Department of Medical Microbiology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Laboratory Sciences, Bahir Dar Health Sciences College, Bahir Dar, Ethiopia.
Front Public Health. 2024 May 1;12:1370338. doi: 10.3389/fpubh.2024.1370338. eCollection 2024.
Food-borne infections continue to be a major public health problem at the international level. The issue becomes more serious in developing countries like Ethiopia.
This study aimed to examine the prevalence of and species and intestinal parasites, as well as antimicrobial resistance patterns and associated factors among food handlers at the University of Gondar cafeteria in northwest Ethiopia.
An institutional-based cross-sectional study was conducted from February to June 2021 in the University of Gondar cafeterias. Data related to the socio-demographic characteristics and hygienic practices of study participants were collected using structured questionnaires. A total of 290 stool samples were collected from food handlers. Culture and conventional biochemical tests were used to isolate the and the species. Wet mount, Formol-ether concentration, and Kato Katz techniques were applied to identify intestinal parasites. Additionally, drug susceptibility tests were performed using the disk diffusion method. Statistical analysis was done using SPSS version 26.
Of 290 food handlers' stool samples analyzed, Twenty-seven 27 (9.3%) were positive for both and species. The prevalence of and species was 16 (5.5%) and 11 (3.8%), respectively. Most of the isolated pathogens were resistant to tetracycline 19 (70.4%), and trimethoprim/sulphamethoxazole 19 (70.4%). The overall rate of multi-drug resistant and isolate was 59.3%. Besides, Fifty-seven 57 (19.7%) of the participants were positive for one or more intestinal parasites. The most prevalent intestinal Parasitosis was 22 (7.6%), followed by 13 (4.5%), and 11 (3.8) not washing hands after using the toilet (AOR: 4.42, 95% CI: 1.57, 10.56), and consuming unpasteurized milk (AOR: 3.14, 95% CI: 1.65, 3.96), were factors significantly associated with the prevalence of Salmonella, and Shigella infection. Similarly, not washing hands after using the toilet (AOR: 2.19, 95% CI: 1.0, 1.4), and consuming unpasteurized milk (AOR: 10.4, 95% CI: 3.8, 28.8), were factors significantly associated with the prevalence of intestinal parasites infection.
The prevalence of intestinal parasites, , and species was high. Therefore, it is imperative to implement a public health policy that includes ongoing microbiological surveillance.
食源性感染仍是国际层面上的一个主要公共卫生问题。在埃塞俄比亚等发展中国家,这一问题变得更加严重。
本研究旨在调查埃塞俄比亚西北部贡德尔大学自助餐厅食品从业人员中 和 物种以及肠道寄生虫的流行情况,以及抗生素耐药模式和相关因素。
本研究于 2021 年 2 月至 6 月在贡德尔大学自助餐厅进行了一项基于机构的横断面研究。使用结构化问卷收集与研究参与者社会人口特征和卫生实践相关的数据。从食品从业人员中采集了 290 份粪便样本。使用培养和常规生化试验分离 和 物种。应用湿片、福尔马林乙醚浓缩和加藤厚涂片技术鉴定肠道寄生虫。此外,使用纸片扩散法进行药物敏感性试验。使用 SPSS 版本 26 进行统计分析。
在分析的 290 份食品从业人员粪便样本中,有 27 份(9.3%)同时检测出 和 物种阳性。 和 物种的流行率分别为 16(5.5%)和 11(3.8%)。大多数分离的病原体对四环素耐药 19 株(70.4%),对甲氧苄啶/磺胺甲噁唑耐药 19 株(70.4%)。总的多药耐药 和 分离株率为 59.3%。此外,有 57 名(19.7%)参与者的一种或多种肠道寄生虫呈阳性。最常见的肠道寄生虫病是 22 例(7.6%),其次是 13 例(4.5%)和 11 例(3.8%)。未在使用厕所后洗手(AOR:4.42,95%CI:1.57,10.56)和食用未巴氏消毒的牛奶(AOR:3.14,95%CI:1.65,3.96)是与沙门氏菌和志贺氏菌感染相关的显著因素。同样,未在使用厕所后洗手(AOR:2.19,95%CI:1.0,1.4)和食用未巴氏消毒的牛奶(AOR:10.4,95%CI:3.8,28.8)是与肠道寄生虫感染相关的显著因素。
肠道寄生虫、 和 物种的流行率很高。因此,实施包括持续微生物监测的公共卫生政策势在必行。