Extended spectrum cephalosporin (ESC) resistant Escherichia coli: Trends and seasonality in the Netherlands from 2014 to 2022

Michael S.M. Brouwer , Eduardo de Freitas Costa , Anita Dame-Korevaar , Adam P. Roberts , Kees T. Veldman
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Abstract

Background

Antimicrobial resistance (AMR) in livestock and the environment likely contribute to the prevalence of AMR in humans with potential detrimental effects on human health. As such, annual mandatory monitoring of AMR in livestock occurs within the European Union (EU), according to harmonised methods. Extended-spectrum cephalosporins-resistant (ESC-resistant) Escherichia coli, including extended-spectrum β-lactamases (ESBL), AmpC β-lactamases (AmpC) and carbapenemase producing E. coli, are considered of particular importance and are therefore included in the monitoring program.

Methods

Using results from the annual monitoring of ESC-resistant E. coli from 20142022, trends in prevalence per animal sector were determined over the complete time period, as well as potential seasonal effects.

Results

During these nine years, significant changes were observed in the prevalence of ESC-resistant E. coli, in broilers, dairy cattle and veal calves, while no changes in prevalence were seen in slaughter pigs. Furthermore, the prevalence of ESC-resistant E. coli is positively correlated with warmer seasons (summer and autumn) for both dairy cattle and veal calves, while no associations were found for broilers and slaughter pigs. While temperature itself may play a role in the prevalence of ESC-resistant E. coli, other factors affecting the selective landscape, such as antibiotic usage, will also play a role.

Conclusion

A combined analysis of antimicrobial usage and prevalence of ESC-resistant E. coli through the year, both in livestock and human samples, would be an interesting follow-up of this study.
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耐广谱头孢菌素(ESC)大肠埃希菌:2014 年至 2022 年荷兰的趋势和季节性变化
背景牲畜和环境中的抗菌素耐药性(AMR)很可能会导致人类中抗菌素耐药性的流行,从而对人类健康造成潜在的不利影响。因此,欧盟(EU)每年都会根据统一的方法对家畜中的 AMR 进行强制性监测。耐扩展谱头孢菌素(ESC)大肠埃希菌,包括耐扩展谱β-内酰胺酶(ESBL)、AmpC β-内酰胺酶(AmpC)和碳青霉烯酶大肠埃希菌,被认为具有特别重要的意义,因此被纳入监测计划。结果在这九年中,肉鸡、奶牛和小牛的耐ESC大肠杆菌流行率发生了显著变化,而屠宰猪的流行率没有变化。此外,奶牛和小牛的耐ESC大肠杆菌流行率与温暖的季节(夏季和秋季)呈正相关,而肉鸡和屠宰猪的流行率则没有相关性。虽然温度本身可能会对耐 ESC 大肠杆菌的流行产生影响,但影响选择性景观的其他因素(如抗生素的使用)也会产生影响。
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