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欧洲国家肉鸡、育肥火鸡、育肥猪和犊牛肠道共生菌的抗微生物耐药性流行情况及其与国家层面抗微生物药物使用的关系。

Antimicrobial resistance prevalence in commensal from broilers, fattening turkeys, fattening pigs and veal calves in European countries and association with antimicrobial usage at country level.

机构信息

Department of Bacteriology and Epidemiology, Wageningen Bioveterinary Research, Lelystad, The Netherlands.

Present address: Research Executive Agency, European Commission, Brussels, Belgium.

出版信息

J Med Microbiol. 2020 Apr;69(4):537-547. doi: 10.1099/jmm.0.001176.

Abstract

The aim of this article is to report on antimicrobial resistance (AMR) in commensal from livestock from several European countries. The relationships with antimicrobial usage (AMU) at country level and harmonized indicators to cover the most relevant AMR aspects for human health in animal production were also investigated. were isolated in faeces from broilers and fattening pigs (from nine countries), and fattening turkeys and veal calves (from three countries) and screened against a fixed antimicrobial panel. AMU data were collected at farm and average treatment incidences stratified by antimicrobial class, country and livestock species were calculated. Associations between AMR and AMU at country level were analysed. Independent of animal species, the highest resistance was observed for ampicillin, sulphamethoxazole, tetracycline and trimethoprim. from broilers showed the highest resistance level for (fluoro)quinolones, and multidrug resistance peaked in broilers and fattening turkeys. Colistin resistance was observed at very low levels with the exception of fattening turkeys. High resistance to third- and fourth-generation cephalosporins was detected in broilers and fattening turkeys. The lowest levels of resistance were for meropenem, azithromycin and tigecycline (<1 %). Significant correlations between resistance and usage at country level were detected in broilers for polymyxins and aminoglycosides, and in fattening pigs for cephalosporins, amphenicols, fluoroquinolones and polymyxins. None of the correlations observed between AMR and AMU were statistically significant for fattening turkey and veal calves. The strength of the analysis performed here is the correlation of aggregated data from the same farms at country level for both AMU and AMR within antimicrobial classes.

摘要

本文旨在报告来自几个欧洲国家的家畜共生菌的抗微生物药物耐药性(AMR)情况。还研究了与国家一级的抗微生物药物使用(AMU)以及协调一致的指标之间的关系,这些指标涵盖了动物生产中与人类健康最相关的 AMR 方面。从肉鸡和育肥猪(来自九个国家)以及育肥火鸡和小牛肉牛(来自三个国家)的粪便中分离出,并针对固定的抗微生物药物组进行了筛选。收集了农场的 AMU 数据,并按抗微生物药物类别、国家和牲畜种类对平均治疗发生率进行了分层计算。分析了国家一级 AMR 与 AMU 之间的关联。独立于动物种类,对氨苄西林、磺胺甲恶唑、四环素和甲氧苄啶的耐药率最高。肉鸡携带的 对(氟)喹诺酮类药物的耐药率最高,而多药耐药性在肉鸡和育肥火鸡中最高。除了育肥火鸡外,很少观察到粘菌素耐药。在肉鸡和育肥火鸡中检测到第三代和第四代头孢菌素的耐药率很高。对美罗培南、阿奇霉素和替加环素的耐药率最低(<1%)。在肉鸡中检测到多黏菌素和氨基糖苷类药物与国家一级的耐药性和使用率之间存在显著相关性,在育肥猪中检测到头孢菌素、氯霉素、氟喹诺酮类和多黏菌素之间存在相关性。在育肥火鸡和小牛肉牛中,观察到的 AMR 与 AMU 之间的相关性均无统计学意义。本研究的分析优势在于,在抗微生物药物类别内,对国家一级来自同一农场的 AMU 和 AMR 的汇总数据进行了相关性分析。

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