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2008-2014 年中国鸡和猪源弯曲杆菌种属转移和多重耐药性

Species shift and multidrug resistance of Campylobacter from chicken and swine, China, 2008-14.

机构信息

National Centre for Veterinary Drug Safety Evaluation, College of Veterinary Medicine, China Agricultural University, Beijing 100193, China.

National Centre for Veterinary Drug Safety Evaluation, College of Veterinary Medicine, China Agricultural University, Beijing 100193, China College of Veterinary Medicine, Iowa State University, Ames, IA 50011, USA.

出版信息

J Antimicrob Chemother. 2016 Mar;71(3):666-9. doi: 10.1093/jac/dkv382. Epub 2015 Nov 14.

Abstract

OBJECTIVES

The objective of this study was to investigate the prevalence and antimicrobial resistance of Campylobacter isolated from broiler chickens and swine during 2008-14.

METHODS

Campylobacter isolates were collected from samples of intestinal content and excreta from broiler chickens and swine from slaughter houses as well as conventional farms in five Chinese provinces during 2008-14. The agar dilution method was used to determine the susceptibility of Campylobacter isolates to seven antimicrobial agents. The χ(2) test and Fisher's exact test were used to perform the statistical analysis.

RESULTS

In total, 989 Campylobacter jejuni and 1991 Campylobacter coli were isolated from 10 535 samples. MIC results revealed a high prevalence of multidrug resistance among these Campylobacter isolates. In addition, we observed an apparent shift of the dominant species from C. jejuni to C. coli in chickens and this species shift coincided with an increased prevalence of macrolide-resistant C. coli. It is worth noting that almost 100% of the C. jejuni and C. coli isolates were resistant to fluoroquinolones.

CONCLUSIONS

The high prevalence of fluoroquinolone and macrolide resistance in Campylobacter suggests that these two clinically important antibiotic classes may no longer be suitable for the treatment of human campylobacteriosis in China. Thus, enhanced surveillance and control efforts are needed to reduce antimicrobial resistance in this group of major foodborne pathogens.

摘要

目的

本研究旨在调查 2008-14 年期间从肉鸡和猪中分离的弯曲杆菌的流行情况和抗菌药物耐药性。

方法

2008-14 年期间,从屠宰场和五个中国省份的常规农场的肉鸡和猪的肠内容物和粪便样本中采集弯曲杆菌分离株。采用琼脂稀释法测定弯曲杆菌分离株对 7 种抗菌药物的敏感性。采用 χ(2)检验和 Fisher 确切检验进行统计学分析。

结果

共从 10535 个样本中分离出 989 株空肠弯曲杆菌和 1991 株结肠弯曲杆菌。MIC 结果显示,这些弯曲杆菌分离株的多药耐药率很高。此外,我们观察到鸡中从空肠弯曲杆菌向结肠弯曲杆菌的优势种明显转变,这种种属转变与耐大环内酯类的结肠弯曲杆菌的流行率增加相一致。值得注意的是,几乎 100%的空肠弯曲杆菌和结肠弯曲杆菌分离株对氟喹诺酮类药物耐药。

结论

弯曲杆菌对氟喹诺酮类和大环内酯类药物的高耐药率表明,这两类临床上重要的抗生素类药物可能不再适合中国治疗人类弯曲杆菌病。因此,需要加强监测和控制措施,以降低这组主要食源性病原体的抗菌药物耐药性。

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