Eguale Tadesse, Engidawork Ephrem, Gebreyes Wondwossen A, Asrat Daniel, Alemayehu Haile, Medhin Girmay, Johnson Roger P, Gunn John S
Aklilu Lemma Institute of Pathobiology, Addis Ababa University, P.O. Box 1176, Addis Ababa, Ethiopia.
Department of Pharmacology and Clinical Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Churchill Avenue, P.O. Box 1176, Addis Ababa, Ethiopia.
BMC Microbiol. 2016 Feb 16;16:20. doi: 10.1186/s12866-016-0638-2.
Salmonellae are major worldwide zoonotic pathogens infecting a wide range of vertebrate species including humans. Consumption of contaminated dairy products and contact with dairy cattle represent a common source of non-typhoidal Salmonella infection in humans. Despite a large number of small-scale dairy farms in Addis Ababa and its surrounding districts, little is known about the status of Salmonella in these farms.
Salmonella was recovered from the feces of at least one animal in 7.6% (10/132) of the dairy farms. Out of 1203 fecal samples examined, 30 were positive for Salmonella resulting in a weighted animal level prevalence of 2.3%. Detection of diarrhea in an animal and in a farm was significantly associated with animal level (p = 0.012) and herd level (p < 0.001) prevalence of Salmonella. Animal level prevalence of Salmonella was significantly associated with age (p = 0.023) and study location; it was highest among those under 6 months of age and in farms from Adaa district and Addis Ababa (p < 0.001). Nine different serotypes were identified using standard serological agglutination tests. The most frequently recovered serotypes were Salmonella Typhimurium (23.3%), S. Saintpaul (20%), S. Kentucky (16.7%) and S. Virchow (16.7%). All isolates were resistant or intermediately resistant to at least one of the 18 drugs tested. Twenty-six (86.7%), 19 (63.3 %), 18 (60%), 16 (53.3%) of the isolates were resistant to streptomycin, nitrofurantoin, sulfisoxazole and tetracycline , respectively. Resistance to 2 drugs was detected in 27 (90%) of the isolates. Resistance to 3 or more drugs was detected in 21 (70%) of the isolates, while resistance to 7 or more drugs was detected in 11 (36.7%) of the isolates. The rate of occurrence of multi-drug resistance (MDR) in Salmonella strains isolated from dairy farms in Addis Ababa was significantly higher than those isolated from farms outside of Addis Ababa (p = 0.009). MDR was more common in S. Kentucky, S. Virchow and S. Saintpaul.
Isolation of Salmonella serotypes commonly known for causing human salmonellosis that are associated with an MDR phenotype in dairy farms in close proximity with human population is a major public health concern. These findings imply the need for a strict pathogen reduction strategy.
沙门氏菌是全球主要的人畜共患病原体,可感染包括人类在内的多种脊椎动物。食用受污染的乳制品以及与奶牛接触是人类非伤寒沙门氏菌感染的常见来源。尽管亚的斯亚贝巴及其周边地区有大量小型奶牛场,但对这些农场中沙门氏菌的状况了解甚少。
在7.6%(10/132)的奶牛场中,至少从一头动物的粪便中分离出了沙门氏菌。在检测的1203份粪便样本中,30份沙门氏菌呈阳性,动物水平加权患病率为2.3%。动物腹泻和农场腹泻的检测与动物水平(p = 0.012)和畜群水平(p < 0.001)的沙门氏菌患病率显著相关。沙门氏菌的动物水平患病率与年龄(p = 0.023)和研究地点显著相关;在6个月以下的动物以及阿达区和亚的斯亚贝巴的农场中患病率最高(p < 0.001)。使用标准血清学凝集试验鉴定出9种不同的血清型。最常分离出的血清型是鼠伤寒沙门氏菌(23.3%)、圣保罗沙门氏菌(20%)、肯塔基沙门氏菌(16.7%)和维尔肖沙门氏菌(16.7%)。所有分离株对所测试的18种药物中的至少一种具有耐药性或中介耐药性。分别有26株(86.7%)、19株(63.3%)、18株(60%)、16株(53.3%)分离株对链霉素、呋喃妥因、磺胺异恶唑和四环素耐药。27株(90%)分离株检测到对2种药物耐药。21株(70%)分离株检测到对3种或更多药物耐药,而11株(36.7%)分离株检测到对7种或更多药物耐药。从亚的斯亚贝巴奶牛场分离的沙门氏菌菌株中的多重耐药率显著高于从亚的斯亚贝巴以外农场分离的菌株(p = 0.009)。多重耐药在肯塔基沙门氏菌、维尔肖沙门氏菌和圣保罗沙门氏菌中更为常见。
在与人类居住区相邻的奶牛场中分离出以引起人类沙门氏菌病而闻名且与多重耐药表型相关的沙门氏菌血清型是一个重大的公共卫生问题。这些发现意味着需要采取严格的病原体减少策略。