关键词: Antimicrobial resistance Companion animals One health Scoping review Zoonotic disease

来  源:   DOI:10.1016/j.onehlt.2023.100593   PDF(Pubmed)

Abstract:
UNASSIGNED: Transmission of antimicrobial resistant bacteria between people and household pets, such as dogs and cats, is an emerging global public health problem. This scoping review synthesized existing evidence of human-pet bacteria transmission to understand the magnitude and breadth of this issue.
UNASSIGNED: The search included specific and generic terms for bacteria, resistance, transmission, pets, and humans. Searches were conducted through PubMed, Scopus, Web of Science, CABI Global Health, Networked Digital Library of Theses and Dissertations, Google Scholar. All studies published in English and Mandarin that isolated bacteria from pets (cats and dogs) and humans who had contact with the pets, and reported phenotypic or genotypic antimicrobial sensitivity test results, were included in this review. In cases of bacterial species that are commonly associated with pets, such as Staphylococcus pseudintermedius and Pasteurella multocida, we also included studies that only isolated bacteria from humans.
UNASSIGNED: After removing duplication, the search captured 9355 studies. A total of 1098 papers were screened in the full-text review, and 562 studies were identified as eligible according to our inclusion criteria. The primary reason for exclusion was the lack of sensitivity testing. The included studies were published between 1973 and 2021. The most common study location was the United States (n = 176, 31.3%), followed by the United Kingdom (n = 53, 9.4%), Japan (n = 29, 5.2%), and Canada (n = 25, 4.4%). Most of the included studies were case reports (n = 367, 63.4%), cross-sectional/prevalence studies (n = 130, 22.4%), and case series (n = 51, 8.8%). Only few longitudinal studies (n = 14, 2.4%), case-control studies (n = 12, 2.1%), and cohort studies (n = 5, 0.9%) were included in our review. Most studies focused on Pasteurella multocida (n = 221, 39.3%), Staphylococcus aureus (n = 81, 14.4%), and Staphylococcus pseudintermedius (n = 52, 8.9%). For the 295 studies that used strain typing methods to compare bacteria from humans and pets, most used DNA banding pattern-based methods (n = 133, 45.1%) and DNA sequencing-based methods (n = 118, 40.0%).
UNASSIGNED: Transmission of bacteria could occur in both directions: pets to humans (e.g., S. pseudintermedius and P. multocida) and humans to pets (e.g., S. aureus). The majority of studies provided a low level of evidence of transmission (e.g., case reports), suggesting that more rigorous longitudinal, cohort, or case-control studies are needed to fully understand the risk of human-pet resistant bacterial transmission.
摘要:
抗微生物细菌在人和家庭宠物之间的传播,比如狗和猫,是一个新兴的全球公共卫生问题。此范围审查综合了人类宠物细菌传播的现有证据,以了解此问题的规模和广度。
搜索包括细菌的特定和通用术语,阻力,传输,宠物,和人类。搜索是通过PubMed进行的,Scopus,WebofScience,CABI全球健康,网络数字图书馆的论文和论文,谷歌学者。所有以英语和普通话发表的研究都从宠物(猫和狗)和与宠物接触过的人类中分离出细菌,和报告的表型或基因型抗菌药物敏感性测试结果,包括在这次审查中。在通常与宠物相关的细菌物种的情况下,如假中介葡萄球菌和多杀巴斯德氏菌,我们还纳入了仅从人类中分离细菌的研究。
删除重复后,搜索捕获了9355项研究。全文共筛选1098篇论文,根据我们的纳入标准,562项研究被确定为符合条件.排除的主要原因是缺乏敏感性测试。纳入的研究发表于1973年至2021年之间。最常见的研究地点是美国(n=176,31.3%),其次是英国(n=53,9.4%),日本(n=29,5.2%),加拿大(n=25,4.4%)。纳入的研究大多为病例报告(n=367,63.4%),横断面/患病率研究(n=130,22.4%),和病例系列(n=51,8.8%)。只有很少的纵向研究(n=14,2.4%),病例对照研究(n=12,2.1%),队列研究(n=5,0.9%)纳入我们的综述.大多数研究集中在多杀性巴氏杆菌(n=221,39.3%),金黄色葡萄球菌(n=81,14.4%),和假中间葡萄球菌(n=52,8.9%)。对于295项使用菌株分型方法比较人类和宠物细菌的研究,大多数使用基于DNA条带模式的方法(n=133,45.1%)和基于DNA测序的方法(n=118,40.0%)。
细菌的传播可能发生在两个方向:宠物到人类(例如,美国假中介和多杀疟原虫)和人类对宠物(例如,S、金黄色葡萄球菌)。大多数研究提供了低水平的传播证据(例如,病例报告),这表明更严格的纵向,队列,或病例对照研究需要充分了解人类宠物耐药细菌传播的风险。
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