Lloyd David H
Department of Veterinary Clinical Sciences, Royal Veterinary College, Hawkshead Campus, North Mymms, Hertfordshire, United Kingdom.
Clin Infect Dis. 2007 Sep 1;45 Suppl 2:S148-52. doi: 10.1086/519254.
Increasing amounts of antimicrobials are used in pets, including substances used in human medicine (in particular, broad-spectrum agents such as clavulante-potentiated aminopenicillins, cephalosporins, and fluoroquinolones). There is evidence that resistance to antimicrobials is growing among bacteria causing infection in pets. These bacteria include Staphylococcus intermedius and Escherichia coli, as well as other organisms of clinical importance in humans, including methicillin-resistant Staphylococcus aureus. Transmission of such organisms, particularly pathogenic staphylococci, occurs between pets, owners, and veterinary staff, and pets can act as reservoirs of such bacteria; this may have an impact on the use of antimicrobials in human medicine. There is a need to generate data regarding both the levels of carriage of such bacteria in pets and the risk factors associated with the transfer of the bacteria to humans who have contact with infected pets, as well as to improve hygiene measures in veterinary practice.
宠物使用的抗菌药物数量不断增加,包括用于人类医学的物质(特别是广谱药物,如克拉维酸增强的氨基青霉素、头孢菌素和氟喹诺酮类)。有证据表明,引起宠物感染的细菌对抗菌药物的耐药性正在增强。这些细菌包括中间葡萄球菌和大肠杆菌,以及在人类中具有临床重要性的其他微生物,包括耐甲氧西林金黄色葡萄球菌。此类微生物,尤其是致病性葡萄球菌,在宠物、主人和兽医工作人员之间传播,宠物可作为此类细菌的宿主;这可能会对人类医学中抗菌药物的使用产生影响。有必要收集有关此类细菌在宠物中的携带水平以及与细菌传播给接触感染宠物的人类相关的风险因素的数据,并改善兽医实践中的卫生措施。