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肉类和肉制品中细菌的抗菌药物耐药性:“同一个健康”视角

Antimicrobial Resistance in Bacteria from Meat and Meat Products: A One Health Perspective.

作者信息

Conceição Sara, Queiroga Maria Cristina, Laranjo Marta

机构信息

MED-Mediterranean Institute for Agriculture, Environment and Development & CHANGE-Global Change and Sustainability Institute, Institute for Advanced Studies and Research, Universidade de Évora, Pólo da Mitra, Ap. 94, 7006-554 Évora, Portugal.

Departamento de Medicina Veterinária, Escola de Ciências e Tecnologia, Universidade de Évora, Pólo da Mitra, Ap. 94, 7006-554 Évora, Portugal.

出版信息

Microorganisms. 2023 Oct 17;11(10):2581. doi: 10.3390/microorganisms11102581.

Abstract

According to the 2030 Agenda of the United Nations, one of the sustainable development goals is to ensure sustainable consumption and production patterns. The need to ensure food safety includes, other than microbiological hazards, concerns with antimicrobial-resistant (AMR) bacteria. The emergence of resistant bacteria in the food industry is essentially due to the abusive, and sometimes incorrect, administration of antimicrobials. Although not allowed in Europe, antimicrobials are often administered to promote animal growth. Each time antimicrobials are used, a selective pressure is applied to AMR bacteria. Moreover, AMR genes can be transmitted to humans through the consumption of meat-harbouring-resistant bacteria, which highlights the One Health dimension of antimicrobial resistance. Furthermore, the appropriate use of antimicrobials to ensure efficacy and the best possible outcome for the treatment of infections is regulated through the recommendations of antimicrobial stewardship. The present manuscript aims to give the current state of the art about the transmission of AMR bacteria, particularly methicillin-resistant , ESBL-producing Enterobacteriaceae, and vancomycin-resistant spp., along with other ESKAPE bacteria, from animals to humans through the consumption of meat and meat products, with emphasis on pork meat and pork meat products, which are considered the most consumed worldwide.

摘要

根据联合国《2030年议程》,可持续发展目标之一是确保可持续的消费和生产模式。确保食品安全的需求除了包括微生物危害外,还涉及对抗菌药物耐药(AMR)细菌的关注。食品行业中耐药细菌的出现主要是由于抗菌药物的滥用,有时甚至是不当使用。尽管在欧洲不允许,但抗菌药物经常被用于促进动物生长。每次使用抗菌药物时,都会对AMR细菌施加选择压力。此外,AMR基因可通过食用携带耐药细菌的肉类传播给人类,这凸显了抗菌药物耐药性的“同一健康”层面。此外,通过抗菌药物管理的建议来规范抗菌药物的合理使用,以确保感染治疗的疗效和尽可能好的结果。本手稿旨在介绍AMR细菌,特别是耐甲氧西林、产ESBL的肠杆菌科细菌和耐万古霉素的 spp.,以及其他ESKAPE细菌,通过食用肉类和肉制品,尤其是猪肉和猪肉制品(被认为是全球消费量最大的)从动物传播给人类的最新情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cf7/10609446/5b8b641508fe/microorganisms-11-02581-g001.jpg

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