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在小阿基克河检测到多重耐药菌的高负担。

High burden of multidrug resistant bacteria detected in Little Akaki River.

机构信息

Department of Medical Laboratory Science, College of Health Sciences, Addis Ababa University, P.O. Box 1176, Addis Ababa, Ethiopia.

Department of Microbial, Cellular, and Molecular Biology, College of Natural Sciences, Addis Ababa University, P.O. Box 1176, Addis Ababa, Ethiopia.

出版信息

Comp Immunol Microbiol Infect Dis. 2022 Jan;80:101723. doi: 10.1016/j.cimid.2021.101723. Epub 2021 Nov 16.

Abstract

Spread of antimicrobial-resistant bacteria between humans and animals occurs when the environment is contaminated with animal and human wastes. A total of 30 samples were collected from the Akaki river to identify antimicrobial-resistant bacteria. Bacterial enumeration and characterization was done by spreading serially diluted water samples on MacConkey agar. Sixty four bacterial isolates were identified and susceptibility tested using VITEK 2. The most frequently identified bacteria were Providencia alcalifaciens 10 (15.6%), Kluyvera cryocrescens 9 (14.1%) and Citrobacter freundii 7(10.9%), respectively. Multiple drug resistant bacteria were identified, constituting 17 (28%) of the 64 identified isolates. Multiple antimicrobial resistance (MAR) index of the six sites laid in the range 0.13-0.27, being the highest score located downstream of all the sampling sites. Species MAR index varied from 0.12 to 0.40. Out of 64 isolates, 54 (84.4%) of them were resistant to Ampicillin. On the contrary, most of the isolates were sensitive to Amikacin and meropenem. In conclusion, our findings indicated E.coli count was above the WHO permissible levels. The predominant isolates were P. alcalifaciens, and C. freundii. The MAR index of major isolates was greater than two, implying the study sites were exposed to high-risk sources of human or animal contamination.

摘要

当环境受到动物和人类废物污染时,抗微生物耐药细菌在人类和动物之间传播。从阿卡卡基河共采集了 30 个样本,以鉴定抗微生物耐药细菌。通过在 MacConkey 琼脂上连续稀释水样进行细菌计数和特征描述。使用 VITEK 2 鉴定和测试了 64 个细菌分离株的敏感性。鉴定出的最常见细菌分别为产碱普罗威登斯菌 10 株(15.6%)、凯氏克雷伯菌 9 株(14.1%)和弗氏柠檬酸杆菌 7 株(10.9%)。鉴定出了多种耐药细菌,占 64 株鉴定分离株的 17 株(28%)。六个地点的多重药物耐药(MAR)指数在 0.13-0.27 之间,所有采样地点下游的得分最高。物种 MAR 指数从 0.12 到 0.40 不等。在 64 株分离株中,有 54 株(84.4%)对氨苄西林有耐药性。相反,大多数分离株对阿米卡星和美罗培南敏感。总之,我们的研究结果表明,大肠杆菌的数量超过了世卫组织允许的水平。主要分离株为产碱普罗威登斯菌和弗氏柠檬酸杆菌。主要分离株的 MAR 指数大于 2,这表明研究地点受到了人类或动物污染的高风险源的暴露。

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