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家畜中的细菌耐药性:综述

Bacterial drug resistance in meat animals: a review.

作者信息

Okolo M I

出版信息

Int J Zoonoses. 1986 Sep;13(3):143-52.

PMID:3549599
Abstract

Prolonged oral or parenteral administration of antibiotics has led to the development of resistant strains of microorganisms. Bacteria acquire drug resistance by mutation, conjugation and transduction. Oral antibiotics by a process of selection pressure facilitate the proliferation of resistant population of bacteria. Drug resistant bacteria are capable of transferring their resistance to drugs to other bacteria by the process of transferable drug resistance (TDR). This can lead to multiple resistance to a vast number of therapeutically useful antibiotics which will, therefore, become ineffective for treatment. TDR can occur between pathogenic organism, between organism of different species, such as E. coli, Salmonella and Shigella; and also between pathogenic and non-pathogenic organisms. Faecal contamination of meat during slaughter may result in the transfer of antibiotic resistant E. coli to the meat. In the human gut this E. coli could transfer resistance to other gut flora, namely E. coli or Salmonella. Antibiotic-resistant coliforms have been isolated from carcases, fresh and cooked meat, raw meat handlers and livestock handlers. Handling of raw market meat by buyers in Nigeria could also lead to contamination of meat with resistant microorganisms. Veterinary drugs are sold and used without much control in Nigeria. This practice may have created a population of resistant bacteria in the meat animals. The presence of antibiotic residues in meat, milk and their products pose potential health hazards for man. Allergic skin conditions, nausea, vomiting, anaphylactic shock and even death have resulted from the ingestion of residues. Cooking and freezing have minimal effect on residues. Resistance to antibiotics have been detected in food poisoning bacteria, namely Salmonella typhimurium, Staphylococcus aureus and Clostridium perfringens. Some epidemiological link has been established between S. typhimurium of calves and food poisoning in man. Judicious use of antibiotics, public education on the health risks of the promiscuous use of drugs in livestock production; and hygienic slaughter at the slaughter houses, will help to reduce bacterial drug resistance in man and animals.

摘要

长期口服或胃肠外使用抗生素已导致微生物耐药菌株的产生。细菌通过突变、接合和转导获得耐药性。口服抗生素通过选择压力过程促进耐药细菌群体的增殖。耐药细菌能够通过可转移耐药性(TDR)过程将其对药物的耐药性转移给其他细菌。这可能导致对大量治疗用抗生素产生多重耐药性,因此这些抗生素将对治疗无效。TDR可发生在致病生物体之间、不同物种的生物体之间,如大肠杆菌、沙门氏菌和志贺氏菌;也可发生在致病和非致病生物体之间。屠宰过程中肉类的粪便污染可能导致耐药性大肠杆菌转移到肉中。在人类肠道中,这种大肠杆菌可将耐药性转移给其他肠道菌群,即大肠杆菌或沙门氏菌。已从 carcasses、生鲜和熟肉、生肉处理人员和牲畜处理人员中分离出耐抗生素大肠菌群。尼日利亚买家处理生鲜市场肉类也可能导致肉类被耐药微生物污染。在尼日利亚,兽药的销售和使用缺乏严格管控。这种做法可能在肉类动物中产生了耐药细菌群体。肉类、牛奶及其制品中抗生素残留的存在对人类构成潜在健康危害。摄入残留已导致过敏性皮肤病、恶心、呕吐、过敏性休克甚至死亡。烹饪和冷冻对残留的影响极小。已在食物中毒细菌中检测到对抗生素的耐药性,即鼠伤寒沙门氏菌、金黄色葡萄球菌和产气荚膜梭菌。已在小牛的鼠伤寒沙门氏菌与人食物中毒之间建立了一些流行病学联系。明智地使用抗生素、对在牲畜生产中滥用药物的健康风险进行公众教育;以及在屠宰场进行卫生屠宰,将有助于降低人和动物中的细菌耐药性。

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