Campylobacter Infections

弯曲杆菌感染
  • 文章类型: Systematic Review
    背景:先前的工作发现,气候变化引起的天气变异性被怀疑会增加肠道病原体的传播,包括弯曲杆菌,细菌性肠胃炎的主要原因。虽然已经记录了极端天气事件与腹泻疾病之间的关系,对弯曲杆菌感染的具体影响仍未充分研究.
    目的:综合同行评审的文献,探讨天气变化对人类弯曲杆菌感染的影响。
    方法:评论包括英语,同行评审的文章,截至2022年9月1日在PubMed上发布,Embase,GEOBASE,农业与环境科学数据库,和CABI全球健康探索前期天气事件对弯曲杆菌引起的人类肠道疾病的影响。(PROSPERO协议#351884)。我们提取了研究信息,包括数据源,方法,汇总措施,和效果大小。总结报告的证据的质量和权重,并评估每篇文章的偏倚。
    结果:筛选278篇文章后,47篇文章(34项研究,13份疫情报告)被纳入证据综合。前期天气事件包括降水(n=35),温度(n=30),相对湿度(n=7),阳光(n=6),厄尔尼诺和拉尼娜(n=3)。经过审查的研究表明,在特定条件下,降水和温度的增加与弯曲杆菌感染有关,相对湿度和日照呈负相关。评估动物手术效果的文章(n=15)发现,动物手术的存在和密度与感染显着相关。然而,大多数收录的文章都没有通过季节性来评估混杂情况,动物行动的存在,或描述风险的估计。
    结论:这篇综述探讨了关于天气事件对弯曲杆菌的影响的已知情况,并确定了以前报道不足的相对湿度和日照对弯曲杆菌感染的负相关性。未来的研究应该探索特定病原体的风险估计,可以用来影响公共卫生战略,改善来源归因和因果途径,并预测气候变化造成的疾病负担。
    BACKGROUND: Previous work has found climate change-induced weather variability is suspected to increase the transmission of enteric pathogens, including Campylobacter, a leading cause of bacterial gastroenteritis. While the relationship between extreme weather events and diarrheal diseases has been documented, the specific impact on Campylobacter infections remains underexplored.
    OBJECTIVE: To synthesize the peer-reviewed literature exploring the effect of weather variability on Campylobacter infections in humans.
    METHODS: The review included English language, peer-reviewed articles, published up to September 1, 2022 in PubMed, Embase, GEOBASE, Agriculture and Environmental Science Database, and CABI Global Health exploring the effect of an antecedent weather event on human enteric illness caused by Campylobacter (PROSPERO Protocol # 351884). We extracted study information including data sources, methods, summary measures, and effect sizes. Quality and weight of evidence reported was summarized and bias assessed for each article.
    RESULTS: After screening 278 articles, 47 articles (34 studies, 13 outbreak reports) were included in the evidence synthesis. Antecedent weather events included precipitation (n = 35), temperature (n = 30), relative humidity (n = 7), sunshine (n = 6), and El Niño and La Niña (n = 3). Reviewed studies demonstrated that increases in precipitation and temperature were correlated with Campylobacter infections under specific conditions, whereas low relative humidity and sunshine were negatively correlated. Articles estimating the effect of animal operations (n = 15) found presence and density of animal operations were significantly associated with infections. However, most of the included articles did not assess confounding by seasonality, presence of animal operations, or describe estimates of risk.
    CONCLUSIONS: This review explores what is known about the influence of weather events on Campylobacter and identifies previously underreported negative associations between low relative humidity and sunshine on Campylobacter infections. Future research should explore pathogen-specific estimates of risk, which can be used to influence public health strategies, improve source attribution and causal pathways, and project disease burden due to climate change.
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  • 文章类型: Journal Article
    家禽业是世界上发展最快的产业之一。家禽育种已得到显著发展,以满足不断增长的人口的食物需求,预计这种增长将在未来几年继续。流行的家禽疾病非常重要,因为它们会造成巨大的经济损失和公共卫生问题。它们还影响家禽产品的国内和国际贸易。这篇综述将为家禽饲养者提供不同重要家禽疾病的快速和全面的观点,科学家和决策者。基于这篇综述,亚洲大陆的弯曲杆菌病和传染性法氏囊病[IBD],和弯曲杆菌病,新城疫[ND]和球虫病是非洲大陆最常见的疾病。在欧洲,弯曲杆菌属物种和在美国,大肠杆菌种类广泛存在于禽肉中。欧洲的传染性支气管炎[IB]和美国的球虫病发病率高。
    The poultry industry is one of the fastest growing industries in the world. Poultry breeding has developed significantly to meet the food needs of the increasing population and it is expected that this growth will continue in the coming years. Prevalent poultry diseases are of great importance as they are responsible for vast economic losses and public health concerns. They also affect the national and international trade of the poultry products. This review will provide a quick and general view of different important poultry diseases for poultry breeders, scientists and decision makers. Based on this review, Campylobacteriosis and infectious bursal disease (IBD) in the Asian continent, and Campylobacteriosis, Newcastle disease (ND) and coccidiosis in the African continent were the most prevalent diseases. In Europe, Campylobacter species and in America, Escherichia coli species are widespread in poultry meat. Infectious Bronchitis (IB) in Europe and Coccidiosis in America were high-incident.
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  • 文章类型: Meta-Analysis
    进行了系统评价和荟萃分析,以明确家禽活生产中弯曲杆菌来源对肉鸡肉弯曲杆菌流行率的相对贡献。弯曲杆菌的关键词,患病率,现场生产,和肉鸡在谷歌学者中被用来解决研究兴趣。总共确定了16,800条引文,在应用预定的纳入和排除标准后,将63篇相关引文纳入荟萃分析.在当前的荟萃分析中使用了一种结合Logit变换的广义线性混合模型方法来稳定方差。分析显示,弯曲杆菌在禽舍外部环境包括周围环境中普遍存在,野生动物,家畜,和农用车辆,预测患病率为14%。在禽舍内部环境中的弯曲杆菌的回收率远没有在外部丰富,患病率为2%,包括垃圾,水,昆虫,老鼠,饲料,和空气。从4项确定的研究中,由于一天大的雏鸡没有弯曲杆菌,因此缺乏垂直传播的证据。活的鸟类是弯曲杆菌的主要携带者,预测患病率为41%。用于现场运输的运输设备的总体患病率为39%,车辆的预测患病率为44%,板条箱的预测患病率为22%。这项荟萃分析的结果强调了需要实施有效的生物安全措施,以最大程度地降低禽肉中弯曲杆菌的风险,因为人类活动似乎是弯曲杆菌引入的主要因素。
    A systematic review and meta-analysis were conducted to idetnify the relative contributions of the sources of Campylobacter in poultry live production to Campylobacter prevalence of broiler meat. The keywords of Campylobacter, prevalence, live production, and broiler were used in Google Scholar to address the research interest. A total of 16,800 citations were identified, and 63 relevant citations were included in the meta-analysis after applying predetermined inclusion and exclusion criteria. A generalized linear mixed model approach combined with logit transformation was used in the current meta-analysis to stabilize the variance. The analysis revealed that Campylobacter is ubiquitous in the poultry house exterior environment including surroundings, wildlife, domestic animals, and farm vehicle, with a predicted prevalence of 14%. The recovery of Campylobacter in the interior environment of the poultry house is far less abundant than in the exterior, with a prevalence of 2%, including litter, water, insects, mice, feed, and air. A lack of evidence was observed for vertical transmission due to the day-old chicks being free of Campylobacter from 4 studies identified. Live birds are the predominant carrier of Campylobacter, with a predicted prevalence of 41%. Transportation equipment used for live haul had an overall prevalence of 39%, with vehicles showing a predicted prevalence of 44% and crates with a predicted prevalence of 22%. The results of this meta-analysis highlight the need to implement effective biosecurity measures to minimize the risk of Campylobacter in poultry meat, as human activity appears to be the primary factor for Campylobacter introduction.
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  • 文章类型: Journal Article
    禽弯曲杆菌病是一种破坏性感染,对人类健康造成危害。弯曲杆菌通常在禽类肠道中定植,在受感染的禽类中显示出轻度症状,但是零售鸡肉尸体的弯曲杆菌污染水平很高。因此,受污染的禽类产品是人类感染弯曲杆菌病的主要来源,并导致严重的临床症状,如腹泻,腹痛,痉挛,和敏感病例中的死亡。因此,本次审查旨在阐明肉鸡中弯曲杆菌的流行情况,弯曲杆菌定植,鸟类对弯曲杆菌的免疫力,家禽感染源,抗生素耐药性,禽肉污染,人类健康危害,以及在鸡肉加工过程中使用标准抗菌技术可能的控制策略来克服此类问题。
    Avian campylobacteriosis is a vandal infection that poses human health hazards. Campylobacter is usually colonized in the avian gut revealing mild signs in the infected birds, but retail chicken carcasses have high contamination levels of Campylobacter spp. Consequently, the contaminated avian products constitute the main source of human infection with campylobacteriosis and result in severe clinical symptoms such as diarrhea, abdominal pain, spasm, and deaths in sensitive cases. Thus, the current review aims to shed light on the prevalence of Campylobacter in broiler chickens, Campylobacter colonization, bird immunity against Campylobacter, sources of poultry infection, antibiotic resistance, poultry meat contamination, human health hazard, and the use of standard antimicrobial technology during the chicken processing of possible control strategies to overcome such problems.
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  • 文章类型: Journal Article
    空肠弯曲菌是人畜共患性胃肠炎的主要原因。其他新兴群体的弯曲菌属。是人类口腔共生的一部分,由C.concisus(CC)代表,最近与非口腔疾病有关。尽管这两组弯曲层的长期胃肠道(GI)并发症以前已经单独进行了审查,弯曲杆菌感染对胃肠道癌变及其炎性前体性病变的总体影响尚未统一评估.
    为了评估有关弯曲杆菌感染/定植与炎症性肠病(IBD)之间关联的现有证据,反流性食管炎/上皮化生结直肠癌(CRC)和食管癌(EC)。
    我们对PubMed进行了全面的文献检索,以获取相关的原始出版物以及流行病学和临床研究的系统评价/荟萃分析。此外,我们收集了有关微生物数据的更多信息,动物模型和体外研究的机理数据。
    关于IBD的回顾性和前瞻性研究均显示与弯曲杆菌感染相关的风险相对一致地增加。尽管缺乏支持前瞻性研究,基于组织/粪便微生物组的回顾性研究揭示了CRC样本中弯曲杆菌的持续富集.关于EC前体病变(食管炎和上皮化生)的研究通常支持与弯曲杆菌的关联,而对欧共体的观察不一致。对IBD和EC前体的研究表明,CC的主要作用,但是关于CRC的研究没有提供物种信息。
    有足够的证据要求共同努力揭示这种生物与人类结直肠癌和食管癌的直接和间接联系。
    UNASSIGNED: Campylobacter jejuni is the leading cause of zoonotic gastroenteritis. The other emerging group of Campylobacters spp. are part of human oral commensal, represented by C. concisus (CC), which has been recently linked to non-oral conditions. Although long-term gastrointestinal (GI) complications from these two groups of Campylobacters have been previously reviewed individually, overall impact of Campylobacter infection on GI carcinogenesis and their inflammatory precursor lesions has not been assessed collectively.
    UNASSIGNED: To evaluate the available evidence concerning the association between Campylobacter infection/colonization and inflammatory bowel disease (IBD), reflux esophagitis/metaplasia colorectal cancer (CRC) and esophageal cancer (EC).
    UNASSIGNED: We performed a comprehensive literature search of PubMed for relevant original publications and systematic reviews/meta-analyses of epidemiological and clinical studies. In addition, we gathered additional information concerning microbiological data, animal models and mechanistic data from in vitro studies.
    UNASSIGNED: Both retrospective and prospective studies on IBD showed relatively consistent increased risk associated with Campylobacter infection. Despite lack of supporting prospective studies, retrospective studies based on tissue/fecal microbiome revealed consistent enrichment of Campylobacter in CRC samples. Studies on EC precursor lesions (esophagitis and metaplasia) were generally supportive for the association with Campylobacter, while inconsistent observations on EC. Studies on both IBD and EC precursors suggested the predominant role of CC, but studies on CRC were not informative of species.
    UNASSIGNED: There is sufficient evidence calling for concerted effort in unveiling direct and indirect connection of this organism to colorectal and esophageal cancer in humans.
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  • 文章类型: Review
    暂无摘要。
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  • 文章类型: Journal Article
    人类感染抗菌素抗性弯曲杆菌是一个重要的公共卫生问题,因为疾病的严重程度和死亡风险可能会增加。我们的目标是综合与弯曲杆菌耐药菌株感染人类相关因素的知识。这次范围审查遵循了系统的方法,包括一个事先制定的协议。与研究馆员协商开发了全面的文献检索,并在五个主要和三个灰色文献数据库中进行。纳入标准是分析和英文出版物,调查人类感染的抗菌素耐药性(大环内酯类,四环素,氟喹诺酮类药物,和/或喹诺酮)弯曲杆菌,报告可能与感染有关的因素。主要和次要筛选由两名独立的审阅者使用DistillerSR®完成。搜索确定了8,527篇独特文章,并在评论中包括27篇文章。因素被广泛归类为动物接触,先前使用抗菌药物,参与者特征,食物消费和处理,旅行,潜在的健康状况,和水消耗/暴露。与氟喹诺酮耐药菌株感染风险增加相关的重要因素包括国外旅行和先前使用抗菌药物。由于结果的异质性,确定一致的风险因素是具有挑战性的,不一致的分析,以及低收入和中等收入国家缺乏数据,强调未来研究的必要性。
    Human infection with antimicrobial-resistant Campylobacter species is an important public health concern due to the potentially increased severity of illness and risk of death. Our objective was to synthesise the knowledge of factors associated with human infections with antimicrobial-resistant strains of Campylobacter. This scoping review followed systematic methods, including a protocol developed a priori. Comprehensive literature searches were developed in consultation with a research librarian and performed in five primary and three grey literature databases. Criteria for inclusion were analytical and English-language publications investigating human infections with an antimicrobial-resistant (macrolides, tetracyclines, fluoroquinolones, and/or quinolones) Campylobacter that reported factors potentially linked with the infection. The primary and secondary screening were completed by two independent reviewers using Distiller SR®. The search identified 8,527 unique articles and included 27 articles in the review. Factors were broadly categorised into animal contact, prior antimicrobial use, participant characteristics, food consumption and handling, travel, underlying health conditions, and water consumption/exposure. Important factors linked to an increased risk of infection with a fluoroquinolone-resistant strain included foreign travel and prior antimicrobial use. Identifying consistent risk factors was challenging due to the heterogeneity of results, inconsistent analysis, and the lack of data in low- and middle-income countries, highlighting the need for future research.
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  • 文章类型: Meta-Analysis
    背景:弯曲杆菌被认为是人类食源性胃肠炎的主要原因。本研究旨在确定食物中弯曲杆菌的患病率,伊朗的动物和人类样本。
    结果:对119篇文献进行定量合成。白肉中弯曲杆菌的合并患病率最高。(43.9%)。弯曲杆菌的总患病率为7.9%和5.5%,分别,被确定为来自伊朗的红肉和鸡蛋。在14.9%的环境样本和8.4%的人类样本中观察到弯曲杆菌。在大多数样品中,空肠弯曲杆菌具有比大肠杆菌更高的频率。大多数分离的弯曲杆菌都带有该病原体的几种已知的毒力相关基因。
    结论:鸡被鉴定为弯曲杆菌库。因此,在家禽生产的所有阶段,直到消费的预防策略对于控制食源性人类感染伊朗的弯曲杆菌是必要的。
    Campylobacter regarded as a major cause of foodborne gastroenteritis in humans. The present study aimed to determine the prevalence of campylobacter in food, animal and human samples of Iran.
    Quantitative synthesis was performed from 119 articles. White meat had the highest pooled prevalence of Campylobacter spp. (43.9%). Pooled prevalence of 7.9% and 5.5% for Campylobacter, respectively, were determined for red meat and eggs from Iran. Campylobacter was seen in 14.9% of environmental samples and 8.4% of human samples. In most of the samples C. jejuni had higher frequency than C. coli. Most of the isolated Campylobacter harbored several of the known virulence related genes of this pathogen.
    Chicken was identified as the Campylobacter reservoir. As such preventive strategies in all stages of poultry production until consumption are necessary to control foodborne human infection with Campylobacter in Iran.
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  • 文章类型: Review
    弯曲杆菌是每年造成400-500万例人类腹泻病例的病原体之一。抗生素抗性弯曲杆菌在人类之间传播的风险,动物,环境是可以预期的,考虑到它通过这些来源的可传播性。本文的目的是提供一种情况分析,以报告南非弯曲杆菌抗生素耐药性的当前模式和决定因素。这篇综述应用一种健康(OH)方法来系统地回顾和整理弯曲杆菌属的抗生素耐药性现状。在南非。人体弯曲杆菌的耐药性最高的是阿奇霉素(69.7%),而弯曲杆菌对加替沙星的耐药水平最低(8.3%)。在动物中,对常见抗生素红霉素的高耐药性(95.06%),克林霉素(95.68%),多西环素(87.65%),红霉素(90%),四环素(84.3%),链霉素(88%),和氨苄青霉素(73%),而水样中的弯曲杆菌对四环素的耐药性为100%,亚胺培南,被记录下来。此外,对克拉霉素的耐药性(95%),阿奇霉素(92%),克林霉素(84.2%),多西环素(80%),弯曲杆菌中报告了环丙沙星(77.8%)。从水样。遗传相似性结果表明抗生素抗性弯曲杆菌的运动。在人类和环境之间。更多关于其他来源的弯曲杆菌抗生素耐药性的研究,在临床分离株之外,是推荐的。
    Campylobacter species are among the aetiological agents responsible for 400-500 million human diarrhoea cases per annum. The risk of dissemination of antibiotic-resistant Campylobacter species between humans, animals, and the environment is anticipated, given its transmissibility through these sources. The objective of this paper is to present a situation analysis that reports the current patterns and determinants of Campylobacter antibiotic resistance in South Africa. This review applies the One Health (OH) Approach to systematically review and collate the current antibiotic resistance status among Campylobacter spp. in South Africa. The highest level of resistance of Campylobacter in humans is to azithromycin (69.7%), whereas the lowest level of resistance of Campylobacter is to gatifloxacin (8.3%). In animals, high resistance to common antibiotics erythromycin (95.06%), clindamycin (95.68%), doxycycline (87.65%), erythromycin (90%), tetracycline (84.3%), streptomycin (88%), and ampicillin (73%) while 100% resistance of Campylobacter from water samples to tetracycline, imipenem, is recorded. Furthermore, resistance to clarithromycin (95%), azithromycin (92%), clindamycin (84.2%), doxycycline (80%), and ciprofloxacin (77.8%) is reported among Campylobacter spp. from water samples. The genetic similarity results suggest the movement of antibiotic-resistant Campylobacter spp. between humans and the environment. More research on antibiotic resistance among Campylobacter from other sources, outside clinical isolates, is recommended.
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  • 文章类型: Journal Article
    弯曲杆菌属。是加拿大和全世界细菌性肠胃炎的最常见原因之一。氟喹诺酮类药物通常用于治疗复杂的人类弯曲杆菌病和弯曲杆菌属菌株。对这些药物的抗药性正在沿着食物链出现。进行了范围审查,以总结人类(氟)喹诺酮耐药(FQR;喹诺酮包括氟喹诺酮)弯曲杆菌。在文献中,通过描述如何测量和报告与FQR相关的疾病负担(BOI)来表征感染,描述研究特征报告的可变性,并对比较FQR弯曲杆菌属BOI指标的文献进行了叙述性综述。感染那些易感感染的人。审查确定了26项研究,这些研究产生了许多病例报告,缺乏最新文献和加拿大数据。研究报告了26种不同的BOI措施,最常见的是住院,腹泻,发烧和病程。由于文献中报道的BOI措施定义不一致,并且耐药性和易感感染之间的比较有限,因此结果好坏参半。当试图评估由于FQR弯曲杆菌属引起的BOI的大小时,这提出了挑战。,强调需要在这一领域进行更多的研究。
    Campylobacter spp. are one of the most common causes of bacterial gastroenteritis in Canada and worldwide. Fluoroquinolones are often used to treat complicated human campylobacteriosis and strains of Campylobacter spp. resistant to these drugs are emerging along the food chain. A scoping review was conducted to summarise how human (fluoro)quinolone-resistant (FQR; quinolones including fluoroquinolones) Campylobacter spp. infections are characterised in the literature by describing how burden of illness (BOI) associated with FQR is measured and reported, describing the variability in reporting of study characteristics, and providing a narrative review of literature that compare BOI measures of FQR Campylobacter spp. infections to those with susceptible infections. The review identified 26 studies that yielded many case reports, a lack of recent literature and a lack of Canadian data. Studies reported 26 different BOI measures and the most common were hospitalisation, diarrhoea, fever and duration of illness. There were mixed results as BOI measures reported in literature were inconsistently defined and there were limited comparisons between resistant and susceptible infections. This presents a challenge when attempting to assess the magnitude of the BOI due to FQR Campylobacter spp., highlighting the need for more research in this area.
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