Gupta Amita, Nelson Jennifer M, Barrett Timothy J, Tauxe Robert V, Rossiter Shannon P, Friedman Cindy R, Joyce Kevin W, Smith Kirk E, Jones Timothy F, Hawkins Marguerite A, Shiferaw Belershacew, Beebe James L, Vugia Duc J, Rabatsky-Ehr Terry, Benson James A, Root Timothy P, Angulo Frederick J
Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Emerg Infect Dis. 2004 Jun;10(6):1102-9. doi: 10.3201/eid1006.030635.
We summarize antimicrobial resistance surveillance data in human and chicken isolates of Campylobacter. Isolates were from a sentinel county study from 1989 through 1990 and from nine state health departments participating in National Antimicrobial Resistance Monitoring System for enteric bacteria (NARMS) from 1997 through 2001. None of the 297 C. jejuni or C. coli isolates tested from 1989 through 1990 was ciprofloxacin-resistant. From 1997 through 2001, a total of 1,553 human Campylobacter isolates were characterized: 1,471 (95%) were C. jejuni, 63 (4%) were C. coli, and 19 (1%) were other Campylobacter species. The prevalence of ciprofloxacin-resistant Campylobacter was 13% (28 of 217) in 1997 and 19% (75 of 384) in 2001; erythromycin resistance was 2% (4 of 217) in 1997 and 2% (8 of 384) in 2001. Ciprofloxacin-resistant Campylobacter was isolated from 10% of 180 chicken products purchased from grocery stores in three states in 1999. Ciprofloxacin resistance has emerged among Campylobacter since 1990 and has increased in prevalence since 1997.
我们总结了弯曲杆菌在人类和鸡类分离株中的抗菌药物耐药性监测数据。分离株来自1989年至1990年的一个哨点县研究,以及1997年至2001年参与肠道细菌国家抗菌药物耐药性监测系统(NARMS)的9个州卫生部门。1989年至1990年检测的297株空肠弯曲菌或结肠弯曲菌分离株中,无一株对环丙沙星耐药。1997年至2001年,共对1553株人类弯曲杆菌分离株进行了特征分析:1471株(95%)为空肠弯曲菌,63株(4%)为结肠弯曲菌,19株(1%)为其他弯曲菌属。1997年环丙沙星耐药弯曲杆菌的流行率为13%(217株中的28株),2001年为19%(384株中的75株);1997年红霉素耐药率为2%(217株中的4株),2001年为2%(384株中的8株)。1999年从三个州的杂货店购买的180份鸡肉产品中,10%分离出了环丙沙星耐药弯曲杆菌。自1990年以来,弯曲杆菌中出现了环丙沙星耐药性,自1997年以来流行率有所上升。