Ray K A, Warnick L D, Mitchell R M, Kaneene J B, Ruegg P L, Wells S J, Fossler C P, Halbert L W, May K
Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
J Dairy Sci. 2006 Jun;89(6):2038-50. doi: 10.3168/jds.S0022-0302(06)72271-8.
The objective of this study was to compare antimicrobial susceptibility of Salmonella isolated from conventional and organic dairy farms in the Midwest and Northeast United States. Environmental and fecal samples were collected from organic (n = 26) and conventional (n = 69) farms in Michigan, Minnesota, New York, and Wisconsin every 2 mo from August 2000 to October 2001. Salmonella isolates (n = 1,243) were tested using a broth microdilution method for susceptibility to amoxicillin-clavulanic acid, ampicillin, ceftiofur, ceftriaxone, cephalothin, chloramphenicol, ciprofloxacin, gentamicin, kanamycin, nalidixic acid, streptomycin, sulfamethoxazole, tetracycline, and trimethoprim-sulfamethoxazole. Herd-level logistic regression and logistic proportional hazards multivariable models were used to examine the association between farm management type and susceptibility to antimicrobial agents. For most antimicrobial agents tested, susceptibility of Salmonella isolates was similar on organic and conventional herds when controlling for herd size and state. Conventional farms were more likely to have at least one Salmonella isolate resistant to streptomycin using logistic regression (odds ratio = 7.5; 95% confidence interval = 1.7-5.4). Conventional farms were more likely to have Salmonella isolates with greater resistance to streptomycin (odds ratio = 5.4; 95% confidence interval = 1.5-19.0) and sulfamethoxazole (odds ratio = 4.2; 95% confidence interval = 1.2-14.1) using logistic proportional hazards models. Although not statistically significant, conventional farms tended to be more likely to have at least one Salmonella isolate resistant to 5 or more antimicrobial agents when compared with organic farms.
本研究的目的是比较从美国中西部和东北部传统奶牛场与有机奶牛场分离出的沙门氏菌的抗菌药敏性。从2000年8月至2001年10月,每两个月从密歇根州、明尼苏达州、纽约州和威斯康星州的有机农场(n = 26)和传统农场(n = 69)采集环境和粪便样本。使用肉汤微量稀释法对1243株沙门氏菌分离株进行阿莫西林-克拉维酸、氨苄西林、头孢噻呋、头孢曲松、头孢噻吩、氯霉素、环丙沙星、庆大霉素、卡那霉素、萘啶酸、链霉素、磺胺甲恶唑、四环素和甲氧苄啶-磺胺甲恶唑的药敏试验。采用畜群水平逻辑回归和逻辑比例风险多变量模型来研究农场管理类型与对抗菌药物药敏性之间的关联。在控制畜群规模和州的情况下,对于大多数测试的抗菌药物,有机畜群和传统畜群中沙门氏菌分离株的药敏性相似。使用逻辑回归分析发现,传统农场更有可能至少有一株沙门氏菌分离株对链霉素耐药(优势比 = 7.5;95%置信区间 = 1.7 - 5.4)。使用逻辑比例风险模型发现,传统农场更有可能有对链霉素(优势比 = 5.4;95%置信区间 = 1.5 - 19.0)和磺胺甲恶唑(优势比 = 4.2;95%置信区间 = 1.2 - 14.1)耐药性更强的沙门氏菌分离株。尽管无统计学意义,但与有机农场相比,传统农场似乎更有可能至少有一株沙门氏菌分离株对5种或更多抗菌药物耐药。