White D G, Zhao S, Sudler R, Ayers S, Friedman S, Chen S, McDermott P F, McDermott S, Wagner D D, Meng J
Division of Animal and Food Microbiology Office of Research, Center for Veterinary Medicine, Food and Drug Administration, Laurel, MD, USA.
N Engl J Med. 2001 Oct 18;345(16):1147-54. doi: 10.1056/NEJMoa010315.
Salmonella is a leading cause of foodborne illness. The emergence of antimicrobial-resistant salmonella is associated with the use of antibiotics in animals raised for food; resistant bacteria can be transmitted to humans through foods, particularly those of animal origin. We identified and characterized strains of salmonella isolated from ground meats purchased in the Washington, D.C., area.
Salmonella was isolated from samples of ground chicken, beef, turkey, and pork purchased at three supermarkets. The isolates were characterized by serotyping, antimicrobial-susceptibility testing, phage typing, and pulsed-field gel electrophoresis. The polymerase chain reaction and DNA sequencing were used to identify resistance integrons and extended spectrum beta-lactamase genes.
Of 200 meat samples, 41 (20 percent) contained salmonella, with a total of 13 serotypes. Eighty-four percent of the isolates were resistant to at least one antibiotic, and 53 percent were resistant to at least three antibiotics. Sixteen percent of the isolates were resistant to ceftriaxone, the drug of choice for treating salmonellosis in children. Bacteriophage typing identified four isolates of Salmonella enterica serotype typhimurium definitive type 104 (DT104), one of DT104b, and two of DT208. Five isolates of S. enterica serotype agona had resistance to 9 antibiotics, and the two isolates of serotype typhimurium DT208 were resistant to 12 antibiotics. Electrophoretic patterns of DNA that were indistinguishable from one another were repeatedly found in isolates from different meat samples and different stores. Eighteen isolates, representing four serotypes, had integrons with genes conferring resistance to aminoglycosides, sulfonamides, trimethoprim, and beta-lactams.
Resistant strains of salmonella are common in retail ground meats. These findings provide support for the adoption of guidelines for the prudent use of antibiotics in food animals and for a reduction in the number of pathogens present on farms and in slaughterhouses. National surveillance for antimicrobial-resistant salmonella should be extended to include retail meats.
沙门氏菌是食源性疾病的主要病因。耐抗生素沙门氏菌的出现与用于食品生产的动物所使用的抗生素有关;耐药菌可通过食物,特别是动物源性食物传播给人类。我们对从华盛顿特区地区购买的绞碎肉中分离出的沙门氏菌菌株进行了鉴定和特征分析。
从三家超市购买的鸡肉、牛肉、火鸡肉和猪肉样本中分离出沙门氏菌。通过血清分型、药敏试验、噬菌体分型和脉冲场凝胶电泳对分离株进行特征分析。采用聚合酶链反应和DNA测序来鉴定耐药整合子和超广谱β-内酰胺酶基因。
在200份肉类样本中,41份(20%)含有沙门氏菌,共有13种血清型。84%的分离株对至少一种抗生素耐药,53%的分离株对至少三种抗生素耐药。16%的分离株对头孢曲松耐药,头孢曲松是治疗儿童沙门氏菌病的首选药物。噬菌体分型鉴定出4株肠炎沙门氏菌鼠伤寒血清型104型(DT104)、1株DT104b型和2株DT208型。5株阿哥纳沙门氏菌血清型分离株对9种抗生素耐药,2株鼠伤寒沙门氏菌DT208型分离株对12种抗生素耐药。在来自不同肉类样本和不同商店的分离株中反复发现彼此无法区分的DNA电泳图谱。代表四种血清型的18株分离株具有携带对氨基糖苷类、磺胺类、甲氧苄啶和β-内酰胺类耐药基因的整合子。
耐抗生素沙门氏菌菌株在零售绞碎肉中很常见。这些发现为采用食品动物谨慎使用抗生素的指导方针以及减少农场和屠宰场中病原体数量提供了支持。对抗生素耐药沙门氏菌的国家监测应扩大到包括零售肉类。