Ondieki George Kiage, Ombui Jackson Nyarongi, Obonyo Mark, Gura Zeinab, Githuku Jane, Orinde Austine Bitek, Gikunju Joseph Kangangi
Field Epidemiology and Laboratory Training Program Kenya (K-FELTP), Kenya.
Jomo Kenyatta University of Agriculture and Technology, Institute of Tropical Medicine and Infectious Diseases (ITROMID), Department of Medical Laboratory Science, Kenya.
Pan Afr Med J. 2017 Nov 3;28(Suppl 1):5. doi: 10.11604/pamj.supp.2017.28.1.9279. eCollection 2017.
unadulterated milk, free of antimicrobial residues is important for industrial processing and consumers' health. Antimicrobial residues in foods of animal origin can cause adverse public health effects like drug resistance and hypersensitivity. Milk produced in Lamu West sub-county is sold raw directly to consumers. We estimated the compositional quality and prevalence of antimicrobial residues in informally marketed raw cow milk in Lamu West Sub-County, Kenya.
we randomly recruited 152 vendors and 207 farmers from four randomly selected urban centers in a cross-sectional study and interviewed them using a pretested standardized questionnaire. A100-ml raw milk sample was aseptically collected from each vendor and farm and tested for antimicrobial residues using Charm Blue Yellow II kit following the European Union Maximum Residue Limits (EU-MRLs) while an Ekomilk® Analyzer was used to measure compositional quality where samples with either solid not fat (SNF) < 8.5 or added water ≥ 0.01% or both were considered adulterated. We analyzed data using univariate analysis and unconditional logistic regression to calculate odds ratios (OR) and 95% confidence intervals (CI).
thirty-two of the 207 (15.5%) samples from farmers and 28 (18.4%) of the 152 samples from vendors tested positive for antimicrobial residues. Thirty-six (17.4 %) samples from farmers and 38 (25.0%) from vendors were found to be adulterated with water. Farmers' awareness of the danger of consuming milk with antimicrobial residues and farmers having training on good milking practices were protective against selling milk with antimicrobial residues (adjusted OR and 95% CI 0.20, 0.07-0.55 and 0.33, 0.11-0.99, respectively).
the antimicrobial residues above EU MRLs and adulteration of raw marketed cow milk observed in this study provide evidence for routine testing of marketed milk and educating farmers to observe antimicrobial withdrawal period.
纯净且无抗菌药物残留的牛奶对于工业加工和消费者健康至关重要。动物源性食品中的抗菌药物残留会导致耐药性和过敏等不良公共卫生影响。拉穆西县西部生产的牛奶未经加工直接售卖给消费者。我们估算了肯尼亚拉穆西县西部非正规市场上生牛奶的成分质量和抗菌药物残留的流行情况。
在一项横断面研究中,我们从四个随机选取的城市中心随机招募了152名摊贩和207名农民,并使用经过预测试的标准化问卷对他们进行访谈。从每个摊贩和农场无菌采集100毫升生牛奶样本,按照欧盟最大残留限量(EU-MRLs),使用Charm Blue Yellow II试剂盒检测抗菌药物残留,同时使用Ekomilk®分析仪测量成分质量,其中非脂乳固体(SNF)<8.5或加水≥0.01%或两者皆有的样本被视为掺假。我们使用单变量分析和无条件逻辑回归分析数据,以计算比值比(OR)和95%置信区间(CI)。
207份来自农民的样本中有32份(15.5%)抗菌药物残留检测呈阳性,152份来自摊贩的样本中有28份(18.4%)检测呈阳性。来自农民的36份样本(17.4%)和来自摊贩的38份样本(25.0%)被发现掺水。农民对抗菌药物残留牛奶消费危害的认知以及接受过良好挤奶实践培训的农民,在销售含抗菌药物残留牛奶方面具有保护作用(调整后的OR和95%CI分别为0.20,0.07 - 0.55和0.33,0.11 - 0.99)。
本研究中观察到的高于欧盟最大残留限量的抗菌药物残留以及市售生牛奶的掺假情况,为市售牛奶的常规检测和教育农民遵守抗菌药物停药期提供了证据。