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产超广谱β-内酰胺酶肠杆菌科细菌:在屠宰场水平采样的 2 岁以下瑞士屠宰牛群中,粪便携带的发生率、危险因素和菌株特征。

ESBL-producing Enterobacteriaceae: occurrence, risk factors for fecal carriage and strain traits in the Swiss slaughter cattle population younger than 2 years sampled at abattoir level.

机构信息

Veterinary Public Health Institute, Vetsuisse Faculty University of Bern, Bern, Switzerland.

出版信息

PLoS One. 2013 Aug 20;8(8):e71725. doi: 10.1371/journal.pone.0071725. eCollection 2013.

Abstract

During the past decade extended-spectrum beta-lactamase (ESBL) producing Enterobacteriaceae have become a matter of great concern in human and veterinary medicine. In this cross-sectional study fecal swabs of a geographically representative number of Swiss cattle at slaughterhouse level were sampled i) to determine the occurrence of ESBL producing Enterobacteriaceae in the Swiss slaughter cattle population younger than 2 years, and ii) to assess risk factors for shedding ESBL producing Enterobacteriaceae. In total, 48 (8.4%; 95% C.I. 6.3-11.1%) independent ESBL producing Enterobacteriaceae were detected among the 571 tested animals. Species identification revealed 46 E. coli strains, one Enterobacter cloacae and one Citrobacter youngae. In view of beta-lactam antibiotics, all 48 isolates were resistant to ampicillin, cephalothin and cefpodoxime. Forty-five (93.8%) isolates were resistant cefuroxime; one (2.1%) isolate to cefoxitin, 28 (58.3%) isolates to cefotaxime, 2 (4.2%) isolates to ceftazidime, and 2 (4.2%) isolates to cefepime. Risk factors for shedding ESBL producing Enterobacteriaceae were (i) age (OR 0.19 and 0.12 in age category 181 d to 1 y and 1 y to 2 y compared to ≤180 d), (ii) primary production type, meaning dairy compared to beef on farm of origin (OR 5.95), and (iii) more than 1 compared to less than 1 animal movement per d per 100 animals on farm of origin (OR 2.37).

摘要

在过去的十年中,产生超广谱β-内酰胺酶(ESBL)的肠杆菌科细菌在人类和兽医医学中引起了极大关注。在这项横断面研究中,在屠宰场水平上对一定数量具有地理代表性的瑞士牛的粪便拭子进行了采样,以确定 2 岁以下瑞士屠宰牛群中 ESBL 产生肠杆菌科细菌的发生情况,以及评估产生 ESBL 肠杆菌科细菌的传播风险因素。在总共 571 只受检动物中,检测到 48 株(8.4%;95%置信区间为 6.3-11.1%)独立的 ESBL 产生肠杆菌科细菌。种属鉴定显示,46 株为大肠杆菌,1 株为阴沟肠杆菌,1 株为柠檬酸杆菌。鉴于β-内酰胺类抗生素,所有 48 株分离株均对氨苄西林、头孢噻吩和头孢泊肟耐药。45 株(93.8%)分离株对头孢呋辛耐药;1 株(2.1%)分离株对头孢西丁耐药,28 株(58.3%)分离株对头孢噻肟耐药,2 株(4.2%)分离株对头孢他啶耐药,2 株(4.2%)分离株对头孢吡肟耐药。产生 ESBL 肠杆菌科细菌的传播风险因素包括:(i)年龄(181 天至 1 岁和 1 岁至 2 岁年龄组与≤180 天相比,OR 为 0.19 和 0.12),(ii)初级生产类型,即在原产农场为奶牛而非肉牛(OR 为 5.95),以及(iii)原产农场每 100 只动物每天的动物移动次数超过 1 次与少于 1 次相比(OR 为 2.37)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f87e/3748101/51881e4f11d7/pone.0071725.g001.jpg

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