Yan S Steve, Gilbert Jeffrey M
Division of Human Food Safety, Center for Veterinary Medicine, Food and Drug Administration, 7500 Standish Place, HFV-150, Rockville, MD 20850, USA.
Adv Drug Deliv Rev. 2004 Jun 23;56(10):1497-521. doi: 10.1016/j.addr.2004.02.010.
This review provides an overview of considerations particular to the delivery of antimicrobial agents to food animals. Antimicrobial drugs are used in food animals for a variety of purposes. These drugs may have therapeutic effects against disease agents, or may cause changes in the structure and/or function of systems within the target animal. Routes of administration, quantity, duration, and potency of an antimicrobial drug are all important factors affecting their action(s) and success. Not only might targeted pathogens be affected, but also bacteria residing in (or on) the treated food animals, especially in the intestines (gastrointestinal tract microflora). Resistance to antimicrobial agents can occur through a number of mechanisms. The extent to which resistance develops is greatly affected by the amount of drug [or its metabolite(s)] a bacterium is exposed to, the duration of exposure, and the interaction between an individual antimicrobial agent and a particular bacterium. The impact of antimicrobial agents on the emergence of resistance in vitro and in vivo may not readily correlate.
本综述概述了给食用动物使用抗菌药物时的特殊注意事项。抗菌药物在食用动物中有多种用途。这些药物可能对病原体有治疗作用,也可能导致目标动物体内系统的结构和/或功能发生变化。抗菌药物的给药途径、剂量、持续时间和效力都是影响其作用和效果的重要因素。不仅目标病原体可能受到影响,而且治疗的食用动物体内(或体表)的细菌,尤其是肠道内的细菌(胃肠道微生物群)也会受到影响。抗菌药物耐药性可通过多种机制产生。耐药性产生的程度受到细菌接触药物[或其代谢物]的量、接触持续时间以及单个抗菌药物与特定细菌之间相互作用的极大影响。抗菌药物在体外和体内对耐药性产生的影响可能并不容易相互关联。