinolone resistance in 
Aeromonas spp.Plasmid-mediated quinolone resistance(PMQR)determinants(
qnrA,
qnrB,
qnrS and 
aac(6')-Ib-cr)have been identified exclusively in 
Enterobacteriaceae,but have very rarely been identified in 
Aeromonas.In order to determine antimicrobial susceptibility,the relationship of PMQR,QRDR and resistance profiles in clinical isolates of 
Aeromonas from turtles in Guangdong province,67 isolates were collected from diseased turtles in 1996-2013.All the isolates were tested for resistance to 23 antimicrobial agents by K-B agar disc diffusion method.The PMQR genes 
qnrA,
qnrB,
qnrS,
qepA and 
aac(6')-Ib-cr in all these strains were screened by PCR.Then,mutations in QRDR of the 
gyrA and 
parC genes and the plasmids were detected in the PMQR positive strains.All the 67 strains were highly resistant to ampicillin,cephalothin and sulfonamides,the resistance rates of which were 100%,92.54% and 83.58%,respectively;it showed medium resistance to quinolones,whose rates were 19.40%-64.18%; the isolates were more susceptible to imipenem,nitrofurantoin,amikacin and cefotaxime,with the resistance rates below 10%.79.10%(53/67)strains showed multiple-resistance to at least three classes of agents.Of these 67 
Aeromonas isolates,19.40%(13/67)harbored PMQR genes.PCR and DNA sequence results showed that 8.96%,5.97% and 7.46% were positive for genes 
qnrS1,
qnrS2 and 
aac(6')-Ib-cr,respectively,and two strains carried both 
qnrS2 and 
aac(6')-Ib-cr.All the 13 PMQR positive strains carried 1-4 plasmids,the sizes of which were between 0.8 kb to 15 kb.Among the 13 isolates with PMQR genes,6 strains showed mutations in both
 gyrA and 
parC genes,3 strains carried point mutation in
 gyrA gene,and no mutations of both genes were found in 4 strains.These results indicated that 
Aeromonas isolated from turtles in Guangdong were of high level multiple-resistance to widely used drugs.The existence of PMQR genes implied a more widespread dissemination of resistance to quinolones in aquaculture,and this should attract more attention.