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["“ReLait”项目框架下奶牛乳腺炎中的细菌种类及抗生素耐药性"]

[Bacteria species and antibiotic resistance in bovine mastitis within the framework of the «ReLait» project].

作者信息

Sommer M, Gerber B, Bodmer M

机构信息

Wiederkäuerklinik, Vetsuisse-Fakultät, Universität Bern.

Veterinary Public Health Institut, Vetsuisse-Fakultät, Universität Bern.

出版信息

Schweiz Arch Tierheilkd. 2025 Jul;167(7):395-404. doi: 10.17236/sat00458.

Abstract

This sub-study describes the results of mastitis milk samples collected in the canton of Fribourg. In the «ReLait» project, a total of 2,441 milk samples were submitted from 123 different farms, from which 3,028 pathogens were isolated. Three pathogens were isolated from 26 milk samples, and two from 535 milk samples. Milk samples could be submitted for subclinical mastitis, clinical mastitis, or before dry period. Most milk samples (n=1,524) were collected and analyzed for subclinical mastitis or before the dry period (n=463). Only a few milk samples came from cows with clinical mastitis (n=123). The most frequently diagnosed pathogens were non-aureus staphylococci (NAS) at 37,4 %. In addition, frequently diagnosed bacteria were aesculin-positive streptococci, of which 67,3 % were Streptococcus uberis, coliform and coryneform bacteria, and mixed flora. This distribution largely corresponds to the results of other studies, which also show a predominance of NAS, Corynebacterium bovis, and Staphylococcus uberis. Fewer Staphylococcus aureus (S. aureus)-positive samples were found in our study compared to studies outside Switzerland. The resistance situation among NAS was particularly striking with 73,6 % NAS showing a penicillin resistance. This rate has increased compared to previous Swiss studies where penicillin-resistant isolates of 31 % and 54,2 % in 2013 and 2014 respectively were found. Increased antimicrobial resistance to aminopenicillins (90,3 %) and amoxicillin/clavulanic acid (20,8 %) was found among coliform bacteria. However, due to the geographically limited sampling area, this increased resistance development cannot be extrapolated to the whole of Switzerland. The results, however, show that the resistance situation of some bacteria is alarming regionally. To counteract this, the use of antibiotics for the treatment of subclinical or clinical mastitis should be reconsidered. Bacterial milk culture is always indicated to ensure specific bacterial treatment with or without antibiotics.

摘要

这项子研究描述了弗里堡州采集的乳腺炎牛奶样本的结果。在“ReLait”项目中,共从123个不同农场提交了2441份牛奶样本,从中分离出3028种病原体。26份牛奶样本中分离出三种病原体,535份牛奶样本中分离出两种病原体。牛奶样本可用于提交亚临床乳腺炎、临床乳腺炎或干奶期前的样本。大多数牛奶样本(n = 1524)是为亚临床乳腺炎或干奶期前(n = 463)采集和分析的。只有少数牛奶样本来自患有临床乳腺炎的奶牛(n = 123)。最常诊断出的病原体是非金黄色葡萄球菌(NAS),占37.4%。此外,常诊断出的细菌有七叶苷阳性链球菌,其中67.3%是乳房链球菌、大肠埃希菌和棒状杆菌,以及混合菌群。这种分布情况在很大程度上与其他研究结果相符,其他研究也表明NAS、牛棒状杆菌和乳房葡萄球菌占主导地位。与瑞士以外的研究相比,我们的研究中发现金黄色葡萄球菌(S. aureus)阳性样本较少。NAS中的耐药情况尤为突出,73.6%的NAS显示对青霉素耐药。与之前的瑞士研究相比,这一比例有所上升,之前的瑞士研究分别在2013年和2014年发现青霉素耐药菌株的比例为31%和54.2%。在大肠埃希菌中发现对氨基青霉素(90.3%)和阿莫西林/克拉维酸(20.8%)的抗菌耐药性增加。然而,由于采样区域在地理上有限,这种耐药性增加的情况不能推断至整个瑞士。不过,结果表明某些细菌的耐药情况在区域内令人担忧。为应对这一情况,应重新考虑用于治疗亚临床或临床乳腺炎的抗生素使用。始终建议进行细菌牛奶培养,以确保无论是否使用抗生素都能进行针对性的细菌治疗。

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