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洗必泰和乳酸基乳头消毒剂的最低抑菌浓度:一项评估细菌选择和药敏性的干预试验。

Minimum inhibitory concentrations of chlorhexidine- and lactic acid-based teat disinfectants: An intervention trial assessing bacterial selection and susceptibility.

作者信息

Schwenker J A, Schotte U, Hölzel C S

机构信息

Department for Animal Hygiene and Animal Health, Institute of Animal Breeding and Husbandry, Christian-Albrechts-University Kiel, 24098 Kiel, Germany.

Department A-Veterinary Medicine, Central Institute of the Bundeswehr Medical Service Kiel, 24119 Kronshagen, Germany.

出版信息

J Dairy Sci. 2022 Jan;105(1):734-747. doi: 10.3168/jds.2021-20824. Epub 2021 Oct 28.

Abstract

Teat disinfection is a recommended preventive tool to improve udder health and to prevent new intramammary infections. However, side effects are discussed, such as bacterial selection of less-susceptible bacteria with the application of certain teat disinfectants. The objective of this study was to assess the species composition and bacterial in vitro susceptibility by means of an interventive trial. For this purpose, 3 different postmilking teat treatments (disinfection with 0.215% chlorhexidine or 3.5% lactic acid, or control group with no dipping) were applied to 28 cows in a 6-d intervention approach using a split-udder design. Milk samples were taken before and after intervention. Bacteria were cultured and differentiated to species or genus level by MALDI-TOF mass spectrometry. Minimum inhibitory concentrations (MIC) were determined, and MIC changes over time were recorded. Susceptibilities to chlorhexidine and lactic acid were compared between species of the genera Staphylococcus, Streptococcus, Corynebacterium, and others. Species composition changed during the intervention. Under the treatment of chlorhexidine and lactic acid, the proportion of coagulase-negative staphylococci (CNS) decreased. An increased proportion of species belonging to the genus Corynebacterium was observed especially under the application of lactic acid. Although both teat disinfectants were basically effective, isolates differed in their susceptibility to both teat disinfectants. Populations of CNS, Staphylococcus aureus, and Corynebacterium spp. showed significantly lower absolute MIC values for chlorhexidine. Compared with other species, Corynebacterium spp. showed the lowest susceptibility for chlorhexidine as well as for lactic acid. A significant increase in MIC values after 6 d of intervention was observed with the lactic acid treatment in all isolates, as well as in CNS. This increase can be interpreted as either adaptation of isolates or displacement of more-susceptible species by less-susceptible species. Further studies using long-term intervention might reveal more pronounced effects on MIC values and species composition.

摘要

乳头消毒是一种推荐的预防措施,有助于改善乳房健康并预防新的乳房内感染。然而,人们也在讨论其副作用,比如使用某些乳头消毒剂会导致细菌选择出耐药性更强的细菌。本研究的目的是通过一项干预试验评估物种组成和细菌的体外药敏性。为此,采用分侧乳房设计,对28头奶牛进行为期6天的干预,采用3种不同的挤奶后乳头处理方法(用0.215%洗必泰或3.5%乳酸消毒,或不浸泡作为对照组)。在干预前后采集牛奶样本。通过基质辅助激光解吸电离飞行时间质谱法(MALDI-TOF)对细菌进行培养并鉴定到种或属水平。测定最低抑菌浓度(MIC),并记录MIC随时间的变化。比较了葡萄球菌属、链球菌属、棒状杆菌属及其他属的不同菌种对洗必泰和乳酸的药敏性。干预期间物种组成发生了变化。在洗必泰和乳酸处理下,凝固酶阴性葡萄球菌(CNS)的比例下降。尤其在使用乳酸的情况下,观察到棒状杆菌属物种的比例增加。虽然两种乳头消毒剂基本有效,但分离株对两种乳头消毒剂的药敏性不同。CNS、金黄色葡萄球菌和棒状杆菌属种群对洗必泰的绝对MIC值显著较低。与其他物种相比,棒状杆菌属对洗必泰和乳酸的药敏性最低。乳酸处理组在干预6天后,所有分离株以及CNS的MIC值均显著增加。这种增加可以解释为分离株的适应性变化或耐药性更强的物种取代了药敏性更强的物种。使用长期干预的进一步研究可能会揭示对MIC值和物种组成更显著的影响。

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