Uhland F Carl, Li Xian-Zhi, Mulvey Michael R, Reid-Smith Richard, Sherk Lauren M, Ziraldo Hilary, Jin Grace, Young Kaitlin M, Reist Mark, Carson Carolee A
Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada, Guelph, ON N1H 7M7, Canada.
Veterinary Drugs Directorate, Health Products and Food Branch, Health Canada, Ottawa, ON K1A 0K9, Canada.
Antibiotics (Basel). 2023 Sep 6;12(9):1412. doi: 10.3390/antibiotics12091412.
The extended-spectrum β-lactamase (ESBL)-producing Enterobacterales (ESBL-EB) encompass several important human pathogens and are found on the World Health Organization (WHO) priority pathogens list of antibiotic-resistant bacteria. They are a group of organisms which demonstrate resistance to third-generation cephalosporins (3GC) and their presence has been documented worldwide, including in aquaculture and the aquatic environment. This risk profile was developed following the Codex Guidelines for Risk Analysis of Foodborne Antimicrobial Resistance with the objectives of describing the current state of knowledge of ESBL-EB in relation to retail shrimp and salmon available to consumers in Canada, the primary aquacultured species consumed in Canada. The risk profile found that Enterobacterales and ESBL-EB have been found in multiple aquatic environments, as well as multiple host species and production levels. Although the information available did not permit the conclusion as to whether there is a human health risk related to ESBLs in Enterobacterales in salmon and shrimp available for consumption by Canadians, ESBL-EB in imported seafood available at the retail level in Canada have been found. Surveillance activities to detect ESBL-EB in seafood are needed; salmon and shrimp could be used in initial surveillance activities, representing domestic and imported products.
产超广谱β-内酰胺酶(ESBL)的肠杆菌科细菌(ESBL-EB)包括几种重要的人类病原体,被列入世界卫生组织(WHO)的抗生素耐药细菌重点病原体名单。它们是一类对第三代头孢菌素(3GC)具有耐药性的微生物,其存在已在全球范围内得到记录,包括在水产养殖和水生环境中。本风险概况是根据食品中抗菌药物耐药性风险分析的食品法典准则制定的,目的是描述与加拿大消费者可获得的零售虾和三文鱼(加拿大主要消费的水产养殖品种)相关的ESBL-EB的现有知识状况。该风险概况发现,在多种水生环境以及多种宿主物种和生产水平中都发现了肠杆菌科细菌和ESBL-EB。尽管现有信息无法得出关于加拿大消费者可食用的三文鱼和虾中的肠杆菌科细菌中的ESBL是否存在人类健康风险的结论,但在加拿大零售层面可获得的进口海鲜中已发现ESBL-EB。需要开展监测活动以检测海鲜中的ESBL-EB;三文鱼和虾可用于初步监测活动,分别代表国内和进口产品。