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埃塞俄比亚锡达莫州 Hawassa 市屠宰场的生牛肉中沙门氏菌属和产超广谱β-内酰胺酶的大肠埃希菌的高流行率和药敏模式。

High prevalence and antimicrobial susceptibility pattern of salmonella species and extended-spectrum β-lactamase producing Escherichia coli from raw cattle meat at butcher houses in Hawassa city, Sidama regional state, Ethiopia.

机构信息

Hawassa College of Health Sciences, Department of Medical Laboratory Science, Hawassa, Ethiopia.

Hawassa University, College of Medicine and Health Sciences, School of Medical Laboratory Science, Hawassa, Ethiopia.

出版信息

PLoS One. 2022 Jan 14;17(1):e0262308. doi: 10.1371/journal.pone.0262308. eCollection 2022.

Abstract

BACKGROUND

Food-borne diseases related to the consumption of meat and its products had public health importance worldwide. The problem became worst in Ethiopia as the result of the tradition of eating raw cattle meat. Salmonella species and Escherichia coli are important food-borne pathogens associated with meat contamination. Hence the current study aimed to assess the prevalence and antimicrobial susceptibility of Salmonella species and Extended-spectrum β-lactamase producing Escherichia coli from raw cattle meat at butcher houses in Hawassa city, Sidama regional state, Ethiopia.

METHOD

A cross-sectional study was done on the prevalence and antimicrobial susceptibility pattern of Salmonella species and Extended-spectrum β-lactamase producing E.coli from raw cattle meat at butcher houses in Hawassa city from September to December 2020. Socio-demographic data were collected using a structured questionnaire and raw cattle meat and swab samples were collected from meat cutting equipment. The collected samples transported using icebox to Hawassa University College of Medicine and Health Sciences Microbiology Laboratory for identification. Samples were grown on different culture media and antimicrobial susceptibility tests were determined by using Kirby disc diffusion method. Data were entered and analyzed into SPSS version 23. Descriptive statistics were done and P-value < 0.05 was considered as statistically significant.

RESULT

The overall prevalence of salmonella and ESBL producing E.coli among 556 samples collected from 278 butcher houses was 36 (6.47%) (95% CI: 1.68-1.79) of which 13 (2.3%) were ESBL producing E.coli and 23(4.1%) were salmonella species. Poor hand washing practice (AOR = 2.208; 95% CI: 1.249-3.904) and touching birr while selling meat (AOR = 0.75; 95% CI: (0.433-1.299) were found to be significantly associated with the prevalence of salmonella species and E.coli on cattle meat. The isolates showed moderate levels of resistance (60-70%) against Amoxicillin/ clavulanic acid and high susceptibility (85-100%) against gentamicin, cotrimoxazole, ceftazidime, and tetracycline and the overall multidrug resistance was 33.3%.

CONCLUSION

This study revealed moderately high prevalence of salmonella and E.coli due to poor hygiene and sanitation practices in the butcher shops. Furthermore, the existence of ESBL producing E.coli isolates clearly indicate the possible threat to public health. Therefore, inspection by the right agencies must be implemented in order to prevent food-borne outbreaks and antimicrobial resistance.

摘要

背景

与食用肉类及其产品有关的食源性疾病在全球范围内具有公共卫生重要性。由于食用生牛肉的传统,埃塞俄比亚的情况变得最糟。沙门氏菌属和大肠杆菌是与肉类污染有关的重要食源性病原体。因此,本研究旨在评估在埃塞俄比亚 sidama 地区 hawassa 市的肉铺中,生牛肉中沙门氏菌属和产超广谱β-内酰胺酶的大肠杆菌的流行率和抗菌药物敏感性。

方法

2020 年 9 月至 12 月,在 hawassa 市的肉铺中进行了一项横断面研究,以评估生牛肉中沙门氏菌属和产超广谱β-内酰胺酶的大肠杆菌的流行率和抗菌药物敏感性模式。使用结构化问卷收集社会人口统计学数据,并从肉类切割设备中采集生牛肉和拭子样本。使用冰盒将收集的样本运送到 hawassa 大学医学院和健康科学微生物学实验室进行鉴定。将样本接种于不同的培养基上,并通过 Kirby 圆盘扩散法进行抗菌药物敏感性试验。将数据输入并分析到 SPSS 版本 23 中。进行描述性统计,P 值<0.05 被认为具有统计学意义。

结果

在从 278 个肉铺中采集的 556 个样本中,沙门氏菌和产 ESBL 的大肠杆菌的总检出率为 36(6.47%)(95%CI:1.68-1.79),其中 13(2.3%)为产 ESBL 的大肠杆菌,23(4.1%)为沙门氏菌属。发现洗手习惯差(AOR=2.208;95%CI:1.249-3.904)和卖肉时触摸比尔(AOR=0.75;95%CI:(0.433-1.299)与生牛肉中沙门氏菌和大肠杆菌的流行显著相关。分离株对阿莫西林/克拉维酸的耐药率为中等水平(60-70%),对庆大霉素、复方新诺明、头孢他啶和四环素的敏感性较高(85-100%),总体多药耐药率为 33.3%。

结论

本研究显示,由于肉铺卫生和卫生条件差,沙门氏菌和大肠杆菌的流行率较高。此外,产 ESBL 的大肠杆菌分离株的存在清楚地表明了对公众健康的潜在威胁。因此,必须由适当的机构进行检查,以防止食源性疾病爆发和抗菌药物耐药性。

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