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从澳大利亚牲畜感染中分离出的沙门氏菌仍然对关键抗菌药物敏感。

Salmonella enterica isolated from infections in Australian livestock remain susceptible to critical antimicrobials.

机构信息

School of Animal and Veterinary Sciences, The University of Adelaide, Mulda Wirra Road, Roseworthy, SA 5371, Australia; New South Wales Department of Primary Industries, Woodbridge Road, Menangle, NSW 2568, Australia.

New South Wales Department of Primary Industries, Woodbridge Road, Menangle, NSW 2568, Australia; School of Agriculture and Food Sciences, The University of Queensland, Gatton Campus, QLD 4343, Australia.

出版信息

Int J Antimicrob Agents. 2014 Feb;43(2):126-30. doi: 10.1016/j.ijantimicag.2013.10.014. Epub 2013 Nov 15.

Abstract

Salmonella enterica is a zoonotic pathogen causing a variety of diseases in humans and animals. Many countries are reporting an increase in the prevalence of multidrug-resistant (MDR) S. enterica in food animals. The aim of this study was to determine whether S. enterica isolated from livestock in New South Wales, Australia, have similar resistance traits to those reported internationally. Salmonella enterica (n=165) from clinical infections in food animals between 2007 and 2011 were serotyped and tested for susceptibility to 18 antimicrobials. Also, 22 antimicrobial resistance genes (ARGs), 3 integrons and 18 plasmid replicon types were screened for using PCR. Most isolates (66.1%) remained susceptible to all antimicrobials; 8.5% of the isolates were resistant to four or more antimicrobials. Antimicrobials with the highest prevalence of resistance were sulfafurazole (28.5%), ampicillin (17.0%), tetracycline (15.8%) and trimethoprim (8.5%). There was no resistance to fluoroquinolones or third-generation cephalosporins. The most common ARGs were blaTEM (15.2%), sul2 (10.3%), tetB (9.1%), tetA (5.5%), aphA1 (4.8%) and dhfrV (4.8%). Class 1 integrons (7.9%) and IncFIIA (69.7%) were the most commonly detected integron and plasmid replicon types, respectively. Class 1 integrons were positively associated with MDR phenotypes and ARG carriage (P≤0.001). Internationally prominent MDR serovars associated with severe disease in humans (e.g. AmpC-positive Salmonella Newport) were not detected. Overall, the comparatively favourable resistance status of S. enterica in Australian livestock represents minimal public health risk associated with MDR strains and supports a conservative approach to the registration of antimicrobial drug classes in food-producing animals.

摘要

肠炎沙门氏菌是一种人畜共患病病原体,可导致人类和动物多种疾病。许多国家报告称,食源性动物中多药耐药(MDR)肠炎沙门氏菌的流行率有所增加。本研究旨在确定澳大利亚新南威尔士州从牲畜中分离的肠炎沙门氏菌是否具有与国际上报道的相似的耐药特征。对 2007 年至 2011 年间食源性动物临床感染的 165 株肠炎沙门氏菌进行血清分型,并检测其对 18 种抗菌药物的敏感性。还使用 PCR 筛选了 22 种抗菌药物耐药基因(ARGs)、3 种整合子和 18 种质粒复制子类型。大多数分离株(66.1%)对所有抗菌药物仍保持敏感;8.5%的分离株对四种或更多种抗菌药物耐药。耐药率最高的抗菌药物依次为磺胺嘧啶(28.5%)、氨苄西林(17.0%)、四环素(15.8%)和甲氧苄啶(8.5%)。未发现对氟喹诺酮类或第三代头孢菌素类药物的耐药性。最常见的 ARGs 为 blaTEM(15.2%)、sul2(10.3%)、tetB(9.1%)、tetA(5.5%)、aphA1(4.8%)和 dhfrV(4.8%)。I 类整合子(7.9%)和 IncFIIA(69.7%)分别是最常见的整合子和质粒复制子类型。I 类整合子与 MDR 表型和 ARG 携带呈正相关(P≤0.001)。未检测到与人类严重疾病相关的国际上重要的多药耐药血清型(如耐 AmpC 性沙门氏菌纽波特)。总体而言,澳大利亚牲畜中肠炎沙门氏菌相对有利的耐药状况表明,与 MDR 菌株相关的公共卫生风险较小,支持在食用动物中对类抗菌药物进行保守登记。

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