Adams R J, Kim S S, Mollenkopf D F, Mathys D A, Schuenemann G M, Daniels J B, Wittum T E
Department of Veterinary Preventive Medicine, College of Veterinary Medicine, The Ohio State University, Columbus, OH, USA.
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH, USA.
Zoonoses Public Health. 2018 Aug;65(5):519-527. doi: 10.1111/zph.12462. Epub 2018 Mar 25.
Antimicrobial-resistant bacteria represent an important concern impacting both veterinary medicine and public health. The rising prevalence of extended-spectrum beta-lactamase (ESBL), AmpC beta-lactamase, carbapenemase (CRE) and fluoroquinolone-resistant Enterobacteriaceae continually decreases the efficiency of clinically important antibiotics. Moreover, the potential for zoonotic transmission of antibiotic-resistant enteric bacteria increases the risk to public health. Our objective was to estimate the prevalence of specific antibiotic-resistant bacteria on human contact surfaces in various animal environments. Environmental surface samples were collected from companion animal shelters, private equine facilities, dairy farms, livestock auction markets and livestock areas of county fairs using electrostatic cloths. Samples were screened for Enterobacteriaceae expressing AmpC, ESBL, CRE or fluoroquinolone resistance using selective media. Livestock auction markets and county fairs had higher levels of bacteria expressing both cephalosporin and fluoroquinolone resistance than did equine, dairy, and companion animal environments. Equine facilities harboured more bacteria expressing cephalosporin resistance than companion animal shelters, but less fluoroquinolone resistance. The regular use of extended-spectrum cephalosporins in livestock populations could account for the increased levels of cephalosporin resistance in livestock environments compared to companion animal and equine facilities. Human surfaces, as well as shared human and animal surfaces, were contaminated with resistant bacteria regardless of species environment. Detecting these bacteria on common human contact surfaces suggests that the environment can serve as a reservoir for the zoonotic transmission of antibiotic-resistant bacteria and resistance genes. Identifying interventions to lower the prevalence of antibiotic-resistant bacteria in animal environments will protect both animal and public health.
耐抗菌药物细菌是影响兽医学和公共卫生的一个重要问题。超广谱β-内酰胺酶(ESBL)、AmpCβ-内酰胺酶、碳青霉烯酶(CRE)和耐氟喹诺酮肠杆菌科细菌的日益流行,持续降低了临床上重要抗生素的疗效。此外,耐抗生素肠道细菌的人畜共患病传播潜力增加了公共卫生风险。我们的目标是估计各种动物环境中人类接触表面上特定耐抗生素细菌的流行情况。使用静电布从伴侣动物收容所、私人马厩设施、奶牛场、牲畜拍卖市场和县集市的牲畜区收集环境表面样本。使用选择性培养基筛选样本中表达AmpC、ESBL、CRE或耐氟喹诺酮的肠杆菌科细菌。与马、奶牛和伴侣动物环境相比,牲畜拍卖市场和县集市中表达对头孢菌素和氟喹诺酮耐药的细菌水平更高。马厩设施中表达头孢菌素耐药的细菌比伴侣动物收容所更多,但耐氟喹诺酮的细菌较少。与伴侣动物和马厩设施相比,牲畜群体中常规使用超广谱头孢菌素可能导致牲畜环境中头孢菌素耐药水平升高。无论物种环境如何,人类表面以及人类和动物共享表面都被耐药细菌污染。在常见的人类接触表面检测到这些细菌表明,环境可作为耐抗生素细菌和耐药基因人畜共患病传播的储存库。确定降低动物环境中耐抗生素细菌流行率的干预措施将保护动物和公共卫生。