多药耐药沙门氏菌在亚洲的流行:一个小型综述

Lara Julia R. Salvador, Leanne Wilfrede D. Intengan, Lheean Aira G. Castillo, Allyssa Dale D. Baluyut, Maria Ellaine Mae C. Camarao, Ariane De D. Rueda, Blessed Joy B. Baligod, Champagne P. Go, Mary Rose F. Lirio
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引用次数: 0

摘要

沙门氏菌是一种已知的导致世界各地食物中毒的病原体,每年有数千例病例报告。在过去十年中,耐多药沙门氏菌的激增也很明显,使情况恶化,并使其成为更加重要的公共卫生负担。本文旨在提高公众对沙门氏菌感染快速发展的认识,这是由于亚洲不同地区抗生素耐药性的激增造成的。从Google Scholar、PubMed、NCBI和ScienceDirect中提取的50篇文章被纳入本综述。普遍存在的沙门氏菌血清型和大多数分离株已产生耐药性的抗生素在亚洲各地区得到确认。总的来说,伤寒沙门菌被确定为最分离的伤寒沙门菌菌株,而伤寒沙门菌是亚洲流行的NTS菌株。在亚洲进行的研究显示,四环素在所有分离的沙门氏菌中具有最高的耐药百分比。在本次小型综述纳入的38个国家中,有11个国家出现了令人震惊的四环素耐药性,这是由于染色体突变和核糖体结合位点突变造成的。大多数沙门氏菌分离株具有四环素特异性耐药基因的遗传元素,增加了抗菌素耐药性的内在机制。继四环素之后,还观察到对萘啶酸和氨苄西林的显著耐药。因此,强烈建议公共卫生官员将重点放在改善食品生产和加工中的卫生条件以及水管理安全上,以解决沙门氏菌问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Multidrug-Resistant Salmonella spp. in Asia: A Mini-Review
Salmonella is a known causative agent for food poisoning across the world with thousands of cases reported annually. The surging multidrug-resistant Salmonella was also evident throughout the decade, worsening the situation and making it an even more crucial public health burden . This paper aims to raise public health awareness on the rapid progression of Salmonella infection resulting from proliferating antimicrobial resistance in different Asian regions. A total of 50 articles extracted from Google Scholar, PubMed, NCBI, and ScienceDirect were included in this review. The prevalent Salmonella serotype and antibiotic that most isolates have built resistance to were identified per Asian region. Overall, Salmonella Typhi is identified as the most isolated typhoidal Salmonella strain while Salmonella Typhimurium is the prevalent NTS strain in Asia. Tetracycline is revealed to have the highest percentage of resistance among all isolated Salmonella spp. in conducted Asian studies. Alarming tetracycline resistance was observed in 11 out of 38 countries incorporated in this mini-review, this is due to chromosomal mutation and ribosomal binding site mutation. Most Salmonella isolates have inherited genetic elements with tetracycline-specific resistant genes, increasing the intrinsic mechanism for antimicrobial resistance. Following tetracycline, significant resistance against nalidixic acid and ampicillin was also observed. Thus, it is highly suggested for public health officials focus on improving the sanitary conditions in food production and processing together with water management safety to address the problem with Salmonella .
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