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2010 - 2022年埃塞俄比亚[具体研究对象]的患病率、血清型及抗生素耐药性的系统评价

A Systematic review on Prevalence, Serotypes and Antibiotic resistance of in Ethiopia, 2010-2022.

作者信息

Kahsay Atsebaha Gebrekidan, Dejene Tsehaye Asmelash, Kassaye Enquebaher

机构信息

Department of Medical Microbiology and Immunology, Mekelle University, Mekelle, Tigrai, Ethiopia.

Department of Food Safety and Veterinary Microbiology, Mekelle University, Mekelle, Tigrai, Ethiopia.

出版信息

Infect Drug Resist. 2023 Oct 13;16:6703-6715. doi: 10.2147/IDR.S424345. eCollection 2023.

Abstract

BACKGROUND

In Ethiopia, salmonellosis is one of the most common zoonotic and foodborne illnesses. Ethiopia continues to be at risk for its fast-expanding medication resistance. For the development of preventative and control methods, summarized knowledge regarding salmonellosis is necessary. Determining a thorough evaluation of the prevalence, serotypes, and antibiotic resistance of in humans and animals from January 1, 2010, to December 30, 2022, in Ethiopia was our goal.

METHODS

To find related articles that published in English, we used the Google Scholar and PubMed search engines. Three researchers conducted the eligible studies using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist, making sure to include the necessary keywords. If studies were duplicates, incomplete publications, or reported without an antimicrobial test were excluded. Excel 2013 was used to calculate frequencies and tabulate data.

RESULTS

There were a total of 43 investigations from food handlers, diarrhoeic patients, and animals. The prevalence rates ranged from 1% to 10% and 1% to 13% among food handlers and diarrhoea patients, respectively. The highest prevalence was among pigs (41.6%). S. Anatum in animals and S. Typhimurium in people were the predominant serotypes. Amoxicillin and ampicillin were claimed to be 100% resistant in human studies. The highest recorded resistances for ceftriaxone and ciprofloxacin were 16.7% and 100%, respectively. Animal studies revealed that resistances to ampicillin, streptomycin and tetracycline were 100%, 90%, 86.4%, respectively. S. Kentucky showed complete resistance to tetracycline, ampicillin, gentamicin, ciprofloxacin, and streptomycin.

CONCLUSION

The prevalence of among asymptomatic food handlers, diarrheal patients and animals were high in Ethiopia. S. Typhimurium that have the zoonotic importance was presented predominantly in human study. High levels of resistances were showed to tetracycline, ampicillin and streptomycin in animal studies. Salmonellosis prevention and control techniques should be strengthened.

摘要

背景

在埃塞俄比亚,沙门氏菌病是最常见的人畜共患病和食源性疾病之一。埃塞俄比亚因其快速增长的耐药性而持续面临风险。为了制定预防和控制方法,有必要总结关于沙门氏菌病的知识。我们的目标是对2010年1月1日至2022年12月30日期间埃塞俄比亚人和动物中沙门氏菌病的患病率、血清型和抗生素耐药性进行全面评估。

方法

为了查找以英文发表的相关文章,我们使用了谷歌学术和PubMed搜索引擎。三名研究人员使用系统评价和Meta分析的首选报告项目(PRISMA)清单进行了符合条件的研究,确保纳入必要的关键词。如果研究是重复的、不完整的出版物或未进行抗菌测试的报告,则予以排除。使用Excel 2013计算频率并将数据制成表格。

结果

共有43项针对食品处理人员、腹泻患者和动物的调查。食品处理人员和腹泻患者中的患病率分别为1%至10%和1%至13%。猪的患病率最高(41.6%)。动物中的鸭沙门氏菌和人类中的鼠伤寒沙门氏菌是主要血清型。在人体研究中,阿莫西林和氨苄西林的耐药率据称达到100%。头孢曲松和环丙沙星的最高耐药记录分别为16.7%和100%。动物研究表明,沙门氏菌对氨苄西林、链霉素和四环素的耐药率分别为100%、90%、86.4%。肯塔基沙门氏菌对四环素、氨苄西林、庆大霉素、环丙沙星和链霉素表现出完全耐药。

结论

在埃塞俄比亚,无症状食品处理人员、腹泻患者和动物中沙门氏菌的患病率很高。在人体研究中,具有人畜共患病重要性的鼠伤寒沙门氏菌占主导地位。在动物研究中,沙门氏菌对四环素、氨苄西林和链霉素表现出高耐药水平。应加强沙门氏菌病的预防和控制技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e308/10581021/5a6e1dd71e0f/IDR-16-6703-g0001.jpg

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