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Antimicrobial Resistance in Bacterial Poultry Pathogens: A Review

机译:细菌性家禽病原体的抗药性:综述。

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Antimicrobial resistance (AMR) is a global health threat, and antimicrobial usage and AMR in animal production is one of its contributing sources. Poultry is one of the most widespread types of meat consumed worldwide. Poultry flocks are often raised under intensive conditions using large amounts of antimicrobials to prevent and treat disease, as well as for growth promtoion. AMR in poultry pathogens may result in treatment failure, leading to economic losses, but also be a source of resistance bacteria/genes (including zoonotic bacteria) that may represent a risk to human health. Here we reviewed data on antimicrobial resistance in 12 poultry pathogens (avian pathogenic Escherichia coli, APEC), Salmonella Pullorum/Gallinarum, Pasteurella multocida, Avibacterium paragallinarum, Gallibacterium anatis, Ornitobacterium rhinotracheale (ORT), Bordetella avium, Clostridium perfringens, Mycoplasma spp., Erysipelothrix rhusiopathiae, and Riemerella anatipestifer). A number of studies have demonstrated increases in resistance over time for Salmonella Pullorum/Gallinarum, Mycoplasma gallisepticum, and Gallibacterium anatis. Among Enterobacteriaceae, APEC isolates had median resistance levels over >80%for ampicillin, amoxicillin, tetracycline across studies; these resistance levels were considerably higher compared with S. Pullorum/Gallinarum. Among the Gram-negative, non-Enterobacteriaceae pathogens, ORT had the highest levels of phenotypic resistance with median levels of AMR against cotrimoxazole, enrofloxacin, gentamicin, amoxicillin and ceftiofur all exceeding 50%. In contrast, levels of resistance among P. multocida isolates were less than 20% for all antimicrobials. The study highlights considerable disparities in methodologies, as well as in criteria for phenotypic antimicrobial susceptibility testing and result interpretation. It is necessary to increase efforts to harmonize testing practices, and to promote free access to data on AMR in order to improve treatment guidelines as well as to monitor the evolution of AMR in poultry bacterial pathogens.
机译:抗菌素耐药性(AMR)是全球健康威胁,动物生产中抗菌素的使用和抗菌素耐药性是其促成因素之一。家禽是世界上食用最广泛的肉类之一。通常在集约化条件下饲养家禽群,使用大量的抗生素来预防和治疗疾病以及生长激素。家禽病原体中的AMR可能会导致治疗失败,导致经济损失,但也可能是耐药细菌/基因(包括人畜共患细菌)的来源,可能对人类健康构成威胁。在这里,我们审查了12种家禽病原体(禽病原性大肠杆菌,APEC),沙门氏菌/加利纳鲁姆菌,多杀巴斯德氏菌,副高羊肠杆菌,Analitis菌,鼻气管炎支原体(ORT),鸟卵,梭状芽胞杆菌,梭状芽胞杆菌,抗疟原虫的数据。丹毒丝菌性红斑病菌和拟南芥(Riemerella anatipestifer)。大量研究表明,白痢沙门氏菌/加利纳鲁姆菌,鸡毒支原体和Analitis菌的抗药性随时间增加。在整个肠杆菌科中,APEC分离株的氨苄西林,阿莫西林,四环素的中位耐药水平超过80%;与S. Pullorum / Gallinarum相比,这些抗性水平要高得多。在革兰氏阴性,非肠杆菌科病原体中,ORT具有最高的表型耐药性,其中对考特莫唑,恩诺沙星,庆大霉素,阿莫西林和头孢噻呋的AMR的中值水平均超过50%。相比之下,所有抗菌药物在多杀性巴氏杆菌分离株中的耐药水平均低于20%。这项研究强调了方法论,表型抗药性试验和结果解释标准方面的巨大差异。有必要加大力度以统一检测方法,并促进对AMR数据的免费访问,以改善治疗指南并监测AMR在禽细菌病原体中的演变。

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