Population Structure and Antimicrobial Resistance in Campylobacter jejuni and C. coli Isolated from Humans with Diarrhea and from Poultry, East Africa

被引:1
|
作者
French, Nigel P. [1 ]
Thomas, Kate M. [2 ]
Amani, Nelson B. [3 ]
Benschop, Jackie [1 ]
Bigogo, Godfrey M. [4 ]
Cleaveland, Sarah [5 ]
Fayaz, Ahmed [1 ]
Hugho, Ephrasia A. [3 ]
Karimuribo, Esron D. [6 ]
Kasagama, Elizabeth [3 ]
Maganga, Ruth [5 ]
Melubo, Matayo L. [3 ]
Midwinter, Anne C. [1 ]
Mmbaga, Blandina T. [3 ,7 ]
Mosha, Victor V. [3 ]
Mshana, Fadhili I. [3 ]
Munyua, Peninah [8 ]
Ochieng, John B. [4 ]
Rogers, Lynn [1 ]
Sindiyo, Emmanuel [9 ]
Swai, Emanuel S. [10 ]
Verani, Jennifer R. [8 ]
Widdowson, Marc-Alain [8 ]
Wilkinson, David A. [1 ]
Kazwala, Rudovick R. [6 ]
Crump, John A. [11 ]
Zadoks, Ruth N. [5 ,12 ]
机构
[1] Massey Univ, Palmerston North, New Zealand
[2] Minist Primary Ind, Wellington, New Zealand
[3] Kilimanjaro Christian Med Ctr, Kilimanjaro Clin Res Inst, Moshi, Tanzania
[4] Kenya Med Res Inst KEMRI, Ctr Global Hlth Res, Kisumu, Kenya
[5] Univ Strathclyde, Glasgow, Scotland
[6] Sokoine Univ Agr, Morogoro, Tanzania
[7] Kilimanjaro Christian Med Univ Coll, Moshi, Tanzania
[8] US Ctr Dis Control & Prevent, Nairobi, Kenya
[9] Nelson Mandela African Inst Sci & Technol, Arusha, Tanzania
[10] Minist Livestock & Fisheries, Dodoma, Tanzania
[11] Univ Otago, Dunedin, New Zealand
[12] Univ Sydney, Sydney, NSW, Australia
基金
英国医学研究理事会; 英国生物技术与生命科学研究理事会; 英国经济与社会研究理事会; 英国自然环境研究理事会;
关键词
THERMOPHILIC CAMPYLOBACTER; MOROGORO MUNICIPALITY; QUINOLONE RESISTANCE; PCR ASSAY; IDENTIFICATION; EPIDEMIOLOGY; INFECTIONS; PREVALENCE; MECHANISM; CHILDREN;
D O I
10.3201/eid3010.231399
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Campylobacteriosis and antimicrobial resistance (AMR) are global public health concerns. Africa is estimated to have the world's highest incidence of campylobacteriosis and a relatively high prevalence ofAMR in Campylobacterspp. from humans and animals. Few studies have compared Campylobacter spp. isolated from humans and poultry in Africa using whole-genome sequencing and antimicrobial susceptibility testing. We explored the population structure and AMR of 178 Campylobacter isolates from East Africa, 81 from patients with diarrhea in Kenya and 97 from 56 poultry samples in Tanzania, collected during 2006-2017. Sequence type diversity was high in both poultry and human isolates, with some sequence types in common. The estimated prevalence of multidrug resistance, defined as resistance to >3 antimicrobial classes, was higher in poultry isolates (40.9%, 95% credible interval 23.6%-59.4%) than in human isolates (2.5%, 95% credible interval 0.3%-6.8%), underlining the importance of antimicrobial stewardship in livestock systems.
引用
收藏
页码:2079 / 2089
页数:11
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