Onohuean Hope, Olot Haron, Onohuean Fanny Eseohe, Bukke Sarad Pawar Naik, Akinsuyi Oluwamayowa S, Kade Ayomikun
Biomolecules, Metagenomics, Endocrine and Tropical Disease Research Group (BMETDREG), Kampala International University, Western Campus, Ishaka-Bushenyi, Uganda.
Biopharmaceutics Unit, Department of Pharmacology and Toxicology, School of Pharmacy, Kampala International University, Ishaka-Bushenyi, Uganda.
Front Microbiol. 2025 Apr 9;16:1525564. doi: 10.3389/fmicb.2025.1525564. eCollection 2025.
Despite its critical role in individual and societal health, food hygiene remains underexplored. Antibiotic-resistant pathogenic bacteria in ready-to-eat (RTE) food threaten public health. This scoping review collected data on the epidemiological prevalence of RTE food-contaminated pathogens resistant to antimicrobial drugs and resistance genes in Africa.
Using electronic databases, such as PubMed, Scopus, and Web of Science (WoS), handpicked from references, pre-reviewed published articles were retrieved and analyzed according to the PRISMA-ScR guidelines.
The findings indicate 40 previewed published articles qualified for meta-synthesis in the scoping review with a population/case ratio of 11,653/5,338 (45.80%). The most frequently reported RTE foods were meat or beef/beef-soup, chicken or poultry products, salads, vegetable salads, and sandwiches, which harboured pathogens such as Antibiotic susceptibility tests revealed the use of 48 antibiotics to manage infections, following CLSI (Clinical and Laboratory Standards Institute) protocols. Moreover, 10 authors reported 54 resistance genes associated with pathogenic resistant bacteria. In addition, only 15 studies received funding or financial support.
These findings from several researchers indicate that RTE street foods in African and resource-limited nations harbour enteric pathogens and are a significant concern to the public health system and reservoir of the spread of antibiotic resistance. This underscores the necessity of implementing effective control strategies to address challenges and limit the spread of resistant bacteria in RTE foods. The antimicrobial resistance surveillance system in the region is a significant concern. Notably, Africa needs to strengthen the national and international regulatory bodies and a health surveillance system on antimicrobial resistance, particularly among developing nations.
尽管食品卫生在个人和社会健康中起着关键作用,但仍未得到充分研究。即食(RTE)食品中的抗生素抗性病原菌威胁着公众健康。本综述收集了非洲即食食品污染的对抗菌药物耐药的病原菌和耐药基因的流行病学数据。
利用电子数据库,如PubMed、Scopus和科学网(WoS),从参考文献中精心挑选,根据PRISMA-ScR指南检索和分析预先审查的已发表文章。
研究结果表明,40篇预先审查的已发表文章符合范围综述中的元综合标准,人群/病例比为11,653/5,338(45.80%)。报告最频繁的即食食品是肉类或牛肉/牛肉汤、鸡肉或家禽产品、沙拉、蔬菜沙拉和三明治,这些食品中含有病原菌,如抗生素敏感性试验显示,按照临床和实验室标准协会(CLSI)的方案,使用了48种抗生素来治疗感染。此外,10位作者报告了与病原菌抗性相关的54个耐药基因。此外,只有15项研究获得了资金或财政支持。
几位研究人员的这些发现表明,非洲和资源有限国家的即食街头食品含有肠道病原菌,是公共卫生系统和抗生素耐药性传播源头的重大关切。这凸显了实施有效控制策略以应对挑战并限制即食食品中耐药菌传播的必要性。该地区的抗菌药物耐药性监测系统是一个重大关切。值得注意的是,非洲需要加强国家和国际监管机构以及关于抗菌药物耐药性的健康监测系统,特别是在发展中国家。