猪场及其周围环境是抗菌素耐药性传播的一个因素

L. Dimitrova, M. Zaharieva, H. Najdenski
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引用次数: 0

摘要

近几十年来,在现代集约化畜牧业中,出现了一种令人担忧的趋势,即抗生素耐药菌株的选择和传播。这一全球现象不仅对治疗实践产生一定的负面影响,而且对耐药性在食物链和人类中传播构成严重风险。沙门氏菌、志贺氏菌、克雷伯氏菌、耶尔森氏菌、柠檬酸杆菌等肠杆菌科的各个属,尤其是大肠杆菌在这一过程中占有特殊的地位。治疗复杂沙门氏菌感染患者最常用的抗生素是头孢曲松和环丙沙星,细菌已经对这两种抗生素产生了耐药性。大肠杆菌对第三代头孢菌素、氨基糖苷类药物的耐药性显著增强,对三种主要抗菌素类药物(氟喹诺酮类药物、第三代头孢菌素和氨基糖苷类药物)的联合耐药性也显著增强。在对人类和动物分离株的大量研究中,已经向科学界报告了耶尔森氏菌对四环素和氟喹诺酮类药物的耐药性。通过使用生粪肥作为肥料,这些微生物可能会传播到土壤、废水或其他环境生态位。此外,它们可以通过食物链传播给人类和动物。考虑到水平基因转移是抗菌素耐药性传播的最重要机制之一,那么在食用被污染的食物、水等后,动物基因决定的抗生素耐药性很容易影响人类的耐药性,这使得重要的药物对严重疾病无效。对于抗菌素耐药性可能在猪和相关生态位(猪场、粪池、废水和土壤)中传播,正在进行大规模研究,以阐明其生态和健康意义。此外,获得的结果将有助于制定有效的国家战略,控制抗菌素耐药性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PIG FARMS AND THEIR SURROUNDINGS AS A FACTOR IN THE SPREAD OF ANTIMICROBIAL RESISTANCE
In recent decades, in modern intensive animal husbandry, there has been a worrying trend towards the selection and spread of bacterial strains resistant to antibiotics. This global phenomenon has not only a certain negative effect on therapeutic practice, but also poses a serious risk to the spread of resistance in the food chain and in humans. Various genera from the family Enterobacteria like Salmonella, Shigella, Klebsiella, Yersinia, Citrobacter, etc. and especially Escherichia coli have a special place in this process. The most commonly used antibiotics for treatment of patients with complicated Salmonella infections are ceftriaxone and ciprofloxacin, to which the bacteria has already developed antibiotic resistance. For Escherichia coli, significantly increased resistance is developed to the third-generation cephalosporins, aminoglycosides, as well as combined resistance to three key antimicrobial groups (fluoroquinolones, third-generation cephalosporins and aminoglycosides). Resistance among Yersinia spp. against tetracyclines and fluorochinolones has been reported to the scientific community in numerous studies on human and animal isolates. By using the raw manure as fertilizer, these microorganisms may be transmitted to soil, wastewater or others environmental niches. Further, they can be transmitted via the food chain to humans and animals. Considering that the horizontal gene transfer is one of the most important mechanisms for transmitting of antimicrobial resistance, then after consumption of contaminated food, water, etc., genetically determined antibiotic resistance in animals can easily affect resistance among people, which makes vital drugs ineffective against serious illnesses. For the possible spread of antimicrobial resistance in pigs and related ecological niches - pig farms, manure lagoons, wastewater and soils, large-scale studies are being conducted to clarify their ecological and health significance. In addition, the results obtained will contribute to the development of an effective national strategy for the control of antimicrobial resistance.
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