School of Pharmacy and Medical Sciences, University of South Australia, GPO Box 2471, Adelaide, South Australia 5001, Australia.
Nutr Res Rev. 2000 Dec;13(2):279-99. doi: 10.1079/095442200108729106.
Antibiotic resistance in bacteria that cause disease in man is an issue of major concern. Although misuse of antibiotics in human medicine is the principal cause of the problem, antibiotic-resistant bacteria originating in animals are contributory factors, with some types of resistance in some species of bacteria. Antibiotics are added to animal feeds to treat and prevent infections and to improve growth and production. Until recently, the major concerns about incorporation of antibiotics in animal feeds related to antibiotic residues in products from treated animals. Although, in 1969, the Swann (1969) report drew attention to the potential for antibiotic-resistant bacteria to spread from treated animals via the food chain, there was little response until the detection of vancomycin-resistant enterococci in animals fed a related glycopeptide, avoparcin. Subsequently, attention started to focus on the issue and other examples of transfer of resistant bacteria through the food chain, such as enterococci resistant to quinupristin-dalfopristin or to everninomicin, fluoroquinolone-resistant campylobacters and multiresistant Escherichia coli, and salmonella such as Salmonella typhimurium DT104. Reviews and committees in many countries have highlighted the need for better control of licensing of antibiotics, and codes for prudent use of antibiotics by veterinary practitioners and farmers. The continued use of antibiotic growth promoters has been questioned and there is a need to ensure that antibiotics important in human medicine are not used therapeutically or prophylactically in animals.
人类疾病相关细菌的抗生素耐药性是一个主要关注点。尽管人类医学中抗生素的滥用是造成这一问题的主要原因,但动物源的抗生素耐药细菌也是促成因素,某些类型的耐药性存在于某些细菌物种中。抗生素被添加到动物饲料中,以治疗和预防感染并提高生长和生产效率。直到最近,人们主要关注将抗生素纳入动物饲料中所涉及的问题是抗生素残留会出现在经处理动物的产品中。尽管 1969 年的斯旺报告(Swann,1969)提请注意抗生素耐药细菌可能通过食物链从受治疗动物传播的潜在风险,但直到在食用相关糖肽类抗生素——阿伏帕星的动物中检测到万古霉素耐药肠球菌时,人们才开始对此问题做出反应。随后,人们开始关注通过食物链转移耐药细菌的其他例子,例如对奎奴普丁-达福普汀或埃替米星耐药的肠球菌、对氟喹诺酮耐药的弯曲杆菌和多药耐药的大肠杆菌以及例如肠炎沙门氏菌 DT104 等沙门氏菌。许多国家的评论和委员会都强调需要更好地控制抗生素的许可,并制定兽医和农民合理使用抗生素的准则。抗生素促生长剂的持续使用受到质疑,需要确保在人类医学中重要的抗生素不会在动物中被治疗性或预防性使用。