Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Guelph, Ontario, Canada.
Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada, Guelph, Ontario, Canada.
Epidemiol Infect. 2022 Dec 5;151:e1. doi: 10.1017/S0950268822001819.
Antimicrobial-resistant (AMR) bacteria are a threat to public health as they can resist treatment and pass along genetic material that allows other bacteria to become drug-resistant. To assess foodborne AMR risk, the Codex Guidelines for Risk Analysis of Foodborne AMR provide a framework for risk profiles and risk assessments. Several elements of a risk profile may benefit from a scoping review (ScR). To contribute to a larger risk profile structured according to the Codex Guidelines, our objective was to conduct a ScR of the current state of knowledge on the distribution, frequency and concentrations of extended-spectrum -lactamase (ESBL)-producing Enterobacteriaceae in salmon and shrimp. Articles were identified via a comprehensive search of five bibliographic databases. Two reviewers screened titles and abstracts for relevance and characterised full-text articles with screening forms developed . Sixteen relevant studies were identified. This review found that there is a lack of Canadian data regarding ESBL-producing Enterobacteriaceae in salmon and shrimp. However, ESBL- producing , and other have been isolated in multiple regions with a history of exporting seafood to Canada. The literature described herein will support future decision-making on this issue as research/surveillance and subsequent assessments are currently lacking.
抗微生物药物耐药性（AMR）细菌对公众健康构成威胁，因为它们可以抵抗治疗并传递允许其他细菌产生耐药性的遗传物质。为了评估食源性病原体 AMR 风险，食品法典委员会 AMR 风险分析准则为风险概况和风险评估提供了一个框架。风险概况的几个要素可能受益于范围审查（ScR）。为了根据食品法典委员会准则为更大的风险概况做出贡献，我们的目标是对三文鱼和虾中产生超广谱β-内酰胺酶（ESBL）的肠杆菌科的分布、频率和浓度的现有知识进行 ScR。通过对五个书目数据库的全面搜索确定了文章。两名审查员对标题和摘要的相关性进行了筛选，并使用开发的筛选表格对全文文章进行了特征描述。确定了 16 项相关研究。本综述发现，加拿大缺乏有关三文鱼和虾中 ESBL 产生肠杆菌科的数据。然而，在有向加拿大出口海鲜历史的多个地区已经分离出了 ESBL 产生的 和其他 。本文所述的文献将支持在此问题上的未来决策，因为目前缺乏研究/监测和后续评估。
