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来自美国国家抗菌药物耐药性监测系统的零售肉类(2002 - 2004年)中大肠杆菌的分子分析

Molecular Analysis of Escherichia coli from retail meats (2002-2004) from the United States National Antimicrobial Resistance Monitoring System.

作者信息

Johnson James R, McCabe James S, White David G, Johnston Brian, Kuskowski Michael A, McDermott Patrick

机构信息

Department of Medicine, University of Minnesota, Veterans Affairs Medical Center, Minneapolis, Minnesota 55417, USA.

出版信息

Clin Infect Dis. 2009 Jul 15;49(2):195-201. doi: 10.1086/599830.

Abstract

BACKGROUND

The origins and virulence potential of meat product-associated Escherichia coli are undefined.

METHODS

Two hundred eighty-seven E. coli isolates (145 resistant and 142 susceptible to trimethoprim-sulfamethoxazole, nalidixic acid, and/or ceftiofur), recovered by the United States National Antimicrobial Monitoring System from retail beef, pork, chicken, and turkey products (from Oregon, Tennessee, Georgia, and Maryland, 2002-2004) underwent polymerase chain reaction testing for phylogenetic groupings and 59 virulence-associated genes.

RESULTS

However analyzed, resistant and susceptible isolates differed minimally according to the assessed characteristics. In contrast, the 4 meat types differed greatly for multiple individual traits and aggregate virulence scores. Poultry isolates exhibited virulence genes associated with avian pathogenic E. coli; beef isolates exhibited traits associated with E. coli from diseased cattle. Overall, 20% of isolates qualified as extraintestinal pathogenic E. coli, with poultry isolates exhibiting significantly higher virulence scores than beef and pork isolates (P < .001).

CONCLUSIONS

Within this systematically collected, geographically distributed sample of recent retail meat isolates, the carriage of extraintestinal pathogenic E. coli virulence genes in antimicrobial-resistant and antimicrobial-susceptible E. coli appeared similar, whereas isolates from different types of meat differed, consistent with on-farm acquisition of resistance within host species-specific E. coli populations. A substantial minority of meat-source E. coli (whether susceptible or resistant) may represent potential human pathogens.

摘要

背景

与肉制品相关的大肠杆菌的起源和毒力潜力尚不明确。

方法

美国国家抗菌药物监测系统从零售牛肉、猪肉、鸡肉和火鸡产品(2002 - 2004年来自俄勒冈州、田纳西州、佐治亚州和马里兰州)中分离出287株大肠杆菌(145株对甲氧苄啶 - 磺胺甲恶唑、萘啶酸和/或头孢噻呋耐药,142株敏感),对其进行聚合酶链反应检测,以确定系统发育分组和59个与毒力相关的基因。

结果

无论如何分析,耐药和敏感菌株在所评估的特征方面差异极小。相比之下,4种肉类在多个个体特征和总体毒力评分上差异很大。家禽分离株表现出与禽致病性大肠杆菌相关的毒力基因;牛肉分离株表现出与患病牛的大肠杆菌相关的特征。总体而言,20%的分离株被鉴定为肠外致病性大肠杆菌,家禽分离株的毒力评分显著高于牛肉和猪肉分离株(P < .001)。

结论

在这个系统收集的、地理分布广泛的近期零售肉类分离株样本中,抗药和敏感大肠杆菌中肠外致病性大肠杆菌毒力基因的携带情况似乎相似,而不同类型肉类的分离株存在差异,这与宿主物种特异性大肠杆菌群体内的农场内耐药性获得情况一致。相当一部分肉类来源的大肠杆菌(无论敏感还是耐药)可能代表潜在的人类病原体。

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