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与牛、鸡和猪的特定细菌中抗菌素耐药性发生潜在相关的因素:用于抗菌素耐药性建模的出版物的范围综述(IAM.AMR项目)

Factors potentially linked with the occurrence of antimicrobial resistance in selected bacteria from cattle, chickens and pigs: A scoping review of publications for use in modelling of antimicrobial resistance (IAM.AMR Project).

作者信息

Murphy Colleen P, Carson Carolee, Smith Ben A, Chapman Brennan, Marrotte Jayme, McCann Maggie, Primeau Courtney, Sharma Parth, Parmley E Jane

机构信息

Natural Sciences and Engineering Research Council Visiting Fellow, Centre for Food-borne, Environmental and Zoonotic Infectious Disease, Public Health Agency of Canada, Guelph, Ontario, Canada.

Centre for Food-borne, Environmental and Zoonotic Infectious Disease, Public Health Agency of Canada, Guelph, Ontario, Canada.

出版信息

Zoonoses Public Health. 2018 Dec;65(8):957-971. doi: 10.1111/zph.12515. Epub 2018 Sep 5.

Abstract

Antimicrobial resistance is a complex issue with a large volume of published literature, and there is a need for synthesis of primary studies for an integrated understanding of this topic. Our research team aimed to have a more complete understanding of antimicrobial resistance in Canada (IAM.AMR Project) using multiple methods including the literature reviews and quantitative modelling. To accomplish this goal, qualitative features of publications (e.g., geographical location, study population) describing potential relationships between the occurrence of antimicrobial resistance and factors (e.g., antimicrobial use; management system) were of particular interest. The objectives of this review were to (a) describe the available peer-reviewed literature reporting potential relationships between factors and antimicrobial resistance; and (b) to highlight data gaps. A comprehensive literature search and screening were performed to identify studies investigating factors potentially linked with antimicrobial resistance in Campylobacter species, Escherichia coli and Salmonella enterica along the farm-to-fork pathway (farm, abattoir (slaughter houses) and retail meats) for the major Canadian livestock species (beef cattle, broiler chicken and pigs). The literature search returned 14,966 potentially relevant titles and abstracts. Following screening of titles, abstracts and full-text articles, the qualitative features of retained studies (n = 28) were extracted. The most common factors identified were antimicrobial use (n = 13 studies) and type of farm management system (e.g., antibiotic-free, organic; n = 8). Most studies were conducted outside of Canada and involved investigations at the farm level. Identified data gaps included the effect of vaccination, industry-specific factors (e.g., livestock density) and factors at sites other than farm along the agri-food chain. Further investigation of these factors and other relevant industry activities are needed for the development of quantitative models that aim to identify effective interventions to mitigate the occurrence of antimicrobial resistance along the agri-food chain.

摘要

抗菌药物耐药性是一个复杂的问题,相关的已发表文献数量众多,因此需要对原始研究进行综合分析,以便全面理解这一主题。我们的研究团队旨在通过包括文献综述和定量建模在内的多种方法,更全面地了解加拿大的抗菌药物耐药性(IAM.AMR项目)。为实现这一目标,描述抗菌药物耐药性发生与各种因素(如抗菌药物使用;管理系统)之间潜在关系的出版物的定性特征(如地理位置、研究人群)尤为重要。本综述的目的是:(a)描述已发表的同行评审文献中报道的因素与抗菌药物耐药性之间的潜在关系;(b)突出数据缺口。我们进行了全面的文献检索和筛选,以确定在加拿大主要牲畜品种(肉牛、肉鸡和猪)从农场到餐桌的整个路径(农场、屠宰场和零售肉类)中,研究弯曲杆菌属、大肠杆菌和肠炎沙门氏菌中与抗菌药物耐药性潜在相关因素的研究。文献检索共返回14966个潜在相关的标题和摘要。在对标题、摘要和全文进行筛选后,提取了纳入研究(n = 28)的定性特征。确定的最常见因素是抗菌药物使用(n = 13项研究)和农场管理系统类型(如无抗生素、有机;n = 8)。大多数研究在加拿大境外进行,且涉及农场层面的调查。确定的数据缺口包括疫苗接种的影响、特定行业因素(如牲畜密度)以及农业食品链中农场以外其他地点的因素。为了开发旨在确定有效干预措施以减轻农业食品链中抗菌药物耐药性发生的定量模型,需要对这些因素和其他相关行业活动进行进一步调查。

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