Antibiotic resistance through the lens of One Health: A study from an urban and a rural area in Sri Lanka

IF 2.4 2区 农林科学 Q3 INFECTIOUS DISEASES Zoonoses and Public Health Pub Date : 2023-10-25 DOI:10.1111/zph.13087
Yasodhara Deepachandi Gunasekara, Sanda Arunika Kottawatta, Thilini Nisansala, Isuru Jayamina Bandara Wijewickrama, Yasodha I. Basnayake, Ayona Silva-Fletcher, Ruwani Sagarika Kalupahana
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Abstract

This study aimed to investigate and compare the proportion of AMR Escherichia coli (E. coli) between urban (Dompe in the Western province) and rural (Dambana in the Sabaragamuwa province) areas in Sri Lanka. The overall hypothesis of the study is that there is a difference in the proportion of AMR E. coli between the urban and the rural areas. Faecal samples were collected from healthy humans (n = 109), dairy animals (n = 103), poultry (n = 35), wild mammals (n = 81), wild birds (n = 76), soil (n = 80) and water (n = 80) from both areas. A total of 908 E. coli isolates were tested for susceptibility to 12 antimicrobials. Overall, E. coli isolated from urban area was significantly more likely to be resistant than those isolated from rural area. The human domain of the area had a significantly higher prevalence of AMR E. coli, but it was not significantly different in urban (98%) and rural (97%) areas. AMR E. coli isolated from dairy animals, wild animals and water was significantly higher in the urban area compared with the rural area. There was no significant difference in the proportion of multidrug resistance (MDR) E. coli isolated from humans, wild animals and water between the two study sites. Resistant isolates found from water and wild animals suggest contamination of the environment. A multi-sectorial One Health approach is urgently needed to control the spread of AMR and prevent the occurrences of AMR in Sri Lanka.

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“一个健康”视角下的抗生素耐药性:一项来自斯里兰卡城市和农村地区的研究。
本研究旨在调查和比较AMR大肠杆菌(E。 coli)在斯里兰卡的城市(西部省的多姆佩)和农村(萨巴拉加穆瓦省的达姆巴纳)之间。该研究的总体假设是,AMR E的比例存在差异。 城市和农村之间的大肠杆菌。粪便样本采集自健康人(n = 109),乳制品动物(n = 103),家禽(n = 35),野生哺乳动物(n = 81),野生鸟类(n = 76),土壤(n = 80)和水(n = 80)。共908 E。 对大肠杆菌分离株进行了对12种抗菌药物的敏感性测试。总体而言,E。 从城市地区分离的大肠杆菌比从农村地区分离的菌株更有可能产生耐药性。该地区的人类区域AMR E。 大肠杆菌,但在城市(98%)和农村(97%)地区没有显著差异。AMR E。 从奶制品、野生动物和水中分离的大肠杆菌在城市地区明显高于农村地区。多药耐药(MDR)E。 从人类、野生动物和水中分离的大肠杆菌。从水中和野生动物中发现的耐药菌株表明环境受到污染。迫切需要一种多部门的“一个健康”方法来控制AMR的传播并防止AMR在斯里兰卡的发生。
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来源期刊
Zoonoses and Public Health
Zoonoses and Public Health 医学-传染病学
CiteScore
5.30
自引率
4.20%
发文量
115
审稿时长
6-12 weeks
期刊介绍: Zoonoses and Public Health brings together veterinary and human health researchers and policy-makers by providing a venue for publishing integrated and global approaches to zoonoses and public health. The Editors will consider papers that focus on timely collaborative and multi-disciplinary research in zoonoses and public health. This journal provides rapid publication of original papers, reviews, and potential discussion papers embracing this collaborative spirit. Papers should advance the scientific knowledge of the sources, transmission, prevention and control of zoonoses and be authored by scientists with expertise in areas such as microbiology, virology, parasitology and epidemiology. Articles that incorporate recent data into new methods, applications, or approaches (e.g. statistical modeling) which enhance public health are strongly encouraged.
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