埃塞俄比亚奥罗米亚地区Ambo、Gojo和Bako镇从狗身上分离的大肠杆菌的流行情况、危险因素和抗生素谱

E. Gebremedhin, Demiso Merga, E. J. Sarba, Lencho Megersa Marami, G. K. Tola, Solomon Shiferaw Endale
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引用次数: 2

摘要

狗是大肠杆菌和其他人畜共患细菌病原体的潜在宿主,对人类和其他动物构成感染风险。采用横断面研究方法,从西舍瓦区Ambo、Gojo和Bako镇表面健康的狗身上收集了438份直肠棉絮样本,目的是调查大肠杆菌的流行情况、危险因素和抗生素谱。在家庭层面进行问卷调查,收集有关感染大肠杆菌的潜在危险因素的数据。采用标准细菌学培养技术测定患病率。采用最低抑菌浓度(MIC)法对大肠杆菌进行确证和药敏试验。大肠杆菌的总患病率为24.2%(95%可信区间[CI]:20.26-28.49%)。大肠杆菌检出率最高的是巴科镇(31.01%),其次是戈若镇(30.99%)和安博镇(18.49%)。单变量和多变量logistic回归分析显示,大肠杆菌患病率与城镇和Kebeles之间存在显著相关性(p0.05)。大肠杆菌对阿米卡星、厄他培南、亚胺培南、哌拉西林-他唑巴坦、奈替米星、氨苄西林、哌拉西林、头孢西丁、环丙沙星、左氧氟沙星和美罗培南均敏感。对氨曲南、头孢曲松(分别为13.95%)、头孢唑林(22.73%)、庆大霉素(11.90%)、甲氧苄啶-磺胺甲恶唑(6.97%)耐药较低。大肠杆菌分离株对氨曲南、头孢唑林、头孢曲松、庆大霉素和甲氧苄啶-磺胺甲恶唑多重耐药(14.0%)。这表明大肠杆菌的流行和适度低的抗菌素耐药性表明可能存在感染人类的风险。因此,提高公众对人畜共患病预防措施和良好卫生习惯的认识至关重要。关键词:抗生素,狗,大肠杆菌,埃塞俄比亚,流行,危险因素
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Prevalence, risk factors and antibiogram of Escherichia coli isolated from dogs in Ambo, Gojo and Bako towns of Oromia region, Ethiopia
Dogs are a potential reservoir for Escherichia coli and other zoonotic bacterial pathogens posing the risk of infection to humans and other animals. A crosssectional study was used to collect 438 rectal swab samples from apparently healthy dogs of Ambo, Gojo, and Bako towns of West Shewa Zone with the objectives of investigating the prevalence, risk factors and antibiogram of E. coli. A questionnaire survey was administered at the household level to collect data on potential risk factors to acquire E. coli infection. Prevalence was determined by using standard bacteriological culture techniques. Further  confirmation and antimicrobial susceptibility testing of E. coli using the minimum inhibitory concentration (MIC) method were  conducted using Automated Phoenix Machine. The overall prevalence of E. coli was found to be 24.2% (95% confidence interval [CI]:20.26-28.49%). The isolation rate of E. coli was the highest in Bako 31.01%, followed by Gojo 30.99% and Ambo 18.49% towns.  Univariable and multivariable logistic regression analyses revealed that there was a significant association between E. coli prevalence and towns and Kebeles (P<0.05). However, age, sex, the presence of other domestic animals in the household, types of the housing system, educational level of the dogs’ owners, and type of feed provided to the dogs did not significantly correlate with the isolation of E. coli (P > 0.05). E. coli isolates were pan-susceptible to amikacin, ertapenem, imipenem, piperacillin-tazobactam, netilmicin, ampicillin, piperacillin, cefoxitin, ciprofloxacin, levofloxacin, and meropenem. A low level of resistance was found to aztreonam, ceftriaxone, (each 13.95%), cefazolin (22.73%), gentamicin (11.90%), and trimethoprim-sulphamethoxazole (6.97%). E. coli isolates showed multidrug resistance to aztreonam, cefazolin, ceftriaxone, gentamicin, and trimethoprim-sulphamethoxazole (14.0%). This demonstrated E. coli prevalence and moderately low antimicrobial resistance  suggests the possible risk of infection of humans. Therefore, raising public awareness about zoonotic canine disease prevention measures and good hygienic practices are essential.. Keywords: Antibiogram, Dog, Escherichia coli, Ethiopia, Prevalence, Risk factor
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