Section of Immunology and Infection, Medical School, University of Aberdeen, Aberdeen, United Kingdom.
Foodborne Pathog Dis. 2010 Sep;7(9):1129-31. doi: 10.1089/fpd.2009.0532.
We determined the antimicrobial resistance profiles of Campylobacter isolates from cases of sporadic human infection (n = 119), retail chicken meat (n = 105), and cattle feces (n = 105). Ampicillin and tetracycline resistance was highest in human isolates (32% and 29%, respectively) and retail chicken isolates (25% and 25%, respectively), whereas nalidixic acid resistance was highest in cattle fecal isolates (20%). We found that the antimicrobial resistance profiles were more similar in human and chicken meat isolates than those observed when comparing human and cattle fecal isolates. When we analyzed the distribution of minimum inhibitory concentrations for each antibiotic, in each host, the distribution was similar between human and chicken meat isolates, whereas cattle fecal isolates remained highly distinct from the other two hosts. This study suggests that chicken may be a major source of human Campylobacter infection and that the antimicrobial resistances found in the Campylobacter from this source will therefore also be prevalent in clinical isolates.
我们确定了散发性人类感染病例(n=119)、零售鸡肉(n=105)和牛粪便(n=105)中弯曲杆菌分离株的抗菌药物耐药谱。氨苄西林和四环素耐药性在人类分离株中最高(分别为 32%和 29%)和零售鸡肉分离株(分别为 25%和 25%),而萘啶酸耐药性在牛粪便分离株中最高(20%)。我们发现,人类和鸡肉分离株的抗菌药物耐药谱比人类和牛粪便分离株更相似。当我们分析每种抗生素在每个宿主中的最小抑菌浓度分布时,在每个宿主中,人类和鸡肉分离株的分布相似,而牛粪便分离株与其他两个宿主仍然存在很大差异。这项研究表明,鸡肉可能是人类弯曲杆菌感染的主要来源,因此,从该来源分离出的弯曲杆菌的抗菌药物耐药性也将在临床分离株中普遍存在。