坦桑尼亚达累斯萨拉姆兽医诊断实验室抗菌素耐药性监测

E. L. Mayenga, E. Ågren, A. Balala, G. K. Banda
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引用次数: 1

摘要

抗菌素耐药性是一个全球性的健康问题,威胁着我们治疗人类和动物细菌感染的能力。为了估计问题的规模、确定措施的目标和评估所实施措施的效果,对抗菌素耐药性的监测非常重要。进行这项研究是为了确定微生物样品的收集方式、结果的解释以及为细菌培养和敏感性测试收集的样品数量;鉴定经常从牛奶和禽类样本中分离出来的细菌;并确定提交样本进行细菌培养、敏感性测试和抗菌素耐药性流行的趋势。采用回顾性研究方法,从2010-2017年实验室日志和实验室信息系统中提取AMR数据。大约90%的样品由农民提交,然后在接待处登记到实验室注册系统。共采集细菌培养样本4157份,其中牛乳样本3571份,活鸡或死鸡样本555份,其他动物样本31份。其中,牛奶样品346份(80.5%),禽类样品53份(12.3%),其他动物样品31份(7.2%)。常见的分离细菌有微球菌、大肠杆菌、沙门氏菌、葡萄球菌、肠杆菌和芽孢杆菌。使用诊断和药敏检测对支持合理使用抗生素和跟踪抗生素耐药性具有重要意义。
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Monitoring of Antimicrobial Resistance in diagnostic Veterinary laboratory in Dar es Salaam, Tanzania
Antimicrobial resistance (AMR) is a global one health issue threatening our ability to treat bacterial infections in humans and animals. Surveillance of AMR is important in order to estimate the size of the problem, to identify targets for measures and to evaluate the effect of implemented measures. The study was conducted to determine how microbiological samples were collected, results interpreted and the number of samples collected for bacterial culture and sensitivity testing; to identify bacteria frequently isolated from milk and avian samples; and to determine the trend of samples submitted for bacterial culture, sensitivity testing and AMR prevalence. A retrospective study was conducted to collect AMR data by extracting information from laboratory logbooks and laboratory information system from 2010-2017. About 90% of samples were submitted by farmers, and then registered into laboratory registration systems at the reception. A total of 4157 samples were collected for bacterial culture, which included 3571 milk samples collected from cows, 555 samples obtained from live or dead chicken, and 31 samples collected from other animal species. Four hundred and thirty (430) samples requested bacterial culture and sensitivity testing, of which 346 (80.5%) were from cow milk samples, 53 (12.3%) from avian samples, and 31 (7.2%) from other animal species. The common bacterial isolates were Micrococcus, E. coli, Salmonella, Staphylococcus, Enterobacter, and Bacillus species. The use of diagnostics and detection of drug susceptibility is important to support rational use of antibiotics and tracking of AMR.
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