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应对沙门氏菌病:风险因素、影响和解决方案的综合探讨。

Tackling salmonellosis: A comprehensive exploration of risks factors, impacts, and solutions.

机构信息

Doctoral Program of Veterinary Science, Faculty of Veterinary Medicine, Universitas Airlangga, Surabaya, Indonesia.

Faculty of Veterinary Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia.

出版信息

Open Vet J. 2024 Jun;14(6):1313-1329. doi: 10.5455/OVJ.2024.v14.i6.1. Epub 2024 Jun 30.

DOI:10.5455/OVJ.2024.v14.i6.1
PMID:39055762
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11268913/
Abstract

Salmonellosis, caused by species, is one of the most common foodborne illnesses worldwide with an estimated 93.8 million cases and about 155,00 fatalities. In both industrialized and developing nations, Salmonellosis has been reported to be one of the most prevalent foodborne zoonoses and is linked with arrays of illness syndromes such as acute and chronic enteritis, and septicaemia. The two major and most common species implicated in both warm-blooded and cold-blooded animals are and To date, more than 2400 serovars which affect both humans and animals have been identified. is further classified into serotypes based on three primary antigenic determinants: somatic (O), flagella (H), and capsular (K). The capacity of nearly all species to infect, multiply, and survive in human host cells with the aid of their pathogenic and virulence arsenals makes them deadly and important public health pathogens. Primarily, food-producing animals such as poultry, swine, cattle, and their products have been identified as important sources of salmonellosis. Additionally, raw fruits and vegetables are among other food types that have been linked to the spread of spp. Based on the clinical manifestation of human salmonellosis, strains can be categorized as either non-typhoidal (NTS) and typhoidal . The detection of aseptically collected in necropsies, environmental samples, feedstuffs, rectal swabs, and food products serves as the basis for diagnosis. In developing nations, typhoid fever due to Typhi typically results in the death of 5%-30% of those affected. The World Health Organization (WHO) calculated that there are between 16 and 17 million typhoid cases worldwide each year, with scaring 600,000 deaths as a result. The contagiousness of a outbreak depends on the bacterial strain, serovar, growth environment, and host susceptibility. Risk factors for infection include a variety of foods; for example, contaminated chicken, beef, and pork. Globally, there is a growing incidence and emergence of life-threatening clinical cases, especially due to multidrug-resistant (MDR) spp, including strains exhibiting resistance to important antimicrobials such as beta-lactams, fluoroquinolones, and third-generation cephalosporins. In extreme cases, especially in situations involving very difficult-to-treat strains, death usually results. The severity of the infections resulting from pathogens is dependent on the serovar type, host susceptibility, the type of bacterial strains, and growth environment. This review therefore aims to detail the nomenclature, etiology, history, pathogenesis, reservoir, clinical manifestations, diagnosis, epidemiology, transmission, risk factors, antimicrobial resistance, public health importance, economic impact, treatment, and control of salmonellosis.

摘要

沙门氏菌病是由 物种引起的,是全球最常见的食源性疾病之一,估计有 9380 万例病例,约 15.5 万人死亡。在工业化国家和发展中国家,沙门氏菌病都被报告为最普遍的食源性人畜共患病之一,与多种疾病综合征有关,如急性和慢性肠炎和败血症。在温血动物和冷血动物中,两种最主要和最常见的 物种是 和 。迄今为止,已经鉴定出超过 2400 种影响人类和动物的血清型。 进一步根据三种主要抗原决定簇:体(O)、鞭毛(H)和荚膜(K)进行血清型分类。几乎所有 物种都有能力在其致病和毒力武器的帮助下感染、繁殖和在人类宿主细胞中存活,这使它们成为致命和重要的公共卫生病原体。主要是,家禽、猪、牛等生产性动物及其产品被确定为沙门氏菌病的重要来源。此外,生的水果和蔬菜也是其他与 spp 传播有关的食物类型之一。根据人类沙门氏菌病的临床表现, 菌株可分为非伤寒型 (NTS)和伤寒型 。从无菌采集的 在尸检、环境样本、饲料、直肠拭子和食品中的检测是诊断的基础。在发展中国家,由于 Typhi 引起的伤寒症通常导致 5%-30%受感染者死亡。世界卫生组织(WHO)估计,全世界每年有 1600 万至 1700 万例伤寒病例,导致 60 万人死亡。 爆发的传染性取决于细菌株、血清型、生长环境和宿主易感性。 感染的危险因素包括各种食物;例如,受污染的鸡肉、牛肉和猪肉。在全球范围内,危及生命的临床病例的发病率和出现率都在不断增加,特别是由于多药耐药(MDR) 物种,包括对重要抗生素如β-内酰胺类、氟喹诺酮类和第三代头孢菌素类具有耐药性的菌株。在极端情况下,特别是在涉及非常难以治疗的菌株的情况下,通常会导致死亡。由 病原体引起的感染的严重程度取决于血清型类型、宿主易感性、细菌株类型和生长环境。因此,本综述旨在详细描述沙门氏菌病的命名法、病因、历史、发病机制、储存库、临床表现、诊断、流行病学、传播、危险因素、抗菌药物耐药性、公共卫生重要性、经济影响、治疗和控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06ed/11268913/c205fa82d9cd/OpenVetJ-14-1313-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06ed/11268913/c205fa82d9cd/OpenVetJ-14-1313-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06ed/11268913/c205fa82d9cd/OpenVetJ-14-1313-g001.jpg

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