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从蔬菜中分离出的对β-内酰胺类抗生素的耐药性:综述

Resistance to β-lactams in isolated from vegetables: a review.

作者信息

Poeys-Carvalho Rafael M P, Gonzalez Alice G M

机构信息

Departament of Bromatology, Federal Fluminense University, Niterói, Brazil.

出版信息

Crit Rev Food Sci Nutr. 2025;65(5):936-946. doi: 10.1080/10408398.2023.2284858. Epub 2023 Nov 24.

DOI:10.1080/10408398.2023.2284858
PMID:37999924
Abstract

Vegetables are crucial for a healthy human diet due to their abundance of essential macronutrients and micronutrients. However, there have been increased reports of antimicrobial-resistant isolated from vegetables. is a large group of Gram-negative bacteria that can act as commensals, intestinal pathogens, or opportunistic extraintestinal pathogens. Extraintestinal infections caused by are a clinical concern due to antimicrobial resistance (AMR). β-lactams have high efficacy against Gram-negative bacteria and low toxicity for eukaryotic cells. These antimicrobials are widely used in the treatment of extraintestinal infections. This review aimed to conduct a literature survey of the last five years (2018-2023) on the occurrence of β-lactam-resistant in vegetables. Research was carried out in PubMed, Web of Science, Scopus, ScienceDirect, and LILACS (Latin American and Caribbean Health Sciences Literature) databases. After a careful evaluation, thirty-seven articles were selected. β-lactam-resistant , including extended-spectrum β-lactamases (ESBLs)-producing, AmpC β-lactamases, and carbapenemases, have been isolated from a wide variety of vegetables. Vegetables are vectors of β-lactam-resistant , contributing to the dissemination of resistance mechanisms previously observed only in the hospital environment.

摘要

蔬菜因其富含必需的大量营养素和微量营养素,对人类健康饮食至关重要。然而,从蔬菜中分离出的耐抗菌药物的报告有所增加。大肠埃希菌是一大类革兰氏阴性菌,可作为共生菌、肠道病原体或机会性肠外病原体。大肠埃希菌引起的肠外感染因抗菌药物耐药性(AMR)而成为临床关注的问题。β-内酰胺类药物对革兰氏阴性菌疗效高,对真核细胞毒性低。这些抗菌药物广泛用于治疗大肠埃希菌肠外感染。本综述旨在对过去五年(2018 - 2023年)关于蔬菜中耐β-内酰胺类大肠埃希菌的发生情况进行文献调查。研究在PubMed、科学网、Scopus、ScienceDirect和LILACS(拉丁美洲和加勒比卫生科学文献)数据库中进行。经过仔细评估,选择了37篇文章。耐β-内酰胺类大肠埃希菌,包括产超广谱β-内酰胺酶(ESBLs)、AmpCβ-内酰胺酶和碳青霉烯酶的菌株,已从多种蔬菜中分离出来。蔬菜是耐β-内酰胺类大肠埃希菌的载体,促成了以前仅在医院环境中观察到的耐药机制的传播。

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