One Health approach

一种健康方法
  • 文章类型: Journal Article
    产生超广谱β-内酰胺酶并表现出多药耐药性(MDR)的肠道沙门氏菌血清变型的出现构成了重大的全球威胁,导致广泛的食源性疾病,并给公共卫生带来令人震惊的问题。本研究特别集中于ESBL抗性基因的分离和鉴定(blaTEM,BLASHV,blaCTX-M1,blaCTX-M2,blaCTX-M9,MultiCaseACC,MultiCaseMOX,MultiCaseDHA,blaOXA)和从孟加拉国零售店购买的山羊肉样品中发现的肠沙门氏菌血清型的抗菌谱分析。在孟加拉国Sylhet区的研究中,研究人员从13个不同的Upazilas收集了总共210个山羊肉样本。首先,使用培养和生化方法从选定的样品中分离细菌。伤寒沙门氏菌和肠炎,以及三个抗ESBL基因,通过聚合酶链反应(PCR)鉴定。圆盘扩散测试用于确定抗微生物敏感性。在分析的210个样本中,沙门氏菌属。检测到18.10%(210人中有38人),在9.05%(210个中的19个)和5.24%(210个中的11个)的样本中发现肠炎沙门氏菌和鼠伤寒沙门氏菌,分别。共有72.73%(8/11)的肠炎沙门氏菌和100%(19/19)的鼠伤寒沙门氏菌呈多重耐药阳性。BlaTEM基因检测到63.16%(19个中的12个)的鼠伤寒沙门氏菌阳性结果,BlaSHV检测到21.05%(4/19)的阳性结果,基因。研究认为,零售山羊肉市场渠道可能是产ESBL多药沙门氏菌肠道血清型的突出传播途径,代表着重大的公共健康危害。
    The emergence of Salmonella enterica serovars that produce extended-spectrum beta-lactamase and exhibit multi-drug resistance (MDR) poses a substantial global threat, contributing to widespread foodborne illnesses and presenting an alarming issue for public health. This study specifically concentrated on the isolation and identification of ESBL-resistant genes (bla TEM, bla SHV, bla CTX-M1, bla CTX-M2, bla CTX-M9, MultiCase ACC, MultiCase MOX, MultiCase DHA, bla OXA) and the antibiogram profiling of Salmonella enterica serovars found in goat meat samples procured from retail outlets in Bangladesh. During the research in the Sylhet district of Bangladesh, researchers gathered a total of 210 samples of goat meat from 13 different Upazilas. Primarily, cultural and biochemical methods were used for isolation of bacteria from the selected samples. Salmonella enterica serovars Typhimurium and Enteritidis, along with three ESBL-resistant genes, were identified through polymerase chain reactions (PCRs). The disk diffusion test was used to determine antimicrobial susceptibilities. Out of 210 samples analysed, Salmonella spp. was detected in 18.10 % (38 out of 210), with S. Enteritidis and S. Typhimurium found in 9.05 % (19 out of 210) and 5.24 % (11 out of 210) of the samples, respectively. A total of 72.73 % (8/11) of S. Enteritidis and 100 % (19/19) of S. Typhimurium isolates were positive by Multidrug-resistant patterns. The positive outcomes were found of S. Typhimurium tested 63.16 % (12 out of 19) for the bla TEM gene and 21.05 % (4/19) for the bla SHV, gene. The study proposes that the retail goat meat market channel could be a prominent transmission way of ESBL-producing MDR Salmonella enterica serovars, representing a significant public health hazard.
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  • 文章类型: Journal Article
    抗菌素耐药性是一个令人担忧的公共卫生问题;它的重要性与重大的临床意义有关(发病率增加,死亡率,疾病持续时间,合并症的发展,和流行病),以及它对医疗保健行业的经济影响。事实上,对许多抗生素具有抗性的细菌的出现和传播严重限制了治疗选择。全球局势令人担忧,特别是鉴于革兰氏阴性菌肺炎克雷伯菌和鲍曼不动杆菌的流行,这些细菌经常在医院环境中被分离,更具体地说,在重症监护病房。该问题由于经常自我开处方治疗的患者对感染的无效治疗而变得更加复杂。耐药细菌也表现出对最新一代抗生素的耐药性,如碳青霉烯类。事实上,超级细菌,以首字母缩写词扩展谱β-内酰胺酶(ESBL)分组,正在变得普通。在畜牧业中也发现了抗生素耐药性,对动物生产产生严重影响。总的来说,这种现象影响到生物圈的所有成员,只能通过采用整体的“一个健康”方法来解决。在这篇文献综述中,收集了关于抗生素耐药性的知识,并提出了阻止其发展的建议。
    Antimicrobial resistance represents an alarming public health problem; its importance is related to the significant clinical implications (increased morbidity, mortality, disease duration, development of comorbidities, and epidemics), as well as its economic effects on the healthcare sector. In fact, therapeutic options are severely limited by the advent and spread of germs resistant to many antibiotics. The situation worldwide is worrying, especially in light of the prevalence of Gram-negative bacteria-Klebsiella pneumoniae and Acinetobacter baumannii-which are frequently isolated in hospital environments and, more specifically, in intensive care units. The problem is compounded by the ineffective treatment of infections by patients who often self-prescribe therapy. Resistant bacteria also show resistance to the latest generation antibiotics, such as carbapenems. In fact, superbacteria, grouped under the acronym extended-spectrum betalactamase (ESBL), are becoming common. Antibiotic resistance is also found in the livestock sector, with serious repercussions on animal production. In general, this phenomenon affects all members of the biosphere and can only be addressed by adopting a holistic \"One Health\" approach. In this literature overview, a stock is taken of what has been learned about antibiotic resistance, and suggestions are proposed to stem its advance.
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  • 文章类型: Journal Article
    钩端螺旋体病是全球公共卫生关注的最被忽视的人畜共患感染之一,也是印度等热带国家的复发感染。对于报告的疾病发生率和控制感染,感染最少的疾病以及流行病学和其他关键数据很少。钩端螺旋体病如皂毛病与感染本身一样被低估,本文旨在探讨这一疾病的意义。该研究综述旨在了解流行病学对感染的影响,以控制疾病的负面影响。进行了混合审查和分析,以了解在流行病学等关键和未充分研究领域发表的知识,传输,诊断,治疗,控制感染。进行了系统分析,以提取有关报告的循环菌株的信息,并利用PubMed上公布的数据研究印度的空洞。本文详细讨论了感染传播的关键推理领域,并解决了未受好评的感染领域的空白,以使用一种健康方法(OHA)控制感染的传播。并提出了控制钩端螺旋体感染的策略。本文还回顾了如何以及为什么钩端螺旋体病可以通过“一种健康方法”在印度得到最好的研究和控制。
    Leptospirosis is one of the most neglected zoonotic infections of public health concern worldwide and a remerging infection in tropical countries such as India. The infection least explored disease and the epidemiological and other critical data are scarce for the disease rate reported and to control the infection. Leptospirosis as sapronosis is as underrated as the infection itself, and this article aims to explore the significance of this aspect of the disease. The research review aimed at the epidemiological understanding of the infection to control the negative impact of the disease. A mixed review and analysis were carried out to understand the knowledge published on the critical and understudied areas like epidemiology, transmission, diagnosis, treatment, and control of infection. A systematic analysis was carried out to extract information about the reported circulating strains, and research lacunae in India with the published data available in PubMed. The article elaborately discusses crucial inference areas of infection transmission and addresses lacunae in critically unacclaimed areas of infection to control the spread of infection using one health approach (OHA), and strategies to control leptospiral infection are proposed. The article also reviewed how and why Leptospirosis can be best studied and controlled by \"One health approach\" in India.
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  • 文章类型: Journal Article
    反向人畜共患病揭示了病原体通过人-动物界面传播的过程以及人畜共患病病原体的溢出。在这篇文章中,我们有条不紊地展示了反向人畜共患病的各个方面,全面讨论了SARS-CoV-2和MPXV反向人畜共患病。首先,反向人畜共患病的不同成分,比如人类,不同的病原体,和许多动物(家禽,牲畜,宠物,野生动物,和动物园动物),已经被证明了。第二,它解释了在以前的各种爆发期间,具有不同病原体的反向人畜共患病的现状,流行病,和流行病。这里,我们提供了25个来自文献的例子。第三,使用几个例子,我们全面说明了SARS-CoV-2和MPXV的反向人畜共患病的现状。这里,我们提供了SARS-CoV-2反向人畜共患病的17例和MPXV反向人畜共患病的2例。第四,我们描述了反向人畜共患病的两个重要方面:理解溢出的基本方面和认识。这两个方面是防止当前两种重要病毒感染的反向人畜共患病所必需的。最后,一个健康的方法被生动地讨论,我们敦促来自不同地区的科学家共同努力解决反向人畜共患病的问题。
    Reverse zoonosis reveals the process of transmission of a pathogen through the human-animal interface and the spillback of the zoonotic pathogen. In this article, we methodically demonstrate various aspects of reverse zoonosis, with a comprehensive discussion of SARS-CoV-2 and MPXV reverse zoonosis. First, different components of reverse zoonosis, such as humans, different pathogens, and numerous animals (poultry, livestock, pets, wild animals, and zoo animals), have been demonstrated. Second, it explains the present status of reverse zoonosis with different pathogens during previous occurrences of various outbreaks, epidemics, and pandemics. Here, we present 25 examples from literature. Third, using several examples, we comprehensively illustrate the present status of the reverse zoonosis of SARS-CoV-2 and MPXV. Here, we have provided 17 examples of SARS-CoV-2 reverse zoonosis and two examples of MPXV reverse zoonosis. Fourth, we have described two significant aspects of reverse zoonosis: understanding the fundamental aspects of spillback and awareness. These two aspects are required to prevent reverse zoonosis from the current infection with two significant viruses. Finally, the One Health approach was discussed vividly, where we urge scientists from different areas to work collaboratively to solve the issue of reverse zoonosis.
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    求助全文

  • 文章类型: Journal Article
    抗菌素耐药性(AMR)是东地中海地区(EMR)的主要威胁,卫生系统薄弱,以及滥用抗菌药物。本文旨在讨论如何跨学科的行动和协作,特别是通过抗菌药物管理(AMS)和单一健康方法,可以有效地解决EMR中的AMR。审查的重点是成功的AMS倡议和在EMR内的国家采用“一个健康”方法,包括海湾合作委员会(GCC)埃及,伊朗,乔丹,和巴基斯坦。目标是强调在打击AMR方面取得进展的潜力,并确定加强跨学科合作的挑战和机遇。结果展示了在各个EMR国家/地区成功的AMS计划和OneHealth计划,展示他们应对AMR挑战的潜力。本文还讨论了这些国家面临的挑战,例如有限的资源,支离破碎的卫生系统,和知识差距。此外,通过区域合作加强跨学科行动的机会,国际伙伴关系,并对研究和创新进行了概述。总之,本文强调了在EMR中全面协作应对AMR的重要性。它主张将“一个健康”方法作为指导这些努力的关键框架,促进协调行动,改进监控,负责任的抗菌药物使用,加强跨学科合作,有效缓解AMR的威胁。
    Antimicrobial resistance (AMR) is a major threat in the Eastern Mediterranean region (EMR) due to factors such as the high prevalence of infectious diseases, weak health systems, and the misuse of antimicrobials. This paper aims to discuss how interdisciplinary action and collaboration, specifically through antimicrobial stewardship (AMS) and the One Health approach, can effectively address AMR in the EMR. The review focuses on successful AMS initiatives and the adoption of the One Health approach in countries within the EMR, including the Gulf Cooperation Countries (GCC), Egypt, Iran, Jordan, and Pakistan. The goal is to highlight the potential for progress in combating AMR and identify challenges and opportunities for strengthening interdisciplinary collaboration. The results showcase successful AMS programs and One Health initiatives in various EMR countries, demonstrating their potential to address AMR challenges. The paper also discusses the challenges faced by these nations, such as limited resources, fragmented health systems, and knowledge gaps. Additionally, opportunities for enhancing interdisciplinary action through regional cooperation, international partnerships, and research and innovation are outlined. In conclusion, this paper emphasizes the importance of a comprehensive and collaborative response to combat AMR in the EMR. It advocates for the One Health approach as a crucial framework to guide these efforts, promoting coordinated action, improved surveillance, responsible antimicrobial use, and enhanced interdisciplinary collaboration to effectively mitigate the threat of AMR.
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  • 文章类型: Journal Article
    这封信强调了环境驱动因素对中低收入国家(LMICs)抗菌素耐药性(AMR)的影响,并强调需要采取全面的方法来应对这一全球健康威胁。关键因素,比如农业实践,废水处理,和污染,有助于抗性病原体的发展和传播。利用“一个健康”方法,该论文强调了促进负责任的抗菌药物使用的重要性,加强公共卫生系统,投资于创新研究,并提高公众意识。通过理解和解决这些环境驱动因素,我们可以致力于维护全球健康并确保可持续的未来。
    This letter highlights the impact of environmental drivers on antimicrobial resistance (AMR) in low and middle-income countries (LMICs) and highlights the need for a comprehensive approach to address this global health threat. Key factors, such as agricultural practices, wastewater treatment, and pollution, contribute to the development and spread of resistant pathogens. Utilizing the One Health approach, the paper emphasizes the importance of promoting responsible antimicrobial use, strengthening public health systems, investing in innovative research, and raising public awareness. By understanding and addressing these environmental drivers, we can work toward safeguarding global health and ensuring a sustainable future.
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  • 文章类型: Journal Article
    2021年2月21日,马达加斯加各个地区怀疑发生了裂谷热(RVF)流行病,2021年4月1日实验室确认。2021年4月22日至5月4日,在Mananjary地区进行了一项横断面调查,旨在检测人类中的RVF病例并研究动物中裂谷热病毒(RVFV)的传播。使用血清学和分子技术测试了来自牛和人类的血液样品。在牛身上,在2021年2月5日至5月4日期间确认了RVFV的流通。抗RVFVIgG和IgM阳性率分别为60%和40%,分别。在人类中,从2021年4月1日至5月5日观察到RVFV的循环。通过结合分子和血清学方法的结果,RVFV的阳性率估计为11.7%。在同意参与调查的103个人中,3例通过RT-PCR确定为阳性,10例有抗RVFVIgM。其中,一个对两者都是积极的。鉴于先前的研究报告了在疫情期间RVFV的流通以及马达加斯加因进口RVFV而爆发的疫情,我们的研究结果表明,从"一个健康"的角度,通过在国家和地区层面开展综合征和基于风险的监测,加强裂谷热监测的重要性.
    An epizootic of rift valley fever (RVF) was suspected on 21 February 2021 in various districts of Madagascar, with a lab confirmation on 1 April 2021. A cross-sectional survey aiming to detect cases of RVF in humans and to study the circulation of rift valley fever virus (RVFV) in animals was conducted from 22 April to 4 May 2021 in the district of Mananjary. Blood samples from cattle and humans were tested using serological and molecular techniques. In cattle, the circulation of RVFV was confirmed between 5 February and 4 May 2021. The positivity rates of anti-RVFV IgG and IgM were 60% and 40%, respectively. In humans, the circulation of RVFV was observed from 1 April to 5 May 2021. The positivity rate of RVFV was estimated to be 11.7% by combining the results of the molecular and serological approaches. Of the 103 individuals who agreed to participate in the survey, 3 were determined to be positive by RT-PCR, and 10 had anti-RVFV IgM. Among them, one was positive for both. Given that previous studies have reported the circulation of RVFV during inter-epidemic periods and the occurrence of outbreaks due to imported RVFV in Madagascar, our findings suggest the importance of strengthening RVF surveillance from a \"One Health\" perspective by conducting syndromic and risk-based surveillance at the national and regional levels.
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  • 文章类型: Journal Article
    抗菌素耐药性(AMR)是一种复杂且有些不可预测的现象。历史上,在上世纪下半叶,在集约化农业中利用阿伏霉素导致了对万古霉素的耐药性的发展,在人类医学中具有挽救生命的重要抗生素。目前,在欧盟,对离子载体抗生素莫能菌素(MON)的依赖越来越大,它既是家禽养殖中的抗球虫药,又是预防泌乳奶牛酮症的预防措施。尽管许多研究人员声称MON不会在人类医学中引起对临床相关抗生素的交叉耐药性,存在一些相互矛盾的报告。MON在畜牧业中的众多应用以及该化合物及其代谢物在环境中的传播需要进一步研究,以最终确定MON是否代表AMR传播的潜在载体。必须强调,抗生素不能代替合理的畜牧业做法或根据牲畜的不同生产周期定制的饮食方案。因此,严格的评估对于评估与MON使用相关的经济利益是否证明其就业是必不可少的,还考虑了其对当地和全球环境的影响,以及煽动AMR的潜在风险,并增加了其控制成本。
    Antimicrobial resistance (AMR) is a complex and somewhat unpredictable phenomenon. Historically, the utilization of avoparcin in intensive farming during the latter part of the previous century led to the development of resistance to vancomycin, a crucial antibiotic in human medicine with life-saving properties. Currently, in the European Union, there is a growing reliance on the ionophore antibiotic monensin (MON), which acts both as a coccidiostat in poultry farming and as a preventative measure against ketosis in lactating cows. Although many researchers claim that MON does not induce cross-resistance to antibiotics of clinical relevance in human medicine, some conflicting reports exist. The numerous applications of MON in livestock farming and the consequent dissemination of the compound and its metabolites in the environment require further investigation to definitively ascertain whether MON represents a potential vector for the propagation of AMR. It is imperative to emphasize that antibiotics cannot substitute sound animal husbandry practices or tailored dietary regimens in line with the different production cycles of livestock. Consequently, a rigorous evaluation is indispensable to assess whether the economic benefits associated with MON usage justify its employment, also considering its local and global environmental ramifications and the potential risk of instigating AMR with increased costs for its control.
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  • 文章类型: Published Erratum
    [这更正了文章DOI:10.3389/fimmu.202.921483。].
    [This corrects the article DOI: 10.3389/fimmu.2022.921483.].
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  • 文章类型: Journal Article
    农业生物多样性代表了有助于农业食品生产的生物有机体系统。在与食物相关的物种大量丧失和遗传多样性减少的背景下,采取战略来保护和增强支持和补充农业生产的遗传资源的多样性已成为全球挑战。近年来概述的许多可持续发展战略直接或间接地将农业生物多样性在满足粮食需求方面发挥关键作用,确保粮食系统安全,促进食物正义,并提高现代生活环境中的福祉。这项贡献旨在分析知识和意识的过程,这些过程导致许多城市通过投资农业矩阵来规划其城市发展,并解决具有农业生物多样性的开放空间的设计。
    Agrobiodiversity represents a system of biological organisms that contribute to agri-food production. In a context marked by a significant loss of food-relevant species and a reduction in their genetic diversity, the adoption of strategies to preserve and enhance the diversity of genetic resources that support and complement agricultural production has become a global challenge. Many sustainable development strategies outlined in recent years directly and indirectly attribute a crucial role to agrobiodiversity in meeting food needs, ensuring food system security, promoting food justice, and enhancing well-being in modern living environments. This contribution aims to analyze the process of knowledge and awareness that has led many cities to plan their urban development by investing in the agricultural matrix and to address the design of open spaces with agricultural biodiversity.
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