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安大略省志愿家庭宠物狗分离的沙门氏菌属和大肠杆菌的耐药模式比较(2005-06 年)。

Comparison of antimicrobial resistance patterns of Salmonella spp. and Escherichia coli recovered from pet dogs from volunteer households in Ontario (2005-06).

机构信息

Department of Population Medicine, University of Guelph, Guelph, ON, Canada.

出版信息

J Antimicrob Chemother. 2012 Jan;67(1):174-81. doi: 10.1093/jac/dkr430. Epub 2011 Oct 20.

DOI:10.1093/jac/dkr430
PMID:22016151
Abstract

OBJECTIVES

To compare the antimicrobial resistance (AMR) patterns of Salmonella spp. and Escherichia coli in the faeces of pet dogs from volunteer households in Southwestern Ontario, Canada.

METHODS

From October 2005 to May 2006, 138 dogs from 84 Ontario households were recruited to participate in a cross-sectional study. Five consecutive daily faecal samples were collected from each dog and cultured for Salmonella spp. and E. coli. A panel of 15 antimicrobials from seven antimicrobial classes was used for susceptibility testing.

RESULTS

E. coli and Salmonella spp. were recovered from 96.4% and 23.2% of dogs, respectively. In total, 515 bacterial isolates from 136 dogs from 83 households were sent for antimicrobial susceptibility testing with 80.4% of isolates being pan-susceptible. The most common resistance pattern was to amoxicillin/clavulanic acid, ampicillin, cefoxitin, ceftiofur and ceftriaxone, present in 13.3% of Salmonella isolates and 1.3% of E. coli isolates. Fifty-eight of the isolates were resistant to two or more drug classes, with 70.7% and 29.3% being E. coli and Salmonella, respectively. Based on multilevel logistic regression, the odds of resistance were greater in E. coli than Salmonella [odds ratio = 3.2; 95% confidence interval (CI) = 1.22-8.43]. Agreement in resistance between E. coli and Salmonella isolates from the same dog was low [prevalence-adjusted, bias-adjusted kappa (PABAK) = 0.38; 95% CI = 0.30-0.46].

CONCLUSIONS

Pet dogs are a potential household source of antimicrobial-resistant Salmonella spp. and E. coli. However, extrapolating the epidemiology of antimicrobial resistance in pathogens, like Salmonella, from E. coli should be done with caution.

摘要

目的

比较安大略省西南部志愿家庭宠物犬粪便中沙门氏菌和大肠杆菌的抗微生物药物耐药性(AMR)模式。

方法

2005 年 10 月至 2006 年 5 月,从安大略省 84 个家庭招募了 138 只狗参与横断面研究。从每只狗连续 5 天采集每日粪便样本并培养沙门氏菌和大肠杆菌。使用来自 7 个抗微生物药物类别的 15 种抗微生物药物进行药敏试验。

结果

分别从 96.4%和 23.2%的狗中回收了大肠杆菌和沙门氏菌。总共从 83 户家庭的 136 只狗的 515 个细菌分离株被送去进行抗微生物药物药敏试验,80.4%的分离株呈泛敏感。最常见的耐药模式是对阿莫西林/克拉维酸、氨苄西林、头孢西丁、头孢噻肟和头孢曲松,13.3%的沙门氏菌分离株和 1.3%的大肠杆菌分离株存在该耐药模式。58 株分离株对两种或两种以上药物类别具有耐药性,其中 70.7%和 29.3%分别为大肠杆菌和沙门氏菌。基于多水平逻辑回归,大肠杆菌的耐药可能性大于沙门氏菌[比值比=3.2;95%置信区间(CI)=1.22-8.43]。来自同一狗的大肠杆菌和沙门氏菌分离株的耐药性一致性较低[校正后流行率、校正后偏倚一致性(PABAK)=0.38;95%CI=0.30-0.46]。

结论

宠物犬可能是具有抗微生物药物耐药性的沙门氏菌和大肠杆菌的家庭来源。然而,从大肠杆菌推断沙门氏菌等病原体的抗微生物药物耐药性的流行病学情况时应谨慎。

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