Ana de Malet Pintos-Fonseca, Hospital Universitario Lucus Augusti (HULA), Lugo, Spain.
Rev Esp Quimioter. 2024 Oct;37(5):409-414. doi: 10.37201/req/038.2024. Epub 2024 Jul 8.
The Autonomous Community of Galicia has adopted DECREE 216/2011 on health standards for poultry production, in addition to the Spanish national programs. However, no program has yet been implemented to eradicate campylobacteriosis, which shares the same reservoir. The aim of this study was to compare the evolution of Salmonella spp. isolates with respect to those of Campylobacter spp. in faecal samples received by the Microbiology Department.
A retrospective descriptive comparative study was conducted through the Laboratory Information System (SIL) of Salmonella spp. isolated against Campylobacter spp. in faeces between 2011 and 2022 at the Lucus Augusti University Hospital (HULA), Lugo, Spain.
A total of 35,704 stool samples were analysed, of which 3,045 were positive. 751 Salmonella spp. were isolated. Statistical differences were observed in the annual distribution (p<0.01), with a clear turning point in 2018. Five hundred and five patients required hospital care, especially in 2014 with 72 patients (69%). On the other hand, 1,587 Campylobacter spp. were isolated. Required hospital care 1,002 patients during the study, with a peak in 2019 with 111 cases (62%).
The reduction of salmonellosis cases and the maintenance of campylobacteriosis cases are directly related to the implementation of DECREE 216/2011. This, in turn, has reduced the pressure on hospitals in the HULA health area. Therefore, we believe that the ONE Health concept is being strengthened in the area studied.
加利西亚自治区除了采用西班牙国家计划外，还通过了第 216/2011 号关于家禽生产卫生标准的法令。然而，目前尚未实施任何根除空肠弯曲菌病的计划，因为空肠弯曲菌病与该疾病有相同的传染源。本研究旨在比较粪便样本中分离出的沙门氏菌与弯曲菌的演变情况。
通过西班牙卢戈大学医院（HULA）微生物学系接收的粪便沙门氏菌与弯曲菌分离的实验室信息系统（SIL），对 2011 年至 2022 年期间沙门氏菌与弯曲菌分离的粪便样本进行回顾性描述性比较研究。
共分析了 35704 份粪便样本，其中 3045 份为阳性。分离出 751 株沙门氏菌。年度分布存在统计学差异（p<0.01），2018 年出现明显转折点。505 例患者需要住院治疗，尤其是 2014 年有 72 例（69%）。另一方面，分离出 1587 株弯曲菌。在研究期间，有 1002 例患者需要住院治疗，2019 年达到峰值，有 111 例（62%）。
沙门氏菌病例的减少和弯曲菌病例的维持与第 216/2011 号法令的实施直接相关。这反过来又减轻了 HULA 卫生区医院的压力。因此，我们认为该地区的“One Health”理念正在得到加强。
