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本地农田环境和家畜中扩展谱β-内酰胺酶的流行:减轻抗微生物药物耐药性的挑战。

Prevalence of extended-spectrum β-lactamases in the local farm environment and livestock: challenges to mitigate antimicrobial resistance.

机构信息

Emerging Pathogens Institute, University of Florida, Gainesville, FL, USA.

Department of Animal Sciences, Institute of Food and Agricultural Sciences, University of Florida, Gainesville, FL, USA.

出版信息

Crit Rev Microbiol. 2020 Feb;46(1):1-14. doi: 10.1080/1040841X.2020.1715339. Epub 2020 Jan 24.

Abstract

The effectiveness of antibiotics has been challenged by the increasing frequency of antimicrobial resistance (AR), which has emerged as a major threat to global health. Despite the negative impact of AR on health, there are few effective strategies for reducing AR in food-producing animals. Of the antimicrobial resistant microorganisms (ARMs), extended-spectrum β-lactamases (ESBLs)-producing are an emerging global threat due to their increasing prevalence in livestock, even in animals raised without antibiotics. Many reviews are available for the positive selection of AR associated with antibiotic use in livestock, but less attention has been given to how other factors including soil, water, manure, wildlife, and farm workers, are associated with the emergence of ESBL-producing bacteria. Understanding of antibiotic resistance genes and bacteria transfer at the interfaces of livestock and other potential reservoirs will provide insights for the development of mitigation strategies for AR.

摘要

抗生素的有效性受到抗菌药物耐药性(antimicrobial resistance,简称 AR)日益频繁出现的挑战,这已成为全球健康的主要威胁。尽管 AR 对健康有负面影响,但目前几乎没有有效的策略可以减少食用动物中的 AR。在耐药微生物(antimicrobial resistant microorganisms,简称 ARMs)中,由于其在牲畜中的流行率不断增加,甚至在没有使用抗生素的动物中也存在,产生超广谱β-内酰胺酶(extended-spectrum β-lactamases,简称 ESBLs)的微生物已成为一个新的全球威胁。有许多关于与抗生素在牲畜中使用相关的 AR 阳性选择的评论,但人们对其他因素(包括土壤、水、粪便、野生动物和农场工人)如何与产生 ESBL 的细菌的出现相关的关注较少。了解牲畜和其他潜在储层之间的抗生素耐药基因和细菌转移,将为制定 AR 缓解策略提供深入的见解。

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