Antimicrobial resistance in fish and poultry: Public health implications for animal source food production in Nigeria, Egypt, and South Africa

E. M. Okon, R. Okocha, B. Adesina, Judith O. Ehigie, O. Alabi, A. M. Bolanle, N. Matekwe, B. M. Falana, A. M. Tiamiyu, I. O. Olatoye, O. Adedeji
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Abstract

Antimicrobial resistance (AMR) is a significant threat to global public health. Specifically, excessive usage of antimicrobials in food animal production is one significant reason for AMR development in humans. Therefore, it is essential to identify the trends of AMR in fish and poultry and develop better surveillance strategies for the future. Despite this imperative need, such information is not well documented, especially in Africa. This study used a systematic review to assess AMR trend, spatial distribution, and incidence in fish and poultry research in Nigeria, Egypt, and South Africa. A literature assessment was conducted for published studies on AMR between 1989 and 2021 using the Scopus and Web of Science databases. One hundred and seventy-three relevant articles were obtained from the database search. Egypt was the leading exponent of antimicrobial resistance research (43.35%, 75 studies), followed by Nigeria (39.31%, 68 studies), then South Africa (17.34%, 30 studies). The majority of the antimicrobial resistance studies were on poultry in Egypt (81%, 61 studies), Nigeria (87%, 59 studies), and South Africa (80%, 24 studies). Studies on fish were 17% (13 studies), 9% (6 studies), and 10% (3 studies) in Egypt, Nigeria, and South Africa, respectively. Antimicrobial resistance patterns showed multiple drug resistance and variations in resistant genes. AMR research focused on sulfamethoxazole groups, chloramphenicol, trimethoprim, tetracycline, erythromycin, and ampicillin. Most studies employed the disk diffusion method for antimicrobial susceptibility tests. Among the four mechanisms of AMR, limiting drug uptake was the most reported in this study (both in fish and poultry). The findings reveal public and environmental health threats and suggest that it would be useful to promote and advance AMR research, particularly for countries on the global hotspot for antimicrobial use.
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鱼类和家禽的抗菌素耐药性:尼日利亚、埃及和南非动物源食品生产的公共卫生影响
抗微生物药物耐药性(AMR)是对全球公共卫生的重大威胁。具体而言,在食用动物生产中过度使用抗菌剂是导致人类抗菌素耐药性发展的一个重要原因。因此,必须确定鱼类和家禽中抗菌素耐药性的趋势,并为未来制定更好的监测战略。尽管有这种迫切需要,但这方面的资料没有很好的记录,特别是在非洲。本研究采用系统综述的方法评估了尼日利亚、埃及和南非鱼类和家禽研究中的AMR趋势、空间分布和发病率。使用Scopus和Web of Science数据库对1989年至2021年间发表的AMR研究进行了文献评估。从数据库检索中获得173篇相关文章。埃及是抗菌药物耐药性研究的主要国家(43.35%,75项研究),其次是尼日利亚(39.31%,68项研究),然后是南非(17.34%,30项研究)。大多数抗菌素耐药性研究发生在埃及(81%,61项研究)、尼日利亚(87%,59项研究)和南非(80%,24项研究)的家禽身上。在埃及、尼日利亚和南非,对鱼类的研究分别为17%(13项研究)、9%(6项研究)和10%(3项研究)。耐药模式显示多重耐药和耐药基因的变异。抗菌素耐药性的研究重点是磺胺甲恶唑、氯霉素、甲氧苄啶、四环素、红霉素和氨苄西林。多数研究采用纸片扩散法进行药敏试验。在抗菌素耐药性的四种机制中,限制药物摄取是本研究中报道最多的(在鱼类和家禽中)。研究结果揭示了公共和环境健康威胁,并表明促进和推进抗菌素耐药性研究将是有益的,特别是对处于抗菌素使用全球热点的国家。
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