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EPIDEMIOLOGICAL MODELS FOR MONITORING ANTIMICROBIAL RESISTANCE IN PIG HERDS

机译:流行病学模型监测猪群抗微生物抗性

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Agricultural use of antimicrobials, in particular as growth promoters, has been widely implicated as a major contributor to the pool of resistance genes present in the human population. For instance, enterococci with similar resistance patterns to human isolates have been isolated from pigs in Europe (1,2,4). Monitoring of antimicrobial resistance in organisms present in pig herds, which can be transferred to humans via the consumption of pork, is therefore necessary to assess the potential impact ofantimicrobial use in pig farms on human health. Much of the data currently available regarding resistance in the veterinary field has been derived from clinical samples submitted for culture and sensitivity testing. This is sufficient only to monitor trends in resistance amongst pathogens and due to sampling bias, may not be representative of the animal population as a whole or of all geographical areas. In addition, this information can rarely be related back to antimicrobial use. In order that meaningful data may be gathered, it is necessaiy to consider the epidemiology of resistance in the populations of interest on farm and to use this information to devise rational sampling strategies (3). For this purpose, epidemiological models have been developed which can be used to aid monitoring of antimicrobial resistance in pig herds.
机译:特别是抗微生物的农业使用,特别是生长促进剂被广泛涉及人群中存在的抗性基因池的主要贡献者。例如,具有与人分离株类似的抗电阻模式的肠球菌已从欧洲的猪分离(1,2,4)。因此,有必要通过猪肉消费将猪群中存在的生物体的抗菌药物监测,从而可以评估猪农场对人类健康的潜在影响。目前关于兽医领域的抵抗的大部分数据已经来自于提交培养和灵敏度测试的临床样本中得出。这只是为了监测病原体之间的抗性趋势,并且由于采样偏差,可能不代表动物种群作为整个地理区域。此外,此信息很少有关返回抗菌用途。为了收集有意义的数据,需要考虑农场群体的抵抗流行病学,并使用这些信息设计理性采样策略(3)。为此目的,已经开发了流行病学模型,其可用于帮助监测猪群的抗微生物抗性。

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