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[来自人类、牛肉和鸡肉的空肠弯曲菌分离株对氟喹诺酮类和大环内酯类抗生素耐药性的分子分析]

[Molecular analysis of fluoroquinolones and macrolides resistance in Campylobacter jejuni isolates from humans, bovine and chicken meat].

作者信息

González-Hein Gisela, Cordero Ninoska, García Patricia, Figueroa Guillermo

机构信息

Laboratorio de Microbiología y Probióticos, Instituto de Nutrición y Tecnología de Alimentos-INTA, Universidad de Chile, Chile.

出版信息

Rev Chilena Infectol. 2013 Apr;30(2):135-9. doi: 10.4067/S0716-10182013000200003.

Abstract

BACKGROUND

Campylobacter sp.- one of the leading causes of bacterial food-borne gastrointestinal illness worldwide- is increasingly resistant to fluoroquinolone and macrolide antimicrobials, which has become a major concern for public health.

OBJECTIVE

To describe the susceptibility patterns of Campylobacter jejuni strains to erythromycin and ciprofloxacin and to explore the origin of its resistance in human isolates.

MATERIAL AND METHOD

In this study, fifty-five ciprofloxacin and erythromycin susceptibility patterns of C. jejuni strains isolated from humans with diarrheal disease, performed by broth microdilution MIC, were compared with 55 and 44 isolates from chicken meat and bovines respectively, obtained from the Metropolitan Region, Chile.

RESULTS

Of the 55 human isolates of C. jejuni, 33 (60%) were resistant to ciprofloxacin and all were sensitive to erythromycin. Of the 55 isolates from chicken meat, 32 (58.2%) were resistant to ciprofloxacin and 1.8% were resistant to erythromycin. Of the 44 isolates of C. jejuni from cattle, 8 (18.2%) were resistant to ciprofloxacin and all were sensitive to erythromycin. Four PFGE patterns matched with certain resistance profiles and grouped isolates from human and animal.

CONCLUSION

The findings showed continued effectiveness of erythromycin for campylobacteriosis and a high percentage of C. jejuni strains ciprofloxacin-resistant. This is interesting because it is considered that the presence of ciprofloxacin resistant strains in broiler meat can be in part the source of resistance to this antimicrobial in humans.

摘要

背景

弯曲杆菌属是全球细菌性食源性胃肠道疾病的主要病因之一,对氟喹诺酮类和大环内酯类抗菌药物的耐药性日益增强,这已成为公共卫生领域的一大担忧。

目的

描述空肠弯曲杆菌菌株对红霉素和环丙沙星的药敏模式,并探究人类分离株中其耐药性的来源。

材料与方法

在本研究中,通过肉汤微量稀释法测定最低抑菌浓度,对从腹泻患者中分离出的55株空肠弯曲杆菌菌株对环丙沙星和红霉素的药敏模式,与分别从智利首都地区鸡肉和牛中获得的55株和44株分离株进行了比较。

结果

在55株空肠弯曲杆菌人类分离株中,33株(60%)对环丙沙星耐药,所有菌株对红霉素敏感。在55株鸡肉分离株中,32株(58.2%)对环丙沙星耐药,1.8%对红霉素耐药。在44株牛源空肠弯曲杆菌分离株中,8株(18.2%)对环丙沙星耐药,所有菌株对红霉素敏感。四种脉冲场凝胶电泳模式与特定耐药谱相匹配,并将人类和动物分离株分组。

结论

研究结果表明红霉素对弯曲杆菌病仍有疗效,且空肠弯曲杆菌菌株对环丙沙星耐药的比例很高。这很有意思,因为人们认为肉鸡中存在环丙沙星耐药菌株可能部分是人类对该抗菌药物耐药性的来源。

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