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肠出血性大肠杆菌O157:牛生产环境中的流行病学与生态学

Enterohemorrhagic Escherichia coli O157: epidemiology and ecology in bovine production environments.

作者信息

Renter David G, Sargeant Jan M

机构信息

Food Animal Health and Management Center, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas 66506, USA.

出版信息

Anim Health Res Rev. 2002 Dec;3(2):83-94.

Abstract

Enterohemorrhagic Escherichia coli, particularly the O157(:H7) serogroup, has become a worldwide public health concern. Since cattle feces are often implicated as the source of E. coli O157 in human infections, considerable resources have been devoted to defining the epidemiology and ecology of E. coli O157 in cattle environments so that control might begin at the farm level. Diagnostic limitations and the complexity of often interrelated microbial, animal, herd, environmental and production factors have hindered the determination of the epidemiology, ecology and subsequent farm-level control of E. coli O157. The widespread distribution of E. coli O157, the transitory nature of fecal shedding, multiple potential environmental sources, lack of species specificity, and age-, feed- and time-related differences in cattle prevalence are documented. However, the significance and/or role of these factors in the epidemiology and ecology of E. coli O157 is still unclear. Cattle are a major source of E. coli O157, but it may be simplistic to believe that most herds are relatively closed systems with small percentages of cattle serving as true reservoirs. Practical on-farm control may require explicit definitions of the seemingly complex system(s) and the microbial, animal, herd, environmental and production factors involved in themultiplication, maintenance and transmission of E. coli O157.

摘要

肠出血性大肠杆菌,尤其是O157:H7血清型,已成为全球公共卫生关注的问题。由于牛粪常被认为是人类感染中大肠杆菌O157的来源,因此已投入大量资源来确定大肠杆菌O157在牛环境中的流行病学和生态学,以便从农场层面开始进行控制。诊断方面的局限性以及微生物、动物、畜群、环境和生产等因素之间复杂的相互关系,阻碍了对大肠杆菌O157的流行病学、生态学及后续农场层面控制的确定。文献记载了大肠杆菌O157的广泛分布、粪便排菌的短暂性、多种潜在的环境来源、缺乏物种特异性以及牛群患病率在年龄、饲料和时间方面的差异。然而,这些因素在大肠杆菌O157的流行病学和生态学中的重要性和/或作用仍不清楚。牛是大肠杆菌O157的主要来源,但认为大多数畜群是相对封闭的系统,只有小部分牛是真正的储存宿主,这种观点可能过于简单。实际的农场控制可能需要明确界定看似复杂的系统以及参与大肠杆菌O157繁殖、维持和传播的微生物、动物、畜群、环境和生产因素。

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