街头食品可能是抗生素抗性细菌(ARB)和抗生素抗性基因(ARG)对人类的载体。被ARB污染的食品在医疗保健领域带来了严重的问题或挑战,畜牧业,食品工业,全球公共卫生。本系统评价的目的是识别和评估与从各种街头食品中分离出的ARB相关的科学报告。遵循“系统评价和荟萃分析的首选报告项目”(PRISMA)指南。书目材料涵盖2015年1月至2024年4月。分别搜索了六个电子科学数据库以获取全文文章;仅选择符合纳入和排除标准的论文。本系统综述包括17篇论文。这项研究强调了对β-内酰胺和其他抗生素耐药的ARB的广泛分布。对消费者构成重大健康风险。观察到抗生素如氨苄西林的高耐药水平,头孢曲松,和四环素,而一些抗生素,比如头孢他啶,克拉维酸,头孢哌酮,复方新诺明,多西环素,多尼培南,磷霉素,万古霉素,还有哌拉西林他唑巴坦,表现出100%的易感性。不同国家的街头食品中ARB的患病率在5.2%至70.8%之间变化。各种细菌的多重耐药性,包括大肠杆菌,葡萄球菌,沙门氏菌,和克雷伯菌属,多种抗生素,以及导致抗生素耐药性(AR)传播的环境因素,强调迫切需要采取全面的方法和协调的努力,以在“一个健康”范式下应对抗菌素耐药性(AMR)。
Street food may be a vehicle of antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARGs) to humans. Foods contaminated with ARB entail serious problems or challenges in the fields of medical care, animal husbandry, food industry, and public health worldwide. The objectives of this systematic review were to identify and evaluate scientific reports associated with ARB isolated from various street foods. \"Preferred reporting items for systematic reviews and meta-analysis\" (PRISMA) guidelines were followed. The bibliographic material covers a period from January 2015 to April 2024. Six electronic scientific databases were searched individually for full-text articles; only those papers that met the inclusion and exclusion criteria were selected. Seventeen papers were included in this systematic review. This study highlighted the wide distribution of ARB resistant to β-lactams and other antibiotics, posing significant health risks to consumers. High resistance levels were observed for antibiotics such as ampicillin, ceftriaxone, and tetracycline, while some antibiotics, such as ceftazidime, clavulanic acid, cefoperazone, cotrimoxazole, doxycycline, doripenem, fosfomycin, vancomycin, and piperacillin-tazobactam, demonstrated 100% susceptibility. The prevalence of ARB in street foods varied between 5.2% and 70.8% among different countries. The multiple resistance of various bacteria, including Escherichia coli, Staphylococcus, Salmonella, and Klebsiella, to multiple classes of antibiotics, as well as environmental factors contributing to the spread of antibiotic resistance (AR), emphasize the urgent need for comprehensive approaches and coordinated efforts to confront antimicrobial resistance (AMR) under the \"One Health\" paradigm.