Tansuphasiri Unchalee, Khaminthakul Doungngoen, Pandii Wongdyan
Department of Microbiology, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Southeast Asian J Trop Med Public Health. 2006 Jan;37(1):162-70.
We evaluated 239 isolates of enterococci (113 from frozen foods and 126 from environmental water) for their resistance to 8 antibiotics by agar disk diffusion method. Most isolates from both sources were resistant to tetracycline (64.1% food strains; 46.8% water strains) and ciprofloxacin (53.4% food strains; 48.4% water strains). A relatively high prevalence of chloramphenicol, trimethoprim-sulfamethoxazole and vancomycin resistance was present, ranging from 9.7 to 27.2% for food strains and 10.3 to 15.9% for water strains; while other drug resistance (ampicillin, gentamicin and teicoplanin) was minimal (< or = 0.9% for food strains; < or = 1.6% for water strains). No significant differences in resistant rates between the two sources were found for any of the drugs (p>0.05) except tetracycline (p<0.05). The majority of isolates from both sources were multi-resistant strains (50% for food strains and 42% for water strains). Most of them showed resistance to two drugs. There was no significant difference in the non-resistance patterns and the multidrug resistance patterns (p>0.05) between the frozen food and environmental water strains, but a significant difference was seen in the single drug resistance pattern (p<0.05). Vancomycin resistant enterococci (VRE) were isolated from nearly all sources studied, 9.7% food isolates and 10.3% water isolates, with no significant difference between the two sources (p>0.05). This study shows a high prevalence of multidrug resistance among enterococci isolated from foods of animal origin and environmental water. This may serve as a potential transfer route of antibiotic-resistant bacteria and resistant genes into the human food-chain and environment which could potentially pose a health threat to humans in the future. The use of antibiotics for purposes other than human health, ie in animal feeds and in the treatment of infection in animals, should be reduced and eventually eliminated. Improved hygiene practices and controlled use of antibiotics in agriculture, animal husbandry, and fisheries are desirable for environmental management and public health protection.
我们采用琼脂纸片扩散法,对239株肠球菌(113株来自冷冻食品,126株来自环境水)进行了8种抗生素耐药性评估。来自这两种来源的大多数菌株对四环素(食品菌株为64.1%;水菌株为46.8%)和环丙沙星(食品菌株为53.4%;水菌株为48.4%)耐药。氯霉素、甲氧苄啶 - 磺胺甲恶唑和万古霉素耐药率相对较高,食品菌株为9.7%至27.2%,水菌株为10.3%至15.9%;而其他药物耐药性(氨苄西林、庆大霉素和替考拉宁)最低(食品菌株≤0.9%;水菌株≤1.6%)。除四环素外(p<0.05),两种来源的任何一种药物的耐药率均无显著差异(p>0.05)。来自这两种来源的大多数菌株为多重耐药菌株(食品菌株为50%,水菌株为42%)。其中大多数对两种药物耐药。冷冻食品菌株和环境水菌株之间的非耐药模式和多重耐药模式无显著差异(p>0.05),但在单一药物耐药模式上存在显著差异(p<0.05)。几乎所有研究来源均分离出万古霉素耐药肠球菌(VRE),食品分离株为9.7%,水分离株为10.3%,两种来源之间无显著差异(p>0.05)。本研究表明,从动物源性食品和环境水中分离出的肠球菌中多重耐药性普遍存在。这可能成为抗生素耐药菌和耐药基因进入人类食物链和环境的潜在传播途径,未来可能对人类健康构成威胁。应减少并最终消除用于人类健康以外目的的抗生素使用,即在动物饲料和动物感染治疗中的使用。改善农业、畜牧业和渔业中的卫生习惯并控制抗生素使用,对于环境管理和公共卫生保护是可取的。