Georgiev M, Beauvais W, Guitian J
The Food Standards Agency,London,UK.
The Royal Veterinary College,London,UK.
Epidemiol Infect. 2017 Feb;145(3):553-567. doi: 10.1017/S095026881600251X. Epub 2016 Nov 22.
Human campylobacteriosis is the most commonly reported gastrointestinal bacterial infection in the EU; poultry meat has been identified as the main source of infection. We tested the hypothesis that enhanced biosecurity and other factors such as welfare status, breed, the practice of partial depopulation and number of empty days between flocks may prevent Campylobacter spp. caecal colonization of poultry batches at high levels (>123 000 c.f.u./g in pooled caecal samples). We analysed data from 2314 poultry batches sampled at slaughter in the UK in 2011-2013. We employed random-effects logistic regression to account for clustering of batches within farms and adjust for confounding. We estimated population attributable fractions using adjusted risk ratios. Enhanced biosecurity reduced the odds of colonization at partial depopulation [odds ratio (OR) 0·25, 95% confidence interval (CI) 0·14-0·47] and, to a lesser extent, at final depopulation (OR 0·47, 95% CI 0·25-0·89). An effect of the type of breed was also found. Under our assumptions, approximately 1/3 of highly colonized batches would be avoided if they were all raised under enhanced biosecurity or without partial depopulation. The results of the study indicate that on-farm measures can play an important role in reducing colonization of broiler chickens with Campylobacter spp. and as a result human exposure.
人弯曲杆菌病是欧盟报告的最常见的胃肠道细菌感染;禽肉已被确定为主要感染源。我们检验了以下假设:加强生物安全措施以及其他因素,如家禽福利状况、品种、部分扑杀做法和批次间空栏天数,可能会防止弯曲杆菌属在家禽盲肠高水平定植(混合盲肠样本中>123000 c.f.u./g)。我们分析了2011 - 2013年在英国屠宰时采集的2314个家禽批次的数据。我们采用随机效应逻辑回归来考虑农场内批次的聚类情况并对混杂因素进行调整。我们使用调整后的风险比估计人群归因分数。加强生物安全措施降低了部分扑杀时定植的几率[优势比(OR)0·25,95%置信区间(CI)0·14 - 0·47],在较小程度上也降低了最终扑杀时定植的几率(OR 0·47,95% CI 0·25 - 0·89)。还发现了品种类型的影响。在我们的假设下,如果所有高定植批次都在加强生物安全措施下饲养或不进行部分扑杀,大约三分之一的高定植批次是可以避免的。研究结果表明,农场措施在减少肉鸡弯曲杆菌属定植以及减少人类接触方面可以发挥重要作用。