Berge A C B, Atwill E R, Sischo W M
Veterinary Medicine Teaching and Research Center, School of Veterinary Medicine, University of California, 18830 Road 112, Tulare, 93274 CA, USA.
Prev Vet Med. 2005 Jun 10;69(1-2):25-38. doi: 10.1016/j.prevetmed.2005.01.013. Epub 2005 Feb 26.
It is believed that the intensive use of antibiotics in the management of disease in pre-weaned calves contributes to high levels of antibiotic resistance in commensal and pathogenic bacteria. We described the temporal dynamics of antibiotic-susceptibility patterns seen in bovine enteric Escherichia coli in pre-weaned calves on dairy farms and dedicated calf-rearing facilities. Cohorts of 30 calves at each of six farms were sampled at 2-week intervals during the pre-weaning period. Faecal E. coli isolates were analyzed for antibiotic susceptibility to 12 antibiotics with the disk-diffusion method and grouped using cluster analysis of inhibition-zone patterns. The influences of calf age, farm-type, and individual-calf antibiotic therapy on the clusterings were assessed using stratified analyses and cumulative multinomial logistic regression using generalized estimating equation with antibiotic-resistance cluster as an ordinal-dependent variable. The model controlled for farm and cohort by a nested design and included a repeated measure on calf at each sampling occasion. E. coli from calves 2 weeks of age were more likely to be increasingly multiply resistant than E. coli from day-old calves (OR = 53.6), as were 4- and 6-week-old calves (OR = 29.8 and 16.4, respectively). E. coli from calves on dedicated calf-rearing facilities were more likely to be increasingly multiply resistant than E. coli from dairy-reared calves (OR = 2.4). E. coli from calves treated with antibiotics within 5 days prior to sampling were also more likely to be increasingly multiply resistant than E. coli from calves not exposed to individual antibiotic therapy (OR = 2.0).
据信,在断奶前犊牛疾病管理中大量使用抗生素会导致共生菌和病原菌产生高水平的抗生素耐药性。我们描述了奶牛场和专门的犊牛饲养设施中断奶前犊牛肠道大肠杆菌抗生素敏感性模式的时间动态。在断奶前期,对六个农场中每个农场的30头犊牛组成的队列,每隔2周进行一次采样。采用纸片扩散法分析粪便大肠杆菌分离株对12种抗生素的敏感性,并通过抑菌圈模式的聚类分析进行分组。使用分层分析和累积多项逻辑回归,以抗生素耐药性聚类为有序因变量,采用广义估计方程评估犊牛年龄、农场类型和个体犊牛抗生素治疗对聚类的影响。该模型通过嵌套设计对农场和队列进行控制,并在每次采样时对犊牛进行重复测量。2周龄犊牛的大肠杆菌比初生犊牛的大肠杆菌更有可能具有越来越强的多重耐药性(比值比=53.6),4周龄和6周龄犊牛的大肠杆菌也是如此(比值比分别为29.8和16.4)。专门犊牛饲养设施中犊牛的大肠杆菌比奶牛饲养犊牛的大肠杆菌更有可能具有越来越强 的多重耐药性(比值比=2.4)。在采样前5天内接受抗生素治疗的犊牛的大肠杆菌比未接受个体抗生素治疗的犊牛的大肠杆菌更有可能具有越来越强的多重耐药性(比值比=2.0)。