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从“同一健康”视角看德国巴伐利亚猪的抗菌药物敏感性

Antimicrobial Susceptibility from a One Health Perspective Regarding Porcine from Bavaria, Germany.

作者信息

Ade Julia, Riehm Julia M, Stadler Julia, Klose Corinna, Zablotski Yury, Ritzmann Mathias, Kümmerlen Dolf

机构信息

Clinic for Swine, Centre for Clinical Veterinary Medicine, Ludwig-Maximilians-Universität München Sonnenstrasse 16, 85764 Oberschleissheim, Germany.

Bavarian Health and Food Safety Authority, Veterinaerstrasse 2, 85764 Oberschleissheim, Germany.

出版信息

Antibiotics (Basel). 2023 Sep 8;12(9):1424. doi: 10.3390/antibiotics12091424.

Abstract

Antimicrobial resistance is one of the most crucial One Health topics worldwide. Consequently, various national and international surveillance programs collect data and report trends regularly. Ceftiofur, colistin and enrofloxacin belong to the most important and critical class of anti-infective medications in both human and veterinary medicine. In the present study, antimicrobial resistance was analyzed using the epidemiological cut-off (ECOFF) value on 6569 isolated from pigs in Bavaria, Germany, during five years, from 2016 to 2020. The statistically relevant results regarding antimicrobial resistance revealed a decrease for colistin, an increase for enrofloxacin, and a constant level for ceftiofur. In Germany, the usage of all three antimicrobial substances in livestock has fallen by 43.6% for polypeptides, 59.0% for fluoroquinolones and 57.8% for the 3rd + 4th generation cephalosporines during this time. Despite the decline in antimicrobial usage, a reduction regarding antimicrobial resistance was solely observed for colistin. This finding illustrates that in addition to the restriction of pharmaceutical consumption, further measures should be considered. Improved biosecurity concepts, a reduction in crowding, and controlled animal movements on farms may play a key role in finally containing the resistance mechanisms of bacteria in farm animals.

摘要

抗菌药物耐药性是全球最重要的“同一健康”议题之一。因此,各国和国际的各种监测项目定期收集数据并报告趋势。头孢噻呋、黏菌素和恩诺沙星属于人类和兽医学中最重要且关键的抗感染药物类别。在本研究中,对2016年至2020年五年间从德国巴伐利亚州的猪身上分离出的6569株菌株,使用流行病学临界值(ECOFF)分析了抗菌药物耐药性。关于抗菌药物耐药性的统计学相关结果显示,黏菌素耐药性下降,恩诺沙星耐药性上升,头孢噻呋耐药性维持在恒定水平。在此期间,在德国,家畜中这三种抗菌物质的使用量,多肽类下降了43.6%,氟喹诺酮类下降了59.0%,第三代和第四代头孢菌素类下降了57.8%。尽管抗菌药物使用量下降,但仅观察到黏菌素的抗菌药物耐药性有所降低。这一发现表明,除了限制药物消费外,还应考虑采取进一步措施。改进生物安全理念、减少畜群密度以及控制农场内动物流动,可能在最终遏制农场动物细菌耐药机制方面发挥关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf40/10525436/db5287c4a372/antibiotics-12-01424-g001.jpg

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