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印度从人类、动物和肉类中分离出的沙门氏菌的抗生素耐药模式。

Antibiotic resistance pattern among the Salmonella isolated from human, animal and meat in India.

作者信息

Singh Shweta, Agarwal Rajesh Kumar, Tiwari Suresh C, Singh Himanshu

机构信息

National Salmonella Centre (Vet), Bacteriology and Mycology Division, Indian Veterinary Research Institute, Izatnager, UP, India.

出版信息

Trop Anim Health Prod. 2012 Mar;44(3):665-74. doi: 10.1007/s11250-011-9953-7. Epub 2011 Aug 20.

Abstract

The present study was conducted to study the antibiotic resistance pattern among nontyphoidal Salmonella isolated from human, animal and meat. A total of 37 Salmonella strains isolated from clinical cases (human and animal) and meat during 2008-2009 belonging to 12 serovars were screened for their antimicrobial resistance pattern using 25 antimicrobial agents falling under 12 different antibiotic classes. All the Salmonella isolates tested showed multiple drug resistance varying from 5.40% to 100% with 16 of the 25 antibiotics tested. None of the isolates were sensitive to erythromycin and metronidazole. Resistance was also observed against clindamycin (94.59%), ampicillin (86.49%), co-trimoxazole (48.65%), colistin (45.94%), nalidixic acid (35.10%), amoxyclave (18.90%), cephalexin, meropenem, tobramycin, nitrofurantoin, tetracycline, amoxicillin (8.10% each), sparfloxacin and streptomycin (5.40% each). Isolates from clinical cases of animals were resistant to as many as 16 antibiotics, whereas isolates from human clinical cases and meat were resistant to 9 and 14 antibiotics, respectively. Overall, 19 resistotypes were recorded. Analysis of multiple antibiotic resistance index (MARI) indicated that clinical isolates from animals had higher MARI (0.25) as compared to isolates from food (0.22) and human (0.21). Among the different serotypes studied for antibiogram, Paratyhi B isolates, showed resistance to three to 13 antibiotics, whereas Typhimurium strains were resistant to four to seven antibiotics. Widespread multidrug resistance among the isolates from human, animal and meat was observed. Some of the uncommon serotypes exhibited higher resistance rate. Considerable changes in the resistance pattern were also noted. An interesting finding was the reemergence of sensitivity to some of the old antibiotics (chloromphenicol, tetracycline).

摘要

本研究旨在探讨从人、动物和肉类中分离出的非伤寒沙门氏菌的抗生素耐药模式。2008年至2009年期间,从临床病例(人和动物)及肉类中分离出的37株沙门氏菌,分属于12个血清型,使用属于12种不同抗生素类别的25种抗菌剂对其抗菌耐药模式进行了筛选。所有测试的沙门氏菌分离株对25种测试抗生素中的16种表现出5.40%至100%不等的多重耐药性。没有分离株对红霉素和甲硝唑敏感。还观察到对克林霉素(94.59%)、氨苄西林(86.49%)、复方新诺明(48.65%)、黏菌素(45.94%)、萘啶酸(35.10%)、阿莫西林克拉维酸(18.90%)、头孢氨苄、美罗培南、妥布霉素、呋喃妥因、四环素、阿莫西林(各8.10%)、司帕沙星和链霉素(各5.40%)的耐药性。来自动物临床病例的分离株对多达16种抗生素耐药,而来自人类临床病例和肉类的分离株分别对9种和14种抗生素耐药。总体而言,记录到19种耐药型。多重抗生素耐药指数(MARI)分析表明,来自动物的临床分离株的MARI(0.25)高于来自食品(0.22)和人类(0.21)的分离株。在所研究的不同血清型的抗菌谱中,副伤寒B分离株对3至13种抗生素耐药,而鼠伤寒菌株对4至7种抗生素耐药。观察到来自人、动物和肉类的分离株中广泛存在多重耐药性。一些不常见的血清型表现出较高的耐药率。还注意到耐药模式有相当大的变化。一个有趣的发现是对一些旧抗生素(氯霉素、四环素)的敏感性重新出现。

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